Nutrition and Allergic Diseases
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A Knowledge-To-Action Approach to Food Fortification: Guiding Principles for the Design of Fortification Programs As a Means Of
Vol.4, No.10, 904-909 (2012) Health http://dx.doi.org/10.4236/health.2012.410138 A knowledge-to-action approach to food fortification: Guiding principles for the design of fortification programs as a means of effectively addressing micronutrient malnutrition Laura A. Rowe*, David M. Dodson Project Healthy Children, Cambridge, USA; *Corresponding Author: [email protected] Received 28 August 2012; revised 26 September 2012; accepted 5 October 2012 ABSTRACT clear and concise messages or frameworks that allow for scaling-up in changing, challenging, and dynamic envi- The gap that exists between research and the ronments [8]. dissemination and implementation of research This paper seeks to add to the already existing litera- findings has been well established. Food forti- ture on how to implement national food fortification pro- fication, one of the most cost-effective means of grams in a way that addresses the “knowing-doing” gap addressing micronutrient malnutrition, is no ex- by offering a streamlined model that facilitates moving ception. With decades of implementation experi- from evidence to application. Based on Project Healthy ence, there is need to strengthen mechanisms Children’s (PHC) experience assisting governments in that effectively broadcast proven strategies to the design and implementation of national food fortifica- promote the successful implementation of forti- tion programs in Rwanda and Malawi, in this paper we 1) fication programs in changing, challenging, and describe how nationwide, mandatory food fortification dynamic environments. This requires clear chan- programs, often missing from national agendas, are dis- nels of communication, well-defined in-country tinct in how they address the problem of malnutrition; leadership, and a streamlined and focused ap- and 2) document four core, arguably intangible and often proach that can be adapted to country-specific overlooked, principles needed to solidify engagement, contexts. -
Aspartame Studies by Dr. Mercola
Aspartame Studies Health Problem: Brain damage/Cognitive skills disruption/Retardation/Neurochemical changes in the brain/Behavioral and Mood Changes/Problems Reference: http://aspartame.mercola.com/sites/aspartame/studies.aspx 1. Year Published: 1970 Full Reference: Brain Damage in Infant Mice Following Oral Intake of Glutamate, Aspartate, or Cysteine; Nature 1970;227-609-610 Funded By: Washington University Conclusion/Findings: Irreversible degenerative changes and acute neuronal necrosis Hyperlink to Study http://www.nature.com/nature/journal/v227/n5258/pdf/227609b0.pdf 2. Year Published: 2008 Full Reference: Direct and Indirect Cellular Effects of Aspartame on the Brain. European Journal of Clinical Nutrition (2008) 62, 451-462; P. Humphries, E. Pretorius, and H. Naude Funded By: Not known Conclusion/Findings: Excessive aspartame ingestion might cause certain mental disorders, as well as compromised learning and emotional functioning Hyperlink to Study: http://www.newmediaexplorer.org/sepp/aspartamebrain.pdf 3. Year Published: 2007 Full Reference: Life-Span Exposure to Low Doses of Aspartame Beginning During Prenatal Life Increases Cancer Effects in Rats, Morando Soffritti, Fiorella Belpoggi, Eva Tibaldi, Davide Degli Esposti, Michelina Lauriola; Environmental Health Perspectives, 115(9) Sep 2007; 115:1293-1297. doi:10.1289/ehp.10271. Funded By: Not known Conclusion/Findings: Carcinogenicity proven a second time; with effects increased when exposure to aspartame begins during fetal life. Hyperlink to Study: http://ehp03.niehs.nih.gov/article/fetchArticle.action?articleURI=info:doi/10.1289/ehp.10271 4. Year Published: 1984 Full Reference: Effects of Aspartame and Glucose on Rat Brain Amino Acids and Serotonin. Yokogoshi H, Roberst CH, Caballero B, Wurtman RJ. American Journal of clinical Nutrition. -
Fortified Food and Supplements: Approaches for Long-Term Care Residents
