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https://www.readbyqxmd.com/read/28814218/diagnosis-and-management-of-pancreatic-exocrine-insufficiency
#1
Mehrdad Nikfarjam, Jeremy S Wilson, Ross C Smith
In 2015, the Australasian Pancreatic Club (APC) published the Australasian guidelines for the management of pancreatic exocrine insufficiency (http://pancreas.org.au/2016/01/pancreatic-exocrine-insufficiency-guidelines). Pancreatic exocrine insufficiency (PEI) occurs when normal digestion cannot be sustained due to insufficient pancreatic digestive enzyme activity. This may be related to a breakdown, at any point, in the pancreatic digestive chain: pancreatic stimulation; synthesis, release or transportation of pancreatic enzymes; or synchronisation of secretions to mix with ingested food...
August 21, 2017: Medical Journal of Australia
https://www.readbyqxmd.com/read/28811750/availability-of-a-sports-dietitian-may-lead-to-improved-performance-and-recovery-of-ncaa-division-i-baseball-athletes
#2
Michael V Hull, Jonathan Neddo, Andrew R Jagim, Jonathan M Oliver, Mike Greenwood, Margaret T Jones
BACKGROUND: The purpose was to survey dietary habits (DH) and nutrient timing (NT) practices of baseball student-athletes (mean ± SD; 20.7 ± 1.4 yr.) from three NCAA Division I institutions, and examine the effect of a sports dietitian (SD) in regard to nutrition practices. METHODS: Descriptive statistics and Pearson X(2) analyses were run. Responses on 10 DH and 5 NT items differed (p ≤ 0.10) between athletes who sought dietary planning from a SD (n = 36) versus those who consulted a strength and conditioning coach (SCC, n = 42)...
2017: Journal of the International Society of Sports Nutrition
https://www.readbyqxmd.com/read/28806407/low-fermentable-oligosaccharides-disaccharides-monosaccharides-and-polyols-fodmap-diet-improves-symptoms-in-adults-suffering-from-irritable-bowel-syndrome-ibs-compared-to-standard-ibs-diet-a-meta-analysis-of-clinical-studies
#3
Péter Varjú, Nelli Farkas, Péter Hegyi, András Garami, Imre Szabó, Anita Illés, Margit Solymár, Áron Vincze, Márta Balaskó, Gabriella Pár, Judit Bajor, Ákos Szűcs, Orsolya Huszár, Dániel Pécsi, József Czimmer
BACKGROUND: Irritable bowel syndrome (IBS) and functional digestive tract disorders, e.g. functional bloating, carbohydrate maldigestion and intolerances, are very common disorders frequently causing significant symptoms that challenge health care systems. A low Fermentable Oligosaccharides, Disaccharides, Monosaccharides and Polyols (FODMAP) diet is one of the possible therapeutic approaches for decreasing abdominal symptoms and improving quality of life. OBJECTIVES: We aimed to meta-analyze data on the therapeutic effect of a low-FODMAP diet on symptoms of IBS and quality of life and compare its effectiveness to a regular, standard IBS diet with high FODMAP content, using a common scoring system, the IBS Symptom Severity Score (IBS-SSS)...
2017: PloS One
https://www.readbyqxmd.com/read/28806297/adherence-to-a-gluten-free-diet-assessment-by-dietician-interview-and-serology
#4
Pooja Mehta, Zhaoxing Pan, Marisa Dzarnoski Riley, Edwin Liu
We aimed to 1) determine if tissue transglutaminase autoantibody (tTG) positivity was associated with dietitian-assessed adherence to a gluten-free diet in pediatric patients with celiac disease and 2) identify areas where adherence falters. We reviewed the records of children with celiac disease who had a standardized evaluation of adherence by a registered dietitian. A negative tTG value was not associated with good adherence (p = NS). Adherent and nonadherent children differed with respect to purposeful and accidental gluten exposure (p < 0...
August 11, 2017: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/28799800/creation-of-university-wellness-program-healthy-eating-and-active-lifestyle-supports-a-knowledge-to-action-process
#5
Phillip Joy, Linda Mann, Karen Blotnicky
With the burdens that preventable health conditions place on individuals, workplaces, and society, workplace wellness programs (WWP) are critical to ensuring employees have access to health promotion supports tailored to their work environments. Such programs are best guided by a knowledge-to-action (KTA) framework; a theoretically grounded, systematic process that considers the ongoing exchange of knowledge with employees to engage them in health behaviour change and to garner employers' support for the interventions...
