Effect of low glycemic load diet with and without wheat bran on glucose control in gestational diabetes mellitus: A randomized trial. Full Text Available Background: A low- glycemic index diet is effective in blood glucose control of diabetic subjects, reduces insulin requirement in women with gestation diabetes mellitus GDM and improves pregnancy outcomes when used from beginning of the second trimester.
However there are limited reports to examine the effect of low glycemic load LGL diet and fiber on blood glucose control and insulin requirement of women with GDM. Therefore, the aim of this study was to examine the effect of low glycemic load diet with and without fiber on reducing the number of women with GDM requiring insulin.
Results: We found that 7 Open GL development cookbook. The book is written in a Cookbook format with practical recipes aimed at helping you exploit Open GL to its full potential. This book is targeted towards intermediate Open GL programmers. High glycemic load diet, milk and ice cream consumption are related to acne vulgaris in Malaysian young adults: a case control study. Full Text Available Abstract Background The role of dietary factors in the pathophysiology of acne vulgaris is highly controversial.
Hence, the aim of this study was to determine the association between dietary factors and acne vulgaris among Malaysian young adults. Comprehensive acne severity scale CASS was used to determine acne severity. Subjects were asked to record their food intake on two weekdays and one day on a weekend in a three day food diary. Anthropometric measurements including body weight, height and body fat percentage were taken.
Acne severity was assessed by a dermatologist. Conclusions Glycemic load diet and frequencies of milk and ice cream intake were positively associated with acne vulgaris. The role of dietary factors in the pathophysiology of acne vulgaris is highly controversial. A questionnaire comprising items enquiring into the respondent's family history and dietary patterns was distributed. Glycemic load diet and frequencies of milk and ice cream intake were positively associated with acne vulgaris. Short-term effects of a hypocaloric diet with low glycemic index and low glycemic load on body adiposity, metabolic variables, ghrelin, leptin, and pregnancy rate in overweight and obese infertile women: a randomized controlled trial.
Obesity is related to hormonal disorders that affect the reproductive system. Low- glycemic index LGI diets seem to exert a positive effect on weight loss and on metabolic changes that result from obesity. We investigated the effects of a hypocaloric diet with an LGI and low glycemic load on anthropometric and metabolic variables, ghrelin and leptin concentrations, and the pregnancy rate in overweight and obese infertile women who were undergoing in vitro fertilization IVF.
The study was a randomized block-design controlled trial in which we analyzed 26 overweight or obese infertile women. Patients were assigned to a hypocaloric LGI-diet group or a control group and followed the protocol for 12 wk. Body weight, body mass index BMI , percentage of body fat, glucose, insulin, homeostasis model assessment of insulin resistance, serum lipids, reproductive hormones, leptin, acylated ghrelin, number of oocytes retrieved in the IVF cycle, and pregnancy rate were determined.
There were greater reductions in body mass, BMI, percentage of body fat, waist:hip ratio, and leptin in the LGI-diet group than in the control group P diet group had Three patients The hypocaloric LGI diet promoted a decrease in BMI, percentage of body fat, and leptin concentrations, which improved oocyte development and pregnancy rate. These results support the clinical recommendation to advise overweight and obese women to lose weight through a balanced diet before being submitted for treatment with assisted reproduction technologies.
A hypocaloric diet combined with LGI foods seems to be beneficial for these patients, but additional studies are required before this treatment is recommended. This trial was registered at clinicaltrials. High yogurt intake is associated with a reduced risk of type 2 diabetes T2DM. Although several mechanisms could explain this association, this paper addresses the glycemic and insulinemic impact of yogurt. High insulin responses may be deleterious because hyperinsulinemia is associated with an increased risk of T2DM.
In addition, mixed meals containing dairy protein elicit insulin responses similar to those elicited by mixed meals of similar composition containing nondairy protein. Because the GI of yogurt is lower than that of most other carbohydrate foods, exchanging yogurt for other protein and carbohydrate sources can reduce the GI and GL of the diet, and is in line with recommended dietary patterns, which include whole grains, fruits, vegetables, nuts, legumes, fish, vegetable oils, and yogurt.
Turner-McGrievy, Gabrielle M. This study assessed the effect of changes in glycemic index GI and load GL on weight loss and glycated hemoglobin HbA1c among individuals with type 2 diabetes beginning a vegan diet or diet following the American Diabetes Association ADA recommendations. The study was a wk, randomized trial of 99 participants with type 2 diabetes who were counseled to follow 1 of 2 diet treatments. GI and GL changes were assessed based on 3-d dietary records. The reduction of body weight, in turn, was predictive of decreasing HbA1C.
Decreases in dietary glycemic index are related to weight loss among individuals following therapeutic diets for type 2 diabetes. Convergence of obesity and high glycemic diet on compounding diabetes and cardiovascular risks in modernizing China: An emerging public health dilemma.
Full Text Available Abstract As China is undergoing dramatic development, it is also experiencing major societal changes, including an emerging obesity epidemic, with the prevalence of overweight and obesity doubling in the past decade. However, the implications of a high glycemic index GI and glycemic load GL traditional Chinese diet are adversely changing in modern times, as a high- glycemic diet is becoming a greater contributor to diabetes and cardiovascular risks in a population with rising obesity and decreasing physical activity.
Specifically, a high GI diet adversely impacts metabolism and appetite control regulation, and notably confers substantially greater risk of weight gain, type 2 diabetes, cardiovascular disease, and certain cancers among overweight and obese individuals P. Full Text Available The present study was carried out to determine the glycemic index GI, glycemic load GL , insulinemic index InI, appetite ratings and postprandial plasma concentrations of gastrointestinal hormones related to the control of food intake after the ingestion of the five most common breads consumed in Spain with different compositions and manufacturing processes.
Twenty-two healthy adults participated in a randomized crossover study. All breads portions were calculated to supply 50 g of available carbohydrates. In addition, 50 g of glucose was used as a reference. A linear mixed-effects model was used to compare data calculated for all breads with glucose load. The GI value varied from 61 for the Wholemeal, to Alfacar 68, Ordinary 76, and 78 and 86 for the Precooked-Frozen and Candeal-flour breads, respectively.
Wholemeal and Alfacar had lower GI than glucose. All tested breads had a lower GL ranged 9 to 18 compared with glucose. Wholemeal GL was similar to Alfacar, but lower than the other white breads. InI were significantly lower for all breads ranged 68 to 73 compared with glucose, and similar among them. The intake of the Wholemeal bread led to a higher release of gastric inhibitory polypeptide compared with the Ordinary and Precooked breads and to a higher release of pancreatic polypeptide compared with the Precooked-Frozen bread.
All breads affected appetite ratings similarly. In conclusion, based on GL , the Wholemeal bread would be expected to exert a favorable glycemic response. Enrichment of extruded snack products with coproducts from chestnut mushroom Agrocybe aegerita production: interactions between dietary fiber, physicochemical characteristics, and glycemic load.
Mushrooms are a common vegetable product that have also been linked to pharmaceutical and medicinal uses. However, the production of the fruiting bodies of mushrooms results in a large quantity of food waste in the form of spent compost. Hyphae and the base of fruit bodies from Agrocybe aegerita were retrieved from spent mushroom compost and refined as a freeze-dried powder. This fiber-rich ingredient was used in the manufacture of ready-to-eat extruded cereal snack products. Fiber content could not be correlated to differences in pasting properties of extruded snacks even though snack products with MCM showed significantly lower final viscosity values compared to the control.