ASK AN EXPERT DAVID PAPAZIAN/SHUTTERSTOCK.COM Fortified Food and Supplements: Approaches for Long-Term Care Residents By Julie Cavaliere, “To cure sometimes, to relieve often, to comfort always”. Ba.Sc., RD, Manager of –Hippocrates Dietary, Nutrition and ood and dining are key components of quality of life and Environmental Operations quality of care for residents in long-term care homes. for Sienna Senior Living The prevalence of protein energy under-nutrition for residents ranges from 23 per cent to 85 per cent, making malnutrition one of the most serious problems facing health professionals in long-term care. Malnutrition is associated with poor outcomes and is an indicator of risk for increased mortality. It has been found that most residents with evi- dence of malnutrition were on restricted diets that might discourage nutrient intake.1 Researchers, Nutrition Managers, and Registered Dietitians alike have been looking at ways and methods to fortify foods without increasing the volume of food consumed. What exactly is a fortified food? Health Canada defines food fortification as “a process by which vitamins, mineral nutrients and amino acids are added to foods to provide consumers with sufficient but not excessive amounts of certain nutrients in their diet.”2 There is both mandatory and voluntary fortification of foods at present. Mandatory fortification includes addition of vitamin A and D to milk, CANADIAN SOCIETY OF NUTRITION MANAGEMENT NEWS – WINTER 2018 11 for example. Meal replacements or nutritional supplements of a known food, cost, acceptance, not a normalized way of for the purposes of this article can be defined “a formulated eating, and no connection to the past. -
Guidelines on Food Fortification with Micronutrients
GUIDELINES ON FOOD FORTIFICATION FORTIFICATION FOOD ON GUIDELINES Interest in micronutrient malnutrition has increased greatly over the last few MICRONUTRIENTS WITH years. One of the main reasons is the realization that micronutrient malnutrition contributes substantially to the global burden of disease. Furthermore, although micronutrient malnutrition is more frequent and severe in the developing world and among disadvantaged populations, it also represents a public health problem in some industrialized countries. Measures to correct micronutrient deficiencies aim at ensuring consumption of a balanced diet that is adequate in every nutrient. Unfortunately, this is far from being achieved everywhere since it requires universal access to adequate food and appropriate dietary habits. Food fortification has the dual advantage of being able to deliver nutrients to large segments of the population without requiring radical changes in food consumption patterns. Drawing on several recent high quality publications and programme experience on the subject, information on food fortification has been critically analysed and then translated into scientifically sound guidelines for application in the field. The main purpose of these guidelines is to assist countries in the design and implementation of appropriate food fortification programmes. They are intended to be a resource for governments and agencies that are currently implementing or considering food fortification, and a source of information for scientists, technologists and the food industry. The guidelines are written from a nutrition and public health perspective, to provide practical guidance on how food fortification should be implemented, monitored and evaluated. They are primarily intended for nutrition-related public health programme managers, but should also be useful to all those working to control micronutrient malnutrition, including the food industry. -
Journal of Obesity and Nutritional Disorders
Journal of Obesity and Nutritional Disorders Sparre M and Kristensen G. J Obes Nutr Disord: JOND-116. Review Article DOI: 10.29011/JOND-116.100016 Casualties of the Danish Malnutrition Period Maja Sparre1*, Gustav Kristensen2 1Geriatric Department, University Hospital Gentofte, Hellerup, Denmark 2Econometric Department, Stockholm School of Economics, Latvia *Corresponding Author: Maja Sparre, Geriatric Department, University hospital Gentofte, Niels Andersensvej 28, 2900 Hellerup, Denmark. Tel: +4538673867; Fax: +4538677632; Email: [email protected] Citation: Sparre M, Kristensen G (2017) Casualties of the Danish Malnutrition Period. J Obes Nutr Disord: JOND-116. DOI: 10.29011/JOND-116.100016 Received Date: 20 September, 2017; Accepted Date: 28 October, 2017; Published Date: 03 November, 2017 Abstract From 1999 to 2007 the number of people who died from malnutrition in Denmark rose suddenly, in some parts of the country up to 8 times. Inspired by the Dutch famine studies we examine that the death rates from diseases causing malnutrition. We find a parallel to the Dutch famine studies in that it seems that patients suffering from schizophrenia, stroke and Alzheimer’s disease also in excess during this period. Abbreviations: during this period show that they have an increased risk of devel- oping schizophrenia, diabetes, cold, breast cancer and Alzheimer’s DMP : The Danish Malnutrition Period Disease(AD) and have an altogether higher all-cause mortality [l-3]. AD : Alzheimer's Disease The Danish malnutrition period (DMP) 1999- Keywords: -
