Dietary staffing pattern based on analysis of employees' work time.
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Food Service, Hospital↗
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Income and racial patterns of dietary vitamin C intake among black and white girls.
The authors examined the influence of income and race on mean dietary vitamin C intake and the risk of dietary vitamin C intake at levels below the recommended dietary allowance (RDA). They performed a cross-sectional analysis of 2,032 black and white 9- and 10-year-old females, from a wide range of income groups, who participated in the National Heart, Lung, and Blood Institute Growth and Health Study. Mean intake of vitamin C, exclusive of vitamin supplements and determined by 3-day diet records, exceeded the RDA of 45 milligrams per day for that age group in all racial and income categories. The investigators found that annual household income was directly associated with mean dietary vitamin C intake (P < 0.0001) and that blacks had higher mean dietary vitamin C intakes than whites (P < 0.01). Among both blacks and whites, household income and risk of below-RDA vitamin C intake were inversely correlated, but this trend was statistically significant for blacks only (P < 0.05). Except for the lowest level income group (less than $10,000 per year), black girls from households with incomes less than $30,000 per year were at increased risk for below-RDA vitamin C intake (relative risk = 1.93 in the $10,000-$19,999 per year group and 1.63 in the $20,000-29,999 per year group, P < 0.05), compared with black girls in the highest income category. One-quarter of white girls overall and more than 30 percent of white girls in the lowest two income groups had below-RDA vitamin C intakes. If the findings are generalizable,they underscore the importance of public health programs to address the adequacy of dietary vitamin C intake among preadolescent black and white females.
Black or African American↗
Effects of different soluble: insoluble fibre ratios at breakfast on 24-h pattern of dietary intake and satiety.
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Dietary Fiber↗
[Nutrition of children and adolescents. Results of the DONALD Study].
In this paper, the actual diet of children and adolescents is characterized by food group intake. Age-dependent dietary patterns and long-term dietary trends are described and commented on against the background of the optimized mixed diet, a preventive total diet concept for German children and adolescents. Dietary intake data come from 3-day dietary records obtained in the DONALD Study (Dortmund Nutritional and Anthropometrical Longitudinally Designed Study), an ongoing mixed longitudinal cohort study conducted at the Research Institute of Child Nutrition since 1985. The actual diet of the observed children and adolescents differed to some extent from the optimized mixed diet. For example, the intake of vegetables was lower and the intake of meat/sausage and confectionary was higher than recommended. The three rules for food selection of the optimized mixed diet (consume plant foods and beverages liberally, animal foods moderately, and high-fat, high-sugar foods occasionally) show a practical way to improve unfavorable dietary habits of children and adolescents without fundamental changes of food intake patterns and taste properties of the actual diet. The partly favorable and partly unfavorable dietary trends observed in the DONALD Study should continue to be critically considered.
Adolescent↗
Is there a different dietetic pattern depending on self-knowledge of high blood pressure?
This cross-sectional study describes the dietary pattern seen at recruitment in a large Spanish cohort comprising 41,451 people (aged 30-69 years) according to high blood-pressure status. We provide information on adjusted mean daily intake of foods and nutrients, by means of a dietary history, from those people self-reported as having high blood pressure as well as from those self-reported as normotensive but having, after actual blood-pressure measurement, systolic or diastolic blood pressures of > or = 160/95 mmHg. Although with small differences in mean intake people who self-reported high blood pressure have a higher consumption of potatoes, vegetables, vitamin C and E; furthermore, men reported an increased intake of fruit, meat, fish, proteins, dietary fibre, beta-carotene and alcohol, and women tended to consume less alcohol, lipids and cholesterol but more proteins, carbohydrates and dietary fibre. Almost no differences are found in fatty acid intake. This pattern is reversed among those self-reported as normotensive but with high blood pressure after actual measurement. We conclude that in this large prospective cohort, awareness or not of having high blood pressure at recruitment is associated with a differential dietary pattern.
Adult↗
Educational attainment and nutrient consumption patterns: the Minnesota Heart Survey.
