scholarly journals Experience of Using an Online Pre-Ordering System for A Workplace Canteen That Offers Lower-Energy Swaps: A Think-Aloud Study

Nutrients ◽  
2020 ◽  
Vol 12 (12) ◽  
pp. 3878
Author(s):  
Sarah Breathnach ◽  
Clare H. Llewellyn ◽  
Dimitrios A. Koutoukidis ◽  
Christopher R. van Rugge ◽  
Alex Sutherland ◽  
...  
Keyword(s):  
Energy Intake ◽  
Lower Energy ◽  
Energy Savings ◽  
Structured Interview ◽  
User Friendliness ◽  
Thinking Aloud ◽  
Online Systems ◽  
Collection Data ◽  
Expected Satiety ◽  
Reduce Energy Intake

Online systems that allow employees to pre-order their lunch may help reduce energy intake. We investigated the acceptability of a pre-ordering website for a workplace canteen that prompts customers to swap to lower-energy swaps and the factors influencing swap acceptance. Employees (n = 30) placed a hypothetical lunch order through a pre-ordering website designed for their canteen while thinking aloud. Semi-structured interview questions supported data collection. Data were analysed using thematic analysis. Acceptability was generally high, but potentially context dependent. Practical considerations, such as reminders to pre-order, user-friendliness, provision of images of menu items and energy information while browsing, an ability to reserve pre-ordered meals, and a swift collection service facilitated acceptability. The restrictive timeframe within which orders could be placed, a lack of opportunity to see foods before ordering, and prompts to swap being perceived as threatening autonomy were barriers to acceptability. Swap acceptance was facilitated by the provision of physical activity calorie equivalents (PACE) information, and swap similarity in terms of taste, texture, and expected satiety as well as the perception that alternatives provided meaningful energy savings. Online canteen pre-ordering systems that prompt lower-energy swaps may be an acceptable approach to help reduce energy intake in the workplace.

scholarly journals Lower-caloric intake but different nutrient profiles in cognition impaired and in frail elderlies

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Y Wu ◽  
W H Pan
Keyword(s):  
Body Weight ◽  
Cognitive Impairment ◽  
Dietary Fiber ◽  
Energy Intake ◽  
Odds Ratio ◽  
Nutrient Intake ◽  
Lower Energy ◽  
Trend Test ◽  
Impairment Score ◽  
Cognition Impairment

Abstract Background Frailty and dementia are two common geriatric syndromes associated with poor nutritional status. The nutritional role in the pathogenesis of frailty and dementia remains unclear. We examined the associations between energy intake and frailty/cognition impairment and also compared the nutrient intake between frail and cognition impaired elderlies by sex. Methods Data of 1,920 elderly adults (≧65y) from the 2014-2017 Nutrition and Health Survey in Taiwan was used. Frailty was defined using modified L. Fried criteria. The Chinese Mini-Mental State Examination score was grouped into tertiles: cognitive impairment (score ≦ 23), mild cognitive impairment (score = 24-27), and the normal (score ≧28). Total energy intake was grouped into tertiles. Logistic regression adjusted for age, sex, and sampling strata was used for association test. The trend test was performed using generalized linear model with age adjustment to examine whether various nutrient intake indicators had an ordered relationship with the severity of frailty and cognitive impairment. Results Lower energy intake (men <1540 Kcal or women<1182 Kcal) was significantly associated with frailty (odds ratio [OR]: 1.97; 95% confidence interval [CI]: 1.45-2.66) and cognition impairment (OR: 1.88; 95%CI: 1.43-2.47), respectively. Larger number of micronutrients and food substances per Kg body weight exhibited decreasing trends with MCI (protein, fat, carbohydrate, vitamins B1, B2, B3, B6, B12, C, E, Ca, P, Fe, Mg, K, Zn, dietary fiber, and cholesterol) than with frailty (protein, vitamin B1, B3, B6, C, P, Mg, K, Zn, polyunsaturated fatty acids, and dietary fiber). Conclusions The lower the energy intake, the higher the odds ratio for frailty and for dementia. Dietary quality expressed by nutrient intake per Kg body weight was poorer in elderlies with cognition impairment than those with frailty. Key messages Lower energy intake is associated with MCI and with frailty, respectively. The MCI elderlies involve more micronutrient deficiencies than the frail counterpart.

