JOURNAL OF THE AMERICAN DIETETIC ASSOCIATION

A BLUEPRINT-BASED CASE STUDY ANALYSIS OF NUTRITION SERVICES PROVIDED IN A MIDTERM CARE FACILITY FOR THE ELDERLY

PAQUET CATHERINE; ST-ARNAUD-MCKENZIE DANIELLE; FERLAND GUYLAINE; DUBE LAURETTE

Ensuring nutritionally adequate food intake in institutions is a complex and important challenge for dietitians. Paquet et al introduce an approach to tackle this problem-the blueprint-based case study -as applied in the context of a mid-term care facility for the elderly. They conclude that this approach represents a valuable tool to determine the optimal allocation of resources so as to insure nutritionally adequate food intake to patients. DIETITIANS, NUTRITION, NURSING HOMES, OLDER PEOPLE, DIET

ADA CONSUMER EDUCATION MESSAGE TO APPEAR ON HUNT'S TOMATO PRODUCTS

A message describing the health benefits of eating tomato-based products from the American Dietetic Association (ADA) is being printed on the labels of Hunt's spaghetti sauce products. The message is part of a public education program and is not a product endorsement, recognition or certification program. PUBLIC HEALTH, EDUCATION, TOMATOES, DIET, DESCRIPTIVE LABELING

CHANGES IN DIET, PHYSICAL ACTIVITY, AND SUPPLEMENT USE AMONG ADULTS DIAGNOSED WITH CANCER

PATTERSON RUTH E; NEUHOUSER MARIAN L; HEDDERSON MONIQUE M; SCHWARTZ STEPHEN M

Data regarding changes in lifestyle in response to a diagnosis of cancer are scarce. This study examines self-reported changes in diet, physical activity, and dietary supplement use among cancer patients diagnosed up to 24 months in the past. The subjects were 126 breast, 114 prostate, and 11 colorectal cancer patients from Washington state. The results of this study indicate that cancer patients are often making lifestyle changes months to years after diagnosis and represent a group of adults that could benefit from counseling on diet and physical activity. Patterson et al conclude that cancer survivors are likely to be making lifestyle changes and represent a group that could benefit from counseling on diet and physical activity. LIFESTYLES, DIET, EXERCISE, CANCER, DIETARY SUPPLEMENTS

EFFECT OF WEIGHT CHANGE ON BONE MASS IN FEMALE ADOLESCENTS

ROURKE KATHLEEN M; BREHM BONNIE J; CASSELL CINDY; SETHURAMAN GOPALAN

Rourke et al examine changes in BMD/BMC (bone mineral density/bone mineral content) in obese adolescent females pursuing a weight reduction program. Weight changes were strongly related to bone measurement changes in a population of obese adolescent females. Dietitians counseling obese young girls are encouraged to emphasize the importance of a healthy weight loss program with optimal calcium intake and inclusive of weight bearing exercises. TEENAGERS, OBESITY, GIRLS, BONES, WEIGHT CONTROL, DIET

EFFECTS OF TWO MODELS OF NUTRITIONAL INTERVENTION ON HOMEBOUND OLDER ADULTS AT NUTRITIONAL RISK

KRETSER ALISON J; VOSS THERESA; KERR WENDALL W; CAVADINI CLAUDE

Kretser et al set out to test the feasibility of two models of home meal delivery with Meals-on-Wheels (MOW) applicants who were identified as being malnourished or at-risk as determined by the validated Mini Nutritional Assessment (MNA). Study participants received either the Traditional MOW program of five hot meals/week meeting 33% of the Daily Reference Intake (DRI) of the restorative, comprehensive New MOW program of 3 meals and 2 snacks per day, 7 days a week meeting 100% of the DRI. The authors conclude that applicants for home meal delivery have varying nutrition needs and by addressing nutritional risk, interventions can be targeted to meet these needs. The new, restorative, comprehensive meal program improved nutritional status and decreased nutritional risk and can possibly impact independence and functionality. NUTRITION, VOLUNTEERS, OLDER PEOPLE, MALNUTRITION