To explore whether dietary patterns differ according to educational attainment, we examined the associations of nutrient intake with educational level in a sample of 825 male and 893 female Twin Cities (Minneapolis and St. Paul) residents aged 25 to 74 years who were surveyed between 1980 and 1982. Of particular interest was the pattern of macronutrient consumption, since the proportion of fat and type of fat in the diet is thought to be related to the development of chronic disease. Estimates of nutrient intake were based on 24-hour dietary recalls, while information on education was obtained through interview. Educational attainment was positively associated with nutrient consumption patterns that may decrease risk of chronic disease for both men and women. For women, the proportion of dietary fat was less (p = .03) and carbohydrate greater (p = .004) with increasing education. For men, the Keys dietary score decreased as education increased (p = .05) (high scores indicate greater blood cholesterol-raising effect of the diet). Inverse associations of average total serum cholesterol level with education in both men (p = .02) and women (p = .06) support these dietary associations. These results suggest that educational attainment is related positively to eating patterns that may carry a decreased risk of cardiovascular and other chronic disease. Whether or not this association is causal, it would appear to point to a need for more effective nutrition education strategies for those with less education.
Adult↗
Nutritional patterns of centenarians.
This study compares the dietary patterns of centenarians (n = 24) with elderly adults in their sixties (n = 54) and eighties (n = 47). Compared to the younger cohorts, centenarians consumed breakfast more regularly, avoided weight loss diets and large fluctuations in body weight, consumed slightly more vegetables, and relied on their doctor and family more than on the news media for nutrition information. On the other hand, centenarians were less likely to consume diets low in fat and to comply with nutritional guidelines designed to reduce the risk of chronic disease. Elderly black men consumed diets higher in sweets and fat compared to black women and white men and women. Nearly three times as many blacks expressed the desire to eat more nutritiously. High nutrition risks, particularly in blacks, were associated with lower physical and mental health and impaired activities of daily living.
Activities of Daily Living↗
Amino acid signals and food intake and preference: relation to body protein metabolism.
Depressed food consumption is an early response of experimental, animals to: 1) a dietary deficiency of either protein or an individual indispensable amino acid; 2) a distortion of the dietary pattern of amino acids when protein intake is low; and 3) a substantial elevation in the protein content of the diet. In each of these conditions the change in feeding behaviour is associated with alterations in concentrations of amino acids in blood but in none of them has the biochemical basis for the depressed food intake been established. The depressed food intake of rats consuming a low protein diet in which an imbalance of amino acids has been created by adding quantities of amino acids other than the one most limiting for growth, is associated with elevations in the plasma concentrations of amino acids added to create the imbalance and usually with a depression in the plasma concentration of the growth-limiting amino acid. These changes, in turn, are associated with depression of the concentration of the growth-limiting amino acid in the brain free amino acid pool. Studies in which uptake of amino acids into brain slices has been examined support the conclusion that various distortions of the plasma amino acid pattern, as the result of dietary imbalances of amino acids, can lead to depletion of the brain pool of a specific amino acid through competition between it and other amino acids in surplus in plasma for uptake into brain. The results of studies with rats in vivo of the effects on brain amino acid pools of ingestion of diets containing supplements of amino acids that compete with the growth-limiting amino acid for uptake into brain also support this conclusion. Depletion of the brain pool of the limiting amino acid as the result of feeding a diet with an amino acid imbalance can be related to overall body protein metabolism. In the young growing animal, protein synthesis is stimulated after a meal. Thus, when the diet is limiting in a single amino acid, that amino acid will be depleted from the circulating body pool. At the same time, the activities of amino acid degrading enzymes are low in animals fed a low protein diet; hence, such animals have limited capacity to degrade surpluses of amino acids. These conditions, depletion of the blood pool of the limiting amino acid and slow removal of surpluses of competing amino acids from the blood, will increase the extent of competition between other amino acids and the limiting amino acid for uptake into brain.(ABSTRACT TRUNCATED AT 400 WORDS)
Amino Acids↗
Use of the Food Guide Pyramid and US Dietary Guidelines to improve dietary intake and reduce cardiovascular risk in active-duty Air Force members.