August 11, 2017: Canadian Journal of Dietetic Practice and Research
https://www.readbyqxmd.com/read/28799799/it-s-rarely-just-about-the-food
#6
Patricia Chuey
Why are you a dietitian doing what you do? Although we absolutely must keep food central in our conversations about nutritional well-being, our work is rarely ever about food alone. There's always so much more than meets the eye. Reflecting on an entrepreneurial path over 3 decades, the meaning of it all became clearer with each role. Patricia shares perspective on how the more deeply we understand this "thing", the more success we'll have. It's crucial to our effectiveness as communicators, counsellors, colleagues, and citizens of the world...
September 1, 2017: Canadian Journal of Dietetic Practice and Research
https://www.readbyqxmd.com/read/28799798/abstracts-from-dietetic-research-event-june-8-and-9-2017
#7
(no author information available yet)
St John's, Newfoundland was the host city of the 2017 Dietitians of Canada Annual Conference. Through the support of Dietitians of Canada and CFDR, the 2017 event was both an exciting and informative exchange of research and experience-sharing efforts that inspired attendees. The submissions for this year's Canadian Foundation for Dietetic Research (CFDR) event represented the diversity of dietetic research conducted within Canada. The topics highlighted from this year's abstracts included: Clinical Research; Community-based Nutritional Care; Determinants of Food Choice; Dietary Intake; Dietetic Practice and Education; Food Security; Nutrition and Health Education; Nutritional Assessment and Therapy; Nutrition Attitudes; Nutrition Strategy Development Patient Services; Professional Development; Vulnerable Groups and their Nutritional Needs; and, Wellness and Public Health...
September 2017: Canadian Journal of Dietetic Practice and Research
https://www.readbyqxmd.com/read/28799783/gluten-free-foods-in-rural-maritime-provinces-limited-availability-high-price-and-low-iron-content
#8
Jennifer A Jamieson, Laura Gougeon
We investigated the price difference between gluten-free (GF) and gluten-containing (GC) foods available in rural Maritime stores. GF foods and comparable GC items were sampled through random visits to 21 grocery stores in nonurban areas of Nova Scotia, New Brunswick, and Prince Edward Island, Canada. Wilcoxon rank tests were conducted on price per 100 g of product, and on the price relative to iron content; 2226 GF foods (27.2% staple items, defined as breads, cereals, flours, and pastas) and 1625 GC foods were sampled, with an average ± SD of 66 ± 2...
August 11, 2017: Canadian Journal of Dietetic Practice and Research
https://www.readbyqxmd.com/read/28794802/healthy-lifestyle-intervention-for-adult-clinic-patients-with-type-2-diabetes-mellitus
#9
Steven S Coughlin, Christos Hatzigeorgiou, Judith Anglin, Ding Xie, Gina M Besenyi, Gianluca De Leo, Jessica Stewart, Thad Wilkins
BACKGROUND: Diet and exercise therapy have been reported to be effective in improving blood glucose control and are an important part of treatment of type 2 diabetes mellitus. OBJECTIVE: The goal of this study is to examine the efficacy of a healthy lifestyle intervention for adult clinic patients with type 2 diabetes mellitus, as measured by Hgb-A1c, cardiovascular indicators, physical activity, weight, and BMI. Also of interest are optimal strategies for subject recruitment, the number of intervention sessions attended, and participant use of the Fitbit watch to monitor their physical activity and track food and beverage consumption...
2017: Diabetes Management
https://www.readbyqxmd.com/read/28791828/energy-exchangers-with-lct-as-a-precision-method-for-diet-control-in-lchadd
#10
REVIEW
Renata Mozrzymas, Klaudia Konikowska, Bożena Regulska-Ilow
Long-chain 3-hydroxyacyl-CoA dehydrogenase deficiency (LCHADD) is a rare genetic disease. The LCHADD treatment is mainly based on special diet. In this diet, energy from long-chain triglycerides (LCT) cannot exceed 10%, however energy intake from the consumption of medium-chain triglycerides (MCTs) should increase. The daily intake of energy should be compatible with energy requirements and treatment should involve frequent meals including during the night to avoid periods of fasting. In fact, there are no recommendations for total content of LCT in all of the allowed food in the LCHADD diet...