Thus, the incorporation of MCM in ready-to-eat snack foods may be of considerable interest to the food industry in trying to regulate the glycemic response of foods. Glycemic index and diabetes. URAC's accreditation program is an independent audit to verify that A. Open GL 4 shading language cookbook. Open GL Shading Language 4 Cookbook is a hands-on guide that gets straight to the point - actually creating graphics, instead of just theoretical learning.
Each recipe is specifically tailored to satisfy your appetite for producing real-time 3-D graphics using the latest GLSL specification. Familiarity with Open GL programming, along with the typical 3D coordinate systems, projections, and transformations is assumed. It can also be useful for experienced GLSL programme. This study investigated whether glycemic index GI or glycemic load GL of morning or evening intake and morning or evening carbohydrate intake from low- or higher-GI food sources low-GI-CHO, higher-GI-CHO during adolescence are relevant for risk markers of type 2 diabetes in young adulthood.
Methods: Analyses included DOrtmund Nutritional and Anthropometric Longitudinally Designed DONALD study participants who had provided at least two 3-day weighed dietary records median: 7 records during adolescence and one blood sample in young adulthood. Conclusion: Avoidance of large amounts of carbohydrates from higher-GI sources in the evening should be considered in preventive strategies to reduce the risk of type 2 diabetes in adulthood.
Effects of hypocaloric diets with different glycemic indexes on endothelial function and glycemic variability in overweight and in obese adult patients at increased cardiovascular risk. The role of glycemic index of the diet in glucose control and cardiovascular prevention is still not clear. The aim of this study was to determine the effects of hypocaloric diets with different glycemic indexes and glycemic loads on endothelial function and glycemic variability in nondiabetic participants at increased cardiovascular risk.
Endothelial function was measured as flow-mediated dilatation FMD of the brachial artery before and after dieting. In addition, h continuous subcutaneous glucose monitoring was done before and after dieting in a subgroup of 24 participants. The amount of weight loss after dieting was similar in both groups. Tensor product varieties and crystals. GL case. The role of Spaltenstein varieties in the tensor product for GL is explained. In particular a direct non-combinatorial proof of the fact that the number of irreducible components of a Spaltenstein variety is equal to a Littlewood-Richardson coefficient i.
In this way, a new class of harmonic oscillators is established. Alternative Assessment of Glycemic Control.
Diabetes mellitus is a chronic disease associated with development of microvascular and macrovascular complications. Optimal glycemic control, usually measured by HbA1c is the cornerstone for prevention of complications. In this thesis glycemic variability which resembles actual glucose levels,. Dynamical structure of linearized GL 4 gravities. The physical content of the three more natural models of GL 4 gravity is analyzed, for the case of weak fields. It is shown that the first model is the linearized version of Yang's one-tensor-field gravity and is a scalar-tensor theory, with its scalar part contained in a symmetric tensor.
The second and the third linearized models, which can both be derived from the fourth-order action postulated by Yang, are two-tensor decoupled systems. In both cases one of the tensors is the symmetric weak metric gravity tensor field. It is shown that in these last two cases the affinity contains a helicity-3 propagating field. Owing to the presence of helicity-3 fields it is shown that it is better to regard Yang's action as an action for a two-tensor system instead of trying to recover from a pure gravity one-tensor-field action.
Finally, it is shown what is the dynamical structure of the second and third linearized two-tensor models which can be derived from Yang's action. Incorporating modern Open GL into computer graphics education. University of Stuttgart educators have updated three computer science courses to incorporate forward-compatible Open GL.
To help students, they developed an educational framework that abstracts some of modern Open GL 's difficult aspects. The glycemic index of food is the level of food according to its effect on blood glucose levels. Foods with low glycemic index have been shown to improve glucose and fat levels in people with diabetes mellitus and improve insulin resistance. Pedada Fruits Sonneratia caseolaris is the one of mangrove fruits has a high fiber content, so it can be used as a raw material in biscuits production. The aim of this research to evaluate the glycemic index on the formula biscuit from the pedada flour and starch from white sweet potato, arrowroot, taro, potato and cassava mixed.
The biscuits product were measured of the proximate, crude fiber, glycemic index and glycemic load on wistar rats. Skin Autofluorescence and Glycemic Variability. Background: Accumulation of advanced glycation end products AGEs is accelerated during glycemic and oxidative stress and is an important predictor of complications in diabetes mellitus DM. Study Design: Here we both review and present original data on the relationship between skin.
A high- glycemic diet is associated with cerebral amyloid burden in cognitively normal older adults. Background: Little is known about the relation between dietary intake and cerebral amyloid accumulation in aging. Objective: We assessed the association of dietary glycemic measures with cerebral amyloid burden and cognitive performance in cognitively normal older adults. Design: We performed cross-sectional analyses relating dietary glycemic measures [adherence to a high- glycemic-load diet HGLDiet pattern, intakes of sugar and carbohydrates, and glycemic load ] with cerebral amyloid burden measured by florbetapir F positron emission tomography and cognitive performance in cognitively normal older adults who provided eligibility screening data for the University of Kansas's Alzheimer's Prevention through Exercise APEX Study.
The study began in November and is currently ongoing. Cognitive performance was associated only with daily sugar intake, with higher sugar consumption associated with poorer global cognitive performance global composite measure and Mini-Mental State Examination and performance on subtests of Digit Symbol, Trail Making Test B, and Block Design, controlling for age, sex, and education.
Conclusion: A high- glycemic diet was associated with greater cerebral amyloid burden, which suggests diet as a potential modifiable behavior for cerebral amyloid accumulation and subsequent Alzheimer. Modular representations of GL n distinguished by GL n-1 over a p-adic field. Using the technique developed by Fronsdal and Galindo Lett.
Chemical compositions and glycemic responses to banana varieties. Chemical compositions and glycemic indices of four varieties of banana Musa spp. Total dietary fiber contents of four varieties ranged from 2. A single banana of the four varieties elicited a low glycemic load. Thus, consumption of a banana from any of these varieties can be recommended as a snack for healthy or diabetic patients who are under dietary management or pharmacological drugs to regulate blood glucose responses in between meals.
The GL 1 vertical stroke 1 -symplectic fermion correspondence. In this note we prove a correspondence between the Wess-Zumino-Novikov-Witten model of the Lie supergroup GL 1 vertical stroke 1 and a free model consisting of two scalars and a pair of symplectic fermions. This model was discussed earlier by LeClair.
Vertex operators for the symplectic fermions include twist fields, and correlation functions of GL 1 vertical stroke 1 agree with the known results for the scalars and symplectic fermions. We perform a detailed study of boundary states for symplectic fermions and apply them to branes in GL 1 vertical stroke 1. This allows us to compute new amplitudes of strings stretching between branes of different types and confirming Cardy's condition. The book's theme is that the lessons encountered in such a course can be used to generate physics-based animations, providing students with compelling and self-made visuals to aid their learning.
Topics presented are parallel to those found in a traditional physics text, making for straightforward integration into a typical lecture-based physics course. Users will appreciate the ease at which compelling Open GL -based graphics and animations can be produced using Phys GL , as well as its clean, simple language constructs. The author argues that coding should be a standard part of lower-division STEM courses, and provides many anecdotal experiences and observations, that include observed benefits of the coding work. Impact of night sleep duration on glycemic and triglyceride levels in Chinese with different glycemic status.
