Dissertations / Theses: 'Diseases Nutritional aspects'

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Gerasimidis, Konstantinos. "Nutritional aspects and gut microbiota in paediatric inflammatory bowel disease." Thesis, Thesis restricted. Connect to e-thesis to view abstract, 2009. http://theses.gla.ac.uk/826/.

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Thesis (Ph.D.) - University of Glasgow, 2009.
Ph.D. thesis submitted to the Division of Developmental Medicine, Faculty of Medicine, University of Glasgow, 2009. Includes bibliographical references. Print version also available.

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Chehade, Joyce P. "Nutritional status and bronchopulmonary dysplasia (BPD)." Thesis, McGill University, 1994. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=55487.

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The present study was performed to determine whether ongoing oxidative stress in some BPD infants contributes to their increased energy expenditure leading to growth failure. The study consisted of two parts. The first is a descriptive census of BPD infants (n = 38) followed at the outpatient clinics at The Montreal Children's Hospital (MCH). The second is a cross-sectional study of fifteen patients wherein anthropometric parameters, energy intake, and oxidative stress measures (red cell glutathione (GSH) and plasma malondialdehyde (MDA)) were assessed. Nine infants with growth failure were compared to six thriving infants with respect to their nutritional and oxidative stress status. Growth failure was defined as weight for age and weight for height for age less than the tenth percentile (z score $ leq - 1).$ Results revealed that the prevalence of growth failure in the BPD infants followed at MCH ranged between 45% and 55%. The mean ($ pm$ SD) energy intakes for thriving and failing to thrive infants expressed as a percent of the recommended nutrient intake were 104 $ pm$ 46% and 133 $ pm$ 35% respectively. Six infants had reduced mean ($ pm$ SD) blood glutathione per hemoglobin (3.63 $ pm$ 0.37 umol/g) compared to adult controls (6.57 $ pm$ 1.04 umol/g). Four of the six infants had growth failure while two were thriving. Fourteen Infants including all failing to thrive infants had elevated mean ($ pm$ SD) plasma MDA levels compared to adult controls (129 $ pm$ 48 vs 55 $ pm$ 3 nmol/l). Differences in oxidative stress markers were not observed between the two groups. These results suggest that growth failure is associated with an increase in caloric consumption and not with a decrease in caloric intake. The preliminary findings on oxidative stress markers suggest a depletion of the GSH antioxidant in some infants and marked lipid peroxidation in the BPD population.

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Hinze, Candace. "The role of malnutrition in prolonged respiratory failure : the effect of accelerated nutritional rehabilitation." Thesis, McGill University, 1995. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=22740.

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To investigate the possibility that malnutrition is an important factor that prolongs respiratory failure (PRF), I studied the effects of pharmacologic injections of recombinant human growth hormone (rhGH), an important anabolic stimulus, on nutritional and respiratory parameters in patients requiring mechanical ventilation for more than three days. Patients were excluded from consideration if dominating factors known to prolong ventilatory failure had not been stabilized. Over ten months, 106 patients in PRF were evaluated, but only six met the selection criteria. Three patients were randomized to receive standard nutritional support, and three into a group that received the equivalent nutrition plus 5 mg/day of rhGH for 14 days or until withdrawal of mechanical ventilation. Baseline characteristics of the selected patients were divergent as demonstrated by body mass indexes ranging from 14 to 42 (kg/m$ sp2),$ baseline maximal inspiratory pressures (PI$ sb{ max}$ from $-$15 to $-$70 cm H$ sb2$O, and Day 1 N balances from $-$13.5 to 1.2 g N/day. Despite increased plasma insulin-like growth factor-1 concentrations, the mean daily N balances of the rhGH-treated group were no better than the controls (1.3 $ pm$ 5.0 vs. 0.4 $ pm$ 2.6 g N/day; Mean $ pm$ SD), nor were there differences in PI$ sb{ max},$ level of ventilatory assistance required, and days to weaning. The persistence of respiratory failure in the overwhelming majority of patients in PRF appears to be due to factors already known to prevent weaning from mechanical ventilation. Even the carefully selected patients enrolled in the present study were insufficiently homogeneous or stable enough to allow proper testing of the experimental hypothesis.

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Haddad, Donna L. "Nutritional status indicators in hospitalized patients with chronic obstructive pulmonary disease (COPD)." Thesis, McGill University, 1993. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=67536.

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Malnutrition, as evidenced by low weight for height, low triceps skinfold thickness and low midarm muscle circumference, is prevalent among COPD patients. A stepped decline in nutritional status has been postulated as a mechanism for malnutrition wherein patients progressively suffer weight loss with each COPD exacerbation. A randomized clinical trial of continuous enteral nutrition could not successfully address whether or not the stepped decline in weight can be prevented. Despite this, sixteen patients admitted for a COPD exacerbation, participated in an observational prospective study wherein anthropometric, biochemical, dynamometric, respiratory, general well-being and energy consumption measures were obtained. Twelve patients had body weights below 90% of ideal weight. The mean energy intake was 107% $ pm$ 30 of estimated resting energy expenditure. Measures were repeated to assess changes during hospitalization. Weight change was a poor indicator of nutritional status. Midarm muscle circumference and handgrip strength appear to be useful as nutritional status indicators among unstable hospitalized COPD patients. Changes in handgrip strength and midarm muscle circumference were closely linked (r =.78, p $<$ 0.0005) and tended to decrease over the course of hospitalization despite clinical improvement. In the absence of adequate nutrition, COPD patients have at least as much risk of developing iatrogenic malnutrition as are other hospitalized medical patients.

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Power, Harold Michael. "A study of iron nutrition and immunity in infancy." Master's thesis, University of Cape Town, 1988. http://hdl.handle.net/11427/25837.

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Motivation and study design: Iron deficiency is a common condition in infancy, particularly in lower socio-economic groups. In Cape Town it remains a problem in spite of public health measures taken against it: a recent survey found a prevalence of iron deficiency anaemia of 34% in healthy 1-year old term infants who had ready access to a municipal health clinic where iron fortified milk formula is sold at subsidized prices. The consequences of iron deficiency extend beyond anaemia- to involve all organ systems including the immune system. Since Helen Mackay's report in 1928 of a striking decrease in incidents of infection in infants treated with iron, clinicians have assumed that iron deficiency predisposes to infection. Despite a sound theoretical basis for this belief, the clinical evidence for the assumption is poor as studies to date have displayed methodological deficiencies. On the other hand, iron is also essential for the growth of micro-organisms. As such, supplemental iron may predispose to infection. Indeed, there is much laboratory and clinical evidence to show that excess iron can result in the recrudescence of quiescent infections and increase the virulence of newly acquired infections. Thus, the competition between host and parasite may sometimes hinge on the relative availability of iron and it has been speculated that excess iron in infant milk formula may increase susceptibility to infectious diarrhoeal disease. The problem addressed by this thesis was to determine the utility of increasing the level of iron fortification of infant milk formula. Three questions were posed: Does increasing the level of iron fortification of conventional infant milk formula improve the iron nutrition of normal infants fed on the formula? Does increased iron fortification of infant milk formula alter immunity as reflected by incidence of infection and laboratory tests of immune function? Are there any handful effects of increasing the quantity of iron in conventional infant milk formula? A double blind randomized trial was carried out in 1983 and 1984 to answer these questions. A group of 149 healthy, well-nourished infants from a lower socio-economic community of so called Cape Coloureds were followed from the age of 3 months to 1 year. Half of the infants, the Control group, were given a commercially available infant milk formula (Lactogen Full Protein) which has 8.3 mg Fe/ 100 g formula and 37 mg ascorbic acid/ 100 g. The other half of subjects, the Test group, were given the same milk formula but fortified with iron to a concentration of 40 mg Fe/ 100 g. The children were examined every 3 or 4 weeks and any infection or history of infection was noted. Laboratory tests were done at the start of the trial and again on completion. During the trial, laboratory tests were performed only if clinically indicated. The tests included full blood count and differential analysis, red cell zinc protoporphyrin, plasma ferritin, plasma and hair zinc and lymphocyte subtyping with monoclonal antibodies. Within each group, half of the infants were randomly selected for assay of neutrophil bactericidal activity. The other half were assayed for lymphocyte blastogenic response to stimulation with phytohaemagglutinin. Tests of delayed cutaneous hypersensitivity to Candida antigen and PPD were done and all children and their mothers had antibodies to tetanus and polio determined. Results: 74 infants in the Control group started the trial and 62 completed it. In the Test group, 75 infants began and 70 completed the study. Intake of milk and solid foods was not quantified, but the ages of weaning and of introduction of new foods were determined. The Control and Test groups did not differ significantly on any test item. The mean age of completion of weaning was 3.60 months for the Control group and 4.04 months for the Test group. The Control group was first given meat or fish at a mean age of 5.19 months; the Test. group had meat or fish introduced to their diets at a mean age of 4.36 months. These differences were not statistically significant. The children in the Control group were lighter and shorter than the Test group at the end of the year. Mean standard deviation scores for weight were 0.23 and 0.48 respectively (P = 20%), while for length the SD scores were -0.13 and 0.06 (P = 20%).

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Hum, Susan. "Glutathione metabolism in the rat under varied nutritional conditions." Thesis, McGill University, 1991. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=59940.

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We developed a methodology to measure plasma hepatic glutathione (GSH) turnover and we tested it in rats treated with an inhibitor of GSH synthesis. Our goal was to determine whether protein intakes above NRC recommendations maximize hepatic GSH stores and turnover in vivo. We also wished to learn if plasma GSH, cysteine, or methionine concentrations or plasma GSH turnover could be used as noninvasive predictors of liver GSH status. Rats were fed purified diets containing 0, 5, 10, 20 or 40% casein for one week. The 0 and 5% casein diets were considered inadequate in protein, 10% marginal, 20% adequate and 40% excessive. Liver GSH content (mmol/liver) of rats fed 0 and 5% casein diets was 12.29 $ pm$ 1.11 and 16.43 $ pm$ 0.95, respectively, and increased to 23.62 $ pm$ 1.82 in the 10% group. Liver GSH content did not differ between the 20 and 40% groups. As dietary casein increased from 0-20%, free plasma GSH and cysteine concentrations and plasma GSH turnover increased, but did not increase further with the 40% diet. A sigmoidal relationship between plasma GSH turnover and hepatic GSH content was demonstrated. The best predictor of liver GSH content was not free plasma GSH concentration nor plasma GSH turnover, but the free plasma cysteine concentration.

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Saudny-Unterberger, Helga. "Impact of nutritional support on changes in functional status during an acute exacerbation of chronic obstructive pulmonary disease (COPD)." Thesis, McGill University, 1995. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=23294.

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Despite the acknowledged importance of nutritional support for COPD patients, it is difficult to accomplish in acutely stressed individuals. A randomized trial of nutritional supplementation during an acute exacerbation was carried out in 16 hospitalized patients for a 2 week period. Six control patients consumed a standard diet supplying 1,951 $ pm$ 130 (mean $ pm$ SEM) kcal and 80 $ pm$ 6 g protein/d, while ten treatment patients, in addition to the usual diet received oral supplements (Ensure) or snacks, resulting in an intake of 2,516 $ pm$ 129 kcal (p = 0.012) and 99 $ pm$ 6 g protein/d (p = 0.059). Although the treatment subjects improved their intake over the control group, no significant improvement in nutritional status occurred in either group.
Forced vital capacity (FVC % predicted) improved significantly over the study period in treated vs control subjects (+11.10 $ pm$ 4.63 vs $-$4.50 $ pm$ 2.14; p = 0.026). Nitrogen balances were calculated for 9 subjects, and all were in negative balance ($-$8.42 $ pm$ 1.74 g nitrogen/d) with no difference between groups.
Because of the high doses of methylprednisolone administered (69.6 $ pm$ 8.3 mg/d), and their known catabolic effects, we examined whether the dose affected nitrogen balance and muscle strength. Both nitrogen balance (r = $-$0.73; p = 0.025) and grip strength (r = $-$0.76; p $<$ 0.001) worsened with higher doses of steroids. The catabolic process may have resulted from elevated energy requirements, inadequate intake of protein and energy or been induced by high doses of steroids.
Hospitalized COPD patients are highly stressed and catabolic, and the means to preventing protein wasting during an acute exacerbation of their disease remains to be established. (Abstract shortened by UMI.)

