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PubMed2004

The long-term effect of dietary advice on the diet of men with angina: the diet and angina randomized trial.

INTRODUCTION: The long-term effects on diet of dietary advice to eat fruit and vegetables or fatty fish are not well described. MATERIALS AND METHODS: From 1990 to 1996 3114 men aged 37-70 with treated angina were recruited from general practices in South Wales. A dietitian randomly allocated the eligible men to receive advice to eat more fruit and vegetables, or advice to eat more fatty fish, or both these types of advice or neither. In 2000, a brief self-completion questionnaire was sent to a sample of 1191 of the men known to be alive at the end of March 1999. RESULTS: The questionnaire was returned by 944 of the 1036 men alive at the time the questionnaire was sent. Those given fish advice were consuming more fatty fish but the difference was modest 21.9 g day(-1) vs. 14.0 g day(-1) (P < 0.01). The differences in fruit and vegetables intake between those given fruit advice and those not given fruit advice were small 373.2 g day(-1) vs. 351.7 g day(-1) (P = 0.05). DISCUSSION: Men of this age group may be particularly resistant to fruit and vegetables advice; population-based interventions or interventions targeted at women might be more effective.

Adult↗
PubMed1990

Comparison of diet history interview and self completed questionnaire in assessment of diet in an elderly population.

STUDY OBJECTIVE: The aim of the study was to determine the reliability of a diet history interview with a short self completed questionnaire of a basic design used in other studies in the United Kingdom. DESIGN: The study used a cohort of elderly people randomly divided into two groups after stratification for sex. Members of one group completed the questionnaire first and were interviewed later; the procedure was reversed for the other group. SETTING: Participants were drawn from registers of two general practitioners at a Nottingham health centre. PARTICIPANTS: All non-Asian men aged 65-74 years and women aged 59-65 years registered with the practices were identified (n = 152); 20 could not be traced and two were too ill, leaving 130 possible participants. Of these, 80 took part in the study. MEASUREMENTS AND RESULTS: Ranking of subjects in terms of estimated fat, fibre, and calcium intakes was compared in the history interview and in the self completed questionnaire. Agreement in tertile ranking was 58% for fibre, 53% for fat, and 49% for calcium. Corresponding correlation coefficients for estimated nutrient intakes were 0.49, 0.45, and 0.41 respectively. The differences in nutrient intakes estimated by the two methods were not affected by age, sex, marital status, or smoking patterns. Subjects in the group asked to complete the questionnaire before being interviewed showed greater percentage concordance for tertile ranking, but this reached significance only for fat intake. CONCLUSIONS: The two methods provide estimates of intakes similar to those found in other studies in the United Kingdom, and the agreement between them in terms of tertile ranking is also similar to previous studies. The incidence of gross misclassification was low.

Aged↗
PubMedDate not supplied

Longevity, body weight, and neoplasia in ad libitum-fed and diet-restricted C57BL6 mice fed NIH-31 open formula diet.

Groups of C57BL6 mice of each sex were assigned to one of 2 dietary regimens, ad libitum (AL) or dietary restriction (DR), to study effects of food restriction on body weight, survival, and neoplasia. The AL and DR groups were subdivided into a scheduled sacrifice group for examination at 6-mo intervals, and a lifetime group to provide longevity data. Necropsies and microscopic examinations were conducted on 911 animals. In the lifetime group food consumption averaged 33.6 and 34.4 g per week by AL males and AL females, respectively; the DR counterparts were given 40% less. The diet contained 4.35 kcal/g. The average lifetime body weights were 34.8, 26.8, 22.6, and 21.6 g for AL males, AL females, DR males, and DR females, respectively, and their age at 50% survival was 27.5, 26.9, 31.7, and 33.5 mo. Maximal lifespan was increased 18% in DR males and females. Lifetime incidence of tumor-bearing mice was 89% and 86% for AL males and females, versus 64% for each sex of DR mice. Dramatic reduction occurred in female DR mice in lymphoma (9% vs 29%), pituitary neoplasms (1% vs 37%), and thyroid neoplasms (0.4% vs 8%). In males, hepatocellular tumors were reduced to 1% from 10% by DR. In contrast, the incidence of histiocytic sarcoma was increased in DR females and unaffected in DR males. Tumor onset was delayed in DR animals; 87% of all neoplasms in males and 95% in females had occurred in the AL mice by 24 mo, whereas the DR animals had only 52% and 39% of their lifetime incidence, respectively, by that age. This study provided comparative AL and DR data from C57BL6 mice examined randomly at 6-mo intervals (cross-sectional group) in parallel with data from animals in similar cohort that was unsampled and allowed to succumb naturally (longevity group). Dietary restriction reduced the lifetime percentage of tumor-bearing animals and the number of tumors per animal, and delayed the age at onset of most neoplasms.