May 2017: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
https://www.readbyqxmd.com/read/28779932/blurred-lines-emerging-practice-for-registered-dietitian-nutritionists-in-integrative-and-functional-nutrition
#11
Patricia Grace-Farfaglia, Denise L Pickett-Bernard, Andrea White Gorman, Jaleh Dehpahlavan
BACKGROUND: This study explored the health philosophy and practice orientation of RDNs in the United States. METHODS: A randomly selected group of RDNs were recruited to take an online survey using a reduced version of Integrative Medicine practice (IM-30). Confirmatory factor analysis, analyses of variance, and non-parametric tests were used to investigate the relationships between dietetic professionals' personal health philosophy, lifestyle, and orientation to Integrative Medicine...
August 2017: Complementary Therapies in Clinical Practice
https://www.readbyqxmd.com/read/28771246/diagnosis-and-treatment-of-tyrosinemia-type-i-a-us-and-canadian-consensus-group-review-and-recommendations
#12
REVIEW
Jeffrey M Chinsky, Rani Singh, Can Ficicioglu, Clara D M van Karnebeek, Markus Grompe, Grant Mitchell, Susan E Waisbren, Muge Gucsavas-Calikoglu, Melissa P Wasserstein, Katie Coakley, C Ronald Scott
Tyrosinemia type I (hepatorenal tyrosinemia, HT-1) is an autosomal recessive condition resulting in hepatic failure with comorbidities involving the renal and neurologic systems and long term risks for hepatocellular carcinoma. An effective medical treatment with 2-[2-nitro-4-trifluoromethylbenzoyl]-1,3-cyclohexanedione (NTBC) exists but requires early identification of affected children for optimal long-term results. Newborn screening (NBS) utilizing blood succinylacetone as the NBS marker is superior to observing tyrosine levels as a way of identifying neonates with HT-1...
August 3, 2017: Genetics in Medicine: Official Journal of the American College of Medical Genetics
https://www.readbyqxmd.com/read/28761662/which-foods-are-displaced-in-the-diets-of-adults-with-type-2-diabetes-with-the-inclusion-of-eggs-in-their-diets-a-randomized-controlled-crossover-trial
#13
Valentine Y Njike, Rachel Annam, Victoria Christina Costales, Niloufarsadat Yarandi, David L Katz
BACKGROUND: The inclusion or exclusion of specific foods from the overall diet inevitably affects other food choices, and this matter is routinely neglected in dietary guidance and nutritional epidemiology. We examined how the inclusion of eggs in the diets of type 2 diabetics affected dietary pattern. METHODS: Randomized, controlled, single-blind, crossover trial of 34 adults (mean age 64.5 years; 14 women, 20 men) with type 2 diabetes assigned to one of two possible sequence permutations of two different 12-week treatments (two eggs/day or egg exclusion), with 6-week washout periods...
2017: BMJ Open Diabetes Research & Care
https://www.readbyqxmd.com/read/28761033/perception-of-hospital-accreditation-among-health-professionals-in-saudi-arabia
#14
Hussein Algahtani, Ahmad Aldarmahi, Juan Manlangit Jr, Bader Shirah
BACKGROUND: Hospital accreditation assesses hospital performance against explicit standards. Studies of the efficacy of accreditation are limited, but suggest that Joint Commission International (JCI) accreditation is efficient in improving the safety and quality of care in accredited hospitals. OBJECTIVES: This study aimed to assess the perceptions of health professionals on the impact of JCI accreditation and implementation of change towards the delivery of quality patient care...
July 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/28758613/developing-measures-of-food-and-nutrition-security-within-an-australian-context
#15
Claire Archer, Danielle Gallegos, Rebecca McKechnie
OBJECTIVE: To develop a measure of food and nutrition security for use among an Australian population that measures all pillars of food security and to establish its content validity. DESIGN: The study consisted of two phases. Phase 1 involved focus groups with experts working in the area of food security. Data were assessed using content analysis and results informed the development of a draft tool. Phase 2 consisted of a series of three online surveys using the Delphi technique...
