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Exploring Effects of Food Shaming on Consumers’ Food-Related Attitudes and Behaviors 探索食品羞辱对消费者食品相关态度和行为的影响
Q3 Nursing Pub Date : 2024-08-09 DOI: 10.1097/nt.0000000000000696
Jessica Broome, Hannah Kaplan, Jessica McCullars, Janet Harris, Christine Rosenbloom
To compare attitudes and behaviors of American adults who have experienced food shaming versus those who have not. This was an online survey of 2003 US adults, followed by an additional 5 one-on-one in-depth interviews, for a total of 2008. Data were collected between September and November 2022. US adults (n = 2008) recruited via commercial research panels. Prevalence of food shaming, and attitudes and behaviors among adults who have experienced food shaming versus those who have not. χ 2 and analysis of covariance investigating associations between experience with food shaming and food-related attitudes and behaviors, controlling for body mass index where possible. Nearly 3 in 10 American adults report that they have experienced food shame. Experiencing food shame correlates with higher guilt and shame, greater likelihood to engage in regimented eating, and more prevalent, as well as negative, emotions around food and imagined interactions with food and nutrition professionals. Food shaming is a phenomenon with wide-reaching impacts on attitudes and behaviors. We expect that this innovative study will inform registered dietitian nutritionists and other health professionals to help people develop healthy, sustainable relationships with food.
比较经历过食物羞辱与未经历过食物羞辱的美国成年人的态度和行为。 这是一项针对 2003 名美国成年人的在线调查,随后还进行了 5 次一对一的深入访谈,共计 2008 次。数据收集时间为 2022 年 9 月至 11 月。 通过商业研究小组招募的美国成年人(n = 2008)。 χ 2 和协方差分析调查了食物羞辱经历与食物相关态度和行为之间的关联,并尽可能控制体重指数。 每 10 个美国成年人中就有将近 3 个报告说他们经历过食物羞辱。经历过食物羞辱与较高的负罪感和羞耻感、更有可能进行节制饮食、更普遍的负面情绪以及与食物和营养专业人士的想象互动相关。 食物羞辱现象对人们的态度和行为有着广泛的影响。我们希望这项创新性研究能为注册营养师和其他保健专业人员提供信息,帮助人们与食物建立健康、可持续的关系。
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引用次数: 0
A Day in the Life of a Food Engineer 食品工程师的一天
Q3 Nursing Pub Date : 2024-07-16 DOI: 10.1097/nt.0000000000000694
Cynthia M. Stewart
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引用次数: 0
Potential Benefit of Spices for Glycemic Control 香料对控制血糖的潜在益处
Q3 Nursing Pub Date : 2024-07-16 DOI: 10.1097/nt.0000000000000695
Keith W. Singletary
The prevalence of hyperglycemia is increasing worldwide in large part due to the escalating prevalence of obesity. It can occur along with other disorders and diseases, contributing to escalating health costs and accumulating disabilities. Besides dietary approaches and availability of antidiabetic medications, other complementary approaches and adjunct therapies using biologically active botanical phytochemicals have received growing attention for managing type 2 diabetes mellitus. Spices are one source of these bioactive plant constituents, and considerable preclinical studies have investigated their possible health benefits. There also are an increasing number of human clinical trials assessing the ability of spices and their individual plant constituents to improve glucose homeostasis in those with type 2 diabetes mellitus and other dysglycemic conditions. This narrative review provides a summary of the human studies evaluating the effects of select spices on glucose homeostasis and highlights areas for future research.
高血糖症的发病率在全球范围内不断上升,这在很大程度上是由于肥胖症的发病率不断攀升。高血糖可与其他失调和疾病同时发生,导致医疗成本上升和残疾不断增加。除了饮食疗法和可用的抗糖尿病药物外,利用具有生物活性的植物营养素来控制 2 型糖尿病的其他补充方法和辅助疗法也日益受到关注。香料是这些生物活性植物成分的来源之一,大量临床前研究已经调查了它们可能对健康产生的益处。此外,越来越多的人体临床试验评估了香料及其单个植物成分改善 2 型糖尿病和其他血糖异常患者葡萄糖稳态的能力。本综述概述了评估特定香料对葡萄糖稳态影响的人体研究,并强调了未来研究的重点领域。
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引用次数: 0
Vegetarianism, Traditional Practices, and Belief Systems in India 印度的素食主义、传统习俗和信仰体系
Q3 Nursing Pub Date : 2024-07-05 DOI: 10.1097/nt.0000000000000690
Leila Saldanha, Sheela Krishnaswamy
Eighty-three percent of the Indian population belongs to religions founded in India that promote vegetarianism. Thirty-nine percent of all Indians say they are vegetarians. This percentage varied by religion (8%-92%) and region (9%-90%), reflecting the enormous cultural diversity in the country. This article explores the various religious and cultural belief systems that undergird the practice of vegetarianism in India. It provides a perspective on vegetarianism and traditional practices in India. Examples of these practices are how foods are classified in Ayurveda, the thali eating system, and fasting. These practices can be incorporated into other eating behaviors and habits to help meet individual needs and preferences.
83% 的印度人信奉印度创立的提倡素食的宗教。39%的印度人说他们是素食主义者。这一比例因宗教(8%-92%)和地区(9%-90%)而异,反映了印度巨大的文化多样性。本文探讨了支撑印度素食习俗的各种宗教和文化信仰体系。文章对印度的素食主义和传统习俗进行了透视。这些习俗的例子包括阿育吠陀中如何对食物进行分类、塔利饮食系统和禁食。这些做法可以融入其他饮食行为和习惯中,以帮助满足个人需求和偏好。
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引用次数: 0
Food as Medicine in American Healthcare. Can Food Solve the Crisis It Created? 美国医疗保健中的 "食物即药物"。食物能解决它所造成的危机吗?
Q3 Nursing Pub Date : 2024-07-05 DOI: 10.1097/nt.0000000000000693
Jeffrey A. Hanauer, Rojina Thapa, Ariana Moffit, Audrey M. McKinney, Li-Chu Huang, M. A. Uwashimimana, Dennis A. Savaiano
“Food as Medicine” (FAM) is a critical link between the foods we consume and our overall health. FAM adopts nutrition-based treatment, with existing healthcare to mitigate “metabolic” diseases. Despite advancements in medicine, healthcare technology, and treatments, chronic diseases affect nearly 50% of Americans and are attributed to 86% of healthcare costs. FAM initiatives have yet to advance beyond pilot programs and remain virtually unavailable to the US population. Pilot programs are producing promising results with healthier outcomes for patients. Economic assessments indicate net cost savings in healthcare expenditures. Three primary interventions are consistently effective in achieving positive health