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PubMed1985

Excess glucose intake induces accelerated beta-cell polyploidization in normal mice: a possible deleterious effect.

Normal nondiabetic homozygous and heterozygous littermates of db/db diabetes-prone mice (seven/group) were fed a 5% solution of glucose as their sole source of liquid for 10 wk. Controls (seven/group) drank tap water, and both groups received stock diet ad libitum. Body weights, tail lengths, food and fluid consumption were recorded throughout the study, and plasma and urine glucose were measured during wk 10. The total caloric intake, including the glucose solution drunk by some of the mice, was not significantly different among the four groups. No differences in plasma or urine glucose were detected. Total-body dry weight, water and lipid were measured, and pancreata were analyzed for beta-cell polyploidy by a combination of Feulgen cytophotometry and nuclear size analysis. The percentage of polyploid beta-cells was significantly higher in the animals that drank glucose than in those that drank water and was independent of both genotype and growth indices attributable to genotype. The greater polyploidization was interpreted as reflecting premature aging of the beta-cell population. It was hypothesized that such glucose-induced premature aging in animals with a genetically restricted potential for beta-cell proliferation could contribute to the precipitation of overt diabetes.

Animals↗

PubMed2005

Intake of fruits and vegetables, carotenoids, folate, and vitamins A, C, E and risk of bladder cancer among women (United States).

OBJECTIVE: To examine the relation between fruits and vegetables, carotenoids, folate, and vitamins A, C, E and the risk of bladder cancer in a prospective study of women. METHODS: A total of 237 incident bladder cancer cases were documented during 20 years of follow-up among 88,796 women enrolled in the Nurses' Health Study. Dietary intake was assessed by food-frequency questionnaires every two to four years and incident diagnosis of bladder cancer was ascertained every two years. Cox proportional hazard models were used to estimate incidence rate ratios (RR) and 95% confidence intervals (CI) for bladder cancer risk, adjusting for age, pack-years of smoking, current smoking, and total caloric intake. RESULTS: Consumption of total fruits and vegetables was not associated with bladder cancer risk (RR = 1.08, 95% CI = 0.70-1.65, for > 5.5 compared to < 2.5 servings per day). Similarly, dietary intakes of carotenoids, folate, and vitamins A, C, E, were not related to bladder cancer risk. No association was observed between supplemental intake of multivitamins, vitamins A, C, E and bladder cancer risk. CONCLUSIONS: We did not observe any association for fruit and vegetable consumption or vitamin intake and bladder cancer risk among women.

Adult↗

PubMed1984

Diminished energy requirements in reduced-obese patients.

In assessing the reasons for the frequent regaining of weight by reduced-obese patients, we examined retrospectively the seven-day energy intake requirements for weight maintenance of 26 obese patients (12 males, 14 females) at maximum weight (152.5 +/- 8.4 kg) and after weight loss (100.2 +/- 5.7 kg). These results were compared with those obtained in 26 age- and sex-matched control patients who had never been obese (62.6 +/- 2.3 kg). The obese and control subjects required comparable caloric intakes: 1432 +/- 32 kcal/m2/d vs 1341 +/- 33 kcal/m2/d, respectively. Following weight loss, the reduced-obese subjects required only 1021 +/- 32 kcal/m2/d, a 28% decrease (P less than 0.001) in requirements relative to their obese state and a 24% decrease relative to the control patients (P less than 0.001). The mean individual energy requirement of the reduced-obese subjects (2171 kcal/d) was less than that for the control subjects (2280 kcal/d) despite the fact that they still weighed 60% more than the controls. In order to maintain a reduced weight, some reduced-obese or even partially reduced patients must restrict their food intake to approximately 25% less than that anticipated on the basis of metabolic body size. The reasons why this finding is unlikely to be an artifactual consequence of changes in lean body mass or body water content are discussed. This finding has implications with regard to the pathophysiology and treatment of obesity in humans.

Adult↗

PubMedDate not supplied

A method for the isolation of longevity mutants in the nematode Caenorhabditis elegans and initial results.

The free-living nematode Caenorhabditis elegans is used as a genetically manipulable experimental system for the study of aging. Utilizing a temperature-sensitive sterile strain with a normal life span, a method is described for the isolation of mutant strains with significantly increased life spans. Eight mutant strains were isolated each having increased life spans. Two mutant strains were spontaneous dauer formers, accounting for their increased longevity. Another was chemotaxis-defective, causing reduced food intake which could account for its increased life span. Five mutants suffered from varying degrees of paralysis affecting their rate of pharyngeal pumping and food ingestion. The high correlation of the decreased rate of food ingestion of these mutants with their increased longevity is interpreted as indicating that the increased longevity is most likely due to reduced caloric intake. These results appear to indicate that specific life span genes are extremely rare or, alternatively, life span is controlled in a polygenic fashion.