July 31, 2017: Public Health Nutrition
https://www.readbyqxmd.com/read/28756991/nutritional-status-of-breast-cancer-survivors-1-year-after-diagnosis-a-preliminary-analysis-from-the-malaysian-breast-cancer-survivorship-cohort-study
#16
Hazreen Abd Majid, Low Phei Keow, Tania Islam, Tin Tin Su, Marie Cantwell, Nur Aishah Taib
BACKGROUND: Lifestyle factors, such as diet, body weight, and physical activity, are linked to better survival after breast cancer (BC) diagnosis. A high percentage of the Malaysian population is overweight or obese. In addition, studies have shown a disparity in survival among Malaysian women compared with other higher-income countries. The Malaysian Breast Cancer Survivorship Cohort (MyBCC) study aims to study lifestyle factors that affect survival in BC survivors. These are the preliminary findings on the nutritional status of Malaysian BC survivors...
July 27, 2017: Journal of the Academy of Nutrition and Dietetics
https://www.readbyqxmd.com/read/28754198/practice-paper-of-the-academy-of-nutrition-and-dietetics-classic-and-modified-ketogenic-diets-for-treatment-of-epilepsy
#17
Kelly Roehl, Sarika L Sewak
Ketogenic diet (KD) therapy is an established form of treatment for both pediatric and adult patients with intractable epilepsy. Ketogenic diet is a term that refers to any diet therapy in which dietary composition would be expected to result in a ketogenic state of human metabolism. While historically considered a last-resort therapy, classic KDs and their modified counterparts, including the modified Atkins diet and low glycemic index treatment, are gaining ground for use across the spectrum of seizure disorders...
August 2017: Journal of the Academy of Nutrition and Dietetics
https://www.readbyqxmd.com/read/28748600/accuracy-and-confidence-of-allied-health-assistants-administering-the-subjective-global-assessment-on-inpatients-in-a-rural-setting-a-preliminary-feasibility-study
#18
Cristal S Newman, Petrea L Cornwell, Adrienne M Young, Elizabeth C Ward, Annmarie L Mcerlain
AIM: Malnutrition has a significant impact on patient outcomes and duration of inpatient stay. However, conducting timely nutrition assessments can be challenging for rural dietitians. A solution could be for allied health assistants (AHAs) to assist with these assessments. The present study aimed to assess the accuracy and confidence of AHAs trained to conduct the subjective global assessment (SGA) compared with dietitians. METHODS: A non-inferiority study design was adopted...
July 27, 2017: Nutrition & Dietetics: the Journal of the Dietitians Association of Australia
https://www.readbyqxmd.com/read/28747328/long-term-weight-loss-maintenance-in-obese-patients-with-knee-osteoarthritis-a-randomized-trial
#19
Pia Christensen, Marius Henriksen, Else M Bartels, Anthony R Leeds, Thomas Meinert Larsen, Henrik Gudbergsen, Birgit F Riecke, Arne Astrup, Berit L Heitmann, Mikael Boesen, Robin Christensen, Henning Bliddal
Background: A formula low-energy diet (LED) reduces weight effectively in obese patients with knee osteoarthritis, but the role of LED in long-term weight-loss maintenance is unclear.Objective: We aimed to determine the effect of intermittent LED compared with daily meal replacements on weight-loss maintenance and number of knee replacements over 3 y.Design: The design was a randomized trial with participants aged >50 y who had knee osteoarthritis and a body mass index [BMI (in kg/m(2))] ≥30. Participants were recruited from the osteoarthritis outpatient clinic at Copenhagen University Hospital in Frederiksberg, Denmark; they had previously completed a 68-wk lifestyle intervention trial and achieved an average weight loss of 10...
July 26, 2017: American Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/28745015/exploring-the-provision-of-alcohol-advice-by-clinicians-to-breast-cancer-patients
#20
P Simapivapan, A Hodge, A Boltong
Interactions between clinicians and patients along the cancer trajectory provide an opportunity to deliver key messages regarding drinking behaviours and long-term health. This study aimed to explore the extent and nature of clinician-patient discussions regarding alcohol intake and cancer outcomes in the clinical breast cancer setting, using a qualitative research design involving semi-structured interviews. Purposive sampling was used to recruit 27 breast cancer clinicians (eight dietitians, nine breast care nurses, 10 oncologists) across Victoria, Australia...
July 26, 2017: European Journal of Cancer Care
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