Animals↗
PubMedDate not supplied

Guidelines on diet, nutrition, and cancer prevention: reducing the risk of cancer with healthy food choices and physical activity. The American Cancer Society 1996 Advisory Committee on Diet, Nutrition, and Cancer Prevention.

The American Cancer Society periodically assembles an expert advisory committee to evaluate recent evidence and update the American Cancer Society's guidelines for diet, nutrition, and cancer prevention. This year's update presents four broad guidelines to reduce cancer risk and provides information on a wide variety of topics concerning nutrition and cancer.

Diet↗
PubMed1992

[Relationship between high sodium diet and hypertension and results of intervention in high sodium diet population].

An epidemiologic survey of the morbidity and mortality rates of hypertension and related disease was carried out in a population of 9,570 composed of salt workers and building workers. The survey rate was 96.59%. The age-standardized morbidity rate of hypertension in the salt workers was 27.88%, while that in the building workers was 8.5%. Na concentration and Na/K rate in 8 hrs' nighttime urine in salt workers were significantly higher than in building workers (P less than 0.001). Results of intervention of salt intake at the level of 10 g/person/day in 285 cases of hypertensives for 3 months showed that mean levels of systolic pressure and diastolic pressure decreased by about 3.1 kPa (P less than 0.001) and 1.9 kPa (P less than 0.01) respectively; the mean body weight decreased by about 2.2 kg; Na concentration in 8 hrs' nighttime urine and its Na/K radio significantly decreased (P less than 0.001), while K Concentration increased. The situation of high level of Na and low level of K in human body was obvious on long-term high sodium diet population. Intervention of salt intake had considerable effect of depression of both blood pressure and morbidity rate of hypertension in a population.

Adult↗
PubMed1989

Rechallenge following an early life exposure to a high-cholesterol diet enhances diet-associated alterations in intestinal permeability.

This study was undertaken to test the hypothesis that the intestinal transport response to a high-cholesterol (2%) diet (HCD) is influenced by prior exposure to HCD at an earlier age. Uptake was assessed using an in vitro technique, and rabbits were fed one of four dietary regimens: chow for 20 weeks, chow for 14 weeks followed by HCD for 6 weeks, chow for 2 weeks followed by 4 weeks HCD followed by chow for 14 weeks, or 2 weeks chow followed by 4 weeks HCD followed by 8 weeks chow and then 6 further weeks with HCD. The passive jejunal uptake of octanoic, lauric, cholic, and taurocholic acids was greater in animals previously exposed at an earlier age to HCD, as compared with those first exposed to HCD at a later age. Furthermore, the effect of HCD on the passive permeability properties of the intestine lasted for as long as 14 weeks after the animals were switched from HCD back to chow. These alterations in permeability properties occurred in the absence of changes in the intestinal mucosal surface area and were not explained by differences in the rabbits' body weight gain, food consumption, or mucosal surface area of the jejunum or ileum. Thus, (a) early changes in animals' dietary content of cholesterol may have prolonged effects on intestinal transport function, and (b) this early feeding experience with cholesterol may alter the adaptive pattern of the intestine when animals are exposed to a dietary cholesterol challenge at a later age.

Animals↗
PubMed1978

Preschoolers on alternate life-style diets. Associations between size and dietary indexes with diets limited in types of animal foods.

One hundred nineteen vegetarian preschool children whose parents volunteered were studied in their homes. Length, weight, triceps and subscapular skinfolds, and head circumference were measured. Information on extensiveness of avoidances of animal food groups, parental dietary group, birth weight, parental heights, and the child's status with respect to breast feeding at the time of measurement was obtained by parental report. All infants under six months old were breast fed. More of the children's measurements were below the Harvard 50th percentiles for length and weight than would have been expected after six months of age, but not until then. Vegetarian children were also leaner (triceps and subscapular skinfolds) after six months of age than would be expected from Tanner-Whitehouse standards. Head circumferences were similar to standards and within normal limits at all ages. An association between smallness, lightness, and leanness was found among the vegetarians, with these characteristics being more pronounced among the older, non-breast fed, macrobiotic children on diets with limited variety in terms of animal food. While smallness and low weight-for-length were associated with leanness, largeness and high weight-for-length did not imply obesity in these subjects.

Anthropometry↗
PubMed1977

[Amino acid composition of unresorbed peptide fractions in the contents of the distal part of rat small intestine. 1. Nitrogen-free diet and diets with casein, sunflower protein isolate and defatted sunflower seeds].

After feeding with protein containing diets the protein quantity increases in the aqueous supernatant (U1), in the trichloracetic acid soluble (U2) and precipitable (S2) fractions of the content of the distal part of the small intestine of rats. Independent of the dietary proteins the amino acid composition of both fractions (S2 and the peptides from U2) is similar in relation to protein-free feeding; a similarity with the amino acid composition of the dietary proteins doesn't exist. In relation to fraction S2 the peptides of fraction U2 show anording to the higher content of amino acids, which are difficult to liberate by protein cleavage, a high proteolytic degradation.

