Nutrition Program Research Articles

Patient Perception of Preoperative Nutrition and Recovery After Orthopaedic Surgery

BackgroundMounting evidence supports the use of nutritional supplementation to improve patient outcomes. The intent of this study was to utilize an anonymous questionnaire to determine patients’ baseline knowledge, attitude, and belief regarding nutrition before total hip (THA) or total knee arthroplasty (TKA). MethodsAfter receiving Institutional Review Board approval, an anonymous questionnaire was administered to 300 patients, comprising 184 women (61.3%) and 116 men (38.6%), averaging 67 years (range, 39 to 89). There were 238 TKAs (79.3%), 12 revision TKAs (4%), 44 THAs (14.6%), and 6 revision THAs (2%). ResultsAlmost all (99.6%) subjects recognized the importance of preoperative nutrition. Most (83.0%) claimed that they knew what to eat preoperatively to optimize their surgical outcomes and expressed high levels of self-reported confidence (98.6%). Women were more likely to report having knowledge of preoperative nutrition (P = .05), and advanced education levels were linked to higher confidence (P = .002). Only 169 (56.3%) subjects reported knowing what supplements to take. When asked, 84% of subjects stated that they would purchase a nutrition program if recommended by their surgeon. Most studies show that an improved diet and appropriate supplementation can optimize nutritional status and potentially improve surgical outcomes. ConclusionsThe results of this study confirm that most patients do not know how to achieve optimal nutrition. Therefore, we believe there is a need for patient education on preoperative nutrition and its benefits.

Integrating a Breastfeeding Peer Counselor Into an Academic Hospital's Obstetric Clinic: A Pilot Study.

Black recipients of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) have low breastfeeding rates. The aim of this pilot study was to determine if prenatal education by a breastfeeding peer counselor in an academic obstetric clinic is feasible and could improve WIC-eligible participants' breastfeeding self-efficacy and in-hospital breastfeeding rates. Pregnant participants (N = 57) were randomized into either an intervention group, which spoke briefly with a breastfeeding peer counselor immediately after their clinic appointment, or a comparison group, which received usual prenatal obstetric care only. Integrating a breastfeeding peer counselor into an academic obstetric clinic proved feasible and improved the intervention group's overall pre- to postscores on the Breastfeeding Self-Efficacy Scale. This small pilot study showed no significant difference in in-hospital exclusive breastfeeding rates between the groups.

Physical Activity and Knowledge about Nutrition Among Adolescents at Madrasah Aliyah Negeri (MAN) Surabaya City

Background: Adolescents are a window of opportunity for future development, so it is necessary to invest in the health and welfare of adolescents in accordance with the Adolescent Nutrition Program launched by the Indonesian government to adjust the Sustainable Development Goal at the UN meeting with a communication strategy for social change and adolescent behavior. Methods: This study used a quantitative design with 196 respondents whose samples were taken with probability sampling techniques in the form of simple random sampling. Physical activity data was taken from the International Physical Activity Questionnaire (IPAQ), data on knowledge of nutrients obtained from the Self Administere Qustionnaire (QuesCa) and intensity of fast food consumption obtained from the Food Frequency Questionnaire while nutritional intake through 24-hour food recall form. Data analysis used multiple linear regression with SPSS 25 statistical tools. Results: Based on the t test, it was concluded that there was an effect of physical activity and knowledge of nutrients with a significance value of 0.000 for each of the two variables. While the intensity of fast food consumption has a significance value of 0.968 (more than 0.05) which concludes that there is no effect of the intensity of fast food consumption on nutritional intake. Nutrient knowledge is the factor that most influences nutrient intake with a t-statistic of 5.941. Conclusions: In this study, it was concluded that there was an effect of physical activity and nutritional knowledge on nutritional intake, while the intensity of fast food consumption did not affect nutritional intake. The dominant factor affecting nutritional intake in this study was nutritional knowledge.

