scholarly journals Adherence to Dietary Recommendations, Nutrient Intake Adequacy and Diet Quality among Pediatric Cystic Fibrosis Patients: Results from the GreeCF Study

Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 3126 ◽  
Author(s):  
Dimitrios Poulimeneas ◽  
Maria G. Grammatikopoulou ◽  
Panagiota Devetzi ◽  
Argyri Petrocheilou ◽  
Athanasios G. Kaditis ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Diet Quality ◽  
Respiratory Infections ◽  
Saturated Fatty Acids ◽  
Ideal Body Weight ◽  
Fiber Intake ◽  
Dietary Recommendations ◽  
Cross Sectional ◽  
Increased Risk ◽  
Optimal Adherence

Nutrition is an important component of cystic fibrosis (CF) therapy, with a high-fat diet being the cornerstone of treatment. However, adherence to the dietary recommendations for CF appears suboptimal and burdensome for most children and adolescents with CF, leading to malnutrition, inadequate growth, compromised lung function and increased risk for respiratory infections. A cross-sectional approach was deployed to examine the degree of adherence to the nutrition recommendations and diet quality among children with CF. A total of 76 children were recruited from Aghia Sophia’s Children Hospital, in Athens, Greece. In their majority, participants attained their ideal body weight, met the recommendations for energy and fat intake, exceeding the goal for saturated fatty acids consumption. Carbohydrate and fiber intake were suboptimal and most participants exhibited low or mediocre adherence to the Mediterranean diet prototype. It appears that despite the optimal adherence to the energy and fat recommendations, there is still room for improvement concerning diet quality and fiber intake.

scholarly journals Nutrient intakes and sources of fiber among children with low and high dietary fiber intake: the 2016 feeding infants and toddlers study (FITS), a cross-sectional survey

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Kristen Finn ◽  
Emma Jacquier ◽  
Brian Kineman ◽  
Heidi Storm ◽  
Ryan Carvalho
Keyword(s):  
Young Children ◽  
Dietary Fiber ◽  
Diet Quality ◽  
Whole Grains ◽  
Mean Difference ◽  
Fiber Intake ◽  
Nutrient Intakes ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Dietary Fiber Intake

Abstract Background Increasing dietary fiber intake in children may improve overall diet quality. The purpose of this study was to compare nutrient intakes and sources of fiber between young children with low and high fiber intakes utilizing data from the Feeding Infants and Toddlers Study (FITS) 2016. Methods The FITS 2016 was a nationwide, cross sectional survey of caregivers designed to assess food and nutrient intakes, feeding behaviors, and dietary patterns among infants and young children living in the U.S. Energy adjusted macro and micronutrient intakes (nutrients/1000 kcals) of children with energy adjusted fiber intakes (g/1000 kcals) in the highest quartile were compared to those in the lowest quartile with paired t-tests. Sources of fiber for each quartile were ranked according to percent of total fiber intake. Results Children with fiber intakes in the highest quartile had significantly lower intakes of total fat (mean difference ranged from 7.4–9.6 g, p < 0.0005) and saturated fat (mean difference ranged from 4 to 5.8 g, p < 0.0005), and significantly higher intakes of vitamin B-6 (mean difference ranged from 0.3–0.4 mg, p < 0.0005), magnesium (mean difference ranged from 57.2–61.8 mg, p < 0.0005), iron (mean difference ranged from 2.2–3.7 mg, p < 0.0005), and potassium (mean difference ranged from 318.2 mg to 446.1 mg, p < 0.0005) compared to children in the lowest quartile across all age groups. Children in the highest quartile had higher intakes of nut butters, legumes, fruits, and vegetables and consumed a greater percentage of grains as whole grains than those in the lowest quartile. Conclusion Encouraging intake of fruits, vegetables, legumes, nut butters, and at least 75% of grains as whole grains may help young children improve dietary fiber intake and overall diet quality.

scholarly journals Tablet and web-based audiometry to screen for hearing loss in adults with cystic fibrosis

Thorax ◽  
2020 ◽  
Vol 75 (8) ◽  
pp. 632-639 ◽  
Author(s):  
Anitha Vijayasingam ◽  
Emily Frost ◽  
Julie Wilkins ◽  
Lise Gillen ◽  
Presanna Premachandra ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Hearing Loss ◽  
Intraclass Correlation ◽  
Cross Sectional Study ◽  
Outpatient Setting ◽  
P Value ◽  
Cross Sectional ◽  
Web Based ◽  
High Frequency Audiometry ◽  
Increased Risk

