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PubMed1987

Are chronic digestive complaints the result of abnormal dietary patterns? Diet and digestive complaints in children at 22 and 40 months of age.

We studied 149 healthy children at 22 months of age and 74 at 40 months of age, employing a 24-hour dietary record based on premailed food measurement guide and telephone questionnaire. Parents cooperated in 94% of contacts. Chronic digestive complaints decreased from 27% to 5% of the sample over the study period: constipation from 16% to 3%, chronic diarrhea from 8% to 1%, and abdominal pain from 5% to 1%. Excessive fluid intake (1470 +/- 600 vs 840 +/- 300 mL/d) correlated most strongly for seven children at 22 months experiencing alternating symptoms of chronic diarrhea and constipation or abdominal pain. Many other children tolerated dietary extremes without complaint. All macronutrient categories except dietary fiber intake increased over the study period. Thus, excessive fluid intake may provoke symptoms suggesting the irritable bowel syndrome in a susceptible group of younger children. Failure to increase fiber intake from 22 to 40 months of age leaves children on an immature diet whose effects require further study.

Child, Preschool↗
PubMed1995

The relationship of gender, diet patterns, and body type to weight change following smoking reduction: a multivariate approach.

We compared two regression models of posttobacco-reduction weight gain using nutrient intake and other variables as predictors. The first model involved the regression of weight gain, in pounds, against absolute change in the nutrient predictor variables. The second model utilized a data transformation, regressing percent change from initial body weight against change in nutrient:weight ratios. Both models included age, initial body-mass index (BMI), and change in nicotine exposure as additional predictors. Separate analyses were conducted for each gender and for obese and normal-weight participants. The results indicated that adjusting changes in nutrient intake for weight predicted posttreatment weight gain better than absolute changes in nutrient intake. The most accurate prediction was observed for normal-weight individuals, with both genders simultaneously in the model. Increase in weight was predicted by a decrease in nicotine exposure, a decrease in calories per pound, decrease in carbohydrates per pound, and an increase in a carbohydrate:protein ratio. Neither model predicted weight change for obese participants. These findings suggest that adjusting nutrient intake for body weight obviates the need for separate examination of each gender, and that a reduction in nicotine exposure is associated with weight gain. The results are consistent with those studies that attribute postcessation weight gain to decreased metabolic activity and reduction in nicotine intake.

Adult↗
PubMed2005

Micronutrients: dietary intake v. supplement use.

Whilst clinical deficiency of micronutrients is uncommon in the developed world, a suboptimal intake of certain micronutrients has been linked with an increased risk of chronic diseases such as CVD and cancer. Attention has therefore focused on increasing micronutrient status in order to theoretically reduce chronic disease risk. Increasing micronutrient status can involve a number of approaches: increasing dietary intake of micronutrient-rich foods; food fortification; use of supplements. Observational cohort studies have demonstrated an association between high intakes of micronutrients such as vitamin E, vitamin C, folic acid and beta-carotene, and lower risk of CHD, stroke and cancer at various sites. However, randomised intervention trials of micronutrient supplements have, to date, largely failed to show an improvement in clinical end points. The discordance between data from cohort studies and the results so far available from clinical trials remains to be explained. One reason may be that the complex mixture of micronutrients found, for example, in a diet high in fruit and vegetables may be more effective than large doses of a small number of micronutrients, and therefore that intervention studies that use single micronutrient supplements are unlikely to produce a lowering of disease risk. Studies concentrating on whole foods (e.g. fruit and vegetables) or diet pattern (e.g. Mediterranean diet pattern) may be more effective in demonstrating an effect on clinical end points. The present review will consider the clinical trial evidence for a beneficial effect of micronutrient supplements on health, and review the alternative approaches to the study of dietary intake of micronutrients.

Clinical Trials as Topic↗
PubMed1998

Behavioral and endocrine traits of obesity-prone and obesity-resistant rats on macronutrient diets.

