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PubMed2005

Accumulation, metabolism, and food-chain transfer of chlorinated and brominated contaminants in subadult white whales (Delphinapterus leucas) and narwhals (Monodon monoceros) from Svalbard, Norway.

The concentrations and patterns of polychlorinated biphenyls (PCBs), chlorinated pesticides, and polybrominated diphenyl ethers (PBDEs) were studied in white whales (Delphinapterus leucas) and narwhals (Monodon monoceros) from Svalbard, Norway. In addition, their main food items were included in the study. In the whales, a broad range of pollutants was found in relatively high concentrations. PCBs and pesticides were approximately 3000 and 8000 ng/g lipid, respectively, for white whales and three times higher for narwhals. PBDEs 47 were approximately 70 ng/g lipid for white whales and 170 ng/g lipid for narwhals. Compared with other marine mammals from the same area, contaminant levels are among the highest levels ever measured. These high levels are likely in part because of a decreased capacity to metabolize contaminants. Metabolic indices indicated that most compounds accumulate to the same degree in white whales and narwhals, but for some toxaphenes and chlordanes, narwhals might have a decreased metabolism and consequently a higher accumulation. The three-times-higher contaminant levels in blubber of narwhals was further explained by substantially higher contaminant levels in their more benthic diet. The high levels and broad pattern of accumulating pollutants make white whales and narwhals excellent indicators for a wide range of contaminants in the Arctic.

Animals↗
PubMed1999

Nutrition and diet for healthy lifestyles in Europe: the 'Eurodiet' Project.

The aims of this project are to formulate a strategy and action plan for developing and implementing European dietary guidelines. The project is supported by DGV/F/3 and was initiated in October 1998. The work plan has entailed the formation of Working Parties composed of prominent experts from the member states to prepare consensus documents on the state of the art in Europe and the added value of European population-based guidelines. These groups are addressing 4 inter-linked components of the project: (1) evaluation of the role of diet and lifestyles in health & disease patterns in Europe; (2) the feasibility of developing an EU-wide framework for food-based dietary guidelines; (3) public health nutrition strategies for implementing FBDGs and for enhancing physically active lifestyles in Europe and (4) an evaluation of policy, trade, economic and technological aspects to improving nutritional status and lifestyles in the EU. Stakeholders from the spectrum of interests involved are invited to assess and debate the science and policy implications of these documents, which will be presented at a European Conference in May 2000. Recommendations in the form of a practical, evidence based policy document will be presented to the European Commission, the Council of Ministers and the European Parliament.

Diet↗
PubMed1985

Effects of calorie restriction and weight loss on glucose and insulin levels in obese humans.

The relative contributions of weight loss vs calorie restriction in the improvement of glucose tolerance in obese subjects has not been well studied. We measured fasting and stimulated glucose and insulin levels in seven obese subjects at 4 time periods: on a regular diet before weight loss, on a very low calorie ketogenic diet (VLCKD) after 4 days and after 6 weeks, and after 4 days back on a regular diet. Fasting glucose and insulin levels fell significantly after only 4 days of calorie restriction and did not change after 6 weeks. With return to a regular diet, these levels rose toward baseline even through body weight remained well below baseline. Stimulated glucose and insulin levels during an insulin tolerance test, intravenous glucose tolerance test, and standard meal demonstrated a similar pattern, although the changes due to either diet or weight loss were minimal. We conclude that calorie restriction has a greater effect on glucose and insulin levels than does weight loss in obese subjects who are losing weight.

Adult↗
PubMed2002

The impact on eating habits of temporary translocation from a Mediterranean to a Northern European environment.