The aim of the present study was to assess the relationship between night sleep duration and glycemic and triglyceride TG levels among people with different glycemic status. However, no significant association was observed between short night sleep duration and HbA1c levels. This may be important in clinical management of IGR and diabetes patients. This study investigates the role of collocations in dictionary use, and the extent to which Open GL ES 3. If you are new to Open GL ES or have some experience in 3D graphics, then this book will be extremely helpful in raising your expertise level from a novice to professional.
The book implements more than 90 recipes to solve everyday challenges, helping you transition from a beginner to a professional. Reply 1 to: Glycemic Choreoballism. Glycemic choreoballism. Tremor Other Hyperkinet Mov. Irreversible hemichoreahemiballism in a case of nonketotic hyperglycemia presenting as the initial manifestation of diabetes mellitus. There are now multiple versions of the standard, including Web GL.
The author argues that Web GL is the version best suited for an introductory course in computer graphics. Web GL -rajapinta ja 3D-grafiikkakirjaston luominen. The theory of differential equations has an arithmetic analogue in which derivatives are replaced by Fermat quotients. One can then ask what is the arithmetic analogue of a linear differential equation. However we prove here that there are no such cocycles in the context of arithmetic differential equations. In sequels of t Newcomb, Elizabeth W.
Purpose: To assess the effects of noscapine, a tubulin-binding drug, in combination with radiation in a murine glioma model. Methods and Materials: The human T98G and murine GL glioma cell lines treated with noscapine, radiation, or both were assayed for clonogenic survival. Mice with established GL hind limb tumors were treated with noscapine, radiation, or both to evaluate the effect of noscapine on radioresponse.
In a separate experiment with the same treatment groups, 7 days after radiation, tumors were resected and immunostained to measure proliferation rate, apoptosis, and angiogenic activity. Results: Noscapine reduced clonogenic survival without enhancement of radiosensitivity in vitro. Noscapine combined with radiation significantly increased tumor growth delay: 5, 8, 13, and 18 days for control, noscapine alone, radiation alone, and the combination treatment, respectively p GL glioma tumors to radiation, resulting in a significant tumor growth delay.
An antiangiogenic mechanism contributed to the effect. These findings are clinically relevant, particularly in view of the mild toxicity profile of this drug. A comprehensive set of straight-forward, easy-to-follow tutorials in Open GL and Bullet Physics that will teach you how modern game physics and 3D graphics work. If you're a beginner or intermediate programmer with a basic understanding of 3D mathematics, and you want a stronger foundation in 3D graphics and physics, then this book is perfect for you!
You'll even learn some of the fundamental concepts in 3D mathematics and software design that lies beneath them both, discovering some techniques and tricks in graphics and physics that you can use in any game development project. Millisecond accuracy video display using Open GL under Linux. To measure people's reaction times to the nearest millisecond, it is necessary to know exactly when a stimulus is displayed. This article describes how to display stimuli with millisecond accuracy on a normal CRT monitor, using a PC running Linux.
A simple C program is presented to illustrate how this may be done within X Windows using the Open GL rendering system. A test of this system is reported that demonstrates that stimuli may be consistently displayed with millisecond accuracy. An algorithm is presented that allows the exact time of stimulus presentation to be deduced, even if there are relatively large errors in measuring the display time.
Effect of glycemic control on diabetic dyslipidemia. To determine whether good glycemic control has an effect on lipid profile in diabetics After taking relevant history and physical examination, serum urea, creatinine, thyroid stimulating hormone, bilirubin, alanine transaminase and HbA1c were measured. Blood samples for determination of fasting plasma glucose, serum total cholesterol, triglycerides, HDL and LDL levels were collected in a fasting state.
Patients were divided into two groups based on HbA1c levels. They were compared using SPSS The two groups were age and weight matched. Serum total cholesterol and triglycerides were lower and HDL levels higher in the good control group but serum LDL levels were equal. Conclusion: Good glycemic control improves lipid profile in patients with type 2 diabetes mellitus. Unfortunately, chemoresistence always ensues with concomitant tumour regrowth. Protein kinase CK2 CK2 contributes to tumour development, proliferation, and suppression of apoptosis in cancer and it is overexpressed in human GBM.
All the available seismic records were re-processed using the same basic software and the same procedures and options filtering and baseline correction, in order to obtain a consistent dataset. The database stores computed parameters of seismic motions, i. The fields in the database include: coding of seismic events, stations and records, a number of associated fields seismic event source parameters, geographical coordinates of seismic stations, links to the corresponding ground motion records, charts of the response spectra of absolute acceleration, relative velocity, relative displacement and instrumental intensity, as well as some other representative parameters of seismic motions.
Covers Android code and may be useful to iOS game developers too. Abscisic acid is naturally present in fruits and vegetables, and it plays an important role in managing glucose homeostasis in humans. According to the latest U. In , dietary ABA was first reported to ameliorate glucose tolerance and obesity-related inflammation in mice.
The most recent findings regarding the topic of ABA and its proposed receptor lanthionine synthetase C-like 2 in glycemic control and their interplay with insulin and glucagon-like peptide-1 suggest a major role for ABA in the physiological response to a glucose load in humans. Moreover, emerging evidence suggests that the ABA response might be dysfunctional in diabetic subjects. Follow on intervention studies in healthy individuals show that low-dose dietary ABA administration exerts a beneficial effect on the glycemia and insulinemia profiles after oral glucose load.
These recent findings showing benefits in humans, together with extensive efficacy data in mouse models of diabetes and inflammatory disease, suggest the need for reference ABA values and its possible exploitation of the glycemia-lowering effects of ABA for preventative purposes. Larger clinical studies on healthy, prediabetic, and diabetic subjects are needed to determine whether addressing the widespread dietary ABA deficiency improves glucose control in humans.
Diabetes is a serious health problem affecting approximately Another 86 million have prediabetes.
The development and implementation of lifestyle modifications such as physical activity for these persons are among the most effective methods for prevention and treatment. Relationships between glycemic control HbA1c and cardiovascular fitness VO 2 peak and VT were determined using correlational analysis and multiple linear regression analyses. A statistically significant relationship was observed between HbA1c and cardiovascular fitness. HbA1c contributes to VO 2 peak and VT in obese and overweight subjects across glucose tolerance categories.
Significant results were achieved despite the fact that there was a limited range of HbA1c based on the study inclusion criteria. This finding suggests that even a mild decrease in glycemic control can negatively influence cardiovascular fitness.
Full Text Available Purpose: This study examined the effect of a pre-exercise meal with different glycemic index GI on plasma IL-6 concentration and glucose metabolism during sub-max exercise endurance performance run. In each trial, one of the three prescribed beverages as meal, i. Blood samples were collected before, after, 1h and 24h after exercise. Everything you need to know about developing hardware-accelerated 3D graphics with Web GL!
As the newest technology for creating 3D graphics on the web, in both games, applications, and on regular websites, Web GL gives web developers the capability to produce eye-popping graphics. This book teaches you how to use Web GL to create stunning cross-platform apps. The book features several detailed examples that show you how to develop 3D graphics with Web GL , including explanations of code snippets that help you understand the why behind the how. You will also develop a stronger understanding of W. Studies on the glycemic response of wheat at various level of Over-consumption of milled cereals is sometimes blamed for obesity Glycemic index GI is a measure of the glycemic effect of carbohydrate in a particular food,.
Live-cell calcium imaging of adherent and non-adherent GL cells reveals phenotype-dependent differences in drug responses. The tumor-derived GL cell line is used as a model for studying glioblastoma and other high-grade gliomas, and can be cultured adherently or as free-floating aggregates known as neurospheres. These different culture conditions give rise to distinct phenotypes, with increased tumorigenicity displayed by neurosphere-cultured cells.