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Chan, Hiu-ting, and 陳曉庭. "The effect of diet intake on vascular function and therapeutic effect of cardiovascular medicine in patients with cardiovascular disease." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hub.hku.hk/bib/B50434342.

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Cardiovascular diseases (CVDs) remain to be the leading causes of morbidity and mortality in Hong Kong and worldwide. Among different modifiable risk factors, dietary pattern is on the major determinant for CVD and overall mortality. Other than pharmacological therapies for cardiovascular risk factors, such as hypertension, hyperlipidemia and diabetes, maintaining a healthy diet is a more sustainable method in general population to prevent CVDs. Current lifestyle intervention in the West countries focus on high intake of fruit and vegetables with more than 400g per day and limited saturated fats with less than 10% of energy, there is very limited data on impact of dietary pattern on CVDs in Chinese. Prior studies among Chinese in Hong Kong have shown that only half of the local population fell within these recommended ranges for fat, saturated fatty acid and cholesterol intakes. Several different dietary patterns have been recommended for CVDs prevention based on: i) food groups, such as Mediterranean diet, the Dietary Approaches to Stop Hypertension (DASH) diet; ii) macronutrients: the low-carbohydrate diet, low glycemic index diet, very-low- fat diet and iii) nutrition or vitamin supplement. However, the effect of different dietary patterns based on modulations of food group, macronutrients and particular micronutrients on vascular structure and function in Chinese subjects is unclear. In the first part of this thesis, the relationships between different dietary pattern and surrogate markers of subclinical atherosclerosis and vascular function in different high risk populations for CVDs were investigated. In Chapter 3, we compared the assessment of dietary pattern in Chinese using different tool, including Food Frequency Questionnaire (FFQ); Dietary Record; and Dietitian assessment. In this study, we demonstrated that suitable dietary assessments tools should be chosen for the assessment of different dietary pattern, according to characteristics of assessments. In Chapter 4, the relationship between the fruit intake and subclinical atherosclerosis as measured by carotid intimal thickness (IMT) was investigated in patient with type II diabetes mellitus (DM). Our results showed that high fruit intake was associated with lower burden of carotid atherosclerosis, independent of level of vitamin intake in patients with type II DM. In Chapter 5, we compared the impact of high carbohydrate diet on arterial stiffness between control subjects without CVDs and patients with high risk for CVDs. Our findings showed that high carbohydrate diet mainly affected patients with established CVDs, and their increased arterial stiffness was associated with an elevation of blood pressure. In Chapter 6, we determined the effect of dietary vitamin intake on oxidative stress in patients with high risk of CVDs. In those high risk patients for CVDs, we demonstrated that increased dietary intake of vitamin A, beta-carotene and alpha tocopherol were associated with decreased oxidative stress, but these relationships were not observed in those control subjects without CVDs. It is likely attributed to the higher systemic oxidative stress levels in patients with high risk of CVDs. On the other hand, food intake may also affect the clinical efficacy of cardiovascular therapies. In particularly, it has been well established that herbal intake which is commonly used by Chinese can affect the anticoagulant effect of warfarin on patients with non-valvular atrial fibrillation (AF). Thus, in this second part of the thesis, we investigated the effect of concomitant herbal intake on anticoagulation control in patients with non-valvular AF treated with warfarin. Our results showed that patients with AF treated with warfarin had limited knowledge on potential interaction between herbal substances in foods and warfarin, in which increased herbal substances intake significantly reduced the percentage time of anticoagulant effect within the therapeutic range. Moreover, a single section of education on knowledge of herbal ingredients did not improve their percentage time of therapeutic range for these patients. In conclusion, these findings suggest that dietary pattern in Chinese might have significant impact of vascular function in patients with type II DM and high risk for CVDs. Moreover, the herbal substances in the diet among Chinese could have significant impact of the therapeutic effects in some of the cardiovascular medications, such as warfarin. Future clinical studies will be needed to confirm these potential beneficial effects of particular diet intake on vascular function in patients with high risks of CVDs as well as potential interaction between herbal substances in Chinese diet and cardiovascular medications.
published_or_final_version
Medicine
Doctoral
Doctor of Philosophy

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Ambrosini, Gina L. "Dietary risk factors for prostate cancer and benign prostatic hyperplasia." University of Western Australia. School of Population Health, 2008. http://theses.library.uwa.edu.au/adt-WU2008.0135.

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[Truncated abstract] This thesis examines the potential role of dietary intake in the development of two common conditions affecting the prostate gland; prostate cancer and benign prostatic hyperplasia (BPH). Diet is of interest as a potential risk factor for prostate cancer because of geographical variations in prostate cancer incidence and increased prostate cancer risks associated with migration from Asian to western countries. Some geographical variation has been suggested for BPH, but this is less certain. However, both prostate cancer and BPH have potential links with diet through their positive associations with sex hormone levels, metabolic syndrome, increased insulin levels and chronic inflammation. In addition, zinc is an essential dietary micronutrient required for semen production in the prostate gland. The original work for this thesis is presented in six manuscripts of which, four have been published in peer-reviewed journals (at the time of thesis completion). BPH investigated in this thesis is defined as surgically-treated BPH. The following hypotheses were investigated. Regarding foods, nutrients and the risk of prostate cancer and BPH: 1. Increasing intakes of fruits, vegetables and zinc are inversely associated with the risk of prostate cancer and BPH 2. Increasing intakes of total fat and calcium are positively associated with the risk of prostate cancer and BPH. 3. Dietary patterns characterised by high meat, processed meat, calcium and fat content are positively associated with the risk of prostate cancer and BPH. 4. Dietary patterns characterised by high fruit and vegetable and low meat content are inversely associated with the risk of prostate cancer and BPH. v Regarding methodological issues related to the study of diet-disease relationships: 5. Dietary patterns (overall diet) elicited from principal components analysis yield stronger diet-disease associations than when studying isolated nutrients. 6. Remotely recalled dietary intake is reliable enough to be used in studies of chronic disease with long latency periods, such as prostate cancer and BPH. Methods: Data from two studies was used to address the hypotheses above. ... Based on the literature reviewed and the original work for this thesis, the most important dietary risk factors for prostate cancer and BPH appear to be those common to western style diets, i.e. diets high in red meat, processed meat, refined grains, dairy products, and low in fruit and vegetables. This type of diet is likely to result in marginal intakes of antioxidants and fibre, excess intakes of fat and possibly, moderate intakes of carcinogens associated with processed meat and meat cooked at high temperatures. These dietary factors have been linked with biomarkers of inflammation, and they support the hypotheses that chronic inflammation is involved in the development of both prostate cancer and BPH. In addition, this work builds on evidence that zinc is an important factor in prostate health. There is scope for more investigation into the reliability of dietary patterns and the use of nutrient patterns as an alternative to focussing on single food components. Further studies on the reliability of remote dietary intake would also be useful. Because of the latency of chronic disease, it can be theorised that remote dietary recall may uncover more robust diet-disease relationships.

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Jenneke, Cindy A. N. "The effect of dietary patterns on risk factors for CHD : a comparative study of students residing at the Adventist International Institute of Advanced Studies in the Philippines." Thesis, Link to online version, 2006. http://hdl.handle.net/10019/554.

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Carman, Judith Anne. "The metabolic relationship between nutrition and cancer /." Title page, contents and abstract only, 1988. http://web4.library.adelaide.edu.au/theses/09PH/09phc287.pdf.

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Coe, Ellen Moster. "The correlation between changes in conicity index and changes in other risk factors for coronary heart disease at baseline and after a six- month intervention program." Virtual Press, 1995. http://liblink.bsu.edu/uhtbin/catkey/941352.

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The emphasis of the study was to determine the degree of correlation between the Conicity Index and known risk factors for heart disease. Conicity Index was shown in one study to be a useful screening tool in assessing the relationship between body composition and risk for heart disease. This study was designed to provide nutrition education and teach lifestyle modification to fourteen Veteran's Affairs patients. Change in specific risk factors including Waist-to-Hip Ratio, Body Mass Index, serum lipid levels and dietary intakes were correlated with change in Conicity Index over the six month study. Results from the present study did not suggest that the Conicity Index would serve as an effective screening tool for the present population. Mean body weight, body mass index, hip circumference, cholesterol and triglyceride levels, total caloric and fat intake all decreased significantly as a result of the program. Through nutrition education, behavior modification and group support, the risk for heart disease was successfully modified in this population.
Department of Family and Consumer Sciences

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Minkus, Tracy M. "The effect of low dietary zinc on outcome of primary and challenge nematode infections in mice /." Thesis, McGill University, 1990. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=59808.

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The effect of low dietary zinc on the survival and reproduction of an intestinal nematode (Heligmosomoides polygyrus) during both primary (Experiment 1) and challenge (Experiment 2) infections was investigated. Plasma zinc concentrations were significantly lower in mice fed a 5 ppm zinc diet (ZR), compared with control mice fed a 60 ppm zinc diet (C) in both experiments. There were no significant differences between ZR and C mice in any other zinc parameter or on worm burdens or worm fecundity in either experiment. Comparisons between the primary infection and the challenge infection did suggest a possible effect of calorie restriction on worm burdens.
Parasitic infection did, however, affect the host nutritional status. Spleen weight was significantly higher in infected mice in both experiments. In the challenge infection, both liver and spleen copper concentrations were significantly higher, and spleen iron concentration significantly lower in the infected mice. That these significant results were seen only in the challenge infection may suggest the role of the host immune response.

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Shi, Hai Ning. "Interactions among zinc deficiency, energy restriction, immunity and Heligmosomoides polygyrus (Nematoda) infection in mice." Thesis, McGill University, 1996. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=40251.

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Interactions among zinc deficiency, energy restriction, immunity and Heligmosomoides polygyrus (Nematoda) infection in mice were investigated. Mice were fed zinc-sufficient (Zn+: 60mg zinc/kg diet), zinc-deficient (Zn$-$: 0.75 mg/kg) or pair-fed (PF) diets. Liver and serum zinc concentrations were reduced in Zn$-$ mice, but zinc content of worms was unaffected by host diet. Both zinc deficiency and energy restriction accelerated worm maturation during a primary infection, but zinc deficiency caused stunting of female worms. Energy restriction led to a anteriorad distribution of worms along the intestine whereas zinc deficiency led to a posteriorad distribution. Enhanced parasite survival in Zn$-$ and PF mice was associated with a decreased immune response in both primary and challenge infections. In the primary infection, spleen cell production of interleukin-4 (IL-4) and interferon-gamma (IFN-$ gamma$), peripheral eosinophilia and serum levels of IgE and IgG1 were reduced by zinc deficiency, whereas the reduced delayed type hypersensitivity (DTH) response and impaired interleukin-5 (IL-5) production were attributed to energy restriction. In the challenge infection, reduced antibody levels (total IgE and IgG1, parasite-specific IgG1 and IgG3) and eosinophilia were attributed to zinc deficiency whereas the higher worm numbers were attributed to a combined effect of zinc deficiency and energy restriction. Although the absolute number of spleen cells was reduced in both Zn$-$ and PF mice, neither deficiency altered the proportion of the cell subpopulations. In vitro functional assays in response to parasite antigen (Ag) revealed that T cell proliferation was reduced by a direct effect of zinc deficiency on T cells, and by the effects of energy restriction on antigen presenting cells (APC). Impaired cytokine production in Zn$-$ mice was more complex. Zinc deficiency reduced T cell function (IL-4 production), energy restriction decreased T cell (IFN-$ gamma$ productio

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Evaneshko, Veronica. "Exploratory data analysis of type II diabetes among Navajo Indians." Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/276762.

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This research explicated the use of exploratory data analysis in describing type II diabetes mellitus among the Navajo Indians. A sample of 98 diagnosed diabetics was obtained from a retrospective chart review and had a 1.3:1 female to male ratio, a median age of 58.6 years, and a mean duration for diabetes of 7.66 years. Other characteristics included a median age at diagnosis of 50 years, a median weight prior to diagnosis (expressed in percent desired weight) of 140%, and a median blood glucose value at time of diagnosis of 241 mg/dl. The distribution patterns for age, weight, and blood glucose revealed several asymmetry problems which had implications for the appropriateness of using parametric statistics in numerical summarizations. Bivariate analyses revealed a negative association between age at diagnosis and percent desired weight prior to diagnosis. This finding identifies the risk that obesity brings to the young and that aging brings to the non-obese, Navajo Indian.

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Leclerc, Hélène. "Effects on manipulating the anion-cation balance in rations for prepartum dairy cows on hypocalcemic parturient paresis." Thesis, McGill University, 1986. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=65421.

