Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Nutrition Programs”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,027 records · Page 57Linked to original sources
PubMed2005

Forensic evaluation of the elderly.

As the "Baby Boomer Generation" matures, it is pre dicted that greater than 70 million Americans >65 years of age will retire over the next decade. The U.S. Census Bureau 2000 reported a 12% rise in this age group from 1990 to 2000. The highest national population percentage increase was demonstrated in elders >85 years mirrored by a 0.1% rise in Kentucky's octogenarians. Because of advances in social programs, nutrition, and medical treatment, Americans are living longer. However, advanced age can be typified by chronic disabilities or illnesses requiring assistance in managing activities of daily living (ADL's). As a consequence, reliance on caregivers from within the family or from private or state supported institutions periodically complicates strained familial relationships and finances. The care of an elder may become suboptimal. Studies show that between 1 and 2 million elder Americans experience some form of maltreatment each year. The Division of Clinical Forensic Medicine (CFM), as part of the Office of the Kentucky Chief Medical Examiner and the University of Louisville Division of Forensic Pathology, provides expert consultation for injury recognition and interpretation in the traumatized elder.

Activities of Daily Living↗
PubMedDate not supplied

[Diabetes and diet revisited].

In the treatment of diabetes the diet has an important role complementary to the pharmaceutical treatment. The diet must provide the right amount of nutrients and calories in order for the individual to reach and maintain the ideal weight, stabilize the blood glucose levels close to the norm, and attain an optimal lipid profile. The daily caloric intake is represented by 55-60% of carbohydrates with a preference for nutrients rich in fiber and with a low blood glucose index. Of the daily caloric intake 10% may include sucrose as long as it is consumed in the context of a balanced meal. A moderate use of fructose is allowed, and an increased intake of fiber is encouraged. The consumption of proteins represents about 10-15% of the daily caloric intake. A consumption close to the lower limits of the range (about 0,8 gr/kg of body weight) is required for diabetes patients with nephropathy, while a daily intake of 0,6 gr/kg of body weight is considered to be the malnutrition risk factor for lower levels. The total intake of fats required is < or = 30%, of which saturated fatty acids are less than 8-10% (with a further restriction to 7-8% for individuals with LDL cholesterol of > or = 100mg/dl and other cardiovascular risk factors), the polyunsaturated fatty acids less than 10%, and the monounsaturated fatty acids at 10-15% of the total caloric intake. The intake of cholesterol through the diet should be <300 mg/die and still lower (< 200 mg/die) for individuals with high levels of LDL cholesterol. Multivitamin supplements are recommended only for certain categories of diabetic patients that may be at risk of micronutrient deficiency. A moderate quantity of alcohol (5-15 gr/die) is allowed in the case of stabilized diabetes and lack of hypertrigliceridemia. Although the diet may determine a ponderal decrease of up to 10% of the initial weight, it is good to insert a correct nutritional program into a well defined behavioral program that, other than a reduced caloric intake, takes into consideration an increased energetic expenditure through physical activity.

Adolescent↗
PubMed2000

Nutritional status of institutionalized and free-living elderly in Alexandria.

Because of an increase in the number of elderly and the problems of nutrition associated with them, it is of interest to study the nutritional status of elderly persons in Alexandria City. The purpose of this study was to assess the nutritional status of elderly population and to compare between the nutritional status of those institutionalized and those living free. The study was conducted on 240 elderly persons (120 institutionalized and 120 free living) selected randomly from institutions and from different sites. The basic data, weight, height, body mass index (BMI) of each were recorded. Dietary intake study was done by using 24 hours recall for 3 consecutive days and food frequency were used to obtain the best estimate of food intake. Energy and nutrient intakes were obtained and compared with the recommended dietary allowance (RDAs). The main findings of the study revealed that the mean age of the institutionalized elderly was greater than those living free. Percent of obesity among females was 71.7% among free living and 45% among institutionalized. Under-nutrition was present in 11.7% and 8.3% of institutionalized males and females respectively. Food habits showed that institutionalized subjects consume more amounts of many food items than free-living. Total daily energy intake was found to be below the recommendation for all subjects, with higher intake among institutionalized than free living. Nutrient intakes among institutionalized and free living elderly were inadequate except thiamin, riboflavin, vitamin C and iron. The nutrients least adequately supplied in the diets of elderly are vitamin A and calcium along with energy deficits. In conclusion both institutionalized and free living are at risk for developing nutrient deficiencies. Deficient energy, calcium and vitamin A are common problems among most subjects. The composition of the diet among free living subjects seem to be also poor in some micronutrients. We recommended a nutrition intervention program and nutrition education to improve nutritional status of elderly people.