Aging↗

PubMed1993

Dietary factors related to colorectal neoplasms.

Although the etiology of colorectal cancer is multifactorial, experimental evidence suggests a role for dietary factors in the promotion of this disease. The complex interrelations governing energy balance and the consumption of fat, fiber, and micronutrients make it difficult to define the precise role of specific dietary factors in the etiology of colorectal neoplasms. Epidemiologic studies have demonstrated a correlation between the prevalence of colorectal cancer and per capita consumption of meat and fat. Case-control studies investigating the relation between colorectal cancer and dietary fat consumption have yielded inconsistent results. Prospective studies have failed to demonstrate a relation between fat consumption and subsequent risk for colorectal cancer. There is an inverse correlation between fiber intake and the prevalence of colorectal carcinoma. A more detailed analysis of the influence of various types of dietary fiber on the subsequent risk for colorectal cancer will provide a better understanding of this relation. Fiber derived from fruits and vegetables may provide more effective protection than cereal fibers. Correlational studies have established an association between total caloric intake and the prevalence of colorectal carcinoma. The design of future studies investigating the influence of individual dietary constituents on the risk for colorectal cancer must control for variations in energy balance as a confounding variable. Recent evidence suggests that a variety of micronutrients, including calcium, vitamin D, selenium, and vitamins A, C, and E, exert an anticarcinogenic effect. Studies designed to evaluate the influence of alcohol consumption on colorectal carcinogenesis have yielded inconclusive results. The potential influence of food preparation methods on colorectal carcinogenesis requires further evaluation. There is no conclusive evidence to support any of the hypotheses proposed to explain the role of dietary factors in colorectal carcinogenesis. Intervention trials designed to monitor intermediate markers for colorectal cancer such as increased epithelial-cell proliferation rates and the development of aberrant crypt architecture provide the opportunity for testing these hypotheses in relatively short-term studies. The results from such studies can be utilized in the design of large-scale, long-term prospective studies to evaluate the influence of dietary factors on the development of colorectal neoplasms. These trials should generate the information required to develop strategies for diet modification to reduce the incidence of colorectal carcinoma.

Colorectal Neoplasms↗

PubMed1989

A comparison of the validity of three scales for the assessment of dietary restraint.

The construct validity of Herman and Polivy's Restraint Scale (RS), the restraint factor of the Three Factor Eating Questionnaire (TFEQ-R), and the restraint scale of the Dutch Eating Behavior Questionnaire (DEBQ-R) were investigated by relating these scales to self-reported mean caloric intake per day and to other measures associated with disordered eating and figure consciousness. A factor analysis showed that the three restraint scales measure different components of the restraint construct. A high score on the RS was closely related to consequences of mostly unsuccessful dieting, such as disinhibited eating and weight fluctuations, but not to successful overall caloric restriction in everyday life. High scores on the TFEQ-R and the DEBQ-R represented the more successful dieting behavior component of restraint. The three scales have in common a motivational component of restrained eating, including concerns about shape and weight, and desire for thinness.

Adolescent↗

PubMed1990

Dietary management of nursing home residents with non-insulin-dependent diabetes mellitus.

Eighteen residents with non-insulin-dependent diabetes mellitus (NIDDM) from two skilled nursing facilities were monitored for glycemic control on diabetic and regular diets provided by the institution. Weekly fasting plasma glucose and 1-d dietary intake were followed for 16 wk: 4 wk on diabetic diets before and after an 8-wk regular-diet period. All residents were in good glycemic control (fasting plasma glucose 7.0 +/- 0.6 mmol/L) at entry into the study. During the regular-diet period, fasting plasma glucose increased an average of 0.6 mmol/L for all residents. Caloric intake increased during the regular-diet period although body weight did not change significantly. In both study periods nutrient intake of the residents met or exceeded the Recommended Dietary Allowances for the age group. These results indicate that the short-term substitution of regular for diabetic diets did not result in gross deterioration of glycemic control in patients with NIDDM confined to chronic-care facilities.

Aged↗

PubMed1987

Alterations in piglet small intestine after cholesterol deprivation.