Resistance reminders: Dieters reduce energy intake after exposure to diet-congruent food images compared to control non-food images

Appetite ◽  
2014 ◽  
Vol 73 ◽  
pp. 189-196 ◽  
Author(s):  
Nicola J. Buckland ◽  
Graham Finlayson ◽  
Rebecca Edge ◽  
Marion M. Hetherington
Keyword(s):  
Energy Intake ◽  
Food Images ◽  
Reduce Energy Intake

A healthy plant-based diet from adolescence towards young adulthood: psychosocial determinants and nutrient intake/status correlates

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Nathalie Michels
Keyword(s):  
Fatty Acids ◽  
Vitamin C ◽  
Energy Intake ◽  
Nutrient Intake ◽  
Lower Energy ◽  
Unsaturated Fatty Acids ◽  
Saturated Fatty Acids ◽  
Nutrient Status ◽  
Healthy Plant ◽  
Nutritional Knowledge

IntroductionNew dietary recommendations focus on a plant-based diet. As dietary habits are formed during adolescence, knowledge on determinants of this food choice in this age-group can help prevention campaigns. Since an unbalanced choice in plant-based food might lead to nutrient deficiencies, it is also crucial to detect its association with nutrient intake and nutrient status.MethodsIn 2330 adolescents from the European HELENA study in 2006, a healthy plant-based diet index (hPDI) was calculated based on two 24 h recalls. In Belgium, 69 of them were remeasured in 2016 as young adults. The psychosocial determinants nutritional knowledge, advantages, awareness, social support, social norm, self-efficacy, barriers, availability and intention were tested by multiple linear regression. Nutrient status was determined by 16 markers in fasting blood. Linear regressions with hPDI as predictor and nutrient intake/status as outcome were adjusted for age, sex, socio-economic status, BMI, waist circumference, energy-intake, physical activity and smoking.ResultsThere was a strong correlation in hPDI after 10 years (Spearman = 0.56, p < 0.001). Determinants for adolescents’ plant-based diet were in descending order being a girl(β = 0.245;p < 0.001), a higher BMI(β = 0.140;p < 0.001), knowing the advantages(β = 0.104;p < 0.001), having availability over healthy food(β = 0.100;p < 0.001), high self-efficacy(β = 0.087;p < 0.001), health awareness(β = 0.072,p = 0.004), younger age(β = -0.048;p = 0.015) and better nutritional knowledge(β = 0.046;p = 0.020). In adolescents, hPDI was associated with lower energy intake, especially less overall fat, cholesterol, saturated fatty acids, mono-unsaturated fatty acids, proteins and mono/di-saccharides but more fibre. In micronutrients, higher intake of calcium, iron, magnesium, potassium, zinc, copper, vitamin A, C, E, K but less vitamin B12 and D were detected. Concerning nutrient status, hPDI was related to higher low-density cholesterol, vitamin D, vitamin C and beta-carotene levels. In adults, hPDI was associated with lower energy intake, especially less overall fat, cholesterol, saturated fatty acids and mono-unsaturated fatty acids but more carbohydrates and fibre, magnesium and vitamin C; while not with nutrient status. Longitudinally, we confirmed the link with intake of more fiber, potassium and less cholesterol. Additionally, a longitudinal positive association with poly-unsaturated fat intake was seen.ConclusionTracking of hPDI over 10 years proved the importance of targeting these determinants in adolescents. The hPDI was indeed generally linked to a healthier dietary intake, especially more fiber, a healthier fat choice and higher vitamin intake except for lower vitamin B12 and D. Nevertheless, the latter two were not reflected in more deficiencies and nutrient status differences were limited.

scholarly journals Dietary Intake and Clinical Response of Hospitalized Patients with Acute Diarrhea

2008 ◽  
Vol 29 (1) ◽  
pp. 25-31 ◽  
Author(s):  
Mahfuza Islam ◽  
S.K. Roy ◽  
Muktara Begum ◽  
M. Jobayer Chisti
Keyword(s):  
Food Intake ◽  
Dietary Intake ◽  
Clinical Response ◽  
Energy Intake ◽  
Acute Diarrhea ◽  
Lower Energy ◽  
Recovery Period ◽  
Severe Illness ◽  
Stool Weight ◽  
Clinical Records