Relationship between Food Security, Nutrition Security, and Diabetes: The Role of Supplemental Nutrition Assistance Program Participation

BackgroundInadequate nutrition and poor diet quality are associated with a heightened risk of diabetes. The connection between food insecurity measures and diabetes has been established, with evidence indicating that Supplemental Nutrition Assistance Program (SNAP) participation contributes to reductions in food insecurity. Recently developed nutrition security measures, defined as the ability to acquire healthful foods to prevent diseases, and their association with diabetes and SNAP participation are not yet understood. ObjectivesThis study aimed to assess the relationship between food security and nutrition security in relation to diabetes overall and by SNAP participation and nutrition security as potential modifiers. MethodsSecondary data analysis of cross-sectional pilot study data collected from adults in 5 US states (N = 517). Logistic regression mixed models included moderation analysis and clustering effects by state to address site-level confounding. ResultsHigher nutrition security scores among adults, after adjusting for confounders, were significantly associated with lower odds of diabetes risk (adjusted odds ratio = 0.59; 95% confidence interval: 0.40, 0.87; P value = 0.008). Statistically significant interaction effect of differences according to SNAP participation was observed for nutrition security (Phomogeneity/interaction = 0.021), adjusting for age, gender, race/ethnicity, education, employment, National School Lunch Program, Special Supplemental Nutrition Program for Women, Infants, and Children, food pantry use, household with children, survey mode, and food security. The association between food security and diabetes was not statistically significant overall. However, statistically significant interaction effect of differences according to SNAP participation was observed for food security (Phomogeneity/interaction = 0.047). Further, no interaction effect of differences in nutrition security was found between food security and self-reported diabetes/prediabetes (Phomogeneity/interaction = 0.250). ConclusionsThis study sheds light on the early exploration of the intricate relationship between nutrition security and diabetes. The findings suggest that a higher nutrition security score, after adjusting for confounders, was significantly associated with lower odds of diabetes risk. Notably, there were statistically significant interaction effects in these associations based on SNAP participation.

Risk and protective factors associated with child welfare involvement among maternal-infant dyads affected by prenatal substance use

A 5-year retrospective cohort study (n = 4,178) was conducted to identify trends and outcomes associated with child welfare-involved maternal-infant dyads affected by perinatal substance use in Colorado. Two linked data sources were used: (1) vital records birth and death certificate data on live births between 2013 and 2019 and (2) child welfare data from the Statewide Automated Child Welfare Information System. Data integration and de-identification work was accomplished by the Linked Information Network of Colorado and authorized by state legislation. Two tools were available for identity resolution: (1) the Senzing identity resolution application and (2) SQL queries. Binary logistic regression was used to explore how a birthing person’s demographic characteristics, use of prenatal care, Special Nutrition Program for Woman, Infants, and Children (WIC) enrollment during pregnancy, health of birthing person during pregnancy and delivery, and the newborn’s health at the time of birth related to child welfare removal within the first 60 days. Factors associated with an increased risk of infant removal includeless than adequate prenatal care, lower household income, low participation in WIC, andgreater medical fragility of the newborn. For infants removed from the home, the rate of placement with relatives while in foster care decreased by 15 % (2016–2019). This is a concern as placing children with relatives is shown to promote healthy child development. Findings bring into focus opportunities for prevention, treatment, and support of maternal-infant dyads affected by substance use during the perinatal period and offers insight into early entry points for preventing the need for family separation by child welfare.

Nutrition Knowledge and Food Consumption in Households in the Uvira and Rizizi Health Zones, South Kivu, DR Congo

The aim of this article was to describe the nutritional knowledge of women in charge of household food and household food consumption. A two-stage cross-sectional cluster sample of women (n=780) was carried out in the Uvira territory, examining knowledge of current dietary recommendations, nutrient sources, healthy food choices and diet diseases relationship. Weekly consumption frequency of seven food groups was assessed. The association between food consumption score and independent variables were tested with a 95% confidence interval. The overall nutrition knowledge score was low (45.1%); of its components, the least known was the use of food information to make dietary choices (49.1%); but women appeared to be familiar with current dietary recommendations (60.8%), the relationship between diet and disease (59.9%) and nutrient sources (56.3%). Significant differences were noticed between nutritional knowledge and socio-demographic characteristics such as city living (AOR = 2.42, 95% CI: 1.74-3.37) and female education (AOR = 1.62, 95% CI: 1.14-2.21). Fat and oil; roots and tubers and flesh-based foods were the most frequently consumed food groups. The food consumption score was, however, good, and was associated with nutrition knowledge (AOR = 2.1, 95% CI: 1.34-3.26); area of residence (AOR = 9.4, 95% CI: 5.80-15.30); knowledge of daily food choices (AOR = 1.7, 95 CI: 1. In this study, households had poor nutritional knowledge and adequate food consumption scores were associated with demographic variables. Nutritional education programs are required to raise awareness.