International Prevalences of Reported Food Allergies and Intolerances
European Journal of Clinical Nutrition (2001) 55, 298±304 ß 2001 Nature Publishing Group All rights reserved 0954±3007/01 $15.00 www.nature.com/ejcn International prevalences of reported food allergies and intolerances. Comparisons arising from the European Community Respiratory Health Survey (ECRHS) 1991 ± 1994 RK Woods1*, M Abramson1, M Bailey1 and EH Walters2 on behalf of the European Community Respiratory Health Survey (ECRHS) 1Departments of Epidemiology and Preventive Medicine, Monash Medical School, The Alfred Hospital, Prahran, Victoria, Australia; and 2Department of Respiratory Medicine, Monash Medical School, The Alfred Hospital, Prahran, Victoria, Australia Objective: The aim of this study was to report the prevalence, type and reported symptoms associated with food intolerance. Design: A cross-sectional epidemiological study involving 15 countries using standardized methodology. Participants answered a detailed interviewer-administered questionnaire and took part in blood, lung function and skin prick tests to common aeroallergens. Setting: Randomly selected adults who took part in the second phase of the European Community Respiratory Health Survey (ECRHS). Subjects: The subjects were 17 280 adults aged 20 ± 44 y. Results: Twelve percent of respondents reported food allergy=intolerance (range 4.6% in Spain to 19.1% in Australia). Atopic females who had wheezed in the past 12 months, ever had asthma or were currently taking oral asthma medications were signi®cantly more likely to report food allergy=intolerance. Participants from Scandi- navia or Germany were signi®cantly more likely than those from Spain to report food allergy=intolerance. Respondents who reported breathlessness as a food-related symptom were more likely to have wheezed in the past 12 months, to have asthma, use oral asthma medications, be atopic, have bronchial hyperreactivity, be older and reside in Scandinavia. -
South African Food-Based Dietary Guidelines
ISSN 1607-0658 Food-Based Dietary Guidelines for South Africa S Afr J Clin Nutr 2013;26(3)(Supplement):S1-S164 FBDG-SA 2013 www.sajcn.co.za Developed and sponsored by: Distribution of launch issue sponsored by ISSN 1607-0658 Food-Based Dietary Guidelines for South Africa S Afr J Clin Nutr 2013;26(3)(Supplement):S1-S164 FBDG-SA 2013 www.sajcn.co.za Table of contents Cited as: Vorster HH, Badham JB, Venter CS. An 9. “Drink lots of clean, safe water”: a food-based introduction to the revised food-based dietary guidelines dietary guideline for South Africa Van Graan AE, Bopape M, Phooko D, for South Africa. S Afr J Clin Nutr 2013;26(3):S1-S164 Bourne L, Wright HH ................................................................. S77 Guest Editorial 10. The importance of the quality or type of fat in the diet: a food-based dietary guideline for South Africa • Revised food-based dietary guidelines for South Africa: Smuts CM, Wolmarans P.......................................................... S87 challenges pertaining to their testing, implementation and evaluation 11. Sugar and health: a food-based dietary guideline Vorster HH .................................................................................... S3 for South Africa Temple NJ, Steyn NP .............................................................. S100 Food-Based Dietary Guidelines for South Africa 12. “Use salt and foods high in salt sparingly”: a food-based dietary guideline for South Africa 1. An introduction to the revised food-based dietary Wentzel-Viljoen E, Steyn K, Ketterer E, Charlton KE ............ S105 guidelines for South Africa Vorster HH, Badham JB, Venter CS ........................................... S5 13. “If you drink alcohol, drink sensibly.” Is this 2. “Enjoy a variety of foods”: a food-based dietary guideline still appropriate? guideline for South Africa Jacobs L, Steyn NP................................................................ -
The Use of Non-Nutritive Sweeteners in Establishing and Maintaining a Healthy Weight