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Mason, Lisa Ringhausen. "Comparison of two methods of teaching the diabetic diet to elderly women." Thesis, Virginia Tech, 1990. http://hdl.handle.net/10919/42118.

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Thirty females, 55 to 70 years old, participated in an investigation comparing two methods of teaching the diabetic diet. Subjects were required to take the WRAT-R, a test which assessed their reading capabilities. Only those scoring at the seventh grade level or below qualified for this investigation. Following the test, subjects were assigned to one of two groups. Participants in Group 1 received one-on-one instructions of Healthy Food Choices, whereas participants in Group 2 received videotaped instructions of Healthy Food Choices. Healthy Food Choices is a more simplified meal planning tool designed for those that cannot understand the concepts of the Exchange Lists for Meal Planning. Participants were instructed by the researcher, either on videotape or one-on-one. A follow-up visit occurred in a mean of 10.3 days to assess comprehension of the instructions provided. Each participant was contacted again by telephone in a mean of 28.7 days from the follow-up visit to assess long-term retention of the instructions they were provided. The sample menu collected from the two contacts provided data on choice deletions and additions. These data were analyzed by t-tests. There were no statistically significant differences found between diabetic diet instructions done by videotape or one-on-one at either follow-up visit or telephone contact. In this sample, videotaped instructions of the diabetic diet were just as effective as one-on-one instructions.
Master of Science

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Estaquio, Carla. "Scores nutritionnels : méthodes, aspects socio-économiques et association avec l’état nutritionnel et la morbidité dans la cohorte SU.VI.MAX." Thesis, Paris, CNAM, 2011. http://www.theses.fr/2011CNAM0782/document.

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Les actions mises en œuvre dans le cadre du Programme National Nutrition Santé (PNNS) suscitent des attentes et des interrogations en termes d’efficacité. Il est donc utile d’apporter des informations concernant l’adhésion de la population aux recommandations et sur l’effet possible de cette adhésion sur l’état de santé. L’adhésion a été mesurée grâce à la construction de deux scores construits a priori sur la base des objectifs de santé publique (FSIPO) ou repères du PNNS (PNNS-GS). Globalement, une meilleure adéquation aux 9 recommandations ou objectifs de santé publique était associée à un statut nutritionnel favorable. Les sujets présentant un score élevé (PNNS-GS ou FSIPO) déclaraient également des habitudes de vie plus saines (tabac, alcool, activité physique) que ceux ayant des scores bas. Une réduction de 36% du risque de maladies chroniques (décès, cancers et maladies cardiovasculaires) a été observée, après huit ans de suivi, chez les hommes ayant un FSIPO élevé. Malgré certaines limites, la validation de scores nutritionnels a priori s’avère indispensable pour convaincre tant les autorités de santé publique que les professionnels de santé et le grand public que tendre vers les recommandations peut être bénéfique tant au niveau individuel que collectif
The actions implemented in the French National Program on Nutrition and Health (PNNS) raise expectations and questions in terms of efficiency. It is therefore useful to provide information about the general public adherence and demonstrate the potential for improving the health status of the population when PNNS nutritional guidelines are followed. Adherence was measured through the construction of two a priori nutritional scores based on the public health goals (FSIPO) or PNNS recommendations (PNNS-GS). A better compliance with recommendations or public health goals was associated with better nutritional status. Subjects with a high score (PNNS-GS or FSIPO) reported healthier lifestyle (tobacco, alcohol, physical activity) than those with lower scores. A 36% reduction in the risk of chronic disease (death, cancer and cardiovascular disease) was observed after eight years of follow up, among men with high FSIPO. Despite some limitations, validation of a priori nutritional scores is essential to convince both the public health authorities and the general public that the adherence to the PNNS is useful at an individual and collective level

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Phooko, Puleng M. (Puleng Mpopi). "Nutritional factors associated with oral lesions in HIV disease and TB infection." Thesis, Stellenbosch : Stellenbosch University, 2003. http://hdl.handle.net/10019.1/53528.

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Thesis (Mnutr)--University of Stellenbosch, 2003.
ENGLISH ABSTRACT: Problem Definition: In the context of HIV/AIDS malnutrition is almost universal among children, and of the adverse effects of Protein Energy Malnutrition, the most frequent seems to be the occurrence of opportunistic infections with micro-organisms such as oral Candida. Objective: The aim of this study was to determine the nutritional status of children with oral complications in relation to HIV/AIDS as well as the effects of the oral lesions on nutritional status. Subjects/setting: The subjects of study were 24 children co-infected with TB and HIV who were admitted consecutively to the paediatric ward of Brooklyn Chest Hospital in Cape Town, South Africa. The nutritional status of the children was assessed over a maximum period of six months by nutrient intake, anthropometric status, and by biochemical parameters and clinical and oral examination on admission and at discharge from hospital. Results: Children with HIVand TB infection presenting with or without oral lesions were similarly malnourished throughout the period of hospitalization. There was no improvement in the nutritional status as indicated by height and weight measurements. Throughout the time of hospitalization, 7% of the children had a combination of stunting, underweight and wasting. Average nutrient intake was not found to be higher than the Recommended Dietary Allowance (RDA) in any of the children. At the time of admission to hospital and at discharge, carbohydrate intake provided most of the daily energy (36% and 42%, the difference not being statistically significant). There was a significant increase in the intake of energy (p=O.04) and a decrease in total fat intake (p=O.03) at discharge. Although not significant, mean protein intake at admission was higher than at time of discharge. Selected sub-optimal biochemical values were prevalent among the children studied, with 45% and 41% showing low serum albumin values «2.9g/dL) at the time of admission and at discharge respectively. Both on admission and at discharge, 38% of the children had Haemoglobin levels below normal values. Serum ferritin levels below normal values were present in almost all the children and the trend was similar for the prevalence of low zinc values. Sub-normal plasma retinol was present in 79% of the children at time of admission, while only 21% had deficient values at time of discharge (p=O.03). On admission, 29% of the children had vitamin evalues below the normal range whereas at time of discharge 17% of the children had values below normal (p=O.04). A total of 29% children presented with oral complications on admission. These included oral herpes, oral thrush, reflux, bleeding gums and stomatitis/angular cheilosis. Two children were asymptomatically colonized with Candida of the oral cavity. Mean total protein intake was higher (p=O.057) among the children who were not diagnosed with oral complications. Conclusions: This study confirmed that malnutrition is not only a common and serious problem associated with HIVand AIDS, but also that nutritional problems cannot be dealt with in isolation where Opportunistic Infections are present. The severity of malnutrition depends on various factors including oral complications. Additionally, appropriate management and treatment of tuberculosis did not appear to affect the nutritional status significantly. Recommendations: On the basis of these findings, and because of the increased risk of growth failure and developmental delays, children should be referred for full nutritional evaluation as soon as possible after diagnosis of HIV -infection. In addition, there is a need for intervention programmes to identify the immediate underlying causes of malnutrition and the ways in which such causes interact, in order to ensure that such interventions increase the resistance of HIV infected infants and children to the disease.
AFRIKAANSE OPSOMMING: Probleemdefiniëring: Binne die konteks van MIVNIGS is wanvoeding bykans universeelonder kinders en van die nadelige effekte van proteïen energie wanvoeding is die voorkoms van opportunistiese infeksies (Ol) met mikro-organismes soos orale candida die algemeenste. Doelwit: Die doel van dié studie was om die voedingstatus van kinders met orale komplikasies in verhouding tot MIVNIGS en die effek van orale letsels op voedingstatus, te bepaal. Proefpersone/omgewing: 'n Groep van 24 kinders, met beide tuberkulose en MIVNIGSinfeksie, wat agtereenvolgend in die kindersaal van Brooklyn Bors-Hospitaal in Kaapstad, Suid- Afrika opgeneem is, is bestudeer. Vir 'n periode van ses maande is die kinders se voedingstatus geassesseer deur middel van voedingstofinname, antropometriese status en biochemiese parameters met opname in en ontslag uit die hospitaal. Kliniese en orale ondersoeke was op elke kind uitgevoer met opname sowel as ontslag. Resultate: Kindres met HIV en tuberkulose, met of sonder orale letsels, het soortgelyke wanvoeding tydens hospitalisering ervaar het. Volgens antropometriese metings was daar geen verbetering in die voedingstatus nie. 'n Kombinasie van belemmerde groei, ondergewig en uittering het in 7% van die kinders tydens hospitalisering voorgekom. Nie een van die gemiddeldes van die voedingstowwe was hoër as die Aanbevole daaglikse toelatings (ADT) in enige van die kinders wat bestudeer is nie. Met opname sowel as ontslag, was koolhidraatinname die grootste energieverskaffer met onderskeidelik 36% en 42% (alhoewel die verskil nie statisties beduidend was nie). Daar was 'n beduidende toename in energie-inname (p=O.04) en 'n afname in totale vetinname (p=O.03) met ontslag. Alhoewel nie beduidend nie, was die gemiddelde proteïeninname hoër met ontslag. Die voorkoms van geselekteerde sub-optimale biochemiese waardes met toelating en ontslag wys dat onderskeidelik 45% en 41% van die kinders lae serum albumienwaardes «2.9g/dL) getoon het. Subnormale plasma retinol het in 79% van die kinders met toelating voorgekom, terwyl slegs 21% gebrekkige waardes (p=O.03) met ontslag getoon het. Tydens opname, sowel as met ontslag, was 38% van die kinders se hemoglobienvlakke laer as die normale. Serum ferritienvlakke was amper by al die kinders laer as die normale vlakke te bespeur, met sinkvlakke wat op soortgelyke lae vlakke voorkom. Met toelating was 29% van die kinders se Vitamien C-waardes laer as normaal en met ontslag was sowat 17% se waardes steeds laer as die normaal (p=O.04). Met toelating het 29% van die kinders orale komplikasies getoon. Ingeslote hierby was orale herpes, orale sproei, refluks, bloeiende tandvleise en stomatis/ angulêre cheilose. Slegs twee kinders was asimptomaties met orale Candida van die mondholte gediagnoseer. Die gemiddelde proteïeninname was hoër (p=O.057) onder die kindres wat nie orale komplikasies getoon het nie. Gevolgtrekking: Hierdie studie bevestig dat wanvoeding me net 'n algemene en ernstige probleem is wat met MIV en VIGS geassosieer word nie, maar ook in die teenwoordigheid van opportunistiese infeksies, die voedingsprobleem nie in isolasie gehanteer kan word nie. Die graad van wanvoeding hang af van ander faktore, insluitende orale komplikasies. Voldoende behandeling van TB het ook nie 'n beduidende effek op voedingstatus gehad nie. Aanbevelings: Op hierdie bevindings gebaseer, en as gevolg van die verhoogde risiko VIr belemmerde groei en vertraagde ontwikkeling wat al die liggaamstelsels van MIV -positiewe kinders affekteer, moet kinders so gou as moontlik nadat die MIV-infeksie gediagnoseer is, vir volle voedingsevaluasies verwys word. Daarmee gepaardgaande is daar 'n behoefte aan programme wat die onmiddellike onderliggende oorsake van wanvoeding identifiseer, asook om interaksie van hierdie oorsake met HIV vas te stel, ten einde intervensies wat weerstand van HIVkinders en-babas verbeter, positieftoe te pas.

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Bhunthurat, Anurak. "The Vitamin B-6 Status of Patients with Chronic Obstructive Pulmonary Disease." Thesis, North Texas State University, 1986. https://digital.library.unt.edu/ark:/67531/metadc500541/.

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The problem of this study is to determine the vitamin B-6 status of patients who have chronic obstructive pulmonary disease (COPD). Erythrocyte aspartate transaminase assay was the method for measuring vitamin B-6 status. The vitamin B-6 status was examined in thirty subjects (ten COPD subjects and twenty control subjects). An unpaired t-test was used to compare the vitamin B-6 status of the COPD group versus the control group. Four determinants (percentage stimulation, ratio of basal to stimulated activity, basal activity, and stimulated activity) were used to determine vitamin B-6 status in both groups of subjects. Percentage stimulation and ratio of basal to stimulated activity were not significantly different (control group versus COPD group) at the .05 level. However, two of ten COPD subjects had values for percentage stimulation that were two standard deviations above the mean, indicating a poor B-6 status. In contrast, basal activity and stimulated activity of erythrocyte aspartate transaminase were found to be significantly lower at the .05 level in the COPD group than the control group. Therefore, the COPD subjects as a group had some biochemical characteristics of a lower level of vitamin B-6 than the controls.