An important technique for understanding GL pathobiology is live cell fluorescent imaging of intracellular calcium. However, live cell imaging of GL neurospheres presents a technical challenge, as experimental manipulations where drugs are added to the extracellular media cause the cells to move during analysis. Here we present a method to immobilize GL neurospheres with low melting point agarose for calcium imaging using the fluorescent calcium sensor fura GL cells were obtained from the NCI-Frederick Cancer Research Tumor Repository and cultured as adherent cells or induced to form neurospheres by placing freshly trypsinized cells into serum-free media containing fibroblast growth factor 2, epidermal growth factor, and B supplement.
Prior to experiments, adherent cells were loaded with fura-2 and cultured on 8-well chamber slides. Non-adherent neurospheres were first loaded with fura-2, placed in droplets onto an 8-well chamber slide, and finally covered with a thin layer of low melting point agarose to immobilize the cells. Ratiometric pseudocolored images were obtained during treatment with ATP, capsaicin, or vehicle control. We found that cellular responses to pharmacological treatments differ based on cellular phenotype.
Adherent cells and neurospheres both responded to ATP with a rise in intracellular calcium. Notably, capsaicin treatment led to robust responses in GL neurospheres but not adherent cells. We demonstrate the use. Legumes, such as black beans Phaseolus vulgaris L. Although the low glycemic response of beans consumed alone has been documented, few studies have examined the glycemic response to traditional food combinations such as black beans and rice or chickpeas and rice. Treatments were consumed on different mornings, a minimum of 7 days apart.
Blood samples were collected at time 0 fasting , and at 30, 60, 90, and min postprandial, and were subsequently analyzed for glucose and insulin concentrations. Findings indicate that combinations of black beans and chickpeas with white rice improve glycemic response, providing evidence that has promising implications for dietary guidance to reduce postprandial glucose and related health risks through traditional food patterns. Glycemic Index values of some Jaffna fruits.
Full Text Available Background: The incidence of diabetes mellitus has recently increased in developing countries. Scientific data on glycemic index values of common meals is essential to modify the diets for diabetes mellitus patients. The results will be helpful to physicians and the general public to decide the benefits ofthe consumption of fruits, particularly by diabetic and coronary heart disease patients.
Methods: Healthy volunteers 20 Nos. After overnight fasting, 75g glucose and each test fruit containing 75g digestible carbohydrate were administered at different instances and blood glucose levels were measured half hourly for two hours. The GI value of papaya differed significantly P glycemic index of foods. Hogenboom, F. The advantage of a GQL over textual query languages is that complexity is hidden through the use of graphical symbols. RDF- GL is. Glycemic allostasis during mental activities on fasting in non alcohol Glycemic allostasis is the process by which blood glucose stabilization is achieved through the balancing of glucose consumption rate and release into the blood stream under a variety of stressors.
The objective of this work was to formulate a cereals and legume Phaseolus vulgaris bar and assess its impact on the glycemic response of healthy individuals, in order to contribute to the healthy food supply beneficial to consumers. Additionally, a legume cereal bar without legumes bar control was prepared.
This combination of cereals and legumes aminoacid improves complementation and reaches the formulation criteria previously established. The contents of fat, ash and dietary fiber did not differ between the two bars evaluated. However, the soluble fiber and resistant starch of the selected bar was a The selected bar presented a low glycemic index 49 and intermediate glycemic load This bar represents a proposal of a healthy snack for the consumer. The year was full of learning experience and suspense in diabetologia. The past studies, UKPDS in type 2 diabetic patients and DCCT in type 1 diabetic patients have shown that intensive treatment during a short period did reduce the incidence of microvascular events and in the long term, the incidence of macrovascular events linked to diabetes.
The analysis of studies published since brings lessons for the clinical practice: presence of glycemic memory, absence of tensional memory, usefulness of control of every cardiovascular risk factors, need of early treatment of diabetes. Moreover, to define HbA1c objective, age, duration of diabetes, presence of cardiovascular risk factors, former HbA1c level and potential undesirable effects, such hypoglycaemia, must be considered.
The management of type 2 diabetic patients requires an early, not to quick intensive treatment, which avoids hypoglycaemia and is combined with a strict control of cardiovascular risk factors. Driven by regional tectonics and differential loading , large salt diapirs, salt walls and salt pillows developed. The resulting salt flow significantly influenced sediment distribution in the peripheral sinks adjacent to the salt structures and overprinted the regional subsidence patterns.
Along a key geological cross section, the post-Permian strata were sequentially decompacted and restored in order to reconstruct the subsidence history of minibasins between the salt structures. The structural restoration reveals that subsidence of peripheral sinks and salt structure growth were initiated in Early to Middle Triassic time. From the Late Triassic to the Middle Jurassic, salt movement and salt structure growth never ceased, but were faster during periods of crustal extension.
Subsidence rates and tectonic subsidence derived from backstripping of 1D profiles reveal that especially the Early Triassic and Middle Keuper times were periods of regional extension. Three specific types of salt structures and adjacent peripheral sinks could be identified: 1 Graben centre salt walls possessing deep secondary peripheral sinks on the sides facing away from the basin centre, 2 platform salt walls, whose main peripheral sinks switched multiple times from one side of the salt wall to the other, and 3 Graben edge pillows, which show only one peripheral sink facing the basin centre.
Full Text Available In this study we examined the glycaemic index GI and glycaemic load GL of a functional food product, which contains ewe-goat whey protein and carbohydrates in a ratio. Nine healthy volunteers, age, In each visit, seven blood samples were collected; the first sample after an overnight fast and the remaining six at 15, 30, 45, 60, 90 and min after the beginning of food consumption.
Plasma glucose concentration was measured and the GI was determined by calculation of the incremental area under the curve. The GI of the test food was found to be 5. Bang HO, Dyerberg J. Lipid metabolism and ischemic heart disease inal North Americans. Annu Rev Anthropol. Adv Nutr Res. Modernity and obesity in coastal Bjerregaard P, Dyerberg J. Mortality from ischemic heart disease and Highland Papua New Guinea.
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Phytic acid added to Paleolithic diet. Br J Nutr. Calcium and Traditional and modern iron absorption: mechanism of action and nutritional importance. Eur Greenlandic food: dietary composition, nutrients and contaminants. J Clin Nutr. Sci Total Environ. Shambaugh GE Jr. Zinc: the neglected nutrient. Am J Otol. Kuhnlein HV, Receveur O. Local cultural animal food contributes high ;10 2 — Rook GA.
Wiad Lek. Clin Exp Immunol. Selenium in forage crops and Black PH. The inflammatory response is an integral part of the stress cancer mortality in US counties. Arch Environ Health. Brain Behav Immun. Selenium in soil, grass, — Adverse cardiovascular effects aspects. J Environ Pathol Toxicol Oncol. Nat Clin Pract Cardiovasc Med.
Evidence of decreasing The causal relationship between pas- mineral density in wheat grain over the last years. J Trace Elem sive smoking and inflammation on the development of cardiovascular Med Biol. Inflamm Allergy Drug Targets. Effect of processing on provitamin A in ;8 5 — J Am Diet Assoc. Inflammatory mechanisms in the regulation Loss of vitamin C in vegetables during of insulin resistance.