Brigham Young University BYU ScholarsArchive Student Works 2014-07-15 The Use of Non-Nutritive Sweeteners in Establishing and Maintaining A Healthy Weight Derrick Pickering Brigham Young University - Provo, [email protected] Mary Williams Brigham Young University - Provo Follow this and additional works at: https://scholarsarchive.byu.edu/studentpub Part of the Nursing Commons The College of Nursing showcases some of our best evidence based scholarly papers from graduate students in the Family Nurse Practitioner Program. The papers address relevant clinical problems for advance practice nurses and are based on the best evidence available. Using a systematic approach students critically analyze and synthesize the research studies to determine the strength of the evidence regarding the clinical problem. Based on the findings, recommendations are made for clinical practice. The papers are published in professional journals and presented at professional meetings. BYU ScholarsArchive Citation Pickering, Derrick and Williams, Mary, "The Use of Non-Nutritive Sweeteners in Establishing and Maintaining A Healthy Weight" (2014). Student Works. 120. https://scholarsarchive.byu.edu/studentpub/120 This Peer-Reviewed Article is brought to you for free and open access by BYU ScholarsArchive. It has been accepted for inclusion in Student Works by an authorized administrator of BYU ScholarsArchive. For more information, please contact [email protected], [email protected]. The Use of Non-Nutritive Sweeteners in Establishing and Maintaining A Healthy Weight Derrick E. Pickering An evidence based scholarly paper submitted to the faculty of Brigham Young University in partial fulfillment of requirements for the degree of Masters of Science Mary Williams, Chair College of Nursing Brigham Young University August 2014 ii ABSTRACT The Use of Non-Nutritive Sweeteners in Establishing and Maintaining a Healthy Weight Derrick Pickering College of Nursing, BYU Master of Science in Nursing Obesity is an epidemic and continues to rise. -
The Unfinished Agenda for Food Fortification in Low-And Middle
nutrients Review The Unfinished Agenda for Food Fortification in Low- and Middle-Income Countries: Quantifying Progress, Gaps and Potential Opportunities Penjani Mkambula 1,*, Mduduzi N. N. Mbuya 1,* , Laura A. Rowe 2 , Mawuli Sablah 3, Valerie M. Friesen 1 , Manpreet Chadha 4, Akoto K. Osei 5, Corinne Ringholz 6, Florencia C. Vasta 1 and Jonathan Gorstein 7 1 Global Alliance for Improved Nutrition, Rue de Varembé 7, 1202 Geneva, Switzerland; [email protected] (V.M.F.); [email protected] (F.C.V.) 2 Food Fortification Initiative, 1518 Clifton Road, Atlanta, GA 30322, USA; laura.rowe@ffinetwork.org 3 UNICEF, 3 UN Plaza, New York, NY 10017, USA; [email protected] 4 Nutrition International 180 Elgin St., Suite 1000, Ottawa, ON K2P 2K3, Canada; [email protected] 5 Helen Keller International, Regional Office for Africa, Dakar BP 29.898, Senegal; [email protected] 6 World Food Programme, Via Cesare Giulio Viola, 68, 00148 Rome, Italy; [email protected] 7 Iodine Global Network, Seattle, WA 98107, USA; [email protected] * Correspondence: [email protected] (P.M.); [email protected] Received: 31 December 2019; Accepted: 27 January 2020; Published: 29 January 2020 Abstract: Large-scale food fortification (LSFF) is a cost-effective intervention that is widely implemented, but there is scope to further increase its potential. Toidentify gaps and opportunities, we first accessed the Global Fortification Data Exchange (GFDx) to identify countries that could benefit from new fortification programs. Second, we aggregated Fortification Assessment Coverage Toolkit (FACT) survey data from 16 countries to ascertain LSFF coverage and gaps therein. Third, we extended our narrative review to assess current innovations. -
Food Processing: Opportunities and Challenges
IUFoST Scientific Information Bulletin (SIB) November 2020 FOOD PROCESSING: OPPORTUNITIES AND CHALLENGES With a projected global population of almost 10 billion people by 2050 and limited natural resources available, sustainable production of adequate high-quality food is a major challenge facing our society. Food processing and preservation are among the most powerful tools available to achieve the goal of feeding the constantly increasing population because they are useful in addressing both post- harvest and consumer food losses. Food processing and full utilization of resources help to achieve food safety, increase shelf life, and improve the nutritional value of foods. Typical food processing includes operations such as mixing and formulating raw materials, pasteurization, heating, freezing, chilling, filtration, drying, fortification, packaging and the addition of preservatives, colorants, and flavors. In this sense, cooking