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Nielsen, Kim. "The effects of iron deficiency on the efficacy and pharmacokinetics of albendazole in mice infected with Heligmosomoides polygyrus /." Thesis, McGill University, 1994. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=68228.

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The aim of this research was to determine the influence of iron deficiency on both the efficacy and metabolic patterns of albendazole in mice infected with Heligmosomoides polygyrus. Anthelmintic efficacy was markedly decreased in iron-deficient mice; the deficiency was also associated with a decrease in body weight, altered hematological parameters and a decreased net egg output; worm establishment in the deficient group was not affected by the deficiency. Although anthelmintic efficacy was significantly decreased by the iron deficiency, plasma concentration profiles of the main metabolites, albendazole sulphoxide and albendazole sulphone, were not changed by the deficiency. Levels of intestinal cytochrome P-450, the main metabolizing enzyme of albendazole however, was significantly depressed in iron-deficient mice. These observations suggest that although pharmacokinetic parameters are not affected by iron deficiency, nutritional status has the potential to influence anthelmintic efficacy and thus warrants further study.

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22

Bester, Dirk Jacobus. "The effect of red palm oil supplementation of an oxidative risk induced diet and a high saturated fat diet on ischaemia/perfusion injury in the isolated perfused rat heart." Thesis, Cape Peninsula University of Technology, 2006. http://hdl.handle.net/20.500.11838/1470.

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Thesis (MTech (Biomedical Technology))--Cape Peninsula University of Technology, 2006
Research has shown that the activation of the NO-cGMP pathway leads to myocardial protection from oxidative stress conditions, such as ischaemia and reperfusion. Few of these studies have however combined diet induced oxidative stress with ischaemia/reperfusion injury. Although little is known about the effects of supplements such as red palm oil (RPO) on the NO-cGMP pathway, research has shown that dietary RPO-supplementation improved reperfusion aortic output recovery through mechanisms that may include activation of the NO-cGMP- and inhibition of the cAMP pathway. RPO is an antioxidant-rich oil containing ~carotene and Vitamin E (tocopherols and tocotrienols). The aims of this study were to determine: 1) whether RPO-supplementation of an oxidative risk induced diet (ORD) and a high saturated fat diet (HFD) offers protection against ischaemia/reperfusion injury in the isolated perfused rat heart and 2) the possible mechanisms for this protection. Male Wistar rats were randomly divided into four groups for a period of 14 weeks according to the dietary supplementation they received. The control groups received either an oxidative risk induced diet (ORD) or a high saturated fat diet (HFD), while the experimental groups received an ORD supplemented with RPO (ORD+RPO) or a HFD supplemented with RPO (HFD+RPO).

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Carcaise-Edinboro, Patricia. "The relationship of dietary beta-carotene intake and serum beta- carotene levels to the development of oral lesions in smokeless tobacco users." Thesis, Virginia Tech, 1990. http://hdl.handle.net/10919/42097.

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This study was designed to assess the relationship of dietary and serum beta-carotene to the development of oral lesions in smokeless tobacco users. Eighty eight smokeless tobacco users without oral lesions and 18 with lesions participated in the study. Dietary intake of beta-carotene, personal health habits and selected dietary intake were analyzed by questionnaire. Serum levels were assessed by high pressure liquid chromotography. No correlation between dietary beta-carotene intake and serum beta-carotene levels was observed. Results of t-test analysis indicated no significant difference in the mean serum or dietary intake of beta-carotene between the groups. Mean serum beta-carotene for group-I, users without oral lesions and group-2, users with oral lesions were 12.3 ug/dl(I.02 SE), and 10.6 ug/dl(1.59 SE), respectively. Stepwise regression techniques were employed to assess the influence of selected variables on serum beta-carotene. The effects of smoking, smokeless tobacco exposure, alcohol consumption, and age as well as other dietary indices were evaluated. Age (O.015,pMaster of Science

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Maeda, Emiko. "The Effects of Green Smoothie Consumption on Blood Pressure and Health-Related Quality of Life: A Randomized Controlled Trial." PDXScholar, 2013. https://pdxscholar.library.pdx.edu/open_access_etds/974.

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Chronic diseases are among the leading causes of death globally, and as much as 80% of these deaths are reported to be preventable with proper diet and lifestyle. Although extensive research has demonstrated that the increased consumption of fruits and vegetables offers protective health effects from many chronic illnesses, populations in both developed and developing nations consistently fall short of the recommended intake of 5 or more servings a day. This study investigated the effects of daily consumption of Green Smoothies for 4 consecutive weeks on blood pressure and health-related quality of life. Green Smoothies are a blended drink consisting of fruit, leafy greens and water. The study was a randomized controlled trial with a final sample of 29 volunteer participants. Data were collected at baseline and post-intervention and included anthropometric and physiologic measures, as well as a nutrition survey. The treatment group demonstrated trends toward improvements in waist circumference (p = 0.026), waist-to-hip ratio (p = 0.05), and symptoms of burden linked to diet (p = 0.04), small intestine (p = 0.04), large intestine (p = 0.05), and mineral needs (p = 0.04). Despite the lack of statistically significant reductions in blood pressure, the trend toward improvements in waist circumference and waist-to-hip ratio are considered to be useful and informative of health risk. Thus, the results of this study provide preliminary support for the consumption of Green Smoothies as a possible primary prevention effort for chronic conditions. It may also help to reduce health risks or even reverse the effects of chronic conditions.

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Bufarah, Marina Nogueira Berbel [UNESP]. "Avaliação do balanço nitrogenado e aparecimento de nitrogênio uréico como marcadores de catabolismo, infecção e mortalidade em pacientes com lesão renal aguda em diálise." Universidade Estadual Paulista (UNESP), 2014. http://hdl.handle.net/11449/123328.

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Introdução: O hipercatabolismo é a alteração nutricional mais importante em pacientes com lesão renal aguda (LRA). Balanço nitrogenado (BN) e aparecimento de nitrogênio uréico (UNA) são medidas que permitem estimar a extensão do catabolismo na LRA. Objetivos: descrever e classificar o catabolismo de pacientes com LRA em Hemodiálise (HD) e Diálise Peritoneal de Alto Volume (DPAV) e analisar se BN e UNA são marcadores precoces de infecção e mortalidade nestes pacientes. Metodologia: Estudo tipo coorte prospectiva que avaliou pacientes com LRA dialítica internados no Hospital das Clínicas da Faculdade de Medicina de Botucatu, de março de 2011 a dezembro de 2012. Foi utilizado protocolo de estudo composto por dados clínicos, avaliação nutricional, parâmetros de catabolismo (redução de pelo menos 2g/dia no BN ou aumento de 2g/dia no UNA) e avaliação da presença de quadro infeccioso (presença de febre, leucócitos acima de 12.000/mm³ ou PCR>10mg/dl). Todos os pacientes foram acompanhados em conjunto com a equipe médica até a alta nefrológica hospitalar (na presença de recuperação parcial ou completa da função renal) ou óbito. Este estudo obteve aprovação do Comitê de Ética em Pesquisa da Instituição. Os resultados foram descritos como mediana ou média e desvio padrão. Para comparação das características clínicas, nutricionais e de catabolismo utilizou-se Teste t, Mann-Whitney ou Teste Qui-quadrado. Para a associação do BN e UNA com mortalidade e infecção foi utilizado teste t ou Mann-Whitney e curvas de Kaplan-Meyer, respectivamente. Utilizou-se como nível de significância estatística p<0,05. Resultados: Foram incluídos 124 pacientes, sendo 96 em HD e 28 em DPAV. Os pacientes apresentaram mediana de idade de 63 anos, prevalência de internação em UTI de 85,5%, Índice de Severidade da LRA (ATN-ISS) de 64,85% e taxa de mortalidade de 56,5%. Pacientes em HD e em DPAV apresentaram prevalência ...
Introduction: Hypercatabolism is the most important nutritional alteration in patients with acute kidney injury (AKI). Nitrogen balance (NB) and ureic nitrogen appearance (UNA) are measures that allow to estimate the extent of catabolism in AKI. Objectives: To describe and classify the catabolism of AKI patients on hemodialysis (HD) and high volume peritoneal dialysis (HVPD) and to examine whether NB and UNA are early markers of infection and mortality in these patients. Methodology: Prospective cohort study that evaluated AKI patients requiring dialysis at the Clinical Hospital of Botucatu Medicine College, from March 2011 to December 2012. The protocol study was performed using clinical and nutritional datas and parameters of catabolism. (such as reduction of at least 2g/day in NB or increased 2g/day in UNA) and assessment of presence of infection (fever, leukocytes above 12.000/mm ³ or CRP> 10mg/dl). All patients were followed by the medical staff since admission on unit nephrology until partial or complete recovery of renal function or death. This study was approved by the Ethics Committee of Research. Results are expressed as median or mean and standard deviation. To compare the clinical, nutritional and catabolism characteristics, t test, Mann-Whitney or chi-square were used. To investigate the association of NB and UNA with mortality and infection, t test or Mann-Whitney test and Kaplan-Meyer were used, respectively. The statistical significance level was p <0.05. Results: 124 patients were included, 96 in HD and 28 in HVPD. Patients had a median age of 63 years, prevalence of admission in ICU of 85.5%, AKI Severity Index (ATN-ISS) of 64.85% and mortality rate of 56.5%. HD and HVPD patients showed severe catabolism with NB median of -8.74 gN/day (-14.74;3.93 gN/day) vs. -7.36 gN/day (-13.46;-1.56 gN/day), p=0,73)], respectively. Measures of UNA were [16.74 gN/day (10.38 – 22.76 gN/day) vs. 12.97 gN/day (10.53 – 17.14), ...

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26

Bufarah, Marina Nogueira Berbel. "Avaliação do balanço nitrogenado e aparecimento de nitrogênio uréico como marcadores de catabolismo, infecção e mortalidade em pacientes com lesão renal aguda em diálise /." Botucatu, 2014. http://hdl.handle.net/11449/123328.

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Orientador: André Luis Balbi
Banca: Lilian Cuppari
Banca: Aline de Araújo Antunes
Banca: Silvia Papini
Resumo: Introdução: O hipercatabolismo é a alteração nutricional mais importante em pacientes com lesão renal aguda (LRA). Balanço nitrogenado (BN) e aparecimento de nitrogênio uréico (UNA) são medidas que permitem estimar a extensão do catabolismo na LRA. Objetivos: descrever e classificar o catabolismo de pacientes com LRA em Hemodiálise (HD) e Diálise Peritoneal de Alto Volume (DPAV) e analisar se BN e UNA são marcadores precoces de infecção e mortalidade nestes pacientes. Metodologia: Estudo tipo coorte prospectiva que avaliou pacientes com LRA dialítica internados no Hospital das Clínicas da Faculdade de Medicina de Botucatu, de março de 2011 a dezembro de 2012. Foi utilizado protocolo de estudo composto por dados clínicos, avaliação nutricional, parâmetros de catabolismo (redução de pelo menos 2g/dia no BN ou aumento de 2g/dia no UNA) e avaliação da presença de quadro infeccioso (presença de febre, leucócitos acima de 12.000/mm³ ou PCR>10mg/dl). Todos os pacientes foram acompanhados em conjunto com a equipe médica até a alta nefrológica hospitalar (na presença de recuperação parcial ou completa da função renal) ou óbito. Este estudo obteve aprovação do Comitê de Ética em Pesquisa da Instituição. Os resultados foram descritos como mediana ou média e desvio padrão. Para comparação das características clínicas, nutricionais e de catabolismo utilizou-se Teste t, Mann-Whitney ou Teste Qui-quadrado. Para a associação do BN e UNA com mortalidade e infecção foi utilizado teste t ou Mann-Whitney e curvas de Kaplan-Meyer, respectivamente. Utilizou-se como nível de significância estatística p<0,05. Resultados: Foram incluídos 124 pacientes, sendo 96 em HD e 28 em DPAV. Os pacientes apresentaram mediana de idade de 63 anos, prevalência de internação em UTI de 85,5%, Índice de Severidade da LRA (ATN-ISS) de 64,85% e taxa de mortalidade de 56,5%. Pacientes em HD e em DPAV apresentaram prevalência ...
Abstract: Introduction: Hypercatabolism is the most important nutritional alteration in patients with acute kidney injury (AKI). Nitrogen balance (NB) and ureic nitrogen appearance (UNA) are measures that allow to estimate the extent of catabolism in AKI. Objectives: To describe and classify the catabolism of AKI patients on hemodialysis (HD) and high volume peritoneal dialysis (HVPD) and to examine whether NB and UNA are early markers of infection and mortality in these patients. Methodology: Prospective cohort study that evaluated AKI patients requiring dialysis at the Clinical Hospital of Botucatu Medicine College, from March 2011 to December 2012. The protocol study was performed using clinical and nutritional datas and parameters of catabolism. (such as reduction of at least 2g/day in NB or increased 2g/day in UNA) and assessment of presence of infection (fever, leukocytes above 12.000/mm ³ or CRP> 10mg/dl). All patients were followed by the medical staff since admission on unit nephrology until partial or complete recovery of renal function or death. This study was approved by the Ethics Committee of Research. Results are expressed as median or mean and standard deviation. To compare the clinical, nutritional and catabolism characteristics, t test, Mann-Whitney or chi-square were used. To investigate the association of NB and UNA with mortality and infection, t test or Mann-Whitney test and Kaplan-Meyer were used, respectively. The statistical significance level was p <0.05. Results: 124 patients were included, 96 in HD and 28 in HVPD. Patients had a median age of 63 years, prevalence of admission in ICU of 85.5%, AKI Severity Index (ATN-ISS) of 64.85% and mortality rate of 56.5%. HD and HVPD patients showed severe catabolism with NB median of -8.74 gN/day (-14.74;3.93 gN/day) vs. -7.36 gN/day (-13.46;-1.56 gN/day), p=0,73)], respectively. Measures of UNA were [16.74 gN/day (10.38 - 22.76 gN/day) vs. 12.97 gN/day (10.53 - 17.14), ...
Doutor