OBJECTIVE: To assess the effect of temporary translocation from a Mediterranean to a Northern European environment on the eating habits of a group of foreign students. DESIGN: Cross-sectional survey of eating habits before and after moving from Greece to Glasgow, Scotland. SETTING: University of Glasgow. SUBJECTS: Eighty post-graduate Greek students. INTERVENTIONS: A self-administered questionnaire comprising of three major sections: (1) general eating habits; (2) frequency of eating selected food items; (3) opinion of food availability in Glasgow. RESULTS: After moving to Glasgow, significant decreases were reported in the frequency of consuming fresh fruit, raw vegetables, fish, legumes, meat, poultry and fresh fruit juice. The frequency of eating biscuits, savoury snacks, soft/fizzy drinks, alcoholic drinks and mayonnaise, dips and sauces increased. The estimated median daily consumption of fruit and vegetables decreased from 363 g in Greece to just 124 g in Glasgow, well below the Scottish and WHO dietary target of 400 g/day. The main perceived barriers to maintaining customary eating habits were the price of food, the lack of familiar tastes, the greater availability of convenience food and the limited variety of food available in Glasgow, when compared to Greece. CONCLUSIONS: These findings highlight the difficulties that migrant populations face in retaining traditional, often healthier, eating habits when migrating to a foreign country. Barriers of high cost, limited availability and poor quality of familiar foods, need to be addressed in order for migrants to maintain their customary eating patterns. Furthermore, these barriers need to be addressed before nutritionists can expect to see the widespread adoption of the Mediterranean diet by Western populations less familiar with this eating pattern.

Adult↗
PubMed1997

Characterizing food intake patterns of American adults.

Food-pattern analysis provides a way to examine diets in a multidimensional context. This study examined the diets of 8181 adults in the 1989-1991 Continuing Survey of Food Intakes by Individuals and evaluated whether they met the federal recommendations for each of five food groups. The sample was partitioned among 32 different food-intake patterns, six of which represented 44% of the population. Nutrient profiles associated with each of the patterns indicated that failure to meet one or more of the food-group recommendations was associated with nutrient inadequacy, macronutrient imbalance, or both. A reexamination of the data to account for low energy reporters did not alter these findings. The pattern of meeting all five of the food-group recommendations was among the least common, accounting for only 1% of adults' intakes.

Adult↗
PubMed1998

The influence of sexual dimorphism in body size and mouth morphology on diet selection and sexual segregation in cervids.

In mammals patterns of food resource distribution influence female distribution, leading to aggregation and favouring the evolution of a polygynous mating system. Under polygyny, sexual selection favours an increase of the male body size, since larger bodied males have competitive advantage in fights for mates. As a result, sexual body size dimorphism is a general rule in polygynous artiodactyls and is correlated with the degree of polygyny. Sex differences in body size lead to differences in energy requirements and food selection between the sexes. This has led to the sexual size dimorphism hypothesis being used to explain sexual segregation in ungulates, although from the available studies, it is not possible to deduce a consistent pattern between sexes in the use of forage of different abundance or quality. Two other groups of hypotheses have been put forward to explain sexual segregation in ungulates. These are based on reproductive strategy and social factors, both of which are independent of body size. The mechanistic explanation for differences in food selection ability and intake rate between animals of different body size and how this can lead to an understanding of the sex differences in diet and sexual segregation, both of which are intimately linked, is discussed.

Animal Nutritional Physiological Phenomena↗
PubMed2000

Western diet, family history of colorectal cancer, NAT2, GSTM-1 and risk of colon cancer.

OBJECTIVE: In this study we examine the combined effects of Western diet, age at diagnosis, and genetic susceptibility. METHODS: We use data collected as part of an incident case-control study of colon cancer. Family history of colorectal cancer, N-acetyltransferase (NAT2), and glutathione-S-transferase (GSTM-1) are studied with Western diet and age at diagnosis. RESULTS: A significant interaction between age at time of diagnosis, Western dietary pattern, and family history of colorectal cancer (p for interaction = 0.03) was detected. Those with a family history of colorectal cancer who ate a predominantly Western diet were at increased risk of colon cancer (OR 14.0, 95% CI 3.9-50.1 for < or = 55 years; OR 7.7, 95% CI 2.0-29.1 for 56-66 years; OR 1.6, 95% CI 0.8-3.2 for > or = 67 years) compared to those without a family history of colorectal cancer and low levels of a Western diet. Associations with the Western diet were stronger than individual components of the dietary pattern. Neither NAT2 nor GSTM-1 showed significant interaction with Western diet. CONCLUSION: The extent to which diet comprising a Western dietary pattern influences risk of colon cancer is dependent on age. This dietary pattern also appears to modulate the colon cancer risk associated with a family history of colon cancer.

