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PubMed1989

Early morning glycaemia and the metabolic consequences of delaying breakfast/morning insulin. A comparison of continuous subcutaneous insulin infusion and multiple injection therapy with human isophane or human ultralente insulin at bedtime in insulin-dependent diabetics.

We studied morning glycaemia and metabolic consequences of delaying morning insulin/breakfast in insulin-dependent diabetics on (i) continuous subcutaneous insulin infusion (CSII) (n = 27), (ii) multiple-injection therapy (MI) with human isophane insulin at bedtime (MI/human isophane) (n = 23) and (iii) MI with human ultralente insulin at bedtime (MI/human ultralente) (n = 14). After an overnight fast, food and insulin (except for the basal infusion on CSII) were withheld, and blood glucose, serum free insulin and serum betahydroxybutyrate were followed from 0800 hours to 1300 hours. At all times blood glucose was lowest on CSII, intermediate on MI/human isophane and highest on MI/human ultralente; serum free insulin was highest on CSII, intermediate on MI/human ultralente and lowest on MI/human isophane; serum betahydroxybutyrate was lowest on CSII, intermediate on MI/human ultralente and highest on MI/human isophane. Blood glucose rose significantly on MI/human isophane (p less than 0.001) and CSII (p less than 0.02); serum free insulin declined significantly on MI/human isophane (p less than 0.001), and betahydroxybutyrate rose significantly on all regimens. Morning metabolic control is better with CSII than MI. Human isophane insulin is preferable to human ultralente insulin overnight in MI. Delaying morning insulin is not advisable on intensified insulin regimens, being most unfavourable with MI/human isophane.

3-Hydroxybutyric Acid↗
PubMedDate not supplied

Weight changes, exercise, and dietary patterns during freshman and sophomore years of college.

Weight gain and behavioral patterns during college may contribute to overweight and obesity in adulthood. The aims of this study were to assess weight, exercise, and dietary patterns of 764 college students (53% women, 47% men) during freshman and sophomore years. Students had their weight and height measured and completed questionnaires about their recent exercise and dietary patterns. At the beginning of freshman year, 29% of students reported not exercising, 70% ate fewer than 5 fruits and vegetables daily, and more than 50% ate fried or high-fat fast foods at least 3 times during the previous week. By the end of their sophomore year, 70% of the 290 students who were reassessed had gained weight (4.1+/-3.6 kg, p < .001), but there was no apparent association with exercise or dietary patterns. Future research is needed to assess the contributions of fat, muscle, and bone mass to observed weight gain and to determine the health implications of these findings.

Adult↗
PubMed2003

First incursion of Salmonella enterica serotype typhimurium DT160 into New Zealand.

An outbreak of human Salmonella enterica serotype Typhimurium DT160 infection in New Zealand was investigated from May to August 2001. Handling of dead wild birds, contact with persons with diarrheal illness, and consumption of fast food were associated with infection. Contaminated roof-collected rainwater was also detected.

Adolescent↗
PubMed1995

Consumer acceptance of irradiated poultry.

A simulated supermarket setting (SSS) test was conducted to determine whether consumers (n = 126) would purchase irradiated poultry products, and the effects of marketing strategies on consumer purchase of irradiated poultry products. Consumer preference for irradiated poultry was likewise determined using a home-use test. A slide program was the most effective educational strategy in changing consumers' purchase behavior. The number of participants who purchased irradiated boneless, skinless breasts and irradiated thighs after the educational program increased significantly from 59.5 and 61.9% to 83.3 and 85.7% for the breasts and thighs, respectively. Using a label or poster did not increase the number of participants who bought irradiated poultry products. About 84% of the participants consider it either "somewhat necessary" or "very necessary" to irradiate raw chicken and would like all chicken that was served in restaurants or fast food places to be irradiated. Fifty-eight percent of the participants would always buy irradiated chicken if available, and an additional 27% would buy it sometimes. About 44% of the participants were willing to pay the same price for irradiated chicken as for nonirradiated. About 42% of participants were willing to pay 5% or more than what they were currently paying for nonirradiated chicken. Seventy-three percent or more of consumers who participated in the home-use test (n = 74) gave the color, appearance, and aroma of the raw poultry products a minimum rating of 7 (= like moderately). After consumers participated in a home-use test, 84 and 88% selected irradiated thighs and breasts, respectively, over nonirradiated in a second SSS test.

Animals↗
PubMed1993

Nutrition during teenage pregnancy.