Mammalian cells require cholesterol for normal cell function. This requirement can be fulfilled by endogenous biosynthesis or by extracellular supplementation. Infants fed with human milk receive greater quantities of cholesterol than those fed commercial formulas. Whether this lack of cholesterol in commercial formulas poses a threat to normal neonatal cell function is not known. We compared small intestinal microvillus membrane fluidity, hydrolase activities, protein concentration, permeability to nonabsorbable markers, and weight gain in neonatal piglets receiving restricted intake of isocaloric formulas containing either normal amounts of cholesterol (145 mg/dl) or very low levels of cholesterol (less than 2 mg/dl). Using the fluorescent probe, diphenylhexatriene, and fluorescence polarization, microvillus membranes from cholesterol deprived piglets demonstrated higher fluidities than did microvillus membranes from animals fed normal concentrations of cholesterol. Cholesterol-deprived animals, even though their caloric intake was similar to cholesterol-fed animals, demonstrated a net weight loss per animal whereas the cholesterol-fed animals demonstrated a weight gain. These results demonstrate that in a pig model on a restricted intake, cholesterol deprivation alters the biophysical properties of the microvillus membrane.

Animals↗

PubMed1994

Malabsorption in infants with congenital heart disease under diuretic treatment.

Intestinal absorption and its relationship to increased total body water was studied in seven infants with congenital heart disease receiving regular diuretics due to congestive heart failure. All infants and six age-matched healthy controls were studied for a 3-d period during which time all food intake was recorded, stools were collected, and total body water content (TBW) and extracellular water were measured. All the anthropometric measurements were lower in the infants with congenital heart disease compared with healthy controls. Energy and fat excretion in the stools were significantly increased in the group of patients, but when expressed as a percentage of daily caloric intake or as a percentage of the specific intake (e.g. fat excretion/fat intake x 100), no statistical differences were found. TBW as a percentage of body weight was increased in our patients compared with our controls (84.95 +/- 5.82% versus 68.65 +/- 4.60%; p = 0.01) and so was extracellular water as a percentage of predicted (200.0 +/- 18.6% versus 100.9 +/- 7.2%; p = 0.001). A positive correlation was found between energy and fat excretion as a percentage of the intake and TBW as a percentage of predicted; energy and fat malabsorption did not exceed 8% in the patients with the highest body water content (120% of predicted). It is concluded that malabsorption is not a significant factor in failure to thrive of patients with congenital heart disease who are receiving regular diuretics. Based on the significant negative correlation between excess body water and fat and calorie absorption, however, it is suggested to monitor TBW in patients who fail to gain weight.

Body Water↗

PubMed2004

Induction of brain-region-specific forms of obesity by agouti.

Disruption of melanocortin (MC) signaling, such as by ectopic Agouti overexpression, leads to an obesity syndrome with hyperphagia, obesity, and accelerated body weight gain during high-fat diet. To investigate where in the brain disruption of MC signaling results in obesity, long-term Agouti expression was induced after local injections of recombinant adeno-associated viral particles in selected brain nuclei of adult rats. Agouti expression in the paraventricular nucleus, a hypothalamic region with a high density of MC receptors, induced acute onset hyperphagia and rapid weight gain that persisted for at least 6 weeks. In contrast, obesity and hyperphagia developed with a 3 week delay when Agouti was expressed in the dorsal medial hypothalamus. Agouti expression in the lateral hypothalamus (LH) did not affect food intake and body weight during regular diet, despite the presence of MC receptors in this region. However, during exposure to a high-fat diet, animals with Agouti expression in the LH exhibited a marked increase in body weight. Here we show that the LH is important for the protection against diet-induced obesity by controlling caloric intake during consumption of a high-fat diet. Together, this study provides evidence that different aspects of the Agouti-induced obesity syndrome, such as hyperphagia and diet responsiveness, are mediated by distinct brain regions and opens challenging opportunities for further understanding of pathophysiological processes in the development of the obesity syndrome.

Agouti Signaling Protein↗

PubMed1978

[Evaluation of food intake and adrenergic response in rats during the tail pinch test].

The urinary catecholamines output and the food intake were investigated in two groups of rats: a control group and a group where Tail Pinches (T.P.) were performed. Our results have shown, as these of antelman and al., that the Tail Pinch induced a high concentrate milk consumption, in spite of an increase of adrenergic activity which is known to have an inhibitory effect on caloric intake. We suggest that the role of various stress on food intake dependes on the balance of these two antagonist effects.

Animals↗

PubMed1990

The influence of dietary education in diabetic children.