IntroductionIndividuals with chronic lung disease (eg, cystic fibrosis (CF)) often receive antimicrobial therapy including aminoglycosides resulting in ototoxicity. Extended high-frequency audiometry has increased sensitivity for ototoxicity detection, but diagnostic audiometry in a sound-booth is costly, time-consuming and requires a trained audiologist. This cross-sectional study analysed tablet-based audiometry (Shoebox MD) performed by non-audiologists in an outpatient setting, alongside home web-based audiometry (3D Tune-In) to screen for hearing loss in adults with CF.MethodsHearing was analysed in 126 CF adults using validated questionnaires, a web self-hearing test (0.5 to 4 kHz), tablet (0.25 to 12 kHz) and sound-booth audiometry (0.25 to 12 kHz). A threshold of ≥25 dB hearing loss at ≥1 audiometric frequency was considered abnormal. Demographics and mitochondrial DNA sequencing were used to analyse risk factors, and accuracy and usability of hearing tests determined.ResultsPrevalence of hearing loss within any frequency band tested was 48%. Multivariate analysis showed age (OR 1.127; (95% CI: 1.07 to 1.18; p value<0.0001) per year older) and total intravenous antibiotic days over 10 years (OR 1.006; (95% CI: 1.002 to 1.010; p value=0.004) per further intravenous day) were significantly associated with increased risk of hearing loss. Tablet audiometry had good usability, was 93% sensitive, 88% specific with 94% negative predictive value to screen for hearing loss compared with web self-test audiometry and questionnaires which had poor sensitivity (17% and 13%, respectively). Intraclass correlation (ICC) of tablet versus sound-booth audiometry showed high correlation (ICC >0.9) at all frequencies ≥4 kHz.ConclusionsAdults with CF have a high prevalence of drug-related hearing loss and tablet-based audiometry can be a practical, accurate screening tool within integrated ototoxicity monitoring programmes for early detection.

scholarly journals How well do Australian women comply with dietary guidelines?

2004 ◽  
Vol 7 (3) ◽  
pp. 443-452 ◽  
Author(s):  
Kylie Ball ◽  
Gita D Mishra ◽  
Christopher W Thane ◽  
Allison Hodge
Keyword(s):  
Economic Status ◽  
Saturated Fat ◽  
Population Based ◽  
Dietary Guidelines ◽  
Dietary Recommendations ◽  
Middle Aged ◽  
National Guidelines ◽  
Cross Sectional ◽  
Behavioural Characteristics ◽  
Increased Risk

AbstractObjective:To investigate the proportion of middle-aged Australian women meeting national dietary recommendations and its variation according to selected sociodemographic and behavioural characteristics.Design:This cross-sectional population-based study used a food-frequency questionnaire to investigate dietary patterns and compliance with 13 commonly promoted dietary guidelines among a cohort of middle-aged women participating in the Australian Longitudinal Study on Women's Health.Setting:Nation-wide community-based survey.Subjects:A total of 10 561 women aged 50–55 years at the time of the survey in 2001.Results:Only about one-third of women complied with more than half of the guidelines, and only two women in the entire sample met all 13 guidelines examined. While guidelines for meat/fish/poultry/eggs/nuts/legumes and ‘extra’ foods (e.g. ice cream, chocolate, cakes, potatoes, pizza, hamburgers and wine) were met well, large percentages of women (68–88%) did not meet guidelines relating to the consumption of breads, cereal-based foods and dairy products, and intakes of total and saturated fat and iron. Women working in lower socio-economic status occupations, and women living alone or with people other than a partner and/or children, were at significantly increased risk of not meeting guidelines.Conclusions:The present results indicate that a large proportion of middle-aged Australian women are not meeting dietary guidelines. Without substantial changes in their diets, and help in making these changes, current national guidelines appear unachievable for many women.

scholarly journals Pseudomonas aeruginosa eradication therapy and risk of acquiring Aspergillus in young children with cystic fibrosis