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27

Brinkman, Patricia M. "A computer program on nutrition and cardiovascular disease for the junior and senior high level." CSUSB ScholarWorks, 1985. https://scholarworks.lib.csusb.edu/etd-project/304.

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28

Payne, Janette Elizabeth. "Relationship between psychosocial characteristics of clients and outcomes of dietary intervention methods." Thesis, Queensland University of Technology, 2000. https://eprints.qut.edu.au/36767/1/36767_Payne_2000.pdf.

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This study contributed to best practice dietary management of clients with heart disease in a number of ways. It compared the effectiveness of five different styles of delivery of dietary intervention in clients with heart disease. It considered the associations between pyschosocial and other individual characteristics and dietary intervention outcomes and reviewed the usefulness of many currently recommended outcome measures. Resources and recommendations were also developed to allow the incorporation of the findings into clinical practice. 277 male clients with demonstrated coronary heart disease were recruited from The Prince Charles Hospital during 1998. Participants were allocated to five groups: individual counselling, single group session, multi-group sessions, handout only or study questionnaires only. Dietary intervention was provided to the first four groups. Demographic, anthropometric, biochemical, dietary and psychosocial data were collected from participants at baseline, 3 months and 6 months post intervention. A specially designed education resource 'Key to Healthy Heart Eating' was developed and used in the dietary intervention groups. All interventions resulted in improvements or positive outcomes for some of the variables measured, with many achieving statistical significance as noted in the results section. Positive changes to clinical (total cholesterol, LDL-cholesterol, HDL-cholesterol, triglycerides), anthropometric (body mass index, waist hip ratio), behavioural and psychosocial outcome measures occurred for many individuals over the 6 month study period. The 'questionnaires only' intervention was shown to be significantly less effective for promoting improvement in anthropometric outcome measures compared to the dietary interventions considered. However, between these dietary interventions, no clear difference in performance was seen consistently across all outcome measures. Therefore, choice of delivery style can not be specified by the results of this study. The multitude and complexity of factors involved in dietary behaviour change and achievement of positive outcomes is supported and reinforced. Some associations between initial characteristics and final outcomes were suggested and further studies are recommended to clarify and explore these findings further. The results of this study indicate that the most feasible and outcome effective style of delivery for this target population is dependent on the individual's capacity to participate, their initial anthropometric, clinical, behavioural and psychosocial profile, and other factors such as their support network, and physical and mental status. A screening process to select the most appropriate form of dietary intervention for individual clients with heart disease was developed to assist practitioners in the clinical setting. Due to changes in knowledge scores during the study and the high percentage of participants meeting desirable outcome criteria before intervention, the validity and usefulness of some of the outcome measures can be questioned. For example, the focus on reducing fat intake was not appropriate as many were already selecting a low fat diet. The study also highlighted the need for practitioners to focus more on the dietary fibre intake of participants and their perceived barriers to change, for example, their willingness to explore new foods. High scores for doctors in the health locus of control questionnaires demonstrated the important role doctors are perceived to play, and hence their inclusion and involvement to promote a collaborative and integrated team approach is encouraged. The importance of ongoing support and follow-up for these clients was also highlighted and recommended. The education resource developed for use in the current study will provide a useful tool for clinicians providing dietary and lifestyle education to men with coronary heart disease. The proposed screening process and recommendations are also provided for dissemination to, and evaluation by, practitioners. Further research is encouraged to build upon these findings and continue contributing towards the development of best practice guidelines for the dietary management of clients with heart disease.

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Galhardi, Cristiano Machado [UNESP]. "Efeitos da elevada ingestão de sacarose e da restrição no tempo de ingestão alimentar sobre parâmetros morfométricos, bioquímicos séricos e cardíacos de ratos." Universidade Estadual Paulista (UNESP), 2007. http://hdl.handle.net/11449/102657.

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Estudos relacionados às conseqüências metabólicas da ingestão de dietas ricas em sacarose ou frutose ainda são limitados. Assim como os estudos que envolvem a restrição no número de refeições diárias. No presente trabalho foram utilizados 24 ratos machos wistar, de peso inicial médio de 222,69 l 16,49g, divididos aleatoriamente em quatro grupos AD, RT, ADS, RTS com seis ratos cada. O grupo AD foi considerado controle, recebendo dieta basal ad libitum. Os animais do grupo RT receberam a mesma quantidade de dieta ingerida pelo grupo AD, oferecida diariamente no período restrito de duas horas (9:00 às 11:00h). Os animais do grupo ADS receberam ração controle ad libitum e para beber, solução aquosa de sacarose 30% ad libitum. Ratos do grupo RTS foram tratados com a mesma quantidade de ração ingerida pelo grupo ADS, oferecida durante o tempo restrito de 2 horas diárias e solução aquosa de sacarose 30% ad libitum. Após 30 dias de tratamentos os animais foram sacrificados. O soro foi utilizado para determinação do perfil lipídico e marcadores do estresse oxidativo. Restrição no tempo de ingestão alimentar desenvolveu dislipidemia com elevação nos fatores de riscos para aterosclerose, elevação no estresse oxidativo, bem como, diminuição de marcadores de defesa antioxidantes. A elevação na atividade sérica da fosfatase alcalina sugere a existência de alteração hepática. O modelo de dieta rica em carboidratos apresentou característica fenotípica de síndrome metabólica, que foi confirmada pela dislipidemia, acompanhada de hipertrigliceridemia. A restrição no tempo de ingestão alimentar com dieta rica em carboidrato induziu dislipidemia, elevação na ALP sugerindo alteração hepática, bem como elevação nos marcadores de estresse oxidativo e diminuição nas defesas antioxidantes.
Not available.

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30

Galloway, Alison. "Long term effects of reproductive history on bone mineral content in women." Diss., The University of Arizona, 1988. http://hdl.handle.net/10150/184477.

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Bone loss among the elderly is of increasing concern to the medical community. In a study combining retrospective data on 438 women from southern Arizona and current bone mineral values determined at the one-third distal radius, the effects of premenopausal reproductive events on postmenopausal bone mineral are investigated. Among those women who reach menarche at an early age are some whose growth is not accompanied by normal height and long bone growth. These women tend to exhibit lower bone mineral density postmenopausally. In addition, the early accumulation of weight in excess of height and a later age at menarche appears to result in wider bones still observed postmenopausally. Pregnancy normally is accompanied by an acceleration of calcium accumulation in excess of the fetal demand. However, parity appears to have little significant impact on postmenopausal bone mineral status. However, women pregnant during their teens tend to accumulate a greater amount of bone than women who first become pregnant later. These benefits to the teenage mother can be lost during lactation, an impairment of the skeleton which may continue into the postmenopausal years. The skeleton appears to require a recovery period between pregnancy and lactation cycles. Inadequate recovery time, particularly when accompanied by advanced maternal age, may have adverse effects on postmenopausal bone mineral status.

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Henning, Andrea L. "Monitoring Monocyte Oxldl Phagocytosis As a Cardiovascular Disease Risk Factor Following a High-fat Meal." Thesis, University of North Texas, 2014. https://digital.library.unt.edu/ark:/67531/metadc700101/.

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Macrophage-derived foam cells play a predominant role in the deposition of arterial plaques during the early stages of atherosclerosis. The deposition of arterial plaques is known to be effected by several factors, including a person’s dietary habits. The consumption of a high-fat (>60% of calories from fat) meal is known to elevate serum LDL and triglycerides, which have been previously implicated in the formation pf foam cells. One limitation of current research models is that it is not possible to directly measure foam cells in vivo. Thus, the purpose of the present study was to validate the use of blood derived monocytes as a proxy measure of foam cells. In order to complete this objective, we evaluated monocyte oxLDL phagocytosis capacity following consumption of a high-fat meal. Eight men and women participated in the present study and venous blood samples were collected prior to the meal, 1-h, 3-h, and 5-h post-meal. Monocytes (CD14+/16- and CD14+/16+) were evaluated for adhesion molecule expression (CD11a, CD11b, and CD18), scavenger R (CD36) expression, and oxLDL phagocytosis using an image-based flow cytometry method developed in our laboratory for this purpose. Data was statistically analyzed for significance using a single-factor ANOVA with repeated measures and a p < 0.05. Consumption of a high-fat meal caused an increase significant increase in the proportion of pro-inflammatory monocytes (CD14+/16+) and a decrease in classic monocytes (CD14+/16-), with the greatest difference occurring at 5 h post prandial (p = 0.038). We also found that pro-inflammatory monocyte expression of adhesion molecules and CD36 increased in a manner that would promote in vivo movement of monocytes into the subendothelial space. Finally, over the course of the 5 h postprandial period, the majority of oxLDL uptake occurred in pro-inflammatory compared to classic monocytes. These results suggest that consuming a high-fat meal increases the potential of monocytes to become foam cells for at least 5 h postprandial.

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32

Resler, Judith M. "The effect of an innovative educational contest on serum phosphorus levels and calcium-phosphorus products among patients undergoing routine hemodialysis." Virtual Press, 2007. http://liblink.bsu.edu/uhtbin/catkey/1366500.

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The purpose of this retrospective study was to determine the effectiveness of an innovative unit-wide phosphorus football contest and nutrition education intervention directed at improving the serum phosphorus levels and calcium-phosphorus products of patients undergoing routine hemodialysis. Patients at the Clarian Health Partners dialysis center located at 2140 North Capitol Avenue in Indianapolis, Indiana participated in the "National Fosphorus League Phootball" contest, a theme game that allowed patients to join a team and compete against other teams in the dialysis center over a four month time period from September 2005 to December 2005. Additional nutrition education was also provided to all the hemodialysis patients during the months of the phosphorus football contest. Identical patient information from September 2004 to December 2004 was also collected for baseline comparison of serum phosphorus levels and calcium-phosphorus products when only routine education and instruction was provided.Pearson Chi-Square analyses and a series of three-way ANOVAs were performed on the data collected. Overall, it was determined that patients who participated in the phosphorus football contest and received Vitamin D therapy were potentially two times likely to have serum phosphorus levels and calcium-phosphorus products in the goal ranges.
Department of Family and Consumer Sciences

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33

Galhardi, Cristiano Machado. "Efeitos da elevada ingestão de sacarose e da restrição no tempo de ingestão alimentar sobre parâmetros morfométricos, bioquímicos séricos e cardíacos de ratos /." Botucatu : [s.n.], 2007. http://hdl.handle.net/11449/102657.