Age of Onset↗
PubMed2005

Process evaluation of an innovative healthy eating website promoting the Mediterranean diet.

The Internet offers a promising medium for delivering nutrition education. This study aimed to evaluate user perceptions and usage patterns of an innovative healthy eating website promoting the Mediterranean diet. The website was evaluated over a 6-month period by female employees of University of Glasgow, aged 25-55 years. User satisfaction with the website was evaluated using a triangulation approach, including website visit counts, questionnaires (31 participants) and focus group interviews (18 participants). Although login frequency decreased over the 6-month study, questionnaires revealed that most sections of the website were viewed as being very helpful and the majority of participants perceived the overall website to be extremely interesting, informative, novel, trustworthy, easy to understand, useful, user-friendly, attractive and encouraging. The recipes section was the most visited and lack of time was the main barrier to using the website on a weekly basis, as recommended. The results of the questionnaires were confirmed by measures of website usage and the feedback provided by the focus group interviews. Several features that would improve the website, such as increased interactivity, nutritional analysis and fruit and vegetable serving content of recipes and more regular updates, were identified from the interviews and will inform future refinements of the website.

Adult↗
PubMed2001

Dietary patterns and mortality in Danish men and women: a prospective observational study.

The analysis of dietary patterns emerged recently as a possible approach to examining diet-disease relation. We analysed the risk of all-cause and cardiovascular mortality associated with dietary patterns in men and women, while taking a number of potential confounding variables into account. Data were from a prospective cohort study with follow-up of total and cause-specific mortality. A random sample of 3698 men and 3618 women aged 30-70 years and living in Copenhagen County, Denmark, were followed from 1982 to 1998 (median 15 years). Three dietary patterns were identified from a twenty-eight item food frequency questionnaire, collected at baseline: (1) a predefined healthy food index, which reflected daily intakes of fruits, vegetables and wholemeal bread, (2) a prudent and (3) a Western dietary pattern derived by principal component analysis. The prudent pattern was positively associated with frequent intake of wholemeal bread, fruits and vegetables, whereas the Western was characterized by frequent intakes of meat products, potatoes, white bread, butter and lard. Among participants with complete information on all variables, 398 men and 231 women died during follow-up. The healthy food index was associated with reduced all-cause mortality in both men and women, but the relations were attenuated after adjustment for smoking, physical activity, educational level, BMI, and alcohol intake. The prudent pattern was inversely associated with all-cause and cardiovascular mortality after controlling for confounding variables. The Western pattern was not significantly associated with mortality. This study partly supports the assumption that overall dietary patterns can predict mortality, and that the dietary pattern associated with the lowest risk is the one which is in accordance with the current recommendations for a prudent diet.

Adult↗
PubMed2000

Fish consumption, fish lore, and mercury pollution--risk communication for the Madeira River people.

Fish is an important food resource in Amazonian aquatic ecosystems. There is a strong cultural background regarding fish consumption (fish lore) among indigenous people in the Amazon. Mercury (Hg) ingestion through fish consumption has been a major route of Hg exposure among the riverside people along the Upper Madeira River. In this paper a diet questionnaire was used to identify patterns of fish consumption. The amount of fish consumed during the dry season and Hg levels in fish were combined to estimate Hg ingestion. Using as guidance hair Hg levels below 5 and 10 ppm as acceptable to protect the fetus and adult, respectively, along with an average daily fish consumption of 243 g per capita, we estimated the maximum acceptable number of fish meals per week for different fish species. Based on this analysis, it is suggested that there is a need to address risk communication for this exposed population in the context of health in terms of a fish advisory. For the fish advisory it is necessary to recommend to fish consumers, fishermen, and fish sellers an acceptable number of fish meals to be consumed according to species.