Thorax ◽  
2019 ◽  
Vol 74 (8) ◽  
pp. 740-748 ◽  
Author(s):  
Sabariah Noor Harun ◽  
Nicholas H G Holford ◽  
Keith Grimwood ◽  
Claire E Wainwright ◽  
Stefanie Hennig
Keyword(s):  
Cystic Fibrosis ◽  
Pseudomonas Aeruginosa ◽  
Young Children ◽  
Bronchoalveolar Lavage ◽  
Eradication Therapy ◽  
Positive Culture ◽  
Cross Sectional ◽  
Cross Sectional Analysis ◽  
Increased Risk ◽  
Sectional Analysis

BackgroundWhile Aspergillus detection rates in adults, adolescents and older children with cystic fibrosis (CF) have increased, the risk of acquiring this fungal pathogen in young children is unknown.AimTo determine the risk and explanatory factors of acquiring Aspergillus in children with CF by age 5 years.MethodsCross-sectional analysis of clinical, bronchoalveolar lavage and treatment data from the Australasian Cystic Fibrosis Bronchoalveolar Lavage study was used to identify predictive factors for detecting Aspergillus at age 5 years. A parametric repeated time-to-event model quantitatively described the risk and factors associated with acquiring Aspergillus and Pseudomonas aeruginosa from birth until age 5 years.ResultsCross-sectional analysis found that the number of P. aeruginosa eradication courses increased the odds of detecting Aspergillus at age 5 years (OR 1.61, 95% CI 1.23 to 2.12). The median (IQR) age for the first P. aeruginosa positive culture was 2.38 (1.32–3.79) years and 3.69 (1.68–4.74) years for the first Aspergillus positive culture. The risk of P. aeruginosa and Aspergillus events changes with time after the first year of study entry. It also decreases for P. aeruginosa after completing P. aeruginosa eradication (HR 0.15, 95% CI 0.00 to 0.79), but increases for Aspergillus events (HR 2.75, 95% CI 1.45 to 5.41). The risk of acquiring both types of events increases after having had a previous event.ConclusionIn young children with CF, completing P. aeruginosa eradication therapy and previous Aspergillus events are associated with increased risk of acquiring Aspergillus.

scholarly journals Meat avoidance: motives, alternative proteins and diet quality in a sample of Swiss consumers

2019 ◽  
Vol 22 (13) ◽  
pp. 2448-2459 ◽  
Author(s):  
Désirée Hagmann ◽  
Michael Siegrist ◽  
Christina Hartmann
Keyword(s):  
Animal Welfare ◽  
Diet Quality ◽  
Weight Status ◽  
Meat Consumption ◽  
Taste Preferences ◽  
Dietary Recommendations ◽  
Cross Sectional ◽  
Meat Intake ◽  
Ethical Concerns ◽  
Awareness Campaigns

AbstractObjective:Diets lower in meat are considered both highly beneficial for human health and more environmentally friendly. The present study compared consumer groups with different self-declared diet styles regarding meat (vegetarians/vegans, pescatarians, low- and regular meat consumers) in terms of their motives, protein consumption, diet quality and weight status.Design:Cross-sectional data from the Swiss Food Panel 2.0 (survey 2017).Setting:Switzerland, Europe.Participants:Data of 4213 Swiss adults (47·4 % females) from a nationally representative sample living in the German- and French-speaking regions of Switzerland (mean age 55·4 years).Results:For vegetarians, vegans and pescatarians, ethical concerns about animal welfare and environmental friendliness, as well as taste preferences are stronger reasons to avoid meat consumption. Female low-meat consumers are more likely to be motivated by weight regulation. Only 18 % of the sample and 26 % of self-declared low-meat consumers met the official dietary recommendations for meat intake. Concerns about animal welfare and taste preferences predicted lower meat intake, whereas perceived difficulty of practising a low-meat diet and weight-loss motives were associated with higher meat consumption in consumers who reported eating little or no meat.Conclusions:Our study demonstrates that there can be large discrepancies between consumers’ self-perception and their actual meat consumption. This has to be taken into account when designing public health interventions. Addressing ethical concerns about animal welfare (e.g. through awareness campaigns), further improving the range of vegetarian options and increasing consumers’ knowledge about the dietary recommendations may be ways to promote diets lower in meat.