The aim of our study was to evaluate the efficacy of dietary education in inducing modification of the diet and to measure biochemical parameters in 36 children and adolescents with IDDM. At the beginning of the study, each patient was evaluated as follows: food intake (by the method of the 24-h recall for 3 days), auxological parameters, biochemical parameters. Thereafter a program of nutritional guidelines was provided. Subsequent meetings took place at 1-month-intervals. The study ended 3 months later, when all the parameters were completely revalued. We observed improved nutrition in our patients both in terms of total caloric intake and calorie distribution. In particular there was an increase in carbohydrates and a reduction in lipids, reaching the percentage levels recently recommended. With a reduction in lipid intake a significant decrease in LDL cholesterol and a significant increase in HDL cholesterol were noticed in our patients. These modifications are very important for the prevention of arteriosclerosis and thus macrovascular disease. We maintain that dietary education plays an important role in helping children and adolescents with IDDM to follow a suitable diet.

Adolescent↗

PubMed2005

Relationship between the ability to recognize energy intake and expenditure, and blood sugar control in type 2 diabetes mellitus patients.

To investigate the association between an individual's ability to recognize his/her energy intake and energy expenditure with the status of diabetes mellitus (DM) control, we conducted a cross-sectional study using data from 62 outpatients with type 2 DM (46 men and 16 women), aged 33-77 years, from two hospitals in Tokyo in 1999. A dietitian-interviewer asked the patients to estimate their probable energy intake and expenditure in recent days (self-estimated energy intake and expenditure, respectively). Subsequently, a dietary survey was conducted to estimate the patient's energy intake by a self-recorded method with a dietitian's interview for three continuous business days; the physical exercise levels were measured using a pedometer with multiple-memory accelerometers for one week. The percentage of subjects whose self-estimated energy intake was within +/-10% of the dietary survey-based energy intake became significantly lower as the control status worsened (35.6, 12.9, and 11.1% in the first, second, and third tertile groups of HbA(1c), respectively; P = 0.015). Similar but non-significant results were observed for the energy expenditure (P = 0.35). Since the control status of DM was worse among patients who could not recognize their amount of caloric intake and expenditure, a training program to improve such recognition ability may be needed.

Adult↗

PubMed1996

The polyp prevention trial II: dietary intervention program and participant baseline dietary characteristics.

The Polyp Prevention Trial (PPT) is a multicenter randomized controlled trial to evaluate whether a low-fat, high-dietary fiber, high-fruit and -vegetable eating pattern will reduce the recurrence of adenomatous polyps of the large bowel. Men and women who had one or more adenomas removed recently were randomized into either the intervention (n = 1037) or control (n = 1042) arms. Food frequency questionnaire data indicate that PPT participants at the beginning of the trial consumed 36.8% of total energy from fat, 9.7 g of dietary fiber/1000 kcal, and 3.8 daily servings of fruits and vegetables. Baseline dietary characteristics, including intake of fat, fiber, and fruits and vegetables, as well as other macro- and micronutrients, were similar in the two study groups. The intervention participants receive extensive dietary and behavioral counseling to achieve the PPT dietary goals of 20% of total energy from fat, 18 g/1000 kcal of dietary fiber, and 5-8 daily servings (depending on total caloric intake) of fruits and vegetables. Control participants do not receive such counseling and are expected to continue their usual intake. Dietary intake in both groups is mentioned annually using a 4-day food record (also completed at 6 months by intervention participants only) and a food frequency questionnaire, with a 10% random sample of participants completing an annual unscheduled 24-h telephone recall. Blood specimens are drawn and analyzed annually for lipids and carotenoids. This article provides details on the rationale and design of the PPT dietary intervention program and describes the participant baseline dietary intake data characteristics.

Adenomatous Polyps↗

PubMed1985

Effect of chronic alcohol intake on muscle composition and metabolic balance of calcium and phosphate in rats.