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Orientador: Ethel Lourenzi Barbosa Novelli
Banca: Marília Afonso Rabelo Buzalaf
Banca: Rodrigo Cardoso de Oliveira
Banca: Ana Angélica Henrique Fernandes
Banca: Regina Coeli de Miranda Burneiko
Resumo: Estudos relacionados às conseqüências metabólicas da ingestão de dietas ricas em sacarose ou frutose ainda são limitados. Assim como os estudos que envolvem a restrição no número de refeições diárias. No presente trabalho foram utilizados 24 ratos machos wistar, de peso inicial médio de 222,69 l 16,49g, divididos aleatoriamente em quatro grupos AD, RT, ADS, RTS com seis ratos cada. O grupo AD foi considerado controle, recebendo dieta basal ad libitum. Os animais do grupo RT receberam a mesma quantidade de dieta ingerida pelo grupo AD, oferecida diariamente no período restrito de duas horas (9:00 às 11:00h). Os animais do grupo ADS receberam ração controle ad libitum e para beber, solução aquosa de sacarose 30% ad libitum. Ratos do grupo RTS foram tratados com a mesma quantidade de ração ingerida pelo grupo ADS, oferecida durante o tempo restrito de 2 horas diárias e solução aquosa de sacarose 30% ad libitum. Após 30 dias de tratamentos os animais foram sacrificados. O soro foi utilizado para determinação do perfil lipídico e marcadores do estresse oxidativo. Restrição no tempo de ingestão alimentar desenvolveu dislipidemia com elevação nos fatores de riscos para aterosclerose, elevação no estresse oxidativo, bem como, diminuição de marcadores de defesa antioxidantes. A elevação na atividade sérica da fosfatase alcalina sugere a existência de alteração hepática. O modelo de dieta rica em carboidratos apresentou característica fenotípica de síndrome metabólica, que foi confirmada pela dislipidemia, acompanhada de hipertrigliceridemia. A restrição no tempo de ingestão alimentar com dieta rica em carboidrato induziu dislipidemia, elevação na ALP sugerindo alteração hepática, bem como elevação nos marcadores de estresse oxidativo e diminuição nas defesas antioxidantes.
Abstract: Not available.
Doutor

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34

Tala, Hazel Marie Bituin Linan. "The oral health status and dental awareness of young Hong Kong Chinesewith insulin dependent diabetes mellitus (IDDM)." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2000. http://hub.hku.hk/bib/B31954145.

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Kennedy, Roy Donovan. "Effects of a micronutrient, glutamine, pre- and probiotic enriched liquid supplement on nutritional status and immunity of adults with HIV/AIDS : a pilot study." Thesis, Stellenbosch : Stellenbosch University, 2003. http://hdl.handle.net/10019.1/53403.

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Thesis (Mnutr)--Stellenbosch University, 2003.
ENGLISH ABSTRACT: INTRODUCTION: The objective of this pilot study was to evaluate the effects of a new micronutrient, glutamine, pre- and probiotic enriched liquid nutritional supplement on the nutritional status and immunity of adults living with HIV/AIDS. The study was designed as a prospective randomised double-blind placebo-controlled trial. Subjects were HIV-infected male and female adult volunteers (n = 47) from a community-based hospice centre in a peri-urban area in a resource-poor setting and were included irrespective of duration or clinical stage of HIV/AIDS. None of the subjects received antiretroviral therapy. METHOD: The intervention involved the daily ingestion of 40g (200 ml reconstituted) of either the enriched test product or an lsocalorie carbohydrate placebo for a period of 12 weeks. Anthropometric assessment (weight, height and triceps skinfold thickness; mid-upper arm, waist and hip circumferences) was performed at baseline and thereafter every 4 weeks (4 times). Biochemical (serum total protein, serum albumin and C-reactive protein) and haematological (full blood count and immunophenotyping) assessment was performed at baseline and again after week 12. RESULTS: Statistical analysis of baseline values was performed with Wilcoxon two-sample tests for comparison between the supplemented and placebo groups. Outcomes were evaluated using analysis of variance with Shapiro-Wilk tests and thereafter either pair-wise t-tests or sign tests (for nonparametric data) were used. Thirty-two subjects completed the trial, 14 in the supplemented group and 18 in the placebo group. Weight increased significantly in the supplemented group (2.73 ± 3.53 kg, P = 0.013). Triceps skinfold thickness increased significantly in both the supplemented (p = 0.047) and placebo group (p = 0.001). No other significant anthropometric change was observed. Serum albumin increased significantly in the supplemented group (p = 0.003) and was associated with a significant decline in C-reactive protein (p = 0.028). Haemoglobin decreased significantly in both groups. A significant decline in CD4+ count was observed in the placebo group while the decline in the supplemented group did not reach significance. CONCLUSION: Oral nutritional supplementation in limited quantities was well tolerated for a period of 3 months. This study demonstrated that an enriched nutritional supplement was able to promote weight gain and ameliorate hypoalbuminaemia and possibly inflammation in adults living with HIV/AIDS in the short to medium term. The enriched nutritional supplement does not appear to have an effect on the immunity of people with HIV/AIDS. The small sample is a limitation of the study and the conclusions pertain to the test product as a whole and not to any of its respective ingredients. Although further studies are required to evaluate long-term feasibility, these findings suggest that the use of an enriched nutritional supplement has a role in the management of weight loss in persons with HIV/AIDS.
AFRIKAANSE OPSOMMING: INLEIDING: Die doel van hierdie loodsstudie was om die uitwerking van 'n nuwe mikronutriënt, glutamien, pre- en probiotika verrykte voedingsaanvulling in vloeistof vorm te ondersoek. Die studie is ontwerp as 'n prospektiewe ewekansige dubbelblinde plasebogekontroleerde toets. Proefpersone was MIV-geïnfekteerde manlike and vroulike vrywilligers (n = 47) van 'n gemeenskapsgebaseerde hospitium in a semi-stedelike gebied in 'n hulpbron-arme omgewing. Proefpersone is ingesluit ongeag die duur of kliniese graad van MIVNIGS. Geen proefpersoon het antiretrovirale behandeling ontvang nie. METODE: Die intervensie het die daaglikse inname van 40g (200 ml gerekonstitueer) van óf die toetsproduk óf 'n isokaloriese koolhidraatplasebo gedurende 'n 12 week periode behels. Antropometriese evaluering (gewig, lengte en trisepsvelvoudikte; midbo-arm-, middel- en heupomtrekke) is uitgevoer met aanvang en daarna weer elke 4 weke (4 keer). Biochemiese (serum totale protein, serumalbumien en C-reaktiewe protein) en hematologiese (volbloedtelling en immunofenotipering) evaluering is uitgevoer met aanvang en weer na 12 weke. RESULTATE: Statistiese verwerking van basislyndata is gedoen deur middel van Wilcoxon twee-steekproef toetse waarmee vergelyking tussen die aangevulde en plasebogroep uitgevoer is. Studiegevolge is geëvalueer deur verspeidingsanalise met behulp van Shapiro-Wilk toetse waarna óf paargewyse t-toetse óf tekentoetse (vir nie-parametriese data) gebruik is. Twee-en-dertig proefpersone het die studietydperk voltooi, 14 in die aangevulde groep en 18 in die plasebogroep. Gewig het betekenisvol toegeneem in die aangevulde groep (2.73 ± 3.53 kg, p = 0.013). Triseps velvoudikte het betekenisvol toegeneem in beide die aangevulde (p = 0.047) en die plasebogroep (p = 0.001). Geen ander betekenisvolle antropometriese veranderinge is waargeneem nie. Serumalbumien het betekenisvol gestyg in die aangevulde groep (p = 0.003) en het gepaard gegaan met 'n betekenisvolle daling in C-reaktiewe protein (p = 0.028). Hemoglobienwaardes het in beide groepe betekenisvol gedaal. 'n Betekenisvolle daling in CD4+ telling is waargeneem in die plasebogroep terwyl die daling in die aangevulde groep nie betekenisvol was nie. GEVOLGTREKKING: Mondelingse voedingsaanvulling van 'n beperkte hoeveelheid was goed aanvaar en verdra oor 'n 3-maande tydperk. Hierdie studie toon dat 'n verrykte voedingsaanvulling in staat is om gewigstoename te bevorder en om hipoalbumienemie en moontlik ook inflammasie te verlig in volwassenes met MIVNIGS oor 'n kort tot medium tydperk. Die verrykte voedingsaanvulling blyk nie 'n effek op die immuniteit van mense met MIVNIGS te hê nie. Die klein steekproef is 'n beperking van die studie en die gevolgtrekkinge is slegs van toepassing op die toetsproduk as 'n geheel en nie op enige van die onderskeie bestanddele daarvan nie. Hoewel verdere studies nodig geag word om langtermyn uitvoerbaarheid te ondersoek, dui hierdie bevindinge daarop dat die gebruik van 'n verrykte voedingsaanvulling 'n rol speel in die beheer van gewigverlies in persone met MIVNIGS.

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36

Boulos, Patricia. "Impact of nutrition education on knowledge and eating patterns in HIV-infected individuals." FIU Digital Commons, 1990. http://digitalcommons.fiu.edu/etd/1749.

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Acquired Immune Deficiency Syndrome (AIDS) and impaired or threatened nutritional status seem to be closely related. It is now known that AIDS results in many nutritional disorders including anorexia, vomiting, protein-energy malnutrition (PEM), nutrient deficiencies, and gastrointestinal, renal, and hepatic dysfunction (1-7, 8). Reversibly, nutritional status may also have an impact on the development of AIDS among HIV-infected people. Not all individuals who have tested antibody positive for the Human Immunodeficiency Virus (HIV) have developed AIDS or have even shown clinical symptoms (9, 10). A poor nutritional status, especially PEM, has a depressing effect on immunity which may predispose an individual to infection (11). It has been proposed that a qualitatively or quantitatively deficient diet could be among the factors precipitating the transition from HIV-positive to AIDS (12, 13). The interrelationship between nutrition and AIDS reveals the importance of having a multidisciplinary health care team approach to treatment (11), including having a registered dietitian on the medical team. With regards to alimentation, the main responsibility of a dietitian is to inform the public concerning sound nutritional practices and encourage healthy food habits (14). In individuals with inadequate nutritional behavior, a positive, long-term change has been seen when nutrition education tailored to specific physiological and emotional needs was provided along with psychological support through counseling (14). This has been the case for patients with various illnesses and may also be true in AIDS patients as well. Nutritional education specifically tailored for each AIDS patient could benefit the patient by improving the quality of life and preventing or minimizing weight loss and malnutrition (15-17). Also, it may influence the progression of the disease by delaying the onset of the most severe symptoms and increasing the efficacy of medical treatment (18, 19). Several studies have contributed to a dietary rationale for nutritional intervention in HIV-infected and AIDS patients (2, 4, 20-25). Prospective, randomized clinical research in AIDS patients have not yet been published to support this dietary rationale; however, isolated case reports show its suitability (3). Furthermore, only nutrition intervention as applied by a medical team in an institution or hospital has been evaluated. Research is lacking concerning the evaluation of nutritional education of either non-institutionalized or hospitalized groups of persons who are managing their own food choice and intake. This study compares nutrition knowledge and food intakes in HIV-infected individuals prior to and following nutrition education. It was anticipated that education would increase the knowledge of nutritional care of AIDS patients and lead to better implementation of nutrition education programs.

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37

Malone, Marilyn Hinnenkamp. "Assessment of nutritional status in patients with acquired immunodeficiency syndrome (AIDS)." Thesis, Virginia Polytechnic Institute and State University, 1985. http://hdl.handle.net/10919/101449.

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A detailed nutritional assessment was carried out on thirteen patients with the Acquired Immunodeficiency Syndrome (AIDS). Estimates of body fat and skeletal muscle were measured using triceps-skinfold, mid-arm circumference, mid-arm muscle area, and creatinine height index. Body weight was compared to standards for height and sex. Serum albumin and transferrin levels were measured to estimate visceral protein stores. The average Kilocalorie and protein intake was assessed from four day records and compared to estimated Kilocalorie and protein needs. The findings of this assessment showed decreased skeletal and visceral protein stores that can be characterized as a mixed type of malnutrition, or marasmic-kwashiokor. Protein intake was also shown to be inadequate when compared to estimated protein needs for stress and/or infection. This could contribute to diminished protein stores and muscle wasting.
M.S.

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38

Sridhar, Mangalam K. "An investigation into aspects of energy balance and nutritional status of patients with chronic lung disease." Thesis, University of Glasgow, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.295327.