Aged↗
PubMed1991

[From cell to society: in search of just social welfare].

This is a speech delivered by Dr Abraham Horwitz upon receiving the Professor Honoris Causa degree from the University of Chile. Dr Horwitz was the Director of the Panamerican Health Organization for 4 consecutive periods (1958-1975). Preventive Medicine and Health Promotion are effective means to increase social wellbeing. They should be implemented at all levels of health care. By increasing the span of healthy and productive life, the health industry makes a direct contribution to development and the economy. Government investment in health reflects the value attributed by society to social wellbeing. Research and better administration of health resources will allow to reduce costs and increase productivity of health and nutritional programs.

Chile↗
PubMedDate not supplied

Public-sector savings resulting from expenditures for contraceptive services.

Almost one in four U.S. women who use a reversible method of contraception rely on a publicly funded source of care, either a family planning clinic or a private physician reimbursed by Medicaid. According to three scenarios of alternative contraceptive use patterns, if publicly funded services were not available, these women would have between 1.2 million and 2.1 million unintended pregnancies over one year--substantially more than the approximately 400,000 they currently experience. If these women relying on publicly funded services were using no method of contraception, they would be expected to have more than 3.5 million unintended pregnancies in one year. In FY 1987, federal and state governments spent $412 million on contraceptive services for women who otherwise might not have been able to obtain them. If these services had not been available, the additional public costs for medical care, welfare and supplementary nutritional programs during the first two years after a birth or for publicly funded abortions would have totaled $1.2-$2.6 billion. These savings represent an average of $4.40 saved for every dollar of public funds spent to provide contraceptive services.

Adolescent↗
PubMedDate not supplied

The impact of public-sector expenditures for contraceptive services in California.

A methodology previously used to calculate the number of unintended pregnancies averted nationally through publicly funded contraceptive services has been adapted for a state-level analysis in California. An estimated 136,800 unintended pregnancies--which would result in approximately 36,000 births, 85,100 abortions and 15,700 miscarriages--are averted each year because publicly funded contraceptive care is available from clinics and private physicians in California. Federal and state expenditures of $46 million for contraceptive services in California in FY 1989 resulted in an estimated savings of $232-$509 million in public costs for abortions, for prenatal and maternity care and for medical care, welfare and supplementary nutritional programs during the first two years after a birth. These savings represent an average of $7.70 saved for each dollar spent to provide contraceptive services. This savings/cost ratio is 75 percent higher than that previously estimated for the United States as a whole.

Abortion, Induced↗
PubMed1989

Dietary management of geriatric diabetes.

The most important dietary precept for elderly patients with diabetes mellitus is the maintenance of desirable body weight. Weight reduction is imperative for the obese. It is now proposed that the diet prescribed contain predominantly carbohydrate (50 to 60% of total calories) and that the carbohydrates be primarily complex and rich in fiber. Protein should be of high quality, but never in excess. A diet low in saturated fats and cholesterol and proportionately higher in polyunsaturated and monounsaturated fats seems prudent in view of the accelerated incidence of macrovascular disease in this population. Lipid profiles should be carefully monitored, and carbohydrate intake may need to be limited if hypertriglyceridemia is present. Vitamin and mineral supplements may be desirable. It is important to understand that the dietary guidelines for diabetic patients discussed in this article are not fundamentally different from those for any other person desiring a healthy diet. The nutritional program outlined is a good program for everyone, and the entire family is encouraged to participate in the meal planning and preparation involved.

Aged↗
PubMed1986

A long-term nutrition intervention experience: lipid responses and dietary adherence patterns in the Multiple Risk Factor Intervention Trial.

Nutrition counselors in the Multiple Risk Factor Intervention Trial (MRFIT) were able to help middle-aged men who were at high risk for coronary heart disease change their dietary habits, maintain those changes over time, and decrease their serum cholesterol levels. Most of a 7.5% mean serum cholesterol reduction achieved after 6 years of nutrition intervention occurred during the first year of the trial and was thereafter sustained. Total cholesterol and low-density lipoprotein cholesterol fraction decreases indicated improvement in terms of coronary heart disease risk. The food record rating, a numerical, semi-objective adherence technique that assesses a 3-day food record with respect to lipid-lowering potential, was used throughout the trial to measure adherence to recommended food patterns. Participants with lower food record rating scores, which indicate better adherence, demonstrated greater reductions in serum total cholesterol, plasma total cholesterol, and low-density lipoprotein fraction cholesterol determinations on a group basis. Subjective evaluations of the suitability of home and working environments, evidence of deviation from the MRFIT food patterns, and overall nutrition program motivation also showed that as ratings in each category became more favorable, lower food record rating scores and greater blood lipid reductions were consistently observed. The subgroup of participants who were non-smokers and not hypertensive demonstrated greater lipid responses and better dietary adherence. Continued smoking and antihypertensive medications appeared to adversely influence dietary adherence and/or lipid reductions. The MRFIT experience, however, demonstrated for the first time that dietary changes and blood lipid reductions can be achieved after the initial intervention effect, despite a continued emphasis on high blood pressure management and smoking cessation.