Chronic alcoholism is associated with abnormalities of serum and muscle mineral metabolism. Decreased muscle phosphate and magnesium and increased muscle calcium have been proposed as significant factors in the development of alcoholic myopathy. As the mechanisms producing these abnormalities remain unknown, we sought to reexamine these findings and investigate the extent to which the kidney and gastrointestinal tract contribute to their pathogenesis. Serum and muscle from rats receiving 20% of their caloric intake as ethyl alcohol were analyzed for PO4, Ca, Mg, Na, and K at 0 and 20 wk and compared with isocalorically fed normals. In addition, individual metabolic balance studies were carried out over 72 h for Ca and PO4 in normal and alcohol-fed rats. The results of serum and muscle analyses did not reveal any differences among the groups for any of the minerals examined. Metabolic balance studies demonstrated that despite a significantly lower Ca and PO4 intake in the alcoholic rats (P less than 0.003) net balance remained the same as in controls. This was due to the retention of a significantly larger proportion of the ingested mineral and was achieved for both Ca (P less than 0.05) and PO4 (P less than 0.03) by means of greater gastrointestinal absorption and additionally for PO4 by a reduction in renal excretion (P less than 0.005). We conclude that in the rat chronic alcohol ingestion is not associated with abnormalities in serum or muscle mineral concentrations, normal adaptive mechanisms by the kidney and gastrointestinal tract compensate appropriately for differences in dietary Ca and PO4, and the rat may not be a suitable species for the study of metabolic effects of chronic alcoholism.

Alcoholism↗

PubMed1986

Dietary supplement and food intake in women of childbearing age.

The relationship between dietary adequacy and supplement use was examined in 3,227 nonpregnant women aged 15 to 41 years from the first National Health and Nutrition Examination Survey. Twenty-five percent of the women used dietary supplements regularly; 67% of them consumed some form of multivitamin. Supplement users had a higher income and education, were more often white, had a leaner body composition, and were more likely to reside in the western United States than nonusers. Caloric intake of users and non-users was similar. However, independent of the supplements, the diets of supplement users contained significantly more dietary protein, phosphorus, iron, potassium, thiamin, and niacin than the diets of non-users. A considerable portion of both users and non-users had dietary intakes of less than 50% of the Recommended Dietary Allowances for calcium, iron, vitamin A, and vitamin C; however, a significantly greater proportion of supplement non-users had low intakes of iron and vitamin C. Supplement users generally consumed a more nutrient-dense diet and may be the individuals who least need supplements.

Adolescent↗

PubMed1994

Assessment of the reliability of a diet history questionnaire.

The purpose of this study was to estimate the reliability of a self-administered food frequency questionnaire developed at the National Cancer Institute (NCI) (Bethesda, MD). Food intake information was collected from 48 women with breast cancer and 50 women who had a familial breast cancer risk. These women were participants in a long-term investigation of diet and breast cancer at the Ohio State University (Columbus, OH). Pearson correlation coefficients were obtained for 29 nutrients. The effect of time between questionnaires, age, weight, and caloric intake was also examined. The results showed moderate reliability coefficients for most of the nutrients (r = 0.5-0.8). For the majority of nutrients, the women with breast cancer had higher coefficients than did the high-risk women. High-risk women with shorter elapsed time periods between the first and second questionnaire had higher reliability coefficients as did women who consumed fewer calories. Age and weight (standardized by height) showed no effect on reliability. Recommendations for improving the NCI questionnaire in addition to using it as a standard method of measuring food intake are discussed.

Age Factors↗

PubMed1990

Influence of diet composition on food intake and hypothalamic neuropeptide Y (NPY) in the rat.

Ingestion of a high carbohydrate (HC) or high fat (HF) diet induces obesity in association or not with modifications of the feeding behaviour. Effects of diet composition on NPY, a powerful stimulant of weight gain and food intake (particularly carbohydrates), are not known. That is why we measured NPY in 10 microdissected brain nuclei of rats fed either a HC diet (69% of energy from carbohydrates), a HF diet (68% of energy from fat) or a control well-balanced diet (54% of energy from carbohydrates; 30% of energy from fat) during a 14-day period. Total caloric intake was significantly greater (+12%) in rats fed on the HF diet than in the control and HC rats. HF rats also gained more weight than the two other groups (47.5 +/- 2.4 g vs 37.6 +/- 2.6 g (control) and 29.1 +/- 1.4 g (HC); p less than 0.001). NPY variations were restricted to two hypothalamic areas. In the parvocellular part of the paraventricular nucleus, NPY was smaller with the HC diet than with the HF diet (42.1 +/- 2.3 vs 49.5 +/- 2.7 ng/mg protein; p less than 0.05). A decrease was observed in the lateral hypothalamus with the HF diet when compared with the control diet (11.3 +/- 0.7 vs 14.6 +/- 1.1 ng/mg protein; p less than 0.05). No variations were observed either in other hypothalamic nuclei such as arcuate, dorsomedian, ventromedian or suprachiasmatic nuclei or in extra-hypothalamic areas such as the ventral tegmental area or submamillary bodies.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