EXPANDING MEDICAL NUTRITIONAL THERAPY: AN ARGUMENT FOR EVIDENCE-BASED PRACTICES

SMITH RON

As registered dietitians face increasing competition from other professionals to provide nutrition services and an increasing demand from patients for nutrition services, the dietetics profession is being forced into a shift from traditional practice to evidence-based practice. Although other medical and nutrition professionals can provide nutrition education, registered dieticians go a step further in providing medical nutrition treatment, including nutrition assessment, nutrition diagnosis, nutrition intervention, and outcomes evaluation. NUTRITION, DIETITIANS, PROFESSIONALS, MEDICAL TREATMENT

FAMILY MEAL PATTERNS: ASSOCIATIONS WITH SOCIODEMOGRAPHIC CHARACTERISTICS AND IMPROVED DIETARY INTAKE AMONG ADOLESCENTS

NEUMARK-SZTAINER DIANNE; HANNAN PETER J; STORY MARY; CROLL JILLIAN; PERRY CHERYL

Stor et al examine family meal patterns and associations with sociodemographic characteristics and dietary intake in adolescents. They conclude that dietitians and other health care providers working with adolescents and their families need to assess family meal patterns and explore realistic ways for increasing the frequency of family meals, taking into account family dynamics and schedules. It may be helpful for parents of adolescents to know about ways in which they can positively influence their teenagers' eating patterns. TEENAGERS, FAMILIES & FAMILY LIFE, DIET, NUTRITION, SOCIOECONOMIC FACTORS, DEMOGRAPHICS

GALACTOSE CONTENT OF BABY FOOD MEATS: CONSIDERATIONS FOR INFANTS WITH GALACTOSEMIA

WEESE S JEAN; GOSNELL KELLY; WEST PATTI; GROPPER SAREEN S

The purpose of this study was to determine the free and bound galactose contents of baby food meats. While food containing bound galactose are not restricted in the diet, it is noteworthy that one jar (71g) of baby food meat would provide up to only 0.105 mg bound galactose assuming 100% bioavailability. Based on current recommendations all baby food meats examined in the study would be acceptable for infants with galactosemia. BABY FOODS, MEDICAL DISORDERS, MEAT, DIET

MEDICAL NUTRITION THERAPY FOR THE PREVENTION AND TREATMENT OF UNINTENTIONAL WEIGHT LOSS IN RESIDENTIAL HEALTHCARE FACILITIES

SPLETT PATRICIA L; ROTH-YOUSEY LORI LYNN; VOGELZANG JODY LYNN; WOODS TIMOTHY

The objectives of this study include: identifying the rate of unintentional weight loss (UWL) in adults following their admission into residential health care facilities, assessing the effectiveness of a new medical nutrition therapy (MNT) protocol for the prevention and treatment of UWL, and describing nutrition assessment and intervention activities of dietitians. Designed as a prospective intervention study in which volunteer dietitians were randomly assigned to leading usual nutrition care (UC) or MNT protocol care (MNT-PC) groups. The authors conclude that nutrition care protocols with standardized weighing procedures can increase the identification of UWL in the residential health care environment. Improved identification supports the additional assessment activities used by MNT-PC dietitians. Similar outcomes for UC and MNT-PC groups when UWL was identified indicate that usual nutrition care was already a high standard of care for intervention. WEIGHT CONTROL, HOSPITALS, INPATIENT CARE, NUTRITION

MICRONUTRIENTS AND HIV INFECTION

'Micronutrients and HIV Infection' edited by Henrik Friis is reviewed. Favorable book review. NONFICTION, HUMAN IMMUNODEFICIENCY VIRUS, HIV, NUTRITION, DIETITIANS

THE EATING BEHAVIOR PATTERNS QUESTIONNAIRE PREDICTS DIETARY FAT INTAKE IN AFRICAN AMERICAN WOMEN

SCHLUNDT DAVID G; HARGREAVES MARGARET K; BUCHOWSKI MACIEJ S

The purpose of this study was to develop and validate a culturally specific eating behavior patterns questionnaire that can predict intakes of total fat and fiber of African American women. To achieve this goal, Schlundt et al identified patterns of eating behavior, dietary habits, and cultural beliefs about food intake in a group of Southern, urban African American women, and used these data to design and refine the questionnaire. The Eating Behavior Patterns Questionnaire (EBPQ) was developed using a three-stage design involving item generation, item refinement, and questionnaire validation. The authors conclude the EBPQ may be a useful tool for clinical assessment, clinical and community nutrition intervention studies, and epidemiological research with African American women. AFRICAN AMERICANS, WOMEN, DIET, NUTRITION, QUESTIONNAIRES