Cholesterol↗
PubMed1986

Anthelmintic treatment of pastured dairy cattle in California.

The relationship of anthelmintic treatment for subclinical gastrointestinal nematode parasitism with resultant milk production was studied on 3 California dairies where animals were maintained on a pasture-based nutritional program. All of the animals that started lactating (freshened) during a 12-month period participated in trials in which coumaphos was given as a feed top dressing to animals averaging 30 days into lactation. All of the animals that freshened during the subsequent 12-month period from 2 of the same 3 dairies participated in trials in which thiabendazole was administered at or within 2 weeks before freshening. Anthelmintic administration during 2 consecutive lactation cycles under the conditions of the present study resulted in no consistent reproducible significant changes in milk production.

Animals↗
PubMed1978

Milk drinking by the elderly of three races.

The three objectives of this study were to determine: (a) If milk was acceptable for multi-racial groups of elderly people, some of whom had previously been described as lactose intolerant, (b) the frequency of milk rejection attributed to symptoms of lactose intolerance, and (c) the importance of offering different types of milk. The study was carried out on 347 elderly citizens participating in the Title VII Nutrition Program for the Elderly in Harris County, Texas. Eighty-five per cent of the Mexican-Americans, 93.5 per cent of the blacks, and 94 per cent of the Anglos surveyed reported drinking the milk served with their meal. Only 6.6 per cent of the Mexican-Americans, 1.4 per cent of the blacks, and 2.5 per cent of the Anglos did not consume the milk because of symptoms that might be related to low levels of intestinal lactase. It was concluded that milk could and should be served to multi-racial groups of elderly people. Offering a choice of milk type appeared to be important for acceptance. Twenty-two per cent of the blacks, 4 per cent of the Mexican-Americans, and 16 per cent of the Anglos always preferred buttermilk.

Black or African American↗
PubMed1984

Validated foodservice training manual for supervisors with limited experience.

The objective of this research project was to develop a useful, validated training manual to be used by supervisors in small foodservice operations and government-funded nutrition programs that do not have access to the services of a registered dietitian. The accuracy of the content was critiqued by an expert panel. The pilot phase was conducted at one congregate dining site to assess and revise problems involving evaluation design. The model phase evaluated the trainer's ability to use the manual and the worker's knowledge and performance as a result of training. Foodservice workers' scores after training were significantly higher than scores before training (p less than .01). Performance evaluations 4 weeks after training showed a significant positive change in work behavior (p less than .001) over evaluations before training. At 8 weeks a return to pretraining behavior was observed. The project showed that regular in-service training sessions conducted in short segments that are inexpensive and continuous would be valuable in any foodservice operation with limited access to dietitians. Benefits from such training include improved efficiency of food preparation and service, better quality of products produced, increased cost-effectiveness, and higher employee morale.

Administrative Personnel↗
PubMed1984

Dietary calcium intakes of elderly Korean Americans.

Dietary calcium intake among elderly Korean Americans was examined. Results of this study indicate that calcium intakes of the women were considerably lower than the Recommended Dietary Allowance partly because of their lower consumption of dairy products and lower energy intakes. For the same reasons, nonparticipants in a nutrition program for the elderly were less likely than participants to consume adequate amounts of calcium. A number of other factors may have influenced low calcium intake by some subjects. The examination of their food habits revealed that the subjects rarely consumed their preferred calcium-rich Korean foods because of the high cost and limited availability of the foods and their own difficulty in chewing. Consumption of calcium-rich foods in the United States diet also was limited. The subjects disliked calcium-rich foods in the United States diet, with the exception of milk and ice cream. Although a majority of the subjects liked and consumed milk daily, the amount was not sufficient to meet the calcium requirements in their diets. Furthermore, a substantial proportion of the subjects disliked and seldom consumed milk. In addition to dairy products, grains, fruits, and vegetables were major sources of calcium in diets of the subjects. However, individuals did not consume enough of the calcium-rich foods from these food groups to meet the calcium requirements.