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Cashman KD. Altered bone metabolism in inflammatory disease: role to Dietary Reference Intakes. Washington, DC: Department of for nutrition. Kant AK. Consumption of energy-dense, nutrient-poor foods by adult High dietary menaquinone intake Americans: nutritional and health implications. The Third National is associated with reduced coronary calcification. Health and Nutrition Examination Survey, — Am J Clin ; 2 — Corwin EJ. The concept of epigenetics and its role in the development Rumm-Kreuter D, Demmel I. J Nutr Sci Vitaminol Tokyo.
Biol Res Nurs. Epigenetic regulation of vascular endothelial Kimura M, Itokawa Y. Cooking losses of minerals in foods and gene expression. Circ Res. Diet, evolution and Suppl 1:S25—S Vitamin C losses in some frozen vegetables due of the potassium-to-sodium and base-to-chloride ratios in the human to various cooking methods. The effect of different cooking Latitude, local ecology, and hunter- methods on folate retention in various foods that are amongst the major gatherer dietary acid load: implications from evolutionary ecology.
Dietary acid-base balance, Vitamin profile of cooked foods: bone resorption, and calcium excretion. J Am Coll Nutr. Int J Food Sci Nutr. Acid-base status Influ- affects renal magnesium losses in healthy, elderly persons. J Nutr. J Food ; 9 — Dietary sodium chloride Ascorbate is depleted by intake independently predicts the degree of hyperchloremic metabolic smoking and repleted by moderate supplementation: a study in male acidosis in healthy humans consuming a net acid-producing diet.
Am smokers and nonsmokers with matched dietary antioxidant intakes. J Physiol Renal Physiol. Changes in gut microbiota Ames BN. Low micronutrient intake may accelerate the degenerative control metabolic endotoxemia-induced inflammation in high-fat diseases of aging through allocation of scarce micronutrients by triage.
Vitamin K, an example of triage theory: is Modulation of micronutrient inadequacy linked to diseases of aging? Magnesium intake and the metabolic A high-fat meal induces syndrome: epidemiologic evidence to date. J Cardiometab Syndr. Intake of dietary magnesium and Lipopolysaccha- the prevalence of the metabolic syndrome among US adults. Obesity ride activates an innate immune system response in human adipose Silver Spring.
Am J Physiol Endocrinol Rylander R. Environmental magnesium deficiency as a cardiovascular Metab. J Cardiovasc Risk. Monaco C, Paleolog E. Nuclear factor kappaB: a potential thera- Magnesium in drink- peutic target in atherosclerosis and thrombosis. Cardiovasc Res. Hotamisligil GS. Inflammation and metabolic disorders. Magnesium intake and ; — Differential effects of 63— Dietary magnesium defi- the expression of Toll-like receptor-4 and suppressor of cytokine ciency induces heart rhythm changes, impairs glucose tolerance, and signalling J Am Coll Increase in plasma endotoxin Nutr.
Rosanoff A. Magnesium supplements may enhance the effect of anti- of cytokine signalling-3 in mononuclear cells after a high-fat, high- hypertensive medications in stage 1 hypertensive subjects. Magnes carbohydrate meal: implications for insulin resistance. Oral mag- Orange juice neutralizes the nesium supplementation reduces ambulatory blood pressure in proinflammatory effect of a high-fat, high-carbohydrate meal and patients with mild hypertension.
Am J Hypertens. Am J — Clin Nutr. Beneficial effects Alcohol, intestinal bacterial growth, of oral magnesium supplementation on insulin sensitivity and serum intestinal permeability to endotoxin, and medical consequences: sum- lipid profile. Med Sci Monit. Dietary intake of Potato glycoalkaloids adversely menaquinone is associated with a reduced risk of coronary heart affect intestinal permeability and aggravate inflammatory bowel disease: the Rotterdam Study.
Inflamm Bowel Dis. A high menaquinone intake Molecular basis of reduces the incidence of coronary heart disease. Nutr Metab Cardio- glycoalkaloid induced membrane disruption. Research translation requires multipronged strategies. A lack of confidence in critical appraisal is a barrier to implementing research into practice. Participation was captured biannually through departmental key performance indicators KPIs. Staff rated their confidence in presenting research at 7. Investing in critical appraisal for clinical staff is crucial to research translation.
Embedding champions and KPIs contribute to the sustainability and success of the process. Contact author: Ingrid Hickman — i. The evidence summary assessed literature published between 1 January and 31 July in PubMed and Ovid Medline using the National Health and Medical Research Council evidence assessment framework for the eight research questions relating to CVD and associated risk factors.
The review found higher fish intake was associated with the primary and secondary prevention of heart disease, lower incident rates of heart failure, in addition to lower sudden cardiac death, stroke and myocardial infarction. However, it was beneficial in the treatment of hypertriglyceridaemia and heart failure.
For dietitians, the prescription for heart health is 2—3 serves of fish per week. Contact author: Rachael Neumann rachael. Increased patient knowledge of diet, medication and lifestyle requirements is associated with improved compliance with the HF treatment regimen and quality of life.
A literature review was conducted and key stakeholders engaged to develop new resources. Contact author: Adam Gibson — adam. The Vietnamese Ministry for Health has announced that Nutrition and Dietetic Standards will be set at all hospitals over the coming decade to manage the burden of disease in the health system. Hospital food provisioning, as part of these standards, presents a challenge considering that few hospitals provide food to patients during admission.
To inform the development of these standards, it is important to describe what Vietnamese inpatients consume during a hospital admission and how they obtain food during their stay; and whether the method of obtaining food impacts the overall quality and quantity of food consumed. Results provide evidence that Standards should aim to complement existing infrastructure and work within cultural norms. This study highlights the benefits of patient independence and family support in food provisioning. Contact author: Sally Smith — s This study aimed to investigate the association between free sugar intake and micronutrient dilution based on data from the Australian Health Survey — Multiple linear regression was used to examine the linear associations and logistic regression was used to obtain the odds ratios of not meeting the nutrient reference values for Australia and New Zealand NRVs of each nutrient with increase in free sugar intake.
Subjects in the fifth quintile had significantly higher odds of not meeting NRVs for most micronutrients OR 1. In contrast, vitamin C intake significantly increased when free sugar increased. Contact author: Jimmy Louie — jimmy. Diet relates directly to the development and progression of oral diseases and oral health is associated with major chronic illnesses. Dietitians are not routinely considering oral health as a component of nutritional assessment, despite being well placed to have an impact on both nutritional status and oral health.
An oral health assessment can be a key component of nutritional assessment and an important element of management plans. A working party from Dietitians Association of Australia and Dental Health Service Victoria recently released a joint position statement exploring essential aspects of oral health and its relevance to dietitians in a range of work settings. The statement provides a framework for action to build the knowledge and confidence of dietitians. Drawing on the National Oral Health Plan, the Australian Dietary Guidelines and Infant Feeding Guidelines, this position paper provides key practice points for age groups and life stages.
Dietitians working in community and public health settings are often working with priority groups at high risk of poor oral health and also chronic illness. As such, dietitians can and should incorporate simple strategies into their work and collaborate closely with oral health professionals to support and encourage optimal oral health. The statement draws critical information to identify risk factors and key advice for the medically compromised, pregnancy and early childhood, adolescence and early adulthood, and older adults as well as overarching information regarding eating patterns and oral health advice.
This presentation will highlight ways of incorporating oral health practice into a range of dietetic roles. Contact author: Evelyn Volders — evelyn. Adequate dietary intake of patients is important for recovery and reducing length of stay LOS in healthcare facilities. Studies of dietary intake patterns during admission are limited and results are conflicting. The aim was to identify longitudinal changes in energy and protein intake during subacute care. Subacute inpatients receiving usual foodservices and multidisciplinary care were recruited into this prospective study under a waiver of consent.