OBJECTIVE: To determine whether adoption of dietary patterns consistent with the US Dietary Guidelines for Americans and the Food Guide Pyramid, combined with exercise training, result in significant reductions in cardiovascular risk compared with a regimen of exercise therapy alone. DESIGN: A randomized trial to compare the effects of exercise alone (n = 17) with the effects of exercise and dietary intervention (n = 15). SETTING: McClellan Air Force Base medical clinic (Sacramento, Calif). SUBJECTS: Thirty-two members of the Air Force (20 men and 12 women) were recruited at the time they entered a 90-day fitness improvement program. Mean age was 32 years. INTERVENTION: All subjects participated in a 90-day fitness program. Half of the group received individualized dietary counseling using the Food Guide Pyramid as a primary educational tool. MAIN OUTCOME MEASURES: Changes in body mass index, plasma lipids and lipoprotein levels, aerobic capacity, and dietary intake were selected to evaluate the effectiveness of the intervention. STATISTICAL ANALYSES PERFORMED: Outcome measures were evaluated by analysis of variance. A paired t test was performed to compare changes in food-group servings and food-group fat intake from baseline values for the exercise-plus-diet group. RESULTS: Percentage of energy from fat decreased from 39% to 23% for the exercise-plus-diet group, and servings from each of the food groups changed to reflect current guidelines. This group also had significant reductions in body mass index, total cholesterol level, and low-density lipoprotein level: 2% (P = .0001), 9% (P = .003), and 13% (P = .005), respectively. No change was observed for the exercise-only group. Additionally, a significant improvement in maximum oxygen consumption (P = .01) of 38% (vs 14% for the control group) was achieved. CONCLUSIONS: Dietary modification in accordance with the Food Guide Pyramid and the US Dietary Guidelines results in significant reductions in known cardiovascular risk factors and improves the response to exercise training.
Adult↗
Types of fat intake and body mass index in a Mediterranean country.
BACKGROUND: Although the fatty acid fractions provide similar metabolizable energy, the type of dietary fat consumed could be relevant to the development of obesity. OBJECTIVE: To investigate the relationship between body mass index (BMI), obesity and the consumption of different types of fat and olive oil in a Mediterranean country with high prevalence of obesity, and high intake of monounsaturated fatty acids (MUFA) and olive oil. SUBJECTS: The study was carried out in Spain among 23 289 women and 14 374 men, aged 29-69 years, who were participants of a large European prospective cohort. METHODS: : Information on usual food intake was collected by interviewers by means of a dietary history questionnaire. The association between obesity (BMI >/= 30 kg m2), dietary fat, other dietary patterns and other non-dietary factors were tested using multilinear regression analysis. The ratio of reported energy intake to energy requirement was used as an estimation of dietary underreporting. RESULTS: The association between fatty acid fractions intake (saturated fatty acids (SFA) in women, and MUFA and polyunsaturated fatty acids (PUFA) in both sexes) and BMI was very weak, accounting for less than 1% of variance. All dietary and non-dietary variables accounted for 21% of variance in the measurement of BMI in women and only 6.7% of variance in men. Estimated underreporting of energy intake was 17.5% in obese women and 5.5% in obese men. CONCLUSIONS: The association between consumption of specific types of dietary fat, olive oil and obesity in Spain is not very important. However, because of the cross-sectional design and some level of underreporting of energy intake observed in overweight subjects and overreporting in underweight subjects, systematic bias cannot be completely discarded.
Adipose Tissue↗
Diet and healthy ageing.
In the future there will be more people aged 65 years and over ('older adults'). Although the exact mechanisms underlying normal ageing are not fully understood, ageing is generally associated with an increase in chronic diseases, such as cardiovascular disease, diabetes, cancer and osteoporosis. It is becoming clear that it is possible to prevent, slow or reverse the onset of many these by modifying lifestyle factors such as diet. Studies of older adults in a range of countries have highlighted a number of areas in which dietary quality could be improved. It is important to identify dietary patterns in addition to specific dietary components that offer protection against chronic disease. The challenge in the area of diet and healthy ageing is twofold: first, there is a need to improve the diet of older adults; and second, as most chronic diseases begin earlier in life, there is a need to encourage other age groups to adapt their diet so they can enter old age in better health.
Aged↗
Nutritional factors and gastric cancer in Zhoushan Islands, China.
AIM: To investigate the association between nutrient intakes and high incidence rate of gastric cancer among residents in Zhoushan Islands. METHODS: A frequency-matched design of case-control study was used during the survey on dietary factors and gastric cancer in Zhoushan Islands, China. A total of 103 cases of gastric cancer diagnosed in 2001 were included in the study and 133 controls were randomly selected from the residents in Zhoushan Islands. A food frequency questionnaire was specifically designed for the Chinese dietary pattern to collect information on dietary intake. A computerized database of the dietary and other relative information of each participant was completed. Total calories and 15 nutrients were calculated according to the food composition table and their adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were estimated by gender using unconditional logistic regression models. RESULTS: High intakes of protein, saturated fat, and cholesterol were observed with the increased risk of gastric cancer particularly among males (OR(Q4 vs Q1) were 10.3, 3.24, 2.76 respectively). While carbohydrate was a significant high-risk nutrient (OR(Q4 vs Q1) = 14.8; P for linear trend = 0.024) among females. Regardless of their gender, the cases reported significantly higher daily intake of sodium mainly from salts. As to the nutrients of vitamins A and C, an inversed association with the risk of GC was found. Baseline characteristics of participants were briefly described. CONCLUSION: The findings from this study confirm the role of diet-related exposure in the etiology of gastric cancer from the point of view of epidemiology. An increased risk of gastric cancer is associated with high intakes of protein, saturated fat, cholesterol and sodium, while consumption of polyunsaturated fat, vitamin A and ascorbic acid may have a protective effect against gastric cancer.