Adolescent↗
PubMed2005

Empirically derived dietary patterns and risk of postmenopausal breast cancer in a large prospective cohort study.

BACKGROUND: Inconsistent associations have been reported between diet and breast cancer. OBJECTIVE: We prospectively examined the association between dietary patterns and postmenopausal breast cancer risk in a US-wide cohort study. DESIGN: Data were analyzed from 40 559 women who completed a self-administered 61-item Block food-frequency questionnaire in the Breast Cancer Detection Demonstration Project, 1987-1998; 1868 of those women developed breast cancer. Dietary patterns were defined by using principal components factor analysis. Cox proportional hazard regression was used to assess breast cancer risk. RESULTS: Three major dietary patterns emerged: vegetable-fish/poultry-fruit, beef/pork-starch, and traditional southern. The vegetable-fish/poultry-fruit pattern was associated with higher education than were the other patterns, but was similar in nutrient intake to the traditional southern pattern. After adjustment for confounders, there was no significant association between the vegetable-fish/poultry-fruit and beef/pork-starch patterns and breast cancer. The traditional southern pattern, however, was associated with a nonsignificantly reduced breast cancer risk among all cases (in situ and invasive) that was significant for invasive breast cancer (relative hazard = 0.78; 95% CI = 0.65, 0.95; P for trend = 0.003). This diet was also associated with a reduced risk in women without a family history of breast cancer (P = 0.05), who were underweight or normal weight [body mass index (in kg/m(2)) < 25; P = 0.02], or who had tumors positive for estrogen receptor (P = 0.01) or progesterone receptor (P = 0.003). Foods in the traditional southern pattern associated with reduced breast cancer risk were legumes, low mayonnaise-salad dressing intake, and possibly cabbage. CONCLUSIONS: The traditional southern diet or its components are associated with a reduced risk of invasive breast cancer in postmenopausal women.

Adult↗
PubMed1997

[The Chinese total diet study in 1992--chemical contaminants. (II) Different age-sex groups].

The total diet study on various age-sex groups and the comparison of two seasons (spring and autumn) in adult male were conducted in the second Chinese Total Diet Study in 1992-1993. The dietary pattern, dietary intake of heavy metals and other harmful elements and radionuclides were studied in 4 age-sex groups in 4 provinces and cities, i.e. Hebei, Shanxi, Hubei and Shanghai. The contamination of lead in diet was the most outstanding finding. The intake of lead in 2-7 years old exceeded 18.9% of the ADI. The contamination of cadmium and mercury in diet were low, and the dietary intake were 24% and 35% of the ADI respectively. The dietary intakes of aluminium in the two young groups exceeded about 8% of the ADI. The intake of dietary fluoride in the two young groups were a little too low, and it was adequate in the adult groups. The overall dietary intake of radionuclides in the 4 age-sex groups was only 36% of ALI. The intakes of man-made radionuclides, 90Sr and 137Cs were all below 1% of ALI. The comparisons of two seasons (spring and autumn) showed that the overall intakes of radionuclides were higher in autumn than in spring. The intake of 210Pb was 3-4 times in autumn than in spring.

Adolescent↗
PubMed1985

Food consumption and quality of diets of Kansas elementary students.

Better knowledge of the eating patterns of children would allow nutritionists to target nutrition information more effectively. Twenty-four-hour dietary recalls were collected from 1,242 elementary students to investigate their eating patterns. Foods consumed were classified into categories on the basis of similar composition. Dietary quality was assessed by calculating mean adequacy ratios. Grain products, high-protein foods, vegetables, and milk products were included in the diets of almost all students. Sugary products were consumed by almost 90%, 20% drank non-sugary beverages, and fats and oils were included by 80%. Also, 80% consumed fruits and juices. Consumption of milk and milk products was the most important estimator of dietary quality, followed by vegetables, mixed protein dishes, nutrient supplements, fruits, high-protein foods and grain products. When nutrient supplements were excluded, fruit and grain products became more important predictors. Non-sugary beverages adversely affected the quality of children's intakes. Students with dietary quality indexes between 90 and 100 consumed milk and vegetables more frequently than those with indexes of less than 66, who drank non-sugary beverages more often. Dietary quality varied in direct proportion to level of energy intake, suggesting that nutrition education should emphasize intake of nutrient-dense foods.