The nutritional needs of pregnant adolescents are the greatest at a time when it is most difficult to meet them. Dieting, skipping meals, snacking, eating away from home, consuming fast foods, and trying unconventional diets are common eating behaviors among adolescents, which relate to their changing lifestyles of increased independence, busy schedules, search for self-identity, peer influence, group conformity, and body image dissatisfaction. Total nutritional needs of pregnant adolescents who are at least 2-year post-menarche are similar to those of pregnant adults. But, because of their poor dietary habits, they usually enter pregnancy with reduced nutrient stores and increased risk of nutritional deficiencies. All pregnant teens, therefore, should have their dietary habits assessed along with special dietary counseling, and vitamin-mineral supplements should be recommended if their usual nutritional intake is below standard. Also, the weight-gain pattern should be monitored to ensure that energy intakes are sufficient to support a gain of about 0.4 kg (1 lb) per week in the second and third trimester.

Adolescent↗
PubMed2003

Supersized America: help your patients regain control of their weight.

With 64-ounce sodas and "supersized" fast food on nearly every street corner, America has become the land of the obese. Despite disheartening statistics regarding the success of weight-loss plans, patients are more likely to take steps to lose weight if encouraged to do so by their primary care physician.

Adolescent↗
PubMedDate not supplied

Using ethnography to improve intervention design.

PURPOSE: The purpose of this research was to use a three-phase ethnographic approach to examine the range of factors that affect people's decisions about physical activity and diet. DESIGN: We used open-ended data collection strategies, analyzed inductively, to inform, the development of a family intervention. SETTING: The study was conducted in a small low-income town in Colorado. SUBJECTS: Families with young children were selected to include social, economic, and ethnic diversity. Twenty-nine of 31 invited families participated (94%). MEASURES: The measures consisted of 21 open-ended interviews in the first phase; 12 semistructured interviews in the second phase, and six home visits in the third phase. The Atlas.ti program25 was used for data analysis. RESULTS: Significant barriers to regular exercise and good dietary habits were grouped as social/structural (e.g., working parents, costs of exercise) and cultural (e.g., perception that fast food is normal). Behavioral facilitators include disease in the family and community opportunities for exercise. Results revealed family values and dynamics that other methods would have missed. CONCLUSIONS: These data suggest that families are embedded in a multicomponent "web" of factors that influence diet and physical activity. It is feasible and desirable to use ethnographic methods to discern the interactions of these factors that make each household unique. These results argue for dynamic intervention designs that operate from a broad contextual perspective.

Adult↗
PubMed2002

Smoking among adolescents: relation to school success, socioeconomic status nutrition and self-esteem.

OBJECTIVE: Smoking is a worldwide health problem. This study was designed to evaluate the current status and to examine some potential factors affecting smoking among adolescents. DESIGN: Descriptive, cross-sectional study. SETTING: Community based study. SUBJECTS: Of all middle and high school students in Edirne, Turkey, 883 (6.83%) were randomly sampled. Mean age of the subjects was 15.0 +/- 1.8 years. METHOD: A self-applied questionnaire was used to collect demographic data, smoking status, school success, nutritional behaviour and self-esteem. The influence of different factors on smoking was evaluated with a logistic regression model. RESULTS: There were 89 active smokers (11.1%) with the critical age of 15 years for smoking commitment. 609 students (71.9%) were exposed to environmental tobacco smoke. Nutritional behaviour rich in vegetables (OR = 0.813), high school success (OR = 0.807), longer time reserved for homework (OR = 0.718) and eating breakfast (OR= 0.353) were significantly associated with a lower smoking rate. Having a mother, who smoked (OR = 2.155), increasing age (OR = 1.704), increasing number of siblings (OR = 1.351) and eating fast food (OR = 1.150) were associated with significantly higher smoking rates. CONCLUSION: An educational programme aimed at changing behaviour and attitude to tobacco smoking and including nutritional counselling with high emphasis on the transition age from early to late adolescence may be a successful primary prevention. In addition projects designed to improve school performance may lead to a reduction in smoking rates while providing an investment in the future of the teenagers.

Achievement↗
PubMed1993

Restaurant wheelchair accessibility.