Adult↗
Diet intervention for modifying cancer risk.
Considerable evidence suggests that dietary differences between populations account for a significant proportion of the variation in cancer occurrence in different parts of the world. A major problem has been identifying the particular dietary components which predispose or protect individuals against cancer. For example, the high rates of breast and colon cancer in the United States have been associated with numerous dietary patterns including high fat, high dietary energy, and low fruit and vegetable intakes. Our laboratories have attempted to identify mechanisms whereby diet may modify cancer and it is anticipated that future studies will determine which of these potential mechanisms may be relevant in humans. A promising lead in understanding the mechanism of high dietary fat/high dietary energy promotion of cancer was the impact of these diets on cellular protein kinase C (PKC). PKC is important in cellular signaling events which are critical to tumor promotion. Our studies demonstrated increased PKC activity and/or protein expression observed in epidermis and pancreatic epithelial cells of rodents fed high fat/energy diets. The inverse association between cancer at a number of sites and fruit and vegetable intake may be due to both micronutrient and non-nutrient components of fruits and vegetables. We have studied the prevention of skin tumor promotion by apigenin, a plant flavonoid. Apigenin may block several points in the process of tumor promotion, including inhibiting kinases, reducing transcription factors and regulating cell cycle. The complexity of our diets and the multitude of potential dietary effects which may be important in cancer development make this a fertile area for future study.
Anticarcinogenic Agents↗
Individual foods and food group patterns of the oldest old.
This study compares the dietary patterns of centenarians (n = 85) with sexagenarians (n = 76) and octogenarians (n = 83). A Daily Diet Diary was developed to code the responses of the 24-hour dietary recalls. Centenarians and octogenarians consumed a more varied (P < 0.05) diet, with higher (P < 0.01) consumption frequencies of milk and grains, and fewer (P < 0.01) skipped breakfasts than sexagenarians. However, centenarians also consumed high fat foods (P < 0.01), such as whole milk and biscuits, and coffee (P < 0.5) more frequently than the two younger cohorts. Several of the variations found in the food patterns among the three age groups may reflect cohort differences, rather than true antecedents for longevity.
Age Factors↗
Nutritional factors and worldwide incidence of childhood type 1 diabetes.
BACKGROUND: Some dietary factors have been associated with the risk of type 1 diabetes in childhood. OBJECTIVE: We investigated relations between dietary energy from major food groups and incidence of childhood type 1 diabetes by using an ecologic study design. DESIGN: We conducted univariate and multivariate regression analysis with incidence rates of type 1 diabetes in the late 1980s and early 1990s among children aged <15 y in 40 countries as the dependent variable and average per capita daily intake of major food items and other socioeconomic, demographic, and geographic risk factors as the independent variables. RESULTS: In the univariate regression model, per capita total energy intake was nonsignificantly associated with type 1 diabetes incidence (r = 0.31, NS), whereas energy from animal sources was associated (r = 0.61, P < 0.01) and energy from vegetal sources was inversely associated (r = -0.35, P < 0.05) with diabetes incidence. Among dietary items of animal origin, meat (r = 0.55, P < 0.001) and dairy products (r = 0. 80, P < 0.0001) were predictors of elevated incidence rates, whereas among dietary items of vegetal origin, cereals (r = -0.64, P < 0. 001) were inverse predictors. In the multivariate analysis, the inverse relation of diabetes incidence with energy from vegetables and the direct correlation with energy from animal sources explained the positive associations of type 1 diabetes incidence with geographic and socioeconomic covariates. CONCLUSION: The incidence of type 1 diabetes varied worldwide according to dietary patterns. In-depth exploration of dietary risk factors during pregnancy and early neonatal life is warranted to confirm whether and to what extent diet cooperates with genetic susceptibility in the early onset of type 1 diabetes.
Adolescent↗
Effects of dietary fat modifications on serum lipids and blood pressure in children.
