Biomedical subjects
F J Cumming
Publications and source records attributed to F J Cumming.
Adolescents' reported usage of selected foods in relation to their perceptions and social norms for those foods.
This paper reports a study of factors associated with the consumption of 22 diverse foods among 2082 students aged 12-15 years in Tasmania, Australia. Students provided data by completing a printed questionnaire. Multiple linear regression was used to assess how well self-reported usual (past) frequency of consumption of a food could be estimated from their perceptions of the qualities of the food (their liking for it, its healthfulness) and their descriptive social norms for the food (its usage by parents and its usage by friends). For all foods, multiple R was significant (p < 0.0001), with values ranging from 0.28-0.64 (median for the 22 foods being 0.49). Standardized regression coefficients for liking and parental usage were highly significant (p < 0.0001) for all foods. However, consistently lower coefficients were found for friends' usage (11 with p < 0.01, but only three with p < 0.0001) and healthfulness (five with p < 0.01, but only one with p < 0.0001). The absolute and relative magnitudes of the regression coefficients varied substantially between the foods. Liking was a stronger predictor than parental usage for 11 of the foods, and parental usage out-ranked liking for the remaining 11. Regression coefficients for friends' usage and healthfulness were smaller than those for liking and parental usage for all foods studied.
The importance of measured intake in assessing exposure of breast-fed infants to organochlorines.
OBJECTIVES: To estimate infants' intake of organochlorines (OCs) from their measured intake of breast milk; to compare these with the acceptable daily intakes (ADIs) set by the World Health Organization (WHO). DESIGN: Primiparous nursing mothers were recruited from either an industrial or rural area between January and November 1992. SETTING: Mothers volunteered in response to information displayed at their Infant Welfare Centre. All sampling was undertaken in the subject's home. SUBJECTS: The sole entry criterion was primiparity. Three breast milk samples were collected at one month intervals from each mother. OC levels were measured on a milk fat basis by gas chromatograph-mass spectrometer and individual milk intakes were used to determine the infant's daily OC intake. Of the 23 mothers who entered the study, 17 finished, resulting in 57 samples for intake determination. RESULTS: Some intakes of hexachlorobenzene (HCB), chlordane, dieldrin and heptachlor epoxide (HE) exceeded the ADI. High OC levels in breast milk did not necessarily result in a high intake for the infant. CONCLUSIONS: Assessment of the exposure of infants to OC contaminants in breast milk requires an accurate estimate of OC intake. Intakes estimated using inferred rather than measured values for milk fat and milk intake are not reliable indicators of actual intakes.
Selenium and human lactation in Australia: milk and blood selenium levels in lactating women, and selenium intakes of their breast-fed infants.
A series of 20 mother-infant pairs were studied in Brisbane, Australia, at 6-12 weeks postpartum. The mean selenium concentration in maternal blood was 101 (SD +/- 19) ng/g and in maternal serum 81(+/- 15) ng/g; serum values appeared low in comparison with those reported for lactating women from Japan and the USA, but similar to those from Finland and from a previous Australian study. Breast milk selenium concentrations (11.9 +/- 3.5 ng/g) were also low by international standards, but not as low as in New Zealand or Scandinavia. There was no correlation between selenium concentrations in milk and blood (or serum). The infants' 24-h breast-milk intakes were 856 +/- 172 g, and their 24-h selenium intakes 10.7 +/- 4.1 micrograms (compared to the Australian RDI of 10 micrograms).
Do ambient temperature and humidity influence the breast-milk intake of babies?
This study explored the possible effect of ambient temperature and humidity on the breast-milk intakes of Australian infants (n = 35) aged 6-12 weeks. Over a 24 h period, each baby was fed only on milk from the breast; milk intakes, temperature and humidity were monitored. Milk intakes--determined by test-weighing the baby, with a correction for evaporative losses during feeds--showed a mean of 830 g/24 h, with median 818 and s.d. 152. The mean correction for evaporative losses was 46 g/24 h; omission of this correction would have led to an average underestimate of 5.5% in 24 h intakes. Ambient conditions varied substantially between subjects: 24 h mean temperatures ranged from 14 to 28 degrees C, and humidities from 48 to 97%. Over these ranges, breast-milk intakes did not appear to be significantly influenced by ambient temperature or ambient humidity; however, the rate of evaporative losses increased by 0.008 g/min for each 1 degree C rise in ambient temperature.
The causes of malignant melanoma: results from the West Australian Lions Melanoma Research Project.
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Changes in plasma vitamin A in lactating and non-lactating oral contraceptive users.
Plasma vitamin A and retinol-binding protein (RBP) concentrations have been studied in women using oral contraceptives (OC) for up to 4 years. In eight women taking an oestrogenic OC(1 mg of norethisterone acetate + 50 micrograms of ethinyloestradiol) values almost doubled within 6 months, but diminished somewhat after 4 years. Saturation of RBP with retinol remained fairly constant. Five lactating women who took progestogen-only OC (30 micrograms of levonorgestrel or 350 micrograms of norethisterone) showed no significant alteration in plasma vitamin A or RBP concentrations as compared with nine lactating non-OC users. All lactating women showed significant differences between the highest and lowest plasma vitamin A (P less than 0.005) and RBP (P less than 0.05) concentrations during the first 6 months of lactation. Highest values occurred 11-12 weeks postpartum and the lowest at 15-17 weeks. Percentage saturation of RBP with retinol was significantly higher (P less than 0.005) when vitamin A concentration was highest.
Trace elements in human milk.
Presented is a study, using multielement neutron activation analysis, of the elemental composition of blood plasma and milk in a group of lactating Australian women. Having established baseline values for nine elements, the authors studied factors affecting concentrations in milk and the partitioning of those elements between plasma and milk. Changes in this partitioning with the progression of lactation were demonstrated, and their nutritional implications for the exclusively breast-fed baby discussed. Progestogen-only oral contraceptives had no significant effect on levels of any of the trace elements in either blood or milk.
Effect of oral contraceptive use on ascorbic acid and vitamin A in lactation.
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