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MacIntosh, Caroline Gabrielle. "Investigation of the 'anorexia of ageing'." Title page, contents and summary only, 2000. http://web4.library.adelaide.edu.au/theses/09PH/09phm15187.pdf.

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Includes bibliographical references (leaves 349-421) Addresses some of the mechanisms which may potentially contribute to the physiological anorexia of ageing, as suggested by previous animal and human studies.

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40

Esslinger, Krista. "Dietary outcomes of a school-based trial to reduce risk factors for coronary heart disease." Thesis, McGill University, 2000. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=31227.

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The dietary outcomes of a school-based heart health promotion program in a low-income, multiethnic, inner-city neighbourhood of Montreal, Canada, were investigated. Eight intervention schools and sixteen control schools participated in the project from 1993 to 1997. Twenty-four hour recall data, as well as data on anthropometric and sociodemographic characteristics, were collected from a subsample of all students in grades 4--6 (aged 9--12 years) at baseline (n = 498), after two years (n = 491), and after four years (n = 347). There were no significant differ in nutrient intakes between 1995 and 1997, so these data were combined for analyses. Compared to students in control schools, students exposed to the program had a significantly increased mean intake of vitamin C per 1000 kcal (4184 kJ) (p = 0.0013). Compared to students in designated intervention schools at baseline, mean make of vitamin C per 1000 kcal was significantly increased (p = 0.002) and mean folate intake was significantly domed (p = 0.0058) in exposed to the program. When the intervention group was restricted to only those students who had received 16 hours or more of program exposure (n = 113), there were no significant differences in any nutrient intakes when compared to control students or students in intervention schools at baseline. This program was unsuccessful in changing nutrient intakes of school-aged children, contributing further evidence that conscious dietary change is difficult to achieve by means of a school-based program with a reasonable number of curriculum hours.

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Ashton, Emma Louise, and emma ashton@deakin edu au. "Effects of dietary constituents on coronary heart disease risk factors." Deakin University. School of Biological and Chemical Sciences, 2000. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20061207.153511.

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Coronary Heart Disease (CHD) is a major cause of death in Western countries. Mediterranean and Asian populations have a lower risk of death from CHD compared to Westernised population, as do vegetarian versus omnivorous populations. Dietary constituents of traditional diets consumed by these populations are thought to influence both the classical risk factors for CHD, and the more recently identified risk factors, such as oxidative modification of low density lipoprotein (LDL), LDL particle size, arterial compliance and haemostatic factors. The aim of this thesis was to examine the effects of several food components, particularly soybean and monounsaturated fat (MUFA), on CHD risk factors through 3 carefully controlled dietary interventions, and a cross-sectional study. A randomised crossover dietary intervention study was conducted in 42 healthy males to investigate the effect on CHD risk factors of replacing lean meat with tofu, a soybean product regularly consumed by Asian populations, while controlling all other dietary factors. The tofu diet resulted in significantly lower total cholesterol and triacylglycerol levels compared to the lean meat diet, and LDL particles that were more resistant to in vitro oxidative modification. However, insulin, fibrinogen, factor VII, and lipoprotein (a) were not significantly different on the 2 diets. A postprandial study was subsequently conducted to investigate any acute effects of a tofu test meal on the oxidative modification of LDL in 16 male subjects. There was no significant difference between the susceptibility of LDL to oxidative modification before and after the tofu meal. Twenty eight healthy subjects completed a separate randomised crossover dietary intervention comparing a high MUFA fat diet, using an Australian high oleic sunflower oil, with a low fat, high carbohydrate diet on CHD risk factors. The high MUFA oil diet significantly increased high density lipoprotein cholesterol compared to the low fat diet as well as producing LDL that were more resistant to oxidative modification. Neither the size of the LDL particle nor arterial compliance were significantly different on the 2 diets. Twelve matched pairs of vegetations and omnivores were also studies to compare the habitual diet of a low and higher risk population group, to compare their risk factors and identify dietary constituents that may explain the differences. The vegetarians consumed less saturated fat (SFA) and dietary cholesterol while consuming more polyunsaturated fat, dietary fibre and vitamin E compared to omnivores. The vegetarians had lower total cholesterol, LDL cholesterol and triacylglycerol levels compared to the omnivores and had LDL particles that were more resistant to in vitro oxidation. These findings contribute to our knowledge about the dietary constituents that can alter some CHD risk factors in healthy subjects, and which could reduce the risk of developing CHD. Investigations in high risk groups might reveal even more benefits.

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Martinez, Teran Mercedes Leticia 1960. "MATERNAL BELIEFS AND FEEDING PRACTICES CONCERNING CHILDHOOD DIARRHEA AMONG MEXICANS." Thesis, The University of Arizona, 1986. http://hdl.handle.net/10150/276571.

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Fletcher, Kirsten. "Nutritional support for the terminally ill patient : attitudes and ethics education of dietitians /." Thesis, This resource online, 1993. http://scholar.lib.vt.edu/theses/available/etd-09292009-020254/.

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44

Abdukalykova, Saule. "Cellular and humoral immune responses in birds fed different levels of Arginine and vitamin E." Thesis, McGill University, 2007. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=100753.

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The effects of vitamin E (VE) and Arginine (ARG) on humoral and cellular immunity in chickens were investigated in two experiments. The humoral immunity was measured by antibody responses to sheep red blood cells (SRBC) and maternal antibody titers to the infectious bursal disease virus (IBDV), while the cellular immunity was studied using the cutaneous basophil hypersensitivity test to phytogemagglutinin (PHA) and by counting subpopulations of T-lymphocytes. We used two levels of ARG: normal (NARG, 1.2% in feed) and high ARG (HARG, additional 0.3% in drinking water or 1% in feed in experiments 1 and 2, respectively); and three levels of VE were given: 40, 80, and 400 IU/kg feed in experiment 1, and 40, 80, and 200 in experiment 2.
HARG improved the antibody response to SRBC compared with NARG ( P<0.01 for experiment 1 and P<0.013 for experiment 2) 4 days after injection in both experiments. In experiment 1, the VE80 birds maintained higher antibody titers to SRBC (P<0.001) than the VE40 and VE400 birds 4, 8 and 16 d after inoculation. In experiment 2, the antibody titers to SRBC were higher in the VE80 birds compared with the VE200 birds at days 5, 8, and 12 after inoculation (P<0.001). Maternal antibody titers (log10) to the IBDV were higher in the HARG than in the NARG diet in 17-day-old birds (P<0.001) and higher in the VE80 than in the VE40 birds (P<0.001), yet similar to those of the VE200 birds. No interactions were found between ARG and VE.
Naive birds fed HARG exhibited a higher response than NARG birds (P<0.05) to PHA-P at d 17 and to PHA-M at d 41, but, after a second exposure, high ARG levels did not have an effect. Also, in naive birds, the effects of VE were not significant at d 17, but showed an influence after a second exposure in 41-d-old birds.
The percentage of T-helper (Th) and T-cytotoxic (Tc) cells in the blood of 29-d-old birds were not different between ARG levels (P=0.07 and P=0.06, respectively), but Th cells were higher in the VE80 and VE200 birds than in the VE40 birds, and Tc was higher in the VE80 than in the VE40 birds (P=0.02). The B-cell:T-cell ratio was higher in the HARG than the NARG birds (P=0.01) and in the VE40 compared with the VE80 and VE200 birds (P<0.001). Neither ARG nor VE had an effect on the ratio of Th:Tc cells, nor on the percentage of immature T-lymphocytes.
A combination of high levels of ARG and high levels of VE (80 IU/kg of BW) has an important immunomodulation effect on the cellular and humoral immune responses in broiler chickens, improving both maternal antibody titers against the IBDV and antibody titers against SRBC. A combination of ARG and VE increases the proportions of Th and Tc cells, the B-cell:T-cell ratio, and growth performance. The evidence suggests that ARG and VE play complementary and regulatory role on immune response and may enhance the resistance of broilers to infectious diseases.
Key words. Arginine, vitamin E, humoral immunity, cell-mediated immunity, lymphocyte, ELISA.
L'effet de la vitamine E (VE) et l'arginine (ARG) sur les systèmes hummoraireet cellulaire de l'immunité a était évalué chez la volaille dans deux recherches. Lesystème hummoraire de l'immunité a était évalué en utilisant les paramètres tels que laproduction d'anticorps après une injection des globules rouge provenant des moutons(SRBC) et le niveau d'anticorps maternelle après une infection avec les virus causantla maladie 'infectious bursal disease' (lBDV), tandis que les effets sur le systemcellulaire de l'immunité avaient aussi été évalués en utilisant les paramètres comme'cutaneous basophil hypersensitivity test to phytogemagglutinin (PHA)' et endéterminant la concentration des lymphocytes T. Deux concentrations de ARG avaientété utilisées: normale (NARG, 1.2 % de la diète) et une concentration élevée (HARG,additionel 0.3 % dans l'eau ou 1 % dans les diètes); et 3 concentrations de VE: 40, 80et 400 lU/kg dans les diètes dans la première recherche et 40, 80, et 200 lU/kg dans ladeuxième recherche.

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45

Valentini, Luzia [Verfasser]. "Pathophysiological aspects of metabolism in patients with inflammatory bowel diseases and patients with liver cirrhosis : relevance for clinical nutrition / Luzia Valentini." Berlin : Medizinische Fakultät Charité - Universitätsmedizin Berlin, 2013. http://d-nb.info/1035639378/34.

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46

Pepe, Salvatore. "The influence of dietary fatty acids on cardiac function /." Title page, table of contents and abstract only, 1991. http://web4.library.adelaide.edu.au/theses/09PH/09php4201.pdf.

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47

Rogers, Wendy J. "Effects of dietary stearic and linoleic acid on mammary carcinogenesis and longevity of aging strain A/ST mice." Virtual Press, 1998. http://liblink.bsu.edu/uhtbin/catkey/1115733.

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This investigation studies the effects of diets containing varying amounts of linoleic acid (a polyunsaturated fatty acid) and stearic acid (a saturated fatty acid) on tumorigenesis, weight and longevity in strain A/ST mice. Linoleic acid [ 18 carbons and 2 double bonds (18:2)] was chosen to represent a fatty acid known to enhance tumorigenesis and obesity in certain strains of mice. Stearic acid [ 18 carbons and no double bonds (18:0)] represents a saturated fatty acid known to increase the latency period for mammary tumor development and to decrease the rate of tumor growth. This study was conducted to determine whether the effects of fatty acids observed in younger mice on time to tumor, survival and body weights were also found in aging animals. Further, by varying the amount of linoleic acid in the diet, this study examined whether the tumor enhancing effects of increasing amounts of linoleic acid could be overcome by the incorporation of dietary stearic acid. All diets had equal percentages, by weight, of protein, salt, sucrose, mineral salt, and vitamin levels and an equal number of calories per gram of food. The SF diet was rich in linoleic acid. The SA-1 diet contained enough linoleic acid to prevent essential fatty acid deficiency, and the SA-4 diet contained the maximal amount of linoleic acid for tumor enhancement. Total body weight and tumor production in the three dietary groups show a relationship between an increase in body weight and tumor production as the amount of dietary linoleic acid increases. There also is an inverse relationship between animal survival and body weight as the amount of dietary linoleic acid increases. Survival thus appears to be dependent on tumor production in the three dietary groups, where there appears to be an inverse relationship between survival and time to tumor as the amount of dietary linoleic acid increases at each timepoint. These results suggest that the inclusion of stearic acid in the diet can, in part, overcome this enhancing effect of linoleic acid, even at the optimal tumor producing level of linoleic acid. The results of this study indicate that that effects of linoleic and stearic acid in aging mice are similar to those in younger animals.
Department of Biology

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Ginguay, Antonin. "Effets de la citrulline sur des modèles physiopathologiques de vieillissement cérébral et de maladie d'Alzheimer Citrulline protects against oxidative stress: a promising nutritional approach to limit age-related cognitive decline Citrulline, a promising nutritional approach in Alzheimer’s disease ?" Thesis, Sorbonne Paris Cité, 2018. http://www.theses.fr/2018USPCB193.

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Main, Carey Anne. "To determine the relationship between dietary intake, body composition and incidence of upper respiratory tract infections in triathletes during training and competition for the Ironman." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/80006.