Some recent studies have shown an extremely high level of serum cholesterol level among Finnish children. The aim of the present study was to test the effect of a "cholesterol lowering diet" on serum lipids and blood pressure among 36 children aged 8-18 years residing in two semirural communities in North Karelia, Finland. After a baseline period of two weeks on conventional diets, the proportion of energy derived from fat in the diet was reduced from the baseline level of 35% to 24%, and the ratio of polyunsaturated/saturated fats was increased from the baseline level of 0.18 to 0.61, during a 12-week intervention period. The children then changed back to their normal diet during a five-week switch-back period. The mean serum total cholesterol decreased 15% during the intervention, and then increased to nearly the initial level during the switch-back period. Similar changes were observed in HDL-cholesterol and also to some extent in apoproteins AI, AII and B. Blood pressure was not affected, although systolic blood pressure decreased during intervention. We conclude that the high level of serum cholesterol in Finnish children is to a great extent caused by the local dietary pattern and can be decreased by dietary modification.
Adolescent↗
Trends in nutritional intake and serum cholesterol levels over 40 years in Tanushimaru, Japanese men.
BACKGROUND: Rapid socioeconomic development in Japan since the beginning of the Seven Countries Study in 1958 has brought remarkable changes in lifestyle and dietary patterns. We investigated the relationship between time trends in nutrient intake and serum cholesterol levels in a Japanese cohort of the Seven Countries Study, in Tanushimaru, a typical farming town on Kyushu Island. METHODS: Subjects totaled 628 in 1958, 539 in 1977, 602 in 1982, 752 in 1989, and 402 in 1999, and all of the subjects were men aged 40-64 years. Eating patterns were evaluated by 24-hour dietary recall from 1958 through 1989, and by a food frequency questionnaire in 1999. We also measured serum cholesterol levels in each health examination. RESULTS: The total daily energy intake decreased from 2837 kcal in 1958 to 2202 kcal in 1999. The carbohydrate intake in percentage of total daily energy intake decreased markedly, from 84% in 1958 to 62% in 1999, in contrast to large increases during this period in protein intake (from 11% to 18%) and fat intake (from 5% to 20%). In proportion to the dramatic change in protein and fat intake, serum cholesterol levels showed large increases (from 152.5mg/dl to 194.2 mg/ dL). CONCLUSIONS: In spite of such big dietary changes toward a westernized diet, the incidence of coronary artery disease in a rural Japanese area remains low. However, careful surveillance is needed in the future because of the remarkably increasing intake of fats, especially saturated fatty acids.
Adult↗
Dietary factors and the risk of pancreatic cancer: a case-control study in Shanghai China.
In Shanghai, China, age-adjusted incidence rates for pancreatic cancer have increased steadily, beginning in the early 1970s. To examine the effects of diet on this cancer, a population-based case-control study was conduct. Cases (n = 451) were permanent residents of Shanghai, 30-74 years of age, newly diagnosed with pancreatic cancer between October 1, 1990 and June 30, 1993. Decreased cases (19%) were excluded from the study. Controls (n = 1552) were selected among Shanghai residents, frequency matched to cases by gender and age. Information on usual adult dietary intake was obtained by trained interviewers in person, using a food frequency questionnaire. Dietary associations were measured by odds ratios and 95% confidence intervals. Risks of pancreatic cancer were inversely associated with consumption of vegetables (P for trend among men = 0.03; among women = 0.15) and fruits (P among men = 0.02; among women = 0.08). Reductions in risk were related also to intake of dietary fiber and micronutrients abundant in plant sources, such as vitamins C and E and carotene. There was also an inverse association with egg consumption (P for trend among men = 0.08; among women = 0.001). No consistent positive associations were observed with intake of other food groups, including preserved animal foods, fresh red meat, organ meat, poultry, and staple foods. On the other hand, risks increased with frequency of consumption of preserved vegetables and foods that were deep fried, grilled, cured, or smoked, providing clues to the possible role of nitrosamines, polycyclic aromatic hydrocarbons, and heterocyclic aromatic amines. The inverse associations observed with intake of dietary fat and protein in our study were unexpected, although these findings were based on consumptions well below the average intake in Western countries, where most previous studies on pancreatic cancer were conducted. Our results suggest that dietary variations have contributed little to the rising trends of pancreatic cancer in Shanghai. However, given the improving food availability and changing dietary patterns in China, further study of dietary and nutritional risk factors for pancreatic cancer appears warranted.
Adult↗