Background Diarrhea and malnutrition remain major health problems among children of developing countries. During diarrhea, the patient's dietary intake and absorption of nutrients are reduced while nutritional requirements are increased. Objective To determine the relationship between food intake and clinical response during the hospital stay of patients with acute diarrhea. Methods A hospital-based longitudinal study was conducted in 118 patients with acute diarrhea aged 6 to 59 months who required treatment for at least 3 days in the in-patient ward in Dhaka Hospital of the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR, B). Daily food intake was measured and anthropometric measurements were taken to assess nutritional status. Daily stool weight and clinical records were collected. The data were analyzed with SPSS/PC+, version 10, and EPI STAT, version 3.2.2. Results The duration of diarrhea was 50% greater in patients with lower energy intake (less than 50% of the recommended dietary allowance [RDA]) than in those with higher energy intake (6 vs. 4 days, p = <.001). Patients with lower energy intake had 22% greater stool output than those with higher energy intake (122.65 vs. 100.37 mL/kg body weight/day, p = .04). Among patients with lower energy intake, the weight-for-age and weight-for-height z-scores (WAZ and WHZ) at discharge from the hospital were higher than those at admission (−3.53±1.25 vs. −3.67±1.31 and 1.95±1.23 vs. −2.14±1.22, respectively; p = .001 for both comparisons), but these scores did not differ at admission and discharge among patients with higher energy intake. The Kaplan–Meier survival function showed that 80% of well-nourished children (WAZ ≥ −2), as compared with 58% of malnourished children (WAZ < −2), recovered by the 4th day of treatment ( p < .01). The length of the recovery period was related negatively with total energy intake ( p = <.001) and mid-upper-arm circumference ( p = .004) and positively with stool weight. Conclusions Food intake was reduced in the hospitalized children because of severe illness. Patients with lower energy intake as a percentaqe of RDA had delayed clinical recovery and higher stool output.

Pre-meal water ingestion tends to reduce energy intake in overweight/obese adults

Appetite ◽  
2016 ◽  
Vol 101 ◽  
pp. 225-226
Author(s):  
R.A. Corney ◽  
C. Sunderland ◽  
L.J. James
Keyword(s):  
Energy Intake ◽  
Obese Adults ◽  
Water Ingestion ◽  
Reduce Energy Intake

scholarly journals Ad lib. feeding during recovery from malnutrition

1974 ◽  
Vol 31 (1) ◽  
pp. 109-112 ◽  
Author(s):  
Ann Ashworth
Keyword(s):  
Energy Intake ◽  
Lower Energy ◽  
High Energy ◽  
Malnourished Children ◽  
The Mean

1. Ten severely malnourished children were studied.2. During recovery the mean energy intake was 916 kJ (219 kcal)/kg per d when the children were fed ad lib. on a high-energy milk preparation.3. When a lower-energy milk preparation was given ad lib. the children voluntarily increased the volume consumed but the mean energy intake fell to 703 kJ (168 kcal)/kg per d.4. After recovery the children no longer consumed an increased volume when the lower-energy milk preparation was offered.5. The results provide further evidence of the importance of feeding with a high-energy preparation for the treatment of malnutrition, and demonstrate that additional benefits can be obtained by offering such mixtures ad lib.

Malnutrition in Hospitalized Children: Prevalence, Impact, and Management

2014 ◽  
Vol 75 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Veronique Groleau ◽  
Maxime Thibault ◽  
Myriam Doyon ◽  
Eve-Emmanuelle Brochu ◽  
Claude C. Roy ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Nutritional Status ◽  
Energy Intake ◽  
Lower Energy ◽  
Skinfold Thickness ◽  
Nutritional Risk ◽  
Hospitalized Children ◽  
Nutrition Interventions ◽  
Not At Risk ◽  
The Impact

Purpose Malnutrition in hospitalized children has been reported since the late 1970s. The prevalence of acute and chronic malnutrition was examined in hospitalized patients in a general pediatric unit, and the impact and management of malnutrition were assessed. Methods The nutritional risk score (NRS) and nutritional status (NS) (weight, height, body mass index, and skinfold thickness) of children aged zero to 18 years were assessed upon hospital admission. Growth and energy intake were monitored every three days until discharge. Results A total of 173 children (median age three years, 88 girls) participated; 79.8% had a moderate to severe NRS and 13.3% were acutely and/or chronically malnourished. A high NRS was associated with a longer hospital stay in children older than three years (P<0.05), while a poor NS (weight for height percentile) was correlated with prolonged hospitalization in children aged three years or younger (P<0.05). Although weight did not change during hospitalization, a decrease in skinfolds was documented (n=43, P<0.05). Patients with a high NRS had lower energy intake than those not at risk. However, children with abnormal NS received 92.5% of recommended energy intake. Conclusions This study suggests that all children admitted to hospital should have an evaluation of their NRS and NS, so that they can receive appropriate nutrition interventions provided by a multidisciplinary nutrition team.

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