is a form of food processing. Nowadays, the majority of foods sold in grocery stores have been subjected to some degree of processing; however, people and organizations often give different definitions of “processed food”. Food processing eliminates pathogenic microorganisms, may increase the availability or preservation of nutrients, and even reduce or deactivate innate harmful components. However, it is also evident that certain processes may result in the reduction of nutrients or potential bioactives. Some formulations increase ingredients that can contribute to poor health when consumed in high amount. Others may employ additives to extend shelf life and maintain flavor, texture and safety. Concerns have been raised among consumers and some health professionals about the potential negative effects of processed foods on human health and their relation to the obesity epidemic and chronic diseases such as type-2 diabetes and cardiovascular disease, in a scenario of increased sedentarism, reduced time for food preparation at home and overeating. -
Nutrition and Dietetics (NTD) 1
Nutrition and Dietetics (NTD) 1 Nutrition and Dietetics (NTD) Courses NTD 3399 Experimental Course: 1-6 semester hours. The content of this course is not described in the catalog. Title and number NTD 1101 Introduction to Dietetics: 1 semester hour. of credits are announced in the Class Schedule. Experimental courses may History of the profession, academic pathway, outline of internship expectations, be offered no more than three times with the same title and content. May be career opportunities, and professional ethics. S repeated. NTD 1139 Consumer Nutrition: 3 semester hours. NTD 4400 Nutrition Assessment and Instruction: 3 semester hours. Introduction to nutrition, relationships among food choices, levels of nutrition, Assessment of nutrition status of individuals through anthropometric, clinical, health of the individual and family. Experiences in dietary analysis, label and and dietary assessment and discussion of theories of behavioral modification, advertising critiques, and discussions of current trends. Designed for non-science models and techniques, communication skills in nutrition instruction. S majors. D NTD 4401 Medical Nutrition Therapy I: 3 semester hours. NTD 1199 Experimental Course: 1-6 semester hours. Application of nutrition principles and the nutrition care process in the prevention The content of this course is not described in the catalog. Title and number and treatment of obesity, diabetes mellitus, cardiovascular disease, nutrition of credits are announced in the Class Schedule. Experimental courses may support, and diseases of the respiratory tract, gallbladder, and pancreas. be offered no more than three times with the same title and content. May be PREREQ: Acceptance into Didactic Program in Dietetics, NTD 3360, repeated. -
Current Knowledge of the Health Effects of Sugar Intake
Current Knowledge of the Health Effects of Sugar Intake Anne L. Mardis, MD, MPH1 Twenty years ago, the common themselves or from corresponding Center for Nutrition Policy perception was that sugar intake was simple sugars added to foods during and Promotion associated with several chronic processing. Within the body, most diseases: Diabetes, coronary heart dietary sugars are converted to glucose, disease, obesity, and hyperactivity in a major fuel used by all cells and the children. Sugar was also thought to be primary fuel required by brain tissue the sole cause of dental caries. Recent for normal function. Low levels of advances in scientific knowledge, glucose in the blood will impair the however, have shed some light on the brain and cause permanent mental role of sugar in chronic diseases and impairment or worse—coma or death. dental caries. The evidence indicates The body can store a limited amount that sugar is not in itself associated of glucose as glycogen, which it can with the aforementioned chronic draw upon for less than a day. After diseases and is not the sole offender this, other sources such as proteins, in the development of dental caries. from the breakdown of body tissues, This research brief discusses current must be used to synthesize glucose scientific knowledge of the health for the cells (15). effects of sugar. Diabetes Physiology The relationship between dietary Despite having been labeled as “empty carbohydrates and insulin resistance calories,” sugars are truly important (a risk factor for diabetes mellitus, compounds from the perspective of ischemic heart disease, and hyper- the human organism.