This was converted to nutrient intake using the known nutrient content of hospital foods. From day 1 to day 14, there was a significant increase in mean SD intake of energy vs. Nutrition status at admission did not influence change in intake. Dietary intake improved during subacute admission for some but not all patients.
This has implications for the timing of dietary intake assessments, nutrition care and the food supply in research studies and clinical practice. Contact author: Jorja Collins — jorja. Cystic Fibrosis CF is the most common autosomal recessive disorder among young Australians. CF primarily affects the respiratory and gastrointestinal systems, and is characterised by chronic obstructive lung disease, pancreatic insufficiency, and malnutrition.
Traditionally, treatments for CF have concentrated on these symptoms and their subsequent conditions; however, new gene therapies, including Ivacaftor, are addressing the pathophysiological causes of CF. Given nutritional status has shown a positive association with survival among CF patients, it is important to consider the nutritional implications of these emerging therapies, and therefore the role of dietitians in supporting treatment for increased survival rates and quality of life. Repeated measures and mean absolute change from baseline were assessed to identify trends before and after Ivacaftor initiation.
Preliminary analyses one year into the clinical audit reveal significant improvements in weight, lung function, and sweat chloride concentration soon after Ivacaftor commencement. A general trend towards decreased mean daily energy and macronutrient intake and an upward trend in Vitamin D levels were also observed.
Further, hospital admission rates were significantly decreased. These preliminary findings reveal positive trends and provide encouragement for the ongoing prospective stage of this clinical audit. Contact author: Felicity Hunt — felicityhunt84 hotmail. The limitations of food composition databases have been established through global studies. Few studies have investigated user understanding of food composition databases and the impact this may have on database use.
Members from the Dietitians Association of Australia and Nutrition Society of Australia completed the survey via a link sent to the respective professional organisations electronic newsletters. In total, dietitians and nutritionists responded, with response rates between questions varying. Research investigating user understanding of food composition databases is limited, with this study as the first to focus on limitations of the user.
The identified barriers will help guide future training to target the gaps in understanding exposed within this study. Contact author: Emily Bevan — ejb uowmail. Energy expenditure increases following a burn injury. While indirect calorimetry IC is the gold standard for determining energy expenditure, predictive equations are often used in practice. Acceptability of IC from a burn patient perspective has not been published.
The aims of this study were to measure the resting energy expenditure REE of moderate to low burns using IC; compare measured REE to predictive equations; and determine the patient acceptability of IC. Demographic, anthropometric and dietary data were collected for three female and five male burn patients. REE was determined using IC and five predictive methods. A written questionnaire assessed patient acceptability. IC was acceptable from a patient's perspective with all participants willing to repeat the measure. Results of this study support routine use of IC in moderate and low burns, as it is acceptable to patients and avoids the inaccuracies of predictive equations.
Where IC is not available, results suggest that the Schofield equation be used with caution to estimate REE for moderate and low burns. Contact author: Janica Bell — j. Gestational weight gain GWG within the recommended range produces optimal pregnancy outcomes, yet many women exceed the guidelines. Studies from both developed and developing countries were included if they reported energy intake in early and late gestation in women of any age and a singleton pregnancy.
On average, women gained Contact author: Jovana Mijatovic — jmijatovic91 hotmail. Estimation of energy requirements following acute spinal cord injury SCI is challenging due to hypermetabolism, catabolism, decreased physical activity and fat free mass FFM and lack of validated equations to predict energy requirements. This study aimed to determine the most appropriate equation to predict total energy expenditure TEE using doubly labelled water DLW as the reference method, and to validate the use of bioelectrical impedance spectroscopy BIS to assess body composition.
The equations used clinically to estimate energy expenditure in acute SCI patients were found to give inaccurate estimates compared with the estimate derived using the gold standard DLW technique. Consequently, use of these equations cannot be recommended. Contact author: Kate Desneves — kate. This study aimed to identify sources of inaccurate meal items delivered to inpatients receiving a therapeutic diet.
This observational study involved six wards in a tertiary metropolitan hospital that used an electronic foodservice system for meal ordering and plating. We found that an electronic foodservice system almost completely eliminated errors associated with meal tray assembly. However, when foodservice staff and patients select meal items at ward level without a guiding system , a substantial number of errors occur. Contact author: Megan Rattray — megan. Currently there is little information available on the most appropriate malnutrition screening tool, in terms of diagnostic accuracy, for this population.
Diagnostic accuracy was measured via sensitivity, specificity, and positive and negative predictive values. Contact author: Rhiannon Crane — rhiannon. This study aimed to determine if malnutrition screening rates could be improved through a sustained, systematic approach to resource materials, nursing education and training, and identification of key performance indicators KPIs.
Data were collected on a single day at each data point. Reliability of single data points was checked through spot audits in four years of the study. Descriptive analysis compared trends in the audit results at each data point. Following positive results in malnutrition screening rates, the education program was extended to target weight, height and rates of reweighing for longer length of stay patients.
A whole of hospital approach to auditing, feedback and the education process including involvement from the patient safety and quality team and the dietetics department has raised the profile of nutrition monitoring to allow this facility to set and exceed nutrition KPIs and statewide averages as a benchmark comparison. Contact author: Donna Hickling — Donna. Hickling health. KERR 1. Adhering to dietary recommendations, including limiting alcohol consumption, is protective against chronic disease. Little is known about the dietary intake of young adults consuming alcohol.
Models were adjusted for age, gender, smoking and BMI. Those classified as binge drinkers consumed 0. Further research is needed to explore the higher alcohol and SSB consumption among binge drinkers, including the timing of consumption of SSBs and alcoholic drinks.
Contact author: Madison Sanford — madison. Micronutrient deficiencies among patients considering bariatric surgery have not been reported extensively and data for Indian patients are lacking as well. This study aims to describe the preoperative micronutrient status of patients who underwent bariatric surgery in our centre.
In this study, preoperative body composition and blood parameters of males and females patients who underwent bariatric surgery from November to November were analysed. Variables such as, age, height, weight, body mass index BMI , Hb, serum iron, TIBC total iron binding capacity , ferritin, lipid profile, total iron binding capacity , Vitamins B12, D3 and folic acid , fasting plasma glucose and HbA1c were subjected to statistical analysis. The prevalence rates of preoperative nutritional deficiencies in patients were: total protein 8.
Micronutrient deficiencies in North Indian patients were prevalent across both genders and all age groups. Iron deficiency is strikingly more prevalent in our population in comparison to other studies. Similarly, B12 deficiency is far more common in our patients, which could be attributed to vegetarian diet.
In our study, Vitamin D deficiency correlates well with that in other studies. Protein and albumin deficiencies were found to be least prevalent, despite majority of the North Indians are vegetarians. Contact author: Purva Gulyani — purva.
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Despite success in achieving desired weight loss, reduction in morbidity and mortality, bariatric surgery is commonly associated with manifestations of micronutrient deficiencies. This systematic review aimed to investigate whether routine micronutrient supplementation after bariatric surgery improves micronutrient status in adults, when supplementation is adhered to. Findings indicate that the occurrence of micronutrient deficiencies after restrictive bariatric procedures is rare, suggesting that routine multivitamin supplementation may be sufficient.