THE NATIONAL DYSPHAGIA DIET: IMPLEMENTATION AT A REGIONAL REHABILITATION CENTER AND HOSPITAL SYSTEM

MCCALLUM SHIRLEY L

In order to address the multiplicity of dysphagia diet terminology and practices, a multi-disciplinary task force has developed The National Dysphagia Diet. Implementation of the diet required a massive staff education effort which served to review and confim dysphagia food policies. DIET, MEDICAL DISORDERS, HOSPITALS, TRAINING

WILL TAKING THE AMINO ACID SUPPLEMENT LYSINE PREVENT OR TREAT THE HERPES SIMPLEX VIRUS?

MARCASON WENDY

Herpes simplex virus type 1 is a common virus among the general population and is usually acquired in childhood. Research is conflicting on the role of lysine in treating herpes simplex infection, although relaxation and behavior modification is encouraged since stress may activate the virus. HERPES VIRUSES, LIFESTYLES, DIET

LIFELONG LEARNING GOALS: INDIVIDUAL STEPS THAT PROPEL THE PROFESSION OF DIETETICS

PETRILLO TRACY

Lifelong learning is a critical factor in the success of the individual and the future of the dietetics profession. Many individuals lose their sense of purpose when committing themselves to routine work and using repetitive and stagnant skills, so it is imperative for those individuals to reflect on areas of interest and personal strengths, and to regain their sense of professionalism. PROFESSIONAL DEVELOPMENT, DIETITIANS, LEARNING, PROFESSIONALS

PROFESSIONAL BOUNDARY ISSUES IN PRACTICE

FORNARI ALICE

Fornari addresses the role of the registered dietitian as the primary nutrition counselor in an ambulatory care setting. Registered dietitians are well-trained professionals prepared to practice in a variety of settings; counseling is integral to dietetics practice in many of them, and each setting and client requires its own scope of counseling theory and skill. COUNSELING, DIETITIANS, PROFESSIONAL DEVELOPMENT, NUTRITION

OATS AND THE GLUTEN-FREE DIET

THOMPSON TRICIA

Whether oats should be included in a gluten-free diet has been debated for half a century. There are concerns among some authorities on celiac diseases that even if oats themselves are safe, they nonetheless may be contaminated with wheat, rye, or barley. Patients should be advised to consume only those products tested and found to be free of contamination. OATS, MEDICAL DISORDERS, DIET, CONTAMINATION

SOY-ENHANCED LUNCH ACCEPTANCE BY PRESCHOOLERS

ENDRES JEANNETTE; BARTER SHARON; THEODORA PERSELI; WELCH PATRICIA

In this study, the acceptance of soy foods by preschool children was evaluated by substituting soy-enhanced foods on a traditional cycle menu in a preschool program. The amount eaten, energy and nutrient values for traditional and soy-enhanced lunches were compared. Participants were preschool children 3 to 6 years of age, of Caucasian Hispanic origin attending a part-day Head Start program. The results indicate that preschool programs can substitute soy-enhanced for traditional foods that will add variety to the diet without sacrificing taste, energy, or nutrient value. PRESCHOOL EDUCATION, SOY PRODUCTS, CHILDREN & YOUTH, OPINIONS, DIET

HOMOCYSTEINE AND ALZHEIMER'S DISEASE

LEBOEUF RENEE

Alzheimer's disease (AD) is the most common form of dementia and currently affects approximately 4 million Americans. Researchers recently demonstrated that an elevated plasma level of homocysteine (HCY) is a strong risk factor for Alzheimer's Disease, and because levels of homocysteine can be modulated by dietary folate (3), this study pinpoints a potential target for AD prevention. ALZHEIMERS DISEASE, DEMENTIA, DIET, PEPTIDES, PLASMA