Aged↗
PubMed1980

Assessing dietary adherence in the Multiple Risk Factor Intervention Trial (MRFIT). II. Food record rating as an indicator of compliance.

The reliability of the food record rating (FRR) sytem devised for assessing nutritional compliance by participants of MRFIT was statistically validated. Two nutritionists in each of four clinical MRFIT centers each rated thirty records drawn from a pool of 120 records from twenty centers. The eight raters working independently in four cities were able to duplicate FRR scores 86 per cent of the time. The FRR provides a systematic, rapid measure of progress in food-habit change which would be applicable to other preventive nutrition programs

Coronary Disease↗
PubMed1980

Impact of EFNEP on some nutrition-related practices. Developing a tool to record changes.

Described are the design and preliminary administration of an instrument to measure the impact of the Pennsylvania Expanded Food and Nutrition Education Program (EFNEP) on food storage and safety, kitchen sanitation, and food money management practices of program participants. No significant differences among these practices were found when each was correlated with duration of program participation. Overall improvement, however, was revealed, particularly in the first six months in the program.

Agriculture↗
PubMed1994

Infant-feeding practices in urban and rural communities of the Sudan.

Infant-feeding and weaning practices were investigated in a multistage randomly selected sample of 1,039 Sudanese mothers who represented six of the nine States of the Sudan. The majority (77.9%) believed that breast milk was best for their babies, emphasizing the previously reported high breast-feeding rate in Sudanese mothers. Food supplementation started by 6 months in 82.5% mainly in urban middle and high classes (UMC and UHC) compared to urban poor class (UPC) and the rural group (RG; p < 0.001). A mixture of food items was used for supplementation by 62.1% of the study group, whereas giving one food item was significantly more practised in RG (54.9%) compared to others (p < 0.001). Household food was introduced by 6 months in 35.4%. Weaning started between 6 and 12 months in 27.1% and thereafter in 64.9%. A greater proportion of rural mothers (36.5%) weaned their babies after the age of 18 months (p < 0.001). About half the children (52.8%) were weaned abruptly, mainly among UPC and RG. The first food item of choice for weaning was fresh goat's or cow's milk (77.6%), followed by powdered or formula milk (16.1%). The commonest second preferred food was a starch gruel (39.1%) made either of rice (24.5%) or fermented sorghum.

Adult↗
PubMed1994

The relationship among television watching, physical activity, and body composition of young children.

PURPOSE: Television watching has been reported to be associated with obesity, resting energy expenditure, and lower daily physical activity among both children and adolescents. However, most of these studies were based on self report or data collected in laboratory settings. This study examined the relationship among observed time of television watching, observed physical activity level and body composition among 3- or 4-year-old children. METHODS: African-American (41.4%), Mexican-American (23%), and Anglo-American (35.6%) children (N = 191, males = 90) from the Texas site of the Studies of Child Activity and Nutrition program were observed from 6 to 12 hours per day up to 4 days over 1 year. Activity level each minute of the day was measured with the Children's Activity Rating Scale (interobserver reliability = .84 +/- .001). The interobserver reliability of time of television watching was .96 +/- .08. RESULTS: The median of the longest number of consecutive minutes of television watching was 15 (range = 1 to 79). The median percent of minutes of television watching of total observed minutes was 14.8% (0% to 58%) and the median percent of minutes of inside minutes was 17.9% (0% to 80.9%). There were no gender or ethnic differences in time watching television or physical activity during television watching. Physical activity during television watching was lowest during the longest bout of television watching (mean = 1.48 +/- .28) compared to outside minutes (mean = 2.38 +/- .21), inside non-television minutes (mean = 1.96 +/- .13) and inside television minutes (mean = 1.65 +/- .18). The level of physical activity during television-watching times was highest (P < .0031) during October and November and lowest during March, April, June, and July. Longest bout of television watching and percent of minutes watching television to total observed minutes were inversely associated with mean physical activity, percent of minutes of physical activity levels 3, 4, or 5, and percent of physical activity levels 4 or 5. Percent of television watching to inside minutes was negatively correlated with physical activity levels 4 or 5. Television-watching behavior was not associated with body composition. CONCLUSIONS: Television watching was weakly negatively correlated with physical activity levels, and physical activity was lower during television-watching than non-television-watching time in this sample of children. Television viewing behavior was not associated with body composition.

Black or African American↗