scholarly journals Triage for Malnutrition Risk among Pediatric and Adolescent Outpatients with Cystic Fibrosis, Using a Disease-Specific Tool

Children ◽  
2020 ◽  
Vol 7 (12) ◽  
pp. 269
Author(s):  
Dimitrios Poulimeneas ◽  
Maria G. Grammatikopoulou ◽  
Argyri Petrocheilou ◽  
Athanasios G. Kaditis ◽  
Tonia Vassilakou
Keyword(s):  
Cystic Fibrosis ◽  
Lung Function ◽  
Risk Group ◽  
Ideal Body Weight ◽  
Forced Expiratory Volume ◽  
Adverse Outcomes ◽  
The Body ◽  
Moderate Risk ◽  
Cross Sectional ◽  
Disease Specific

Malnutrition prevails in considerable proportions of children with Cystic Fibrosis (CF), and is often associated with adverse outcomes. For this, routine screening for malnutrition is pivotal. In the present cross-sectional study, we aimed to assess the risk for malnutrition in pediatric outpatients with CF. A total of 76 outpatients (44 girls, 11.9 ± 3.9 years old, 39.5% adolescents) were recruited and anthropometric, clinical, dietary and respiratory measures were collected. All outpatients were screened for malnutrition risk with a validated disease-specific instrument. Most children exhibited a low risk for malnutrition (78.9%), whereas none of the participants were characterized as having a high malnutrition risk. In the total sample, malnutrition risk was positively associated with age (r = 0.369, p = 0.001), and inversely related to the body mass index (r = −0.684, p < 0.001), height z-score (r = −0.264, p = 0.021), and forced expiratory volume (FEV1%, r = −0.616, p < 0.001). Those classified as having a low malnutrition risk were younger (p = 0.004), heavier (p < 0.001) and taller (p = 0.009) than their counterparts with a moderate risk. On the other hand, patients in the moderate risk group were more likely pubertal (p = 0.034), with a reduced mid-upper arm fat area (p = 0.011), and worse pulmonary function (p < 0.001). Interestingly, none of the children attaining ideal body weight were classified as having a moderate malnutrition. risk, whereas 37.5% of the patients allocated at the moderate risk group exhibited physiological lung function. In this cohort of outpatients with CF that were predominantly well-nourished and attained physiological lung function, malnutrition risk was identified only in small proportions of the sample. Our data support that patients that are older, pubertal, or have diminished fat mass are at greater risk for malnutrition.

scholarly journals Self-Reported Diet Quality Differentiates Nutrient Intake, Blood Nutrient Status, Mood, and Cognition: Implications for Identifying Nutritional Neurocognitive Risk Factors in Middle Age

Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 2964
Author(s):  
Lauren M. Young ◽  
Sarah Gauci ◽  
Andrew Scholey ◽  
David J. White ◽  
Annie-Claude Lassemillante ◽  
...  
Keyword(s):  
Diet Quality ◽  
Nutrient Intake ◽  
Saturated Fatty Acids ◽  
Nutrient Status ◽  
Diet Group ◽  
Psychological Status ◽  
Optimal Diet ◽  
Cross Sectional ◽  
Dietary Recall ◽  
Age Related

Evidence for diet quality representing a modifiable risk factor for age-related cognitive decline and mood disturbances has typically come from retrospective, cross-sectional analyses. Here a diet screening tool (DST) was used to categorize healthy middle-aged volunteers (n = 141, 40–65 years) into “optimal” or “sub-optimal” diet groups to investigate cross-sectional associations between diet quality, cognitive function, and mood. The DST distinguished levels of nutrient intake as assessed by Automated Self-Administered 24-h dietary recall and nutrient status, as assessed by blood biomarker measures. Compared with the “sub-optimal” group, the “optimal” diet group showed significantly higher intake of vitamin E (p = 0.007), magnesium (p = 0.001), zinc (p = 0.043) and fiber (p = 0.015), higher circulating levels of vitamin B6 (p = 0.030) and red blood cell folate (p = 0.026) and lower saturated fatty acids (p = 0.012). Regarding psychological outcomes, the “optimal” diet group had significantly better Stroop processing than those with a “sub-optimal” diet (p = 0.013). Regression analysis revealed that higher DST scores were associated with fewer mood disturbances (p = 0.002) and lower perceived stress (p = 0.031), although these differences were not significant when comparing “optimal” versus “sub-optimal” as discrete groups. This study demonstrates the potential of a 20-item diet screen to identify both nutritional and psychological status in an Australian setting.