Conversely, micronutrient deficiencies were found to be more frequent and pronounced after malabsorptive bariatric procedures despite routine supplementation with higher doses. Anatomical changes after malabsorptive procedures may explain the inability of supplementation to address micronutrient deficiencies; however, the importance of baseline screening and treatment of deficiencies prior to surgery should be emphasised. In view of the global obesity epidemic, the evolution of micronutrient deficiencies and efficacy of supplement absorption through alternative delivery routes warrants further investigation.
Given the limited evidence evaluating these clinics, this prospective observational study aimed to describe the anthropometric, biochemical and surgical outcomes achieved when obese surgical outpatients commenced a VLCD. VLCD regimens consisted of 1—3 meal replacements daily. Data were collected by Dietitians and Surgical Registrar from patient charts and attendance at outpatient clinics from May to October Data collected included: patient demographics, anthropometry, VLCD regimen and adherence, pathology, date and type of surgery, and qualitative clinical outcomes of surgery.
Descriptive statistics were used to summarise outcomes. An additional four patients did not attend an appointment and four others declined the referral. Surgeons reported no complications due to excess weight during surgery in those patients receiving surgery. Patient's weight loss goal for VLCD was 12 5—40 kg. Contact author: Rachel Roth — rach.
The survey found existing apps do not meet the needs of the respondents. This study provides the first insight into the potential use of mobile devices and apps by dietitians and bariatric patients. Allied health services represent a significant component of primary, community and acute health care.
Yet, there is no reliable source of allied health workforce data. The first stage of the Program involved an environmental scan of 27 allied health professions which compiled existing data relating to each profession, augmented by an online questionnaire sent to the respective professional bodies. This substantial scoping exercise was designed to ascertain existing data, resources and contexts for each profession.
The themes arising across the 27 professions were around workforce demographics and distribution; the training pipeline; workforce innovation; meeting future demand; and data quality and accessibility. In particular, the allied health workforce is young and predominantly female, with several small and emerging professions at different stages of professionalisation.
Consequently, many professions reported a lack of senior practitioners or roles, but faced challenges finding adequate positions for new graduates. An increasing proportion of new graduates are finding employment in private practice, which raises issues for training, supervision and quality of clinical services. An important finding was the lack of consistent, quality data sources to inform allied health workforce development and planning. Contact author: Susan Nancarrow — susan. An inductive approach was used to allow themes to emerge from data and reviewed collaboratively using triangulation.
Health professionals identified various factors as vital inputs to the extended scope work system. These were categorised into four key elements: stakeholder support, resources, planning and the dietitian's training and attributes. Clinic outcomes positively impacted on four key stakeholders: patients, the dietitian, the multidisciplinary team and the health system. Further development of extended scope roles for dietitians requires increased advocacy and support from governments, professional bodies, training institutions and dietitians as barriers to clinic implementation and clinic sustainability identified by interviewees included lack of government support, inadequate resources and poor succession planning.
Based on these outcomes, we have developed an implementation framework which can be utilised by health professionals and organisations interested in pursuing an extended scope model of care. Contact author: Dominique Ryan — dominique. The literature regarding organisational change to an interdisciplinary clinical model reports that multiple sources of identity and threat to professional identity can occur.
Threat to professional identity was a theme noted in recent FSH allied health staff feedback surveys. The aim of this service improvement was to implement and evaluate strategies to support dietetic identity. At hospital opening, ten strategies were implemented to support dietetic transition to the model. Strategies enabling peer support were seen as important to maintaining dietetic identity; however, not feeling part of a dietetic team and lack of informal learning opportunities were the main challenges.
All ten strategies were seen as valuable. An additional seven strategies were identified and are currently being implemented. It is essential during planning phases to consider opportunities to support maintenance of professional identity. Although we have successfully implemented strategies to support staff, challenges to individual isolation remain.
Regular evaluation and communication is integral in maintaining professional identity in a contemporary health management model. Contact author: Jane Porter — jane. In , Austin Health implemented a nutrition policy and strategy for monitoring and reporting on nutrition care performance across the organization, which included elements of care for food provision. The aim of this study was to obtain baseline performance data. A point prevalence survey was conducted on 17 wards 14 acute, 3 subacute across two sites to determine the accuracy of diet information, meal, supplement and thickened fluids delivery.
Observations were done once on each ward at every main and mid meal. Observers followed staff delivering meals and cross checked dietary orders in the ordering system with meal tray tickets and bed signs. Mealtime observations were completed on occasions acute, subacute. In addition, issues with prescribed nutrition support delivery, particularly in subacute, need to be addressed. Results from this study are being disseminated and strategies implemented to improve food provision performance.
Contact author: Sofie Modulon — sofie. Data collected during main meal observations included: patient positioning, mealtime assistance required, interruption types, and meal consumption. Firstly, data collected at one mealtime only per patient in were compared against similar data collected at baseline and shortly after PMP implementation Secondly, data collected at all three main meals over the day in were compared against data collected in PMP may not be easily maintained over the longer term.
However, successful implementation and sustainability of PMP may be important for optimising inpatient intakes. Contact author: Michelle Palmer — michelle. Patients who receive more direct care time have better outcomes and a reduced length of stay. The Productive Ward is a licenced program designed to improve ward systems and processes to release more time for frontline staff to provide direct care. Piloting the module empowered staff to examine entrenched historical processes and advocate for change with program resources and executive support. This involved a multidisciplinary effort including nurses, dietitians, food services, support services, allied health and infection control.
Initiatives included timely communication of dietary requirements, preparing patients before mealtimes, regulated meal delivery times and targeted feeding assistance. Mealtime observation audits were completed at baseline and eight weeks post implementation. Contact author: Jamee Barugh — jamee. Using a qualitative methodology to explore patient and carer experiences of nutrition care in the subacute hospital setting may help dietitians and health services to identify areas for service improvements.
This study aimed to examine experiences of nutrition care in the subacute hospital wards. Interviews were recorded, transcribed and analysed thematically. Thematic analysis revealed four main themes: nutrition care is about the hospital meals; nutrition is not seen as part of the role of the multidisciplinary team; nutrition knowledge affects nutrition care; and nutrition experience changes across continuum of care acute, subacute, discharge. Perceptions and beliefs of patients and carers about nutrition care were found to affect their nutrition care, with patients describing discrepancies between the hospital diet and their usual dietary habits and beliefs.
Patients spoke about lack of involvement of the multidisciplinary team in nutrition care, with patients perceiving medical and physical therapies as more important than nutrition. This study highlights several gaps in nutrition care within the subacute setting which may assist in improving nutrition service delivery and patient outcomes. Strategies to empower the multidisciplinary team to become involved in nutrition care and firmly embed nutrition within routine patient care may improve patient and carer experience and nutrition and health outcomes in the subacute setting.
Contact author: Kate Morgan — kate. Nutrition screening identifies individuals at risk of malnutrition and facilitates timely dietary intervention. Participants were advised of their result and those malnourished or at risk were given nutrition information and encouraged to contact their GP, who was also advised.
Interviews were recorded, transcribed verbatim and analysed using NVivo software to identify key themes and exemplar quotes. Older adults and GPs were satisfied with the implementation of the nutrition screening program and identified benefits that would further improve nutritional care. Contact author: Holly Pettingill — hp uowmail. Dietary intake is associated with symptoms of depression and anxiety. Strong correlations between depression, anxiety and metabolic conditions mean that dietitians see patients with depression and anxiety in practice even when referred for other physical health conditions.