Animals↗
PubMed1995

Management of hyperlipidaemia.

Recent community-based studies have shown that hypercholesterolaemia is common in Singapore. High low-density lipoprotein (LDL) cholesterol, low high-density lipoprotein (HDL) cholesterol as well as hypertriglyceridaemia are associated with higher prevalence of cardiovascular disease. The aim of this article is to discuss the clinical management of adult patients with hyperlipidaemia. For practical purposes, the hyperlipidaemias can be divided into four patterns: 1) hypercholesterolaemia with normal triglyceride, 2) moderate hypertriglyceridaemia with normal cholesterol, 3) combined moderate hypercholesterolaemia and hypertriglyceridaemia, and 4) severe hypertriglyceridaemia with moderate hypercholesterolaemia. Each pattern can be attributed primarily to genetic conditions or secondarily to common diseases. It is important to attempt aetiopathogenetic diagnosis for each hyperlipidaemic patient as treatment of an underlying condition may sometimes reverse the hyperlipidaemia eg hypothyroidism and hypercholesterolaemia. In general, a low cholesterol and low fat (particularly saturated fat) diet is useful in patients with all four patterns of hyperlipidaemia. Patients with severe hypertriglyceridaemia and moderate hypercholesterolaemia may benefit from a further drastic reduction in fat intake. Pharmacological therapy is required for patients who do not achieve target lipid levels after diet modification. The choice of drug therapy is, to a large extent, dependent on the pattern of hyperlipidaemia. In some situations, combination drug therapy may be required. Caution is required in combining hypolipidaemic drugs as the side-effects of individual drugs may be potentiated when used in combination.

Combined Modality Therapy↗
PubMed2006

Dietary patterns in the Southampton Women's Survey.

OBJECTIVE: Dietary pattern analysis is receiving increasing attention as a means of summarizing the multidimensional nature of dietary data. This research aims to compare principal component analysis (PCA) and cluster analysis using dietary data collected from young women in the UK. DESIGN: Diet was assessed using a 100-item interviewer-administered food frequency questionnaire. PCA and cluster analysis were used to examine dietary patterns. SETTING: Southampton, UK. SUBJECTS: A total of 6125 non-pregnant women aged 20-34 years. RESULTS: PCA identified two important patterns: a 'prudent' diet and a 'high-energy' diet. Cluster analysis defined two clusters, a 'more healthy' and a 'less healthy' cluster. There was a strong association between the prudent diet score and the two clusters, such that the mean prudent diet score in the less healthy cluster was -0.73 standard deviations and in the more healthy cluster was +0.83 standard deviations; the difference in the high-energy diet score between the two clusters was considerably smaller. CONCLUSIONS: Both approaches revealed a similar dietary pattern. The continuous nature of the outcome of PCA was considered to be advantageous compared with the dichotomy identified using cluster analysis. SPONSORSHIP: The study was funded by the Dunhill Medical Trust, the University of Southampton and the Medical Research Council.

Adult↗
PubMed2006

Maternal diet influences gene expression in intestine of offspring in chicken (Gallus gallus).

The diet of the mother during pregnancy influences the onset of different diseases and health-related traits in the offspring. We investigated the influence of the mother hen diet on the intestinal gene expression pattern in the offspring. Hens received for 11 weeks either a commercial feed or a commercial feed supplemented with vitamins and minerals. The offspring of the two groups showed no changes in growth rate or feed conversion. Of this offspring, gene expression patterns in the intestine were measured at 3 and 14 days of age with an intestinal cDNA-microarray. Between the two groups, 11 genes were found to be differentially expressed both at 3 and 14 days of age. Thus, these genes were differently regulated when the intestine is developing as well as when the intestine is more mature. Genes that are differentially expressed at day 3 and/or day 14 affect intestinal turnover, proliferation and development, metabolism and feed absorption. To confirm that differences in gene expression are related to intestinal development, we investigated intestinal proliferation. This indeed also showed differences in proliferation between the two groups at day 3 and day 14 of age. The gene expression and proliferation results indicate that feed of the hens influences the functionality of intestine of the offspring at day 3 and 14 of age.