Life style, health seeking behaviour and nutritional status of commercial vehicle drivers in Port Harcourt, Nigeria

BackgroundHealth seeking behaviour, lifestyle characteristics and the working conditions of commercial vehicle drivers often foster unhealthy habits and increase their vulnerability to health inequalities, including overweight, obesity, cardiovascular and metabolic disorders.ObjectiveThe objective of this study was to examine the life style, dietary habit, health seeking behaviour and nutritional status of commercial vehicle drivers in Port Harcourt, Nigeria.MethodsThis descriptive and cross-sectional study adopted a simple random sampling technique to recruit 202 commercial vehicle drivers in Port Harcourt, Nigeria. A semi-structured interviewer-administered questionnaire was used to obtain information on demographics, life style and health care characteristics of the commercial vehicle drivers. The anthropometric indices (weight and Height) of the drivers were obtained and their body mass index (BMI) was determined using WHO classification. Data were analysed using descriptive and inferential statistics, and level of significance was set at p= 0.05.ResultsMean age of the drivers was 43 ± 5.2 years and majority (86%) of them have completed secondary education. The majority (59%) consume soft drinks at least once per week and 85% eat at least one meal outside their home daily, while 16% and 49% patronize herbal medicine/concoction and visit the pharmacy or chemist store to purchase drugs respectively as first point of care when sick. The prevalence of overweight and obesity among the commercial drivers was 20% and 33% respectively. There was a statistically significant relationship between elevated BMI and respondent’s age (p<0.05), level of education (P=0.05), physical inactivity (P<0.01) and frequency of alcohol consumption (P<0.05).ConclusionsThis study confirms high prevalence of overweight and obesity among the commercial vehicle drivers and its associated factors of poor nutritional habits, health and life style characteristics. Therefore, a comprehensive nutritional programme including behavioural change and communication that is context-specific targeted at commercial drivers should be implemented.

Associations of Increased WIC Benefits for Fruits and Vegetables With Food Security and Satisfaction by Race and Ethnicity.

The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides nutrition support for racially and ethnically diverse populations. In 2021, the monthly cash value benefit (CVB) for the purchase of fruits and vegetables increased from $9 to $35 and was later adjusted to $24. This study investigated, by racial and ethnic groups, whether CVB increases were associated with increases in CVB redemption, household food security, child fruit and vegetable intake, satisfaction with CVB amount, and likelihood of continued participation in WIC if the CVB returned to $9 per month. We conducted a longitudinal study of WIC participants (N = 1,770) in southern California at 3 time points, from April 2021 through May 2022; the CVB amount was $9 at baseline, $35 at Survey 2, and $24 at Survey 3. Racial and ethnic groups were Hispanic English-speakers, Hispanic Spanish-speakers, non-Hispanic Asian, non-Hispanic Black, non-Hispanic Other, and non-Hispanic White. We used mixed-effect and modified Poisson regressions to evaluate outcomes by group. At baseline, groups differed significantly in dollars of CVB redeemed, percentage of CVB redeemed, household food security, and satisfaction with CVB amount. After the increase in CVB, we found increases in all groups in CVB redemption, household food security, and satisfaction. Non-Hispanic Black and Hispanic English-speaking groups, who had low levels of satisfaction at baseline, had larger increases in satisfaction than other groups. Reported likelihood of continued WIC participation if the monthly CVB returned to $9 also differed significantly by group, ranging from 62.5% to 90.0%. The increase in CVB for children receiving WIC benefited all racial and ethnic groups. Continued investment in an augmented CVB could improve health outcomes for a racially and ethnically diverse WIC population.

Prepuberty is a window period for curcumin to prevent obesity in postnatal overfed rats.

