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A home parenteral nutrition program for infants.

Infants with short bowel syndrome and other acquired or congenital gastrointestinal disorders are able to survive their neonatal period, in part, because of the use of parenteral nutrition (PN). An increasing number of these children are being cared for at home while receiving PN. This article reviews a home PN program for infants, including identification of patients, discharge planning, and outpatient care.

Ambulatory Care↗

Nutrition program for the elderly: participants' perception of food quality by type of food service system.

A survey of 1028 clients who participated in 21 nutrition sites for the elderly funded by the Suburban Cook County Area Agency on Aging in Chicago, Illinois revealed that participants who received meals prepared on-site were more satisfied with the quality of the meals than participants who received meals that were satellited as hot bulk food or as preplated cook/freeze meals. Participants who judged the meals as fair or poor were more likely than those who rated the food as excellent or good to respond that they would increase their donation if the food were improved. Data from a national survey used as a standard for judging participant satisfaction of food service are presented in this article.

Aged↗

The National Evaluation of School Nutrition Programs: factors affecting student participation.

Results of the analysis of individual student participation data for the School Breakfast and Lunch Programs are described. The availability of the programs and participation rates for various subgroups of students are estimated. Multiple regression analysis (ordinary least squares) is also used to determine the effects of various factors on participation. For both the Lunch and Breakfast Programs meal price is the single most important predictor of participation. Using the results from the participation analyses, estimates are obtained of the effects that changes in eligibility criteria for free and reduced price meals would have on eligibility, approved meal price status, and participation for the total population and for selected subgroups of students. The effect on federal reimbursements for the programs is also estimated.

Adolescent↗

Maternal nutritional programming of fetal adipose tissue development: differential effects on messenger ribonucleic acid abundance for uncoupling proteins and peroxisome proliferator-activated and prolactin receptors.

Maternal nutrient restriction at specific stages of gestation has differential effects on fetal development such that the offspring are programmed to be at increased risk of a range of adult diseases, including obesity. We investigated the effect of maternal nutritional manipulation through gestation on fetal adipose tissue deposition in conjunction with mRNA abundance for uncoupling protein (UCP)1 and 2, peroxisome proliferator-activated receptors (PPAR)alpha and gamma, together with long and short forms of the prolactin receptor (PRLR). Singleton-bearing ewes were either nutrient restricted (3.2-3.8 MJ day(-1) metabolizable energy) or fed to appetite (8.7-9.9 MJ day(-1)) over the period of maximal placental growth, i.e. between 28 and 80 d gestation. After 80 d gestation, ewes were either fed to calculated requirements, (6.7-7.5 MJ day(-1)), or to appetite (8.0-10.9 MJ day(-1)). At term, offspring of nutrient-restricted ewes possessed more adipose tissue, an adaptation that was greatest in those born to mothers that fed to requirements in late gestation. This was accompanied by an increased mRNA abundance for UCP2 and PPARalpha, an adaptation not seen in mothers re-fed to appetite. Maternal nutrition had no effect on mRNA abundance for UCP1, PPARgamma, or PRLR. Irrespective of maternal nutrition, mRNA abundance for UCP1 was positively correlated with PPARgamma and the long and short forms of PRLR, indicating that these factors may act together to ensure that UCP1 abundance is maximized in the newborn. In conclusion, we have shown, for the first time, differential effects of maternal nutrition on key regulatory components of fetal fat metabolism.

Adipose Tissue↗