scholarly journals Associations of Diet Quality and Sleep Quality with Obesity

Nutrients ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 3181
Author(s):  
Soohee Hur ◽  
Bumjo Oh ◽  
Hyesook Kim ◽  
Oran Kwon
Keyword(s):  
Sleep Quality ◽  
Sleep Duration ◽  
Diet Quality ◽  
Underlying Mechanism ◽  
Dietary Quality ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Short Sleep Duration ◽  
Cross Sectional ◽  
Increased Risk

Short sleep duration or poor sleep quality has been associated with an increased risk of obesity. Although the underlying mechanism remains unclear, one proposed pathway is poor diet quality. This cross-sectional study investigated whether diet quality modifies the association between sleep status and obesity in Korean adults. We used the baseline data and samples of 737 men and 428 women (n = 1165) aged 19–64, who participated in the prospective Ewha–Boramae cohort study. Sleep duration was dichotomized into ≥7 h (adequate) and <7 h (insufficient). Pittsburgh Sleep Quality Index (PSQI) values, reflecting sleep quality, were dichotomized into >5 (poor quality) and ≤5 (good quality). Diet quality was evaluated by the Recommended Food Score (RFS). Obesity was associated with higher rates of insufficient sleep and poor sleep quality in women, but not in men. After adjustment for covariates, women with poor sleep quality had a higher risk of obesity than women with good sleep quality (OR = 2.198; 95% CI = 1.027–4.704); this association occurred only in the group with RFS ≤ median score. Our findings support a significant association between sleep quality and obesity, and this association has been potentially modified by dietary quality in women.

Evaluating knowledge of healthy diet recommendations of Lithuanian adults

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
Ž Žandaras ◽  
R Stukas
Keyword(s):  
Higher Education ◽  
Fruits And Vegetables ◽  
Female Gender ◽  
Cross Sectional Study ◽  
Healthy Diet ◽  
Dietary Recommendations ◽  
Cross Sectional ◽  
Healthy Nutrition ◽  
Multi Stage ◽  
Increased Risk

Abstract Backgroud Studies show that diet of Lithuanian population does not follow healthy diet recommendations and is related to increased risk of cardiovascular disease. By knowing Lithuanian populations knowledge about the dietary recommendations and in what socio-demographic groups what dietary recommendation knowledge is missing, we could use effective targeted health promotion and prevention programs or provide particular information for those groups. Methods Cross-sectional study was conducted in 2019. 1007 residents of Lithuania aged 18-75 were surveyed by anonymous questionnaire. Survey was carried out by using multi-stage stratified random sampling. Results Almost half of the respondents (45.5% (95% CI: 45.5; 51.7)) knew how many times a day fruits and vegetables should be consumed. Possession of having this knowledge was significantly associated with female gender (OR = 1.67 (95% CI: 1.29; 2.14)) and higher education (OR = 1.83 (95% CI: 1.41; 2.3)). Only 21.2% (95% CI: 18.7; 23.7) of the respondents knew that bread and grain products should be taken several times a day. More than half of the population knew the recommendations for meat, fish, milk and dairy products 56.7% (95% CI: 53.6; 59.7). Respondents with higher education had a 2.05 times higher chance (OR = 2.05 (95% CI: 1.55; 2.72)) of knowing these recommendations. 39.7% (95% CI: 36.7; 42.8) knew that butter, salt and sweets should be consumed rarely and in small quantities. Having this knowledge was significantly associated with female gender (OR = 1.80 (95% CI: 1.37; 2.34)), higher education (OR = 1.75 (95% CI: 1.32, 2.32)), and living in a bigger city (OR = 1.67 (95) % CI: 1.19; 2.35)). Conclusions Lithuanian populations knowledge about the recommendations of healthy nutrition is insufficient, therefore, in order to reduce the morbidity of cardiovascular diseases, it is necessary to provide the population with information on healthy nutrition. Key messages The population of Lithuania lacks knowledge about healthy eating recommendations. Although it is necessary to provide all residents of Lithuania with information about health nutrition recommendations, the main focus should be on men and people with lower education.

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