This study was designed to determine the compliance of restaurants to the wheelchair accessibility standards set forth in the Uniform Federal Accessibility Standards. The standards that were operationalized in this study are also found in Title III of the Americans With Disabilities Act of 1990. The data were collected at 120 sites in three midwestern states. For one who uses a wheelchair, parking the car is often an obstacle to eating out. Only 53% of the restaurants surveyed provide handicapped parking. Entering the building may also be a problem. Of the restaurants that required a ramp, only 66% provided them. Inside the restaurant, the key problems were accessible rest-rooms and the height of tables. The study provided comparisons between restaurants in rural and urban settings, as well as comparisons between conventional restaurants and fast food restaurants. No notable differences emerged for these comparisons.

Architectural Accessibility↗
PubMedDate not supplied

Changing perceptions of the childhood obesity epidemic.

OBJECTIVES: To examine changes in public attitudes about childhood obesity and support for prevention. METHODS: RTI surveyed US households (N = 1047 and N = 1139) about perceived severity, causes, and support for specific obesity interventions. Logistic regressions examined differences in obesity attitudes and support for prevention. RESULTS: Perceived health threat of childhood obesity increased between the 2 surveys. Support increased for interventions such as regulation of restaurant portions and fast food advertising. Logistic regressions revealed differences among sociodemographic groups. CONCLUSIONS: Public support for childhood obesity prevention is increasing. Policy makers can use these findings to develop appropriate prevention strategies.

Adolescent↗
PubMed1990

1991 forecast: the year of restructuring.

How is the foodservice industry faring under the clouds of three big uncertainties--oil prices, recession and war? All things considered, its doing quite well. This annual status report of commercial and institutional business shows fast food, catering, nursing homes and employee feeding with growth percentages on the good, left side of the decimal point. Our forecast includes business trends to watch, food trends to guide menu planning and pricing, and interior- and kitchen-design trends that can be a blueprint for a successful new year.

Commerce↗
PubMed1998

Verocytotoxin-producing Escherichia coli O157: public health and microbiological significance.

Escherichia coli O157 was recognised as a human pathogen in the late 1970s, its public health significance being recognised in 1982 when it was implicated in a large outbreak of infection associated with a fast-food restaurant in North America. Incidence of infection in the population is relatively low compared to other enteric pathogens; however, this organism causes a spectrum of disease increasing in severity from a mild diarrhoeal illness to haemorrhagic colitis, haemolytic uraemic syndrome (HUS) and, in some cases, death. Production of verocytotoxin and intimin, and the presence of a 60 mDa plasmid are thought to be important virulence factors; however, many currently unidentified factors may also contribute. The infectious dose of this organism is low and reports of food-borne, water-borne and person-to-person transmission have occurred, including several laboratory-acquired infections. Techniques for isolation, identification and confirmation of these organisms, based on cultural, immunological and molecular detection, are described. Additionally, schemes have been developed to type these organisms for epidemiological investigation, and the roles of phage typing and genotyping are discussed. These enable identification of sources and the introduction of intervention strategies for prevention of spread in the community.

Bacterial Toxins↗
PubMed1999

Cultural change--empowerment at Sweetheart Cup Company, Inc., Bakery Division.

Sweetheart Cup Company always has been associated with fun products--fast food containers, straws, ballpark drink glasses, and maybe the most fun of all--ice cream cones! But making these products of pleasantry at times has not been as festive as it would seem. Sweetheart Cup Company has had its ups and downs in terms of many of the typical manufacturing measurements, but in 1994--under the direction of newly appointed Chief Operating Officer Bill McLaughlin--Sweetheart Cup Company embarked on a new mission. This time everyone would be involved, from headquarters staff in Owings Mills to the fourth-floor oven area workers in the Dallas bakery. The new process goal, "Business Excellence," as we called it, was really an implementation of Class A ERP/MRP II.

Computer User Training↗
PubMed1999

Social environmental factors in Japan affecting the development of proper eating behaviors.

This article summarizes issues related to myofunctional disorders/dysphagia and focuses upon social and economic changes within Japanese culture affecting eating habits and behaviors in children. The authors suggest that unfavorable environmental factors negatively impact upon the acquisition of mastication and swallowing behaviors. The article includes discussion of prior research. Studies indicate that decreased observation of early childhood eating habits, dietary changes with regard to higher consumption of fast food and changes within the family, i.e. busy work schedules, decrease in family mealtimes, combine to incur negative change with regard to orofacial function.

Child, Preschool↗
PubMed2001

[Pancreas cancer].