Patients reporting the highest levels of success were those focused on improvements in behaviours rather than outcomes. Patients focused on weight as an outcome were more likely to report dissatisfaction with the intervention. Patients with depression and anxiety are willing to attempt behaviour change and may be more comfortable with adopting physical activity prior to making changes to their diet. Building rapport with patients and focusing on improvements in behaviours rather than outcomes are two factors that led to greater patient satisfaction with the intervention.
Contact author: Adrienne Forsyth — a. WARD 2,7. Addressing the scandal of premature mortality in people with severe mental illness has been recognized as a priority. At the conclusion of the intervention the 18 participants in the program experienced mean weight and waist gains of 1. Participants in the lifestyle program were followed up for two years after initial referral. Dietary intake was assessed at two years and will be compared to baseline. This preliminary analysis demonstrates that it is feasible to prevent weight gain in youth with FEP over the first two years of treatment.
Contact author: Scott Teasdale — scottbteasdale gmail. Supported Residential Services SRSs house some of Victoria's most vulnerable people, many of whom experience chronic and complex physical and mental health issues. Through a VicDH program, dietitians were funded to develop, implement and evaluate a project that aimed to create a healthy sustainable environment in 13 SRSs in the North and West of Melbourne.
A needs assessment that investigated health pathways, social environment, food provision and systems revealed the major barriers for each SRS to achieve a healthy environment for their residents. Key findings were: the majority of food consumed by residents was supplied by the SRS; the cooks had limited understanding of basic healthy eating principles and healthy food preparation skills; and there were no systems in place to monitor or review the nutrition of food provided in any of the SRSs.
Using community development principles, dietitians worked closely with proprietors and staff to develop a range of strategies to improve identified needs. From this, individual nutrition policies were developed for each SRS to provide benchmarks to achieve a healthy environment, the actions required to reach benchmarks and timelines. The dietitians provided staff training such as food safety and handling, healthy eating principles, catering for dietary requirement and healthy food preparation training for all cooks.
Chronic pain can adversely impact on consumption of core foods and discretionary choices and is associated with a higher body mass index BMI. Contact author: Katherine Brain — c uon. Consumption of sugar has received unprecedented attention in recent years as a significant, yet modifiable dietary risk factor. This initiative has facilitated Australian Bureau of Statistics analysis of the patterns of consumption of sugars including the usual intakes of added sugars across age and gender groups as well as the socioeconomic and geographical divisions.
In addition to sugar's contribution to overall energy intake, analysis of its contribution from the detailed food and beverage classification highlights the major sources of added sugar and free sugar in the diet. Contact author: Paul Atyeo — paul. Nutrition surveys such as the — Australian Health Survey AHS are designed to provide a comprehensive measure of food consumption and the associated nutrient intake for individuals. The Australian Bureau of Statistics have incorporated this database into the nutrition survey components of the AHS to provide estimates of the amounts of each of the food groups consumed by the population.
Analysis of the subgroups within the main food groups shows the relative contribution of particular foods to these main groups. There is no information available regarding the pattern of dietary glycaemic index GI and glycaemic load GL in Australians over time. Changes in contribution percentage of each food group to dietary GL were also assessed. Overall, the means of dietary GI and GL had decreased in — Bread remained the main contributor of dietary GL in both surveys.
Conversely, percentage of dietary GL sourced from core foods was lower in — However, increasing contribution from EDNP foods to dietary GL should be noted for future interventions to focus on promoting core foods as the main contributor of dietary GL. Contact author: Devina Kusnadi — dkus uni. Young adults are among the poorest consumers of fruits and vegetables.
A large proportion of young adults consume less than the minimum Australian Guide to Healthy Eating recommendations. Contact author: Monica Nour — mnou uni. This is a secondary analysis of data from an ongoing randomised controlled trial involving an intervention to improve Aboriginal children's health. Dietary data were extracted in Foodworks7. Results were as follows: one recall was collected from children, two recalls from 62 and three recalls from Most nutrient intakes were below the Adequate Intake and Recommended Dietary Intakes for age, except calcium.
Contact author: Megan Rebuli — megan. Many different interest groups compete to influence Aboriginal and Torres Strait Islander health hereafter, Aboriginal policy. For nutrition advocates, little progress has been made in influencing Aboriginal health policy, despite poor diet being one of the biggest contributors to burden of disease in the Aboriginal population. Social network analysis SNA can assist nutrition advocates to understand how policy is influenced and by whom. In this presentation, we will discuss two approaches to SNA which have been used empirically to identify influential actors in the Aboriginal health policy subsystem.
Both studies used SNA to map the range of actors attempting to influence Aboriginal health and nutrition policy. The first involved surveys with key stakeholders, using snowball sampling. The second analysed the submissions provided by organisations during the National Aboriginal and Torres Strait Islander Health Plan consultation process. These studies revealed that many stakeholders are connected, and that Aboriginal health and medical actors are particularly influential.
Nutrition advocates were less well connected, with few linked to key decision makers in the network. This may be one of the reasons why nutrition has fallen off the agenda somewhat as a policy priority. SNA provides stakeholders with a snapshot of their current strategic ties and identifies the critical actors in the network, with whom links should be formed in the future. Understanding the structures of influence in Aboriginal health can illuminate competing interests within this policy subsystem and assist advocacy organisations, such as DAA, to better position themselves to influence the policy process in the future.
Contact author: Jennifer Browne — jsbrowne students. The Victorian LiveLighter campaign, launched in August , is targeted towards adults aged 25—49 and takes a negative health consequences approach to obesity prevention. The survey was distributed via email to Aboriginal people through the Victorian Aboriginal Community Controlled Health Organisations VACCHO distribution networks, including Aboriginal health services and mainstream partner organisations and social media.
These findings provide preliminary evidence to suggest LiveLighter reached and resonated with the Victorian Aboriginal adults surveyed and that the campaign has the potential to positively influence health behaviours among the Aboriginal community. Contact author: Alison Ginn — alison. A Community of practice CoP brings together people with a common concern or passion for a topic and provides a platform for ongoing interaction.
CoPs focus on translating knowledge into practice and creating new evidence to advance a topic of professional practice. Until now, critical analyses to determine the effectiveness of CoPs have been scarce. This paper draws on two independent studies that aimed to build the capacity of the nutrition workforce to show the potential impact of CoPs and the factors that make them successful. One CoP supported public health nutritionists working with remote Indigenous stores.
The second CoP was for nutrition practitioners working more broadly in Indigenous health. Qualitative data were analysed using thematic analysis and quantitative data were analysed using Wilcoxon Signed Rank test. Building competence was achieved through accessible and timely professional support, sharing stories and encouragement to reflect on practice.
These findings provide evidence of an innovative intervention for professional development for the nutrition workforce. Contact author: Robyn Delbridge — robynd vaccho. The importance of intercultural competency for dietitians and nutritionists and most other health professionals is recognised in professional competencies as a key attribute for practice.
This research is the first step in developing a framework for cultural competency for the profession. Using phenomenography as a theoretical framework, interviews with 25 informants from across the spectrum of dietetic practice, academia and disciplines were undertaken. Phenomengraphy explores the qualitatively different ways people experience, conceptualise and understand a particular phenomenon.
These conceptualisations of cultural competence for nutrition and dietetics will underpin a framework that will inform the development of a toolkit to assess the integration of cultural competency within curricula. Contact author: Danielle Gallegos — danielle. This work aimed to develop a programmatic approach to assessment within a newly developed postgraduate dietetics program. This approach aimed to provide a holistic evaluation process of student performance.