Overnutrition in early life increases the risk of obesity and metabolic diseases. We investigated the effects and the window period of a curcumin (CUR) diet on postnatal overfed rats. Male rats aged 3 days were randomly divided into normal litters (NL, 10 pups/litter) and small litters (SL, 3 pups/litter). After weaning (Week 3, W3), NL rats were fed a normal diet (NL) and SL rats were fed a normal diet (SL) or 2% CUR diet from weaning (W3) (SL-CURW13), beginning of puberty (W6) (SL-CURW16), or end of puberty (W8) (SL-CURW18) for 10 weeks. Body weight, glucose intolerance and hyperlipidemia in the SL rats were higher than in the NL rats, especially after puberty. After the CUR intervention, SL-CURW13 and SL-CURW16 rats showed lower body weight gain, adipose tissue weight and mRNA level of C/EBPα in SAT, along with higher mRNA levels of β-catenin. There was no difference between SL and SL-CURW18 rats. Glucose tolerance, serum lipids and hepatic lipids recovered to normal in the SL-CURW13 rats, but only partially in the SL-CURW16 and SL-CURW18 rats. Prepuberty is a window period for CUR intervention to improve programmed outcomes in postnatal overfed rats. Overnutrition during the first 1000 days of life has persistent negative effects on metabolism. Strategies should be taken to prevent overnutrition in early life to reduce the risk of obesity and metabolic disease in later life. A small-litter rat model was utilized to simulate early-life overnutrition in humans. We investigated the different effects and critical period for curcumin intervention on postnatal overfed rats. Dietary curcumin intervention before puberty could effectively transform nutritional programming to reduce obesity and metabolic disorders caused by early-life overnutrition, and an earlier intervention might predict a better outcome.

The Design and Acceptability of a Hip Hop Themed Integrated Nutrition Math Curriculum for Minoritized 5th Grade Students Using the Multisensory Multilevel Health Education Model.

Digital technology creates new opportunities to design multisensory learning experiences. Evidence suggests that digital innovation can greatly benefit health education, including nutrition programs. The COVID-19 pandemic disrupted the education sector, forcing schools to modify standard practices from exclusively in-person delivery to online or blended learning. Digitalized curriculums became particularly useful as an Emergency Remote Teaching tool. This article focuses on developing and implementing a multimedia, multisensory, and scalable Hip-Hop Healthy Eating and Living in Schools (H.E.A.L.S.) Nutrition-Math Curriculum (NMC). NMC comprises 20 lessons-music-based multimedia resources used in the classroom or at home. Fourteen lessons represent self-directed online modules (asynchronous learning) hosted on a Learning Management System (LMS) called "Gooru." The remaining six lessons are teacher-facilitated (in person or using Zoom) review sessions (synchronous learning). The article discusses (1) the development of NMC through the lens of the Multisensory Multilevel Health Education Model (MMHEM), (2) the high acceptability of NMC evaluated using a mixed-methods design among minoritized fifth-grade students attending an after-school program, and (3) the students' completion and mastery rates of the NMC modules based on LMS data. Multimedia nutrition education programs integrated with common core curriculum content, such as NMC, may be a promising avenue for disseminating health education to minoritized children living in New York City and similar high fast-food density cities.

Taxing sugar-sweetened beverages: Knowledge, beliefs and where should the money go?

BackgroundThe Sugar-Sweetened Beverage (SSB) industry consciously and subconsciously influences consumers to buy its products. Countering unhealthy messaging and behaviour could be tackled through the SSB levy and allocation of revenue toward healthy lifestyle programs. Given the limited information in the UAE on demographic and consumer knowledge and beliefs and allocation of SSB levy, we conducted a study to explore this further. The study objectives were to a) explore the association between demographic factors (nationality, income and education) with knowledge and beliefs for SSB and b) explore participants' views on allocating SSB levy toward healthy lifestyle programs. MethodsA cross-sectional study of adults in the United Arab Emirates. ResultsThe findings suggest knowledge was high for Sugar-Sweetened Beverages (SSB), obesity, and diabetes (1,231, 96.1%), and there was a high awareness of SSB tax (1,066, 83.2%). Knowledge and beliefs about Sugar-Sweetened Beverages were statistically significant for two demographic factors. There was support for the tax revenue to be spent on government programs and greater support for spending to be directed toward specific healthy lifestyle programs such as school health programmes (514, 39.8%), children's diet and nutrition programmes (497, 38.5%), physical activity programmes (480, 37.2%), among others. ConclusionsThe findings shed light on the influence demographic factors have on knowledge and beliefs, public health gaps and potential areas for SSB levy expenditure. Further research is needed to understand how best to implement healthy lifestyle programs within the community to optimise coverage, cost-effectiveness, and health outcomes.