In Japan, the number of deaths due to pancreas cancer and its crude mortality in both males and females are increasing. Though the age-adjusted mortality of females seems to have reached a plateau, there might be an outbreak of this cancer in the future, since that young people nowadays like fast food, much of which contains considerable animal protein. There were significant correlations between the annual crude mortality of this cancer and the annual consumption of animal foods, animal protein and fat in Hokkaido from 1975 to 1997. Taking in less animal food and more plant food is important in the primary prevention of this cancer.

Aged↗
PubMed2001

[The importance of trans-fatty acids for health. Update 2001].

The contribution of a high intake of trans fatty acids to the risk of coronary heart disease has gained further support since the report from the Danish Nutrition Council in 1994. Any deleterious effect of trans fatty acids on the human fetus and newborn infants has not been negated. Their possible effect on cancer is still unsettled. The daily intake of trans fatty acids from partially hydrogenated oils in Denmark was in 1994 about 2.5 grams (recommended 2.0 grams) and has since decreased, mainly due to a reduction of the trans fatty acid content in Danish margarines. Population groups with eating habits that include frequent intake of French fries, micro-oven popcorn, chocolate bars, fast food, etc., may consume trans fatty acids in amounts far exceeding the recommended maximum levels. The Danish Nutrition Council recommends that the addition of industrially produced trans fatty acids to food stuffs ceases before 2005 and until then that declaration of the content in foodstuffs becomes mandatory.

Coronary Disease↗
PubMed2001

Dietary practices, attitudes, and physiological status of collegiate freshman football players.

The purpose of this study was to determine the dietary practices, attitudes, and physiological status of freshman collegiate football players. Thirty-one freshman football players at a National Collegiate Athletic Association division I school completed a self-administered nutrition screening questionnaire designed to determine their dietary practices and attitudes. Fasting blood samples were collected and height and weight were measured. The mean age of these athletes was 18 years. These players reported eating 3.6 times per day and on the average eating out 4.8 times per week. Fast food was the most common choice when eating out (55%). Of these athletes, 42% reported the use of dietary supplements, the most popular one being creatine (36%). Although more than 90% of the athletes recognized the importance of maintaining proper hydration status, greater than 50% believed that protein supplements were necessary for muscle growth and development, protein was the primary source of energy for muscle, and vitamin and mineral supplements increased energy levels. The plasma lipid profiles of the majority (76%) of the athletes were within normal ranges. The data suggest that these athletes may require education about healthy dietary practices and on the proper use of dietary supplements. This is not only important to help improve performance but to also promote healthy dietary practices in the long term.

Adolescent↗
PubMed2001

Mediterranean diet: the past and the present.

Mortality statistics from the World Health Organization have provided early evidence that diet in the Mediterranean countries has been affecting the health of the respective populations and, in particular, their coronary health. Keys (1) has taken the lead arguing that the traditional Mediterranean diet has beneficial effects on health. Recent studies, capturing the evidence accumulated over the last three decades, have documented that the traditional Mediterranean diet meets several important criteria for a healthy diet. An attempt to conceptualize the proper diet and to make it able to function has been reported and a score has been developed and evaluated. Studies among the elderly in Greece, Denmark, Australia, Spain and China have shown that the overall Mediterranean dietary pattern was more important for longevity than single nutrients. These findings suggest, therefore, that a Mediterranean diet is associated with longer survival. Two additional questions should be addressed at this time: Is the Mediterranean diet an integral entity, or the sum of identifiable components that can and should be separately considered in the development of guidelines? Is the Mediterranean diet or its major components transferable to populations living far from the Mediterranean area? Answers to these questions would be important for scientific and policy reasons. The dietary patterns that prevail in the Mediterranean area have many common characteristics, most of which stem from the fact that olive oil plays an important role in all of them. Thus, although different regions in the Mediterranean basin have their own diets, it is legitimate to consider them as variants of a single entity, the Mediterranean diet. The Mediterranean diet can be described as the dietary pattern found in the olive growing areas of the Mediterranean region, in the late '50s and early '60s, when the consequences of World War II were overcome, but the fast-food culture had not reached the area yet (2). Olive oil is important both because of its several beneficial properties and because it allows the consumption of large quantities of vegetables and legumes in the form of salads and of cooked foods. Other essential components of the Mediterranean diet are wheat, grapes, and their derived products. Total lipid consumption may be high, around 40% of total energy intake as in Greece, or moderate, around 30% of total energy intake as in Italy. In all instances, however, the ratio of monounsaturated to saturated dietary lipids is much higher than in other places of the world, including northern Europe and North America (3).

Cardiovascular Diseases↗