Amino Acids↗
PubMed1996

Prevalence of hypertension in 1,795 subjects with chronic renal disease: the modification of diet in renal disease study baseline cohort. Modification of Diet in Renal Disease Study Group.

The Modification of Diet in Renal Disease Study was a multicenter trial of the effect of protein restriction and strict blood pressure control on the progression rate of chronic renal failure of multiple causes. At the first baseline visit, 1,795 screened patients with renal disease had blood pressure measured, antihypertensive medications recorded, glomerular filtration rate (GFR) determined by 125I-iothalamate clearance, a nutritional assessment, and a 24-hour urine collection to determine sodium and potassium levels. A total of 1,494 patients in this cohort were classified as hypertensive (83%) and the remainder (301 patients) as nonhypertensive. Ninety-one percent of the hypertensive subjects were on treatment, 54% being controlled to a blood pressure of < or = 140/90 mm Hg. To better understand the factors that contribute to the development of hypertension in chronic renal disease, some determinants of the prevalence of hypertension in this cohort were investigated. Compared with normotensive subjects, hypertensive patients were older (51.2 +/- 12.7 years v 46.6 +/- 13.1 years [mean +/- SD]), had a higher body mass index (BMI; 27.5 +/- 4.7 kg/m2 v 25.4 +/- 4.2 kg/m2), and had a lower GFR (37.8 +/- 19.6 mL/min/1.73 m2 v 50.1 +/- 25 mL/min/1.73 m2). All these differences were significant (P < 0.01). The prevalence of hypertension was significantly higher for men than for women (86% v 80%; P = 0.001), and for blacks than for whites (93% v 81%; P < 0.001). The prevalence of hypertension was higher in subjects with glomerular disease than in those with tubulointerstitial disease (85% v 62.6%; P < 0.001). The prevalence of hypertension varied inversely with GFR (from 66% at a GFR of 83 mL/min/1.73 m2 to 95% at a GFR of 12 mL/min/1.73 m2). The prevalence of hypertension varied directly with BMI (from 70% with a BMI at the 10th percentile to 94% with a BMI at the 97th percentile). This relationship was independent of GFR. Multiple logistic regression analysis showed five predictors in decreasing order of significance as determined by chi-square values: GFR, 83.2; BMI, 36.7; black race, 19.9; increasing age, 14.5 (all P < 0.001); and male gender, 5.1 (P = 0.024). Salt intake was not a determinant of blood pressure status. These results confirm previous reports indicating that hypertension in renal disease is determined by the level of renal function. For the first time, three factors known to predict blood pressure levels in populations with normal renal function were also shown to be determinants of blood pressure in renal disease: BMI, black race, and age. In addition, the data suggest that hypertension is inadequately treated in more than half of patients with chronic renal disease in the United States.

Adolescent↗
PubMedDate not supplied

[Nutrient and energy administration with formula diets, exemplified by Crohn disease. 2. Calculation of energy and nutrient administration with various formula diets].

In a recent inquiry in Children's Hospitals (1st communication), the 14 formula diets generally used in cases of Crohn's Disease were determined. Based on an energy intake of 2,500 kcal/day (recommendations of the german nutrition council [DGE] and the U.S. standard [RDA]) and assuming correct dosage, intake values for the following nutrients were calculated: liquid, Na, Cl, K, Ca, P, Mg, Fe, Zn, Cu, J, Mn, vitamins A, D, E, B1, B2, B6, B12, C, and folic acid. Protein, fat and carbohydrates were calculated as energy equivalents. Osmolarities are based on manufacturers' specifications. The applicability of recommendations for healthy individuals to the nutritional needs of the sick is discussed. Comparing recommendations (DGE, RDA, B undesgesundheitsamt) with calculated intake values there are pronounced differences in the amounts of basic components (i.e. protein, fat, carbohydrates), whereas the formulas, with only a few exceptions, generally show a balanced picture for the other nutrients. It is pointed out that the manufacturers should use standardized nomenclature, specification of ingredients and instructions for dosage. The availability of balanced basic formulas, to be supplemented with individual components as necessary, would be highly desirable.

Crohn Disease↗
PubMed1977

The sparing action of inorganic sulphage on sulphur amino acids in practical broiler diets: the capacity of sodium sulphate to replace some of the supplementary methionine in diets of chicks up to 5 weeks of age.

1. Graded responses, in terms of both weight gain and food/gain ratios, were obtained to increasing increments of Na2SO4 added to diets containing suboptimal amounts of sulphur amino acids. 2. In most cases the relative efficiency of Na2SO4 ranged from 25% to 55% of that of synthetic methionine, when the former replaced 0-04 to 0-05 percentage units of the latter. This efficiency tended to be higher during the 3 to 5 than the 1 to 3 weeks of age periods. 3. The addition of either methionine or Na2SO4 decreased relative food consumption, which was apparently increased by suboptimal contentrations of dietary sulphur (as a compensatory response).

Age Factors↗