Barriers and Facilitators to 24-Month Maintenance of the Faith, Activity, and Nutrition Program in the U.S.

Little is known about the barriers and facilitators to organizational maintenance of faith-based health promotion programs. This study used qualitative data (collected from 2016–2019) from pastors (n = 81) and program coordinators (n = 103) to identify barriers and facilitators to 24-month maintenance of a faith-based physical activity (PA) and healthy eating (HE) intervention in South Carolina. Barriers differed for PA versus HE: resistance to change impeded HE while church characteristics tended to impede PA. Similar themes emerged for PA and HE facilitators: healthy opportunities, church communication, and consistency. Future research should build upon this study to tailor faith-based health promotion programs for long-term sustainability.

Application of the Transtheoretical Model to Physical Activity and Health-related Quality of Life Among Older People Living With Frailty in the Community: The Fitness and Nutrition Program for Seniors (FANS) Study Protocol

Background: When the COVID-19 pandemic is combined with frailty, not only are older people's types of activities and willingness to be active limited, but also issues and hidden concerns about health care arise. However, the effectiveness of health promotion strategies incorporating remote care technologies remains to be explored. Therefore, the purpose of this study was to develop a hybrid learning approach based on a fitness and nutrition program for seniors (FANS). Simultaneously, the FANS follows the Transtheoretical Model (TTM) as an overall framework to design blended learning in in-person and telecare modalities for older people living with frailty in the community.Methods: This study is a non-randomized, control-group, pretest–posttest design. A total of 84 older participants living with frailty will be assigned to two groups. The intervention group will receive the 6-month, 9-session FANS through hybrid learning, which includes in-person physical activity (PA) training, nutritional guidance led by a nurse, and group discussions. The official account of the FANS and the group chat will provide individuals with online home practice at the current TTM stage, session time and home practice reminders, video reviews, consultations, and tutoring for telecare. The waitlist control group will maintain regular health promotion activities. Three repeated assessments (one pre-test and two post-training tests conducted after 3 months and after 6 months) will be conducted. The primary outcome measures will include frailty status, PA, and health-related quality of life (HRQoL), and the secondary outcome measures will be health-related data. Statistical analysis will include the Chi-squared test, Independent Sample t-test, and Generalized Estimating Equation (GEE).Discussion: This study will provide evidence that the FANS for older people living with frailty will have more positive and beneficial outcomes than the traditional method. Simultaneously, we hope the FANS will help the older population living with frailty in the community to transform their health difficulties in the future.Trial Registration: NCT05242549. Registered 22 February 2022.

Does Parental Out-migration Affect Nutritional Health Status and Morbidity Among Children? Evidence From India Human Development Survey Data for the Empowered Action Group States

In India, despite having high economic growth, considerable inter-state inequality exists across states in terms of per capita income as well as employment opportunities. The eight Empowered Action Group (EAG) states, which have performed poorly on different accounts of social and physical infrastructure, are also characterised by large inter-state migration for employment. Parental out-migration from these states affects different aspects of child well-being. The present study tries to assess nutritional health status, morbidity and health care utilisation among children based on their parents’ migration status. The results show that parents’ migration status plays a vital role in influencing the prevalence of common childhood diseases and malnutrition among children in EAG states. Multi-prolonged and decentralised strategies are required towards developing and implementing comprehensive nutrition and nutrition-related education programme for the children in these states.

Should handgrip strength be considered when choosing the administration mode of oral nutritional supplements in geriatric patients? A secondary analysis of the MEDPass Trial

ObjectiveIt is important to individualize nutrition therapy and to identify whether certain patient groups benefit from a specific intervention such as oral nutritional supplements (ONS). This study investigated whether patients with weak handgrip strength (HGS) benefit better from ONS administration in the Medication Pass Nutritional Supplement Program (MEDPass) mode regarding the individual coverage of energy and protein requirements throughout their hospitalization. MethodsA secondary analysis of the intention-to-treat data set of the randomized controlled MEDPass trial was conducted. Weak HGS was defined as <27 kg for men and <16 kg for women. Linear mixed-effect models adjusted for the stratification factors energy density of ONS and nutritional risk screening 2002 score were used to address the aim of the study. ResultsWe included 188 participants. Energy and protein coverage did not differ between the patients with weak or normal HGS depending on ONS administration mode (P = 0.084, P = 0.108). Patients with weak HGS and MEDPass administration mode tended to have the lowest energy and protein coverage (estimated mean, 77.2%; 95% confidence interval [CI], 69.3%–85% and estimated mean, 95.1%; 95% CI, 85.3%–105%, respectively). Patients with weak HGS and conventional ONS administration had the highest energy and protein coverage (estimated mean, 90%; 95% CI, 82.8%–97.2% and estimated mean, 110.2%; 95% CI, 101.3%–119%, respectively). ConclusionNo clear recommendations regarding the mode of ONS administration depending on HGS can be made. In clinical practice, appetite and satiety in patients with weak HGS should be monitored, and the ONS administration mode should be adjusted accordingly.

دور الصندوق الاجتماعي للتنمية في تعزيز المهارات الحياتية لدى الأسر الريفية في اليمن: دراسة حالة مديرية جبل الشرق انس ذمار

This study aimed to investigate the role of the Social Fund for Development (SFD) in promoting life skills for rural families in Yemen. The study focused on a case study of the rural community of Ans District in Thamar Governorate, specifically the Conditional Cash Transfer Program for Nutrition (CCTPN). The study used a descriptive survey approach and applied a questionnaire to a sample of 150 women beneficiaries of the CCTPN. It was analyzed using the Statistical Package for Social Sciences (SPSS). The study found that the CCTPN had a significant impact on enhancing life skills among the beneficiaries, particularly in the areas of health and nutrition. The study also found that the CCTPN had improved some living conditions that were almost non-existent before the project's intervention. The study showed many negative aspects that impedes the enhancement of life skills, the most prominent of which is that illiteracy is widespread in the rural community, which is a serious threat and a major obstacle to economic and development that should be given significant attention by the relevant authorities.

Perspective: Nutrition Health Disparities Framework: A Model to Advance Health Equity

Disparities in nutrition, such as poor diet quality and inadequate nutrient intake, arise from multiple factors and are related to adverse health outcomes such as obesity, diabetes, cardiovascular disease, and some cancers. The aim of the current perspective is to present a nutrition-centric socioecological framework that delineates determinants and factors that contribute to diet and nutrition-related disparities among disadvantaged populations. The Nutrition Health Disparities Framework (NHDF) describes the domains (biological, behavioral, physical/built environment, sociocultural environment, and healthcare system) that influence nutrition-related health disparities through the lens of each level of influence (that is, individual, interpersonal, community, and societal). On the basis of the scientific literature, the authors engaged in consensus decision making in selecting nutrition-related determinants of health within each domain and socioecological level when creating the NHDF. The framework identifies how neighborhood food availability and access (individual/built environment) intersect with cultural norms and practices (interpersonal/sociocultural environment) to influence dietary behaviors, exposures, and risk of diet-related diseases. In addition, the NHDF shows how factors such as genetic predisposition (individual/biology), family dietary practices (interpersonal/behavioral), and food marketing policies (societal) may impact the consumption of unhealthy foods and beverages and increase chronic disease risk. Family and peer norms (interpersonal/behavior) related to breastfeeding and early childhood nutrition interact with resource-poor environments such as lack of access to preventive healthcare settings (societal/healthcare system) and low usage of federal nutrition programs (societal/behavioral), which may increase risk of poor nutrition during childhood and food insecurity. The NHDF describes the synergistic interrelationships among factors at different levels of the socioecological model that influence nutrition-related outcomes and exacerbate health disparities. The framework is a useful resource for nutrition researchers, practitioners, food industry leaders, and policymakers interested in improving diet-related health outcomes and promoting health equity in diverse populations.

Pilot Study to Assess the Effectiveness of the Sustainable Culturally Adaptive Nutrition Program (SCAN) to Improve Adherence to the National Diabetes Prevention Program.

The Sustainable Culturally Adapted Nutrition Program (SCAN) is a novel adaptation to the National Diabetes Prevention Program (NDPP) that aims to improve attendance and effectiveness. This paper presents its feasibility and impact through the initial 6-month outcomes. A pragmatic quasi-experimental pilot study with intervention (DPP plus SCAN) and control (DPP only) groups. Sustainable Culturally Adapted Nutrition Program participants were recruited from federally qualified health center (FQHC) clinic patients enrolled in a NDPP in Houston, Texas. Participants needed to be (1) ≥18years old, (2) body mass index >25, (3) no prior diagnosis of diabetes, and (4) not pregnant. Sustainable Culturally Adapted Nutrition Program cooking classes were designed to teach skills to prepare fresh produce, and utilized Motivational Interviewing (MI) techniques to encourage participants to adapt these skills for foods that were culturally important to them. (1) National Diabetes Prevention Program attendance, (2) BMI and (3) percent weight loss. We used linear mixed models to test the association between weights and NDPP attendance. 22 intervention and 15 control participants completed the program to the 6-month point. Intervention participants had increased DPP attendance over controls (7.14 vs 6.87 session). Intervention participants also demonstrated on average, 1.5% weight loss for each additional SCAN class attended (P = .144). The SCAN adaptation shows promising results for effectively increasing both NDPP attendance and weight loss.

Improving nutritional status after allogeneic stem cell transplantation: results of phase 2 ALLONUT clinical trial

Malnutrition increases the risk of non-relapse mortality after allogeneic stem cell transplantation (aHSCT). Here are the results of the ALLONUT clinical trial designed to improve the nutritional outcome of patients receiving aHSCT. ALLONUT is a prospective open label phase 2 clinical trial assessing the efficacy of a close tailored nutritional support and management with traditional and original solutions to improve patients nutritional status following aHSCT. Nutritional status evaluation was performed before transplantation, on Day 0, 30, 100 and one year after transplantation. The study involved 70 patients treated by aHSCT. 10% of patients were moderately or severely malnutrition at baseline and 26.9 were severely malnutrition at D30. Patients’ nutritional status improved thanks to the cooking classes and the personalized outpatient nutrition program. At D100, 23% were still malnutrition, while only 10.8% were severely malnutrition one year after transplantation. The QLQ-C30 show that quality of life (QoL) decreased until D30, and improve to reach the pre-transplant level on D100 before exceeding it on D360. The study confirmed that a close, personalized nutritional program combining traditional and original measures can improve both nutritional status and QoL for patients suffering from moderate or severe malnutrition after aHCST.

EVALUATION OF THE RELIABILITY AND CONCORDANCE OF VISUAL WEIGHT ASSESSMENT IN WATER BUFFALO FEMALES

&lt;p&gt;&lt;strong&gt;Background.&lt;/strong&gt; For the development of reproductive, nutritional and health programmes, estimation of animal body weight (BW) is a fundamental tool in herd management. &lt;strong&gt;Objective. &lt;/strong&gt;To evaluate of the reliability and concordance&lt;strong&gt; &lt;/strong&gt;of visual weight assessment in water buffalo females. &lt;strong&gt;Methodology. &lt;/strong&gt;Data on visually estimated body weight (VM) and actual body weight (BW) were recorded for 229 female water buffaloes. BW was recorded using a digital scale and visual estimation BW was taken as the average of three observations made by three observers. The measurements obtained by each of the different estimation methods were also compared with the observed weights by inspecting the paired Bland-Altman plots prior to logarithmic transformation. &lt;strong&gt;Results. &lt;/strong&gt;Correlations between observed BW and mean predicted BW for visual methods showed a positive and significant relationship (P&amp;lt;0.001), with an r value of 0.95. According to the intraclass correlation coefficient (ICC), there was a high degree of reliability in the visual estimates of buffalo weight, due to the similarity in the mean and dispersion of each observer's estimates. Both the Bland-Altman plot and the ICC show that there is a high level of concordance between the buffalo weights obtained by the visual and real methods. &lt;strong&gt;Implications.&lt;/strong&gt; The result of the present study showed that visual assessment highlights the ability of livestock handlers to have a very accurate estimation of BW in female water buffaloes. &lt;strong&gt;Conclusion.&lt;/strong&gt; The results of this study show that visual assessment highlights the ability of livestock handlers to visually estimate BW in female water buffaloes with high reliability and concordance with the animal weighbridge method.&lt;/p&gt;