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Thesis (MNutr)--Stellenbosch University, 2013.
ENGLISH ABSTRACT: Background: The Ironman® triathlon is an ultra-endurance event. It has previously been shown that heavy training schedules and racing ultra-endurance events can lead to immune impairment. Evidence supporting the potential role of dietary intake and body composition on immune impairment or upper respiratory tract infections (URTIs) is currently lacking. Aim: To investigate the relationship between dietary intake, body composition and the incidence of URTI in triathletes residing in Port Elizabeth (PE), during training and competition for the Ironman® 2011 triathlon. Method: An observational longitudinal descriptive study with an analytical component was conducted. The study population included triathletes living in PE, who completed an Ironman® distance event one year prior to, and who were training for the April 2011 Ironman®. Habitual dietary intake was assessed with a quantitative food frequency questionnaire; and race dietary strategies with a three day food record. Body composition was determined with anthropometry and the incidence of URTI was assessed with the WURSS-44. A general health screen (SF-36) was also administered. Results: Habitual dietary intake during the three months pre- and post-Ironman® 2011 triathlon was adequate for all nutrients except for carbohydrate intake in female and male participants (pre-Ironman® of 4.0 (1.7) g/kg body weight (BW)/day and 5.4 (1.8) g/kg BW/day; and post-Ironman® 3.0 (1.0) g/kg BW/day and 4.7 (1.5) g/kg BW/day respectively). Carbohydrate-loading strategies were below recommendations with intakes of 6.0 (2.9) and 5.1 (2.5) g/kg BW/day for female and male participants respectively. Race day nutrition strategies were below recommendations for carbohydrate intake. Post-race dietary intake was below recommendations for carbohydrate in the female participants (0.9 (0.5) g/kg BW). Body mass index was 26.6 (3.4) kg/m2 and 26.1 kg/m2 (1.40) for female and male study participants respectively. Body fat percentage was at the upper end for endurance athletes (29.3 (9.4) % and 13.7 (5.1) % for females and males respectively). In this study 25 % of the triathletes (N=20) developed an episode of URTI during the 3 months post-Ironman®. Dietary intake parameters measured three months pre-Ironman® that had a significant influence on URTI were: potassium (p=0.04) and thiamine (p=0.02) and dietary intake parameters measured 3 months post-Ironman® that had a significant influence on URTI were: total protein (p=0.04); isoleucine (p=0.03); leucine (p=0.03); phenylalanine (p=0.03); valine (p=0.02); thiamine (p=0.01); and Beta-tocopherol (p=0.03). Dietary intake parameters measured during the race that had a significant influence on URTI were: selenium (p=0.04); folate (p=0.04) and proline (p=0.02). Body composition did not have a significant influence on URTI. Conclusion: Habitual dietary intake three months pre- and post-Ironman® as well as pre- and post Ironman race strategies were low for carbohydrate. Body composition indicated that athletes were at the upper end associated with endurance sport. There was a relationship found between an episode of URTI and dietary intake.
AFRIKAANSE OPSOMMING: Agtergrond: Die Ironman® driekamp is 'n ultra-uithouvermoë kompetisie. Daar is voorheen bewys dat swaar oefening skedules en ultra-uithouvermoë kompetisies kan lei tot ‘n immuungebrek. Daar is tans ‘n tekort aan wetenskaplike bewyse wat die potensiële rol van dieetinname en liggaamsamestelling op immuungebrek of boonste lugweginfeksies ondersoek. Doel: Die doel van die studie was om ondersoek in te stel oor die verhouding tussen dieetinname, liggaamsamestelling en die insidensie van boonste lugweg infeksies in driekamp atlete woonagtig in Port Elizabeth (PE), tydens oefening en deelname aan die Ironman® 2011 driekamp. Metodes: 'n Waargenome, longitudinale beskrywende studie is gedoen met 'n analitiese komponent. Die studiepopulasie het bestaan uit driekampatlete woonagtig in PE, wat 'n Ironman® afstand kompetisie voltooi het een jaar voor en wat oefen vir die April 2011 Ironman® kompetisie. Gewoontelike dieetinname is bepaal met 'n kwantitatiewe voedselfrekwensie vraelys, en dieet strategieë rondom die byeenkoms met 'n drie dag voedselrekord. Liggaamsamestelling is bepaal met antropometrie en die insidensie van boonste lugweg infeksies is bepaal met die WURSS-44. 'n algemene gesondheid vraelys (SF- 36) is ook ingevul. Resultate: Die gewoontelike dieetinname gedurende die drie maande voor- en na-Ironman® 2011 was voldoende vir alle voedingstowwe, behalwe vir koolhidraat-inname in die vroulike en manlike deelnemers (voor Ironman® 4.0 (1.7) g / kg liggaamsmassa (LM) / dag en 5.4 (1.8) g / kg LM / dag, en na Ironman® 3.0 (1.0) g / kg LM / dag en 4.7 (1.5) g / kg LM / dag onderskeidelik). Koolhidraatlading strategieë was ontoereikend met innames van 6.0 (2.9) en 5.1 (2.5) g / kg BW / dag vir vroulike en manlike deelnemers onderskeidelik. Die inname op die dag van die byeenkoms was onvoldoende vir koolhidraat. Die dieetinname na die byeenkoms was onvoldoende vir koolhidraat inname in die vroulike deelnemers (0.9 (0.5) g / kg LM). Die liggaamsmassa-indeks was 26.6 (3.4) kg/m2 en 26.1 (1.4) kg/m2 vir vroulike en manlike deelnemers onderskeidelik. Persentasie liggaamsvet was aan die boonste grens geassosieer met uithouvermoë oefening atlete 29.3 (9.4) % en 13.7 (5.1) % vir vrouens en mans onderskeidelik. Die insidense van boonste lugweg infeksies was 25% (N=20) gedurende die drie maande na Ironman®. Dieetinname paramters wat gemeet was drie maande voor Ironman® wat beduidende beïnvloed met boonste lugweginfeksies getoon het, was, kalium (p=0.04) en tiamien (p=0.02) en die dieetinname parameters wat drie maande na Ironman® gemeet is en betekenisvolle beïnvloed getoon het met boonste lugweginfeksies was, totale proteïen (p=0.04); isoleusien (p=0.03), leusien (p=0.03), fenielalanien (p=0.03), valien (p=0.02), tiamien (p=0.01), en B-tocopherol (p=0.03). Die dieetinname parameters wat gemeet was tydens die wedloop wat beduidende beïnvloed met boonste lugweginfeksies getoon het na Ironman® 2011 was, selenium (p=0.04), folaat (p=0.04) en prolien (p=0.02). Die antropometriese parameters gemeet het nie beïnvloed op boonste lugweginfeksies gehad nie. Gevolgtrekking: Die gewoontelike dieetinname drie maande voor- en na Ironman® sowel as voor- en na Ironman® kompetisie strategieë was onvoldoende vir koolhidrate. Liggaamsamestelling het aangedui dat atlete aan die boonste grens geassosieer met uithouvermoë oefening geval het. Daar was beduidende beïnvloed gevind tussen dieetinname en boonste lugweginfeksies.

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Jésus, Pierre. "Impact de l’état et de la prise en charge nutritionnels dans les maladies neurodégénératives : Approche neuroépidémiologique." Thesis, Limoges, 2014. http://www.theses.fr/2014LIMO0071/document.

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Les maladies neurodégénératives (MND) comprennent principalement les maladies neuromusculaires, dont la sclérose latérale amyotrophique (SLA), les démences, dont la maladie d’Alzheimer, la maladie de Parkinson, la sclérose en plaques, la maladie de Huntington. Du fait de la multiplicité des facteurs à l’origine d’une perte pondérale, les MND sont à risque de dénutrition, ce qui peut altérer l’évolution de ces pathologies et la qualité de vie des patients. Le but de ce travail était d’étudier le statut nutritionnel et/ou l’effet de la prise en charge de patients atteints de SLA et de troubles cognitifs (démence vraie et/ou Mild Cognitive Impairment [MCI]) en France dans le cadre d’un réseau de santé, mais aussi en Afrique Centrale. Le réseau de santé Limousin Nutrition (LINUT) réalise des évaluations et interventions nutritionnelles au domicile de patients atteints de SLA et pour les résidents d’Etablissements d’Hébergement pour Personnes Agées Dépendantes (EHPAD). La première évaluation par le réseau des patients à domicile atteints de SLA retrouvait plus de troubles de la déglutition qu’en consultation spécialisée (60,0% vs 47,5%) ainsi que des troubles du goût (43,8%), non encore décrits lors de la SLA. Des améliorations de pratiques étaient proposées. Le réseau évaluait également des résidents en EHPAD, déments ou non déments, à la fois initialement et après un suivi d’environ 4 mois. La dénutrition touchait plus souvent les patients déments (56,1% vs 46,4% p=0,004), et les apports énergétiques de tous les résidents (26,4 ± 8,8 kcal/kg/j) étaient inférieurs aux recommandations. L’intervention du réseau permettait d’améliorer le statut nutritionnel des patients déments (+0,29 ± 0,07 point de MNA®/mois, p=0,003) ainsi que les apports énergétiques de tous les résidents à 4 mois. Les études « Epidémiologie de la Démence en Afrique Centrale » (EDAC) et « Epidemiology of Dementia in Central Africa » (EPIDEMCA) étaient menées en République Centrafricaine (RCA) et au Congo. Dans ces deux études, les personnes âgées démentes étaient plus souvent dénutries que les non démentes (EDAC : 34,7% vs 17,7%, p<0,0001 ; EPIDEMCA : 60,0% vs 31,3%, p<0,001). Dans l’étude EDAC, le fait de ne consommer qu’un repas par jour constituait un risque de dénutrition chez les déments (OR=7,23 [IC95% : 1,65-31,7, p=0,003]. De plus, les déments consommaient moins de fruits que les non déments (aucune consommation : 54,0% vs 36,7%, p=0,008). Dans l’étude EPIDEMCA, en RCA, une faible consommation d’oléagineux en zone rurale était associée à la présence d’une démence (OR=2,80 [IC95% : 1,02-7,70, p=0,046]), et une consommation d’alcool (quantités non étudiées) en population générale était négativement associée (OR=0,34 [IC95% : 0,14-0,83, p=0,018]). Aucune association n’était retrouvée au Congo. Des facteurs nutritionnels associés aux troubles cognitifs étaient identifiés : un Indice de Masse Corporelle <18,5kg/m2 , un périmètre brachial <24cm et une circonférence musculaire brachiale <5èmepercentile étaient associés en RCA à la démence (OR=2,66 [IC95% : 1,39-5,07, p=0,003] ; OR=1,97 [IC95% : 1,03-3,77, p=0,041] ; OR=2,94 [IC95% : 1,34-6,45, p=0,007], respectivement), et au Congo seule la circonférence musculaire brachiale <5èmepercentile était associée aux MCI (OR=3,61 [IC95% : 1,70-7,64, p=0,001]). Ces différents travaux permettent de disposer de nouvelles données concernant les patients atteints de SLA et de troubles cognitifs dans deux régions du globe. En France, une prise en charge par un réseau de santé est possible et semble améliorer le statut nutritionnel des personnes atteintes de MND. En Afrique Centrale, plusieurs facteurs associés aux troubles cognitifs ont été identifiés. Ces premiers résultats doivent être confirmés afin de proposer des moyens de prévention ciblés
Neurodegenerative diseases (NDD) mainly concern neuromuscular diseases, including amyotrophic lateral sclerosis (ALS), dementia, including Alzheimer's disease, Parkinson's disease, multiple sclerosis, Huntington's disease. Due to the multiplicity of factors inducing a weight loss, the NDD are at risk of malnutrition, which can alter the evolution of these diseases and the quality of life of patients. The purpose of this work was to assess the nutritional status and / or the effect of treatment of patients with ALS and cognitive disorders (dementia and / or mild cognitive impairment [MCI]) in France with a health network, but also in Central Africa. The health network Limousin Nutrition (LINUT) realizes assessments and nutritional interventions in ALS patients at home and in residents of nursing homes (NH). The first evaluation by the network of ALS patients found more swallowing disorders than specialized consultation (60.0% vs. 47.5%) and taste disorders (43.8%), not further described in ALS. Improvements of practices were proposed. The network assessed also residents in NH, with or without dementia, initially and after a 4 months follow-up. Malnutrition affected more often demented patients (56.1% vs. 46.4% p=0.004), and energy intakes of all residents (26.4 ± 8.8 kcal/kg/d) were below the recommendations. The network intervention improved the nutritional status of patients with dementia (+0.29 ± 0.07 point of MNA®/month, p=0.003) and energy intake of all residents at 4 months. Two studies named

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