Animal Nutritional Physiological Phenomena↗
PubMed2003

Improvement of the nutritive value of soybean meal by protease and alpha-galactosidase treatment in broiler cockerels and broiler chicks.

1. Tube-fed broiler cockerels were used in three experiments to measure the effect of different enzyme treatments on true metabolisable energy (TME) and true nitrogen digestibility (TND) of commercial solvent-extracted, heat-treated soybean meal (SBM). 2. In experiment 1, proteases P2 and P3 (from Aspergillus niger) and alpha-galactosidase (from A. oryzae) improved TME and TND while protease P1 (from Bacillus subtilis) had little effect. The effects of enzyme treatment were similar whether treatment was applied by pre-incubation of enzymes (proteases P1, P2 and P3, 1.0 g/kg; alpha-galactosidase, 0.1 g/kg) with SBM for 2 h at 50 degrees C or by simple mixing of enzymes (proteases P1, P2 and P3, 0.25 g/kg; alpha-galactosidase, 0.1 g/kg) with SBM prior to feeding. 3. In experiment 2, the effects of mixing SBM with each of protease P1 (0 or 0.25 g/kg), protease P3 (0 or 0.25 g/kg) or alpha-galactosidase (0 or 0.1 g/kg) alone or in all possible combinations were studied. Effects of protease P1 were limited, but protease P3 and alpha-galactosidase improved TME and TND. There were significant interactions between protease P3 and alpha-galactosidase for both TME and TND; the response when enzymes were applied together was less than that expected from application of the enzyme preparations individually. 4. In experiment 3, the effect of varying the concentration of protease P3 (0, 0.1, 0.25 and 1.0 g/kg SBM dry matter) and alpha-galactosidase (0, 0.025, 0.0625 and 0.25 g/kg SBM dry matter) mixed with SBM alone or in all possible combinations of protease P3 and alpha-galactosidase were assessed. Increases in TME and TND for both enzymes were non-linear with the greatest response occurring at the lowest concentration of each enzyme. There were also interactions between the two enzyme preparations. 5. Finally, either protease P3 (0, 0.1 and 1.0 g/kg SBM dry matter) or alpha-galactosidase (0, 0.025 and 0.25 g/kg SBM dry matter) were mixed with SBM alone or in all possible combinations and treated SBMs incorporated into semi-purified diets containing 450 g SBM/kg as the sole source of dietary N and offered to growing broiler chicks for 21 d. Similar patterns of increases in chick growth rate and diet digestibility to those recorded in experiment 3 were obtained when protease P3 and alpha-galactosidase where included in the diets. 6. It is concluded that responses measured by tube-feeding SBM treated with protease P3 and alpha-galactosidase were similar to responses obtained with growing broiler chicks. Further, these responses were obtained by simple addition of enzymes to diets and nutritive value of SBM was improved by both protease and alpha-galactosidase treatment.

Animal Feed↗
PubMed1986

Eating disordered behaviors: a comparison of male and female university students.

This study compared male and female students on measures characteristic of eating disordered behavior. Measures investigated were subscales of the Eating Disorders Inventory and of the Restrained Eating Scale. Results indicated that both males and females reported a fundamental pattern of eating disordered behavior. This pattern consisted of going on and off diets with an accompanying complaint of a lack of confidence in recognizing and identifying sensations of hunger and satiety. Females differed from males in that they reported more anorexic behavior and scored significantly higher on most measures of eating disordered behavior. Although the fundamental pattern of disordered eating leading to bulimia may be similar between the sexes, females appear to be at greater risk to the development of these behaviors.

Body Image↗