Patterns of eating behavior, body weight gain, and hormone changes were examined in normal-weight albino Sprague-Dawley rats on macronutrient diets. These diets consisted of either three separate jars with pure macronutrients, fat, carbohydrate and protein, from which to choose, or a single diet with different concentrations of fat and carbohydrate. Similar patterns on the choice-diet and single-diet paradigms were observed. During the first 7-10 days on these diets but not subsequently, the rats consuming a fat-rich diet exhibit significant hyperphagia, an increase in both total and fat intake that produces higher body weight gain. Compared with a 10% fat diet, a 30% fat diet is associated with a decline in insulin and corticosterone (CORT) levels, whereas a 60% fat diet produces an increase in circulating glucose. Levels of glucose are positively correlated with fat intake, and together these measures are consistently related to body fat. These relationships are most strongly expressed in rats that consume a fat-rich diet with >30% fat. Whereas insulin levels are also positively related to body fat, CORT is inversely related in these normal-weight subjects. In animals consuming a high-fat diet, a clear separation can be seen between "obesity-prone" (OP) rats with 100% greater body fat than "obesity-resistant" (OR) rats. The OP rats, which consume 15% more total calories, have significantly higher insulin and glucose levels. In animals that consume a diet with >30% fat, it is the OP but not the OR rats that exhibit a positive relation between fat intake, glucose levels, and body fat and reveal an additional association between carbohydrate intake, insulin, and body fat. Thus these rats on macronutrient diets exhibit distinct traits that relate behavior to hormone disturbances and adiposity and distinguish subjects that are prone vs. resistant to obesity.

Adipose Tissue↗
PubMed1979

Effect of feeding amino acid mixtures on lipid transport from rat liver as measured by liver perfusion.

The present study examined lipid transport from the liver by application of a perfusion technique in situ in rats fed diets consisting of a low level Wheat- or Rice- or Miyazaki-pattern amino acid mixture. The net release of hepatic lipids was directly estimated from analysis of the perfusate continuously circulated through the liver. The net release of triacylglycerol from the liver into the perfusate was much more severely inhibited in the Wheat-pattern diet group, and more depressed in the Rice-pattern diet group than in the control group, and slightly reduced in the Miyazaki-pattern diet group compared with the control. For serum lipoproteins fractionated by the Quick-Disc electrophoresis method, there was a significant decrease in the serum pre-beta lipoprotein fraction in all the rats of the Wheat-, Rice- and Miyazaki-pattern diet groups compared with the control. These observations provide firm support for the hypothesis that in rats given diets consisting of a low level of the Wheat-, Rice- and Miyazaki-pattern amino acid mixture, fatty liver may be produced mainly by an impaired transport of triacylglycerols from the liver.

Amino Acids↗
PubMed2005

Interactions between traditional regional determinants and socio-economic status on dietary patterns in a sample of French men.

The aim of the present study was to assess the respective contributions of regional and socio-economic factors to dietary pattern. We used the data from the final MONICA (MONItoring of trends and determinants in Cardiovascular disease) population survey conducted in the three French centres in 1995-7 among a representative sample of 976 men aged 45-64 years. Dietary intake was assessed using a 3-d record method. Dietary patterns were identified by a factor analysis, based on fifteen food items. An analysis of variance was then used to study their relationship with regional and socio-economic determinants. Two major dietary patterns were identified: a 'Western diet', characterized by high intakes of sugar and sweets, grains, butter, added fats, eggs, potatoes and cheese; a 'prudent diet', mainly distinguished by high intakes of fruit, vegetables, olive oil and fish and low intakes of alcohol, high-fat meat and potatoes. Strong associations were mostly observed with the 'prudent diet' pattern, with a significant relationship with region, educational and income-tax levels, leisure-time physical activity and smoking status. There was also a statistically significant interaction between region and educational level (P=0.05), and between region and income-tax level (P=0.03), indicating that the influence of socio-economic factors is different among regions. In conclusion, these results indicate large regional and socio-economic differences in the dietary patterns of this French male population. When considering the 'prudent diet' pattern, they also suggest that traditional regional influences may now be overcome by socio-economic determinants.

Aged↗
PubMed2000

High risk mammographic parenchymal patterns and diet: a case-control study.

Mammographic parenchymal patterns are related to breast cancer risk and are also thought to be affected by diet. We designed a case-control study comprising 200 cases with high-risk (P2 and DY) mammographic parenchymal pattern and 200 controls with low-risk (N1 and P1) patterns in order to investigate the effect of food and nutrient intake on mammographic patterns. Mammograms were evaluated according to the Wolfe classification system. Dietary data were obtained from 7-day food diaries. Mean daily intake of nutrients was computed from standard UK food tables. The adjusted odds ratio (OR) of having a high-risk pattern in women in the highest tertile of total protein and carbohydrate intake was twice that of women in the lowest tertile (OR = 2.00; 95% confidence interval (CI) 1.06-3.77; P = 0.04 and OR = 1.93; 95% CI 1.03-3.59; P = 0.04 respectively). There was no excess risk for fat intake. In addition, there was no association between intake of vitamins and mammographic parenchymal patterns. Total meat intake was strongly and positively associated with high-risk patterns among post-menopausal women (OR = 2.50, 95% CI 1.09-5.69, P = 0.03). Our study suggests that certain macronutrients and foods such as protein, carbohydrate and meat intake influence the risk of breast cancer through their effects on breast tissue morphology, whereas fat and vitamins do not affect mammographic density. It seems that parenchymal pattern acts as an informative biomarker of the effect of some macronutrient and foodstuffs intake on breast cancer risk.

Adipose Tissue↗
PubMed1999

[Using food frequency questionnaire in past dietary intake assessment].

This paper aims to discuss which one is the best estimator of past diet: a retrospective report or a recent diet recall. The analysis included 13 articles published between 1984-1997 and selected from a MEDLINE search and from other reviews on this subject. The selection criterion was the use of a food frequency questionnaire (FFQ) in a validation study of retrospective report of dietary intake in remote past. Literature review shows that even taking into account misclassification, retrospective report of diet usually yields to a more reliable estimate of past diet pattern than current report. Past diet recall was strongly influenced by current intake and by diet patterns change. Analyzed investigations indicate that agreement between original and retrospective report was higher either for foods eaten rarely or frequently and lower for foods moderately consumed. This review allows considering the FFQ as a valuable instrument when studying the role of diet on the etiology of chronic diseases.

Diet Surveys↗
PubMed2006

Resource availability and quality influence patterns of diet mixing by sheep.

In grazing systems, forage availability is a function of herbivore density, which can influence an animal's ability to be selective. In turn, the influence of food availability on selectivity has the potential to influence plant biodiversity. We hypothesized that the ability of herbivores to mix toxin-containing foods in their diets is a function of the availability of nontoxic foods and the nutritional characteristics of the toxin-containing foods. We evaluated this hypothesis in two trials simulating different diet qualities (high-quality foods in trial 1, low-quality foods in trial 2). Within each trial, the four treatment groups were offered with different amounts of nutritious, familiar foods-10, 30, 50, and 70% of ad libitum intake-but were offered with ad libitum access to toxin-containing foods. Each lamb was presented with five foods, including three toxin-containing unfamiliar foods (terpenes, tannins, and oxalates) and two nutritious familiar foods (alfalfa and barley). In trial 1, as the availability of nutritious familiar foods decreased, animals ate more of all three toxin-containing foods. As the availability of nutritious alternatives increased, the pattern of selection shifted from terpenes to tannins and oxalates. In trial 2, animals also ate more toxins as the availability of nutritious alternatives decreased, but their pattern of diet mixing changed. Low availability of nutritious alternatives resulted in the animals eating more oxalates. During preference tests when all five foods were offered ad libitum, animals fed with 10, 30, 50, and 70% of ad libitum intake from trial 1 ate 49, 47, 41, and 38% of the three toxin-containing foods, respectively. The lower diet quality in trial 2 affected intake of the toxin-containing foods such that animals fed with 10, 30, 50, and 70% of ad libitum intake ate 37, 36, 29, and 27%, respectively, of the three toxin-containing foods. Thus, the quality of toxin-containing foods and the availability of nutritious alternatives interacted to modify the pattern of diet mixing by lambs.

Animals↗
PubMed1970

Glucose and insulin secretory response patterns following diet and tolazamide therapy in diabetes.

Glucose and insulin secretory response patterns during glucose tolerance tests were determined in 28 maturity-onset diabetics, and the sequential effects of diet and a sulphonylurea, tolazamide, were assessed. Untreated diabetics showed hyperglycaemia, increased serum immunoreactive insulin response patterns, delayed insulin release, and relative insulin deficiency. Diet alone partially corrected the hyperglycaemia and serum immunoreactive insulin response but had no effect on the delayed insulin release or relative insulin deficiency. Tolazamide plus diet restored all values towards normal. The net effect of maintenance tolazamide therapy was to (1) restore the insulin secretory response pattern to normal, (2) reduce total pancreatic insulin output, and (3) improve the efficiency of insulin secretion. The results suggest that there is a rational basis for the use of sulphonylurea in all maturity-onset diabetics, including patients with mild carbohydrate intolerance and those who are apparently controlled by diet alone.

Adult↗
PubMed2006

Stable isotopes in elephant hair document migration patterns and diet changes.

We use chronologies of stable isotopes measured from elephant (Loxodonta africana) hair to determine migration patterns and seasonal diet changes in elephants in and near Samburu National Reserve in northern Kenya. Stable carbon isotopes record diet changes, principally enabling differentiation between browse and tropical grasses, which use the C3 and C4 photosynthetic pathways, respectively; stable nitrogen isotopes record regional patterns related to aridity, offering insight into localized ranging behavior. Isotopically identified range shifts were corroborated by global positioning system radio tracking data of the studied individuals. Comparison of the stable isotope record in the hair of one migrant individual with that of a resident population shows important differences in feeding and ranging behavior over time. Our analysis indicates that differences are the result of excursions into mesic environments coupled with intermittent crop raiding by the migrant individual. Variation in diet, quantified by using stable isotopes, can offer insight into diet-related wildlife behavior.

Animal Migration↗
PubMed2001

Identification of groups who report similar patterns of diet among a representative national sample of British adults aged 65 years of age or more.

OBJECTIVES: Using a national representative sample to identify groups within the UK male and female population over 65 years who report similar patterns of diet. DESIGN: National representative dietary survey, using 4-day weighed dietary records of men and women aged over 65 years old and living in private households in Great Britain in 1994-1995. Cluster analysis was used to aggregate individuals into diet groups. SETTING: United Kingdom. SUBJECTS: 558 women and 539 men. MAIN OUTCOME MEASURES: Consumption of predefined food groups, nutrient intakes, socio-economic, demographic and behavioural characteristics. RESULTS: Three large clusters comprising 86% of the male population and three large clusters comprising 83% of the female population were identified. Among men, the most prevalent cluster was a "mixed diet" with elements from a traditional diet and some elements from a healthy diet (48% of the male population); the second was a "healthy diet" (21% of the male population); and the third was a "traditional diet high in alcohol" (17% of the male population). Among women, the most prevalent diet was a "sweet traditional diet" (33% of the female population); the second was a "healthy diet" (32% of the female population); and the last was a "mixed diet" with elements of the traditional diet and the healthy diet (18% of the female population). There were important differences in average nutrient intakes, socio-demographic and behavioural characteristics across these diet clusters. CONCLUSIONS: Cluster analysis identified three diet groups among men and three among women. These differed not only in terms of reported dietary intake, but also with respect to their nutrient content, social and behavioural profile. The groups identified could provide a useful basis for health promotion based upon the diet clusters.

Aged↗
PubMedDate not supplied

Interactions among habitual physical activity, eating patterns, and diet composition.

Current public health recommendations include adequate diet and exercise in order to reduce the risk of chronic disease, especially vascular disease and other complications associated with obesity. The purpose of this study was to investigate possible relationships between the level of habitual physical activity, eating patterns, and diet composition in apparently healthy adults who exercise regularly. Subjects completed questionnaires and diaries regarding their fitness activity and nutrition. Time spent in the lowest energy expenditure category was associated with high cholesterol intakes and time spent in activities comparable to walking at a leisurely pace and light housework was associated with lower fat consumption. Fat consumption was also higher and carbohydrate consumption was lower than optimal. There was no other correlation between physical activity and the intake of any other nutrient. Further investigation is needed in sedentary populations in order to compare these findings.

Activities of Daily Living↗
PubMed1989

Estimating salivary flow and ruminal water balance of intake, diet, feeding pattern, and slaframine.

Three experiments with ruminally fistulated cattle fed 12 times daily were conducted to study the role of saliva secretion in ruminal water balance when intake, diet, and feeding pattern were altered. Water balance data were determined from continuously infused Co-EDTA and pulse-dosed Cr-EDTA with saliva flow estimated by difference between water intake and ruminal outflow. Any net transruminal water flux would be included in the estimate of salivary flow. When the concentration of bluestem hay in the diet was increased from 50 to 90%, ruminal fluid volume, saliva secretion, water intake, dilution rate, and total ruminal outflow increased. At equal intake, the higher forage diet increased ruminal liquid volume, outflow, and saliva secretion but had no effect on dilution rate. Intake, but not forage concentration, affected ruminal pH when 50 and 90% hay diets were fed. Increasing feeding frequency of forage in a 65% bluestem hay diet from 4 to 12 times daily (the grain portion was fed 12 times daily) increased dilution and ruminal outflow; however, the latter was only significant with data from Cr-EDTA. Ruminal volatile fatty acids were not altered by feeding frequency of forage. Nycterohemeral patterns were seen in water intake, ruminal dilution rate, outflow, and salivary flow in both studies. Slaframine increased saliva flow by 29% and was accompanied by increased ruminal liquid volume, dilution rate, and outflow.

Animals↗
PubMed1981

Lipoprotein patterns in diet, sulphonylurea, and insulin treated diabetics.

In order to study the lipoprotein pattern in diabetes mellitus, plasma lipoproteins were isolated by rate zonal centrifugation in 12 control subjects (median fasting blood glucose level: 80 mg/dl (range: 74-86)), 14 diabetic patients treated by diet alone 104 mg/dl (76-153), 27 patients treated by diet plus insulin (180 mg/dl (106-404)), and 32 patients treated by diet plus sulphonylurea [178 mg/dl (103-361)]. No significant differences of median relative body weight existed between the four groups. Neither the diabetic group on diet alone nor the insulin-treated group differed significantly from control subjects with respect to lipid and lipoprotein concentrations. Diabetics treated with diet plus sulphonylurea, however, differed significantly from the control group with regard to the following parameters (median and range); plasma triglycerides (210 [75-620) mg/dl; p less than 0.01)] and intermediate density lipoproteins (65 (10-338) mg/dl; p less than 0.05)) were higher; low density lipoproteins (236 (82-418) mg/dl; p less than 0.05)) and high density lipoproteins2 (HDL2) [51 (12-121) mg/dl; p less than 0.01)] concentrations were lower. When data from all 85 studied individuals were analysed together, significant positive correlations were observed between fasting blood glucose and plasma triglyceride concentration (r = 0.28, p less than 0.01), and between fasting blood glucose and plasma very low density lipoproteins (VLDL) (r = 0.23, p less than 0.05). A negative correlation was found between blood glucose and plasma HDL2 (r = -0.29, p less than 0.01). In addition, VLDL correlated negatively with HDL2 (r = -0.89, p less than 0.001) but not with plasma HDL3 concentration. It is concluded that the deranged lipoprotein metabolism in diabetes mellitus may be better controlled by insulin than by sulphonylureas.

Adult↗
PubMed1991

Patterns of diet related self-care in diabetes.

Our understanding of self-care actions can be enhanced by examining both the meanings attached to them and the context in which they take place. This article discusses patterns of diet-related self-care in a group of people with insulin-dependent diabetes. The study, based on a phenomenological perspective, consisted of 91 interviews with 34 people who discussed their everyday experience of living with diabetes. Individuals' response to the diabetes diet can be characterized on a continuum that includes strict adherence to diet to no adherence. Factors influencing how individuals responded to the diabetes diet can be grouped into three categories encompassing individual, diabetes-related and contextual influences. Many individuals sought an appropriate balance between health and well-being. When the pursuit of health did not compromise well-being adherence to diet was not a problem. When the pursuit of health conflicted with well-being individuals took liberties with the diet in order to minimize its impact. Implications for promoting self-care in people with diabetes are discussed.

Adult↗
PubMed2004

Survival analysis of dropout patterns in dieting clinical trials.

Subjects who withdraw from diet clinical trials are a drain on limited resources and reduce statistical power. Dropout pattern data, collected during a clinical trial for which the primary findings compared weight loss from three dieting protocols, are examined using survival analysis and found to be exponentially distributed. The predicted probability of remaining in the study is 83% for 30 days and 60% for 84 days. Survival analysis methods consider subjects who did not return after the initial visit and others who may have continued dieting beyond study termination. When applied to clinical trials, this type of analysis provides valuable information for planning and budgeting of future trials. Inclusion of a 1- to 2-week run-in period at the beginning of the study may improve retention. Otherwise, the diet researcher should consider increasing initial randomized sample size by approximately 10% to 25% as an allowance for early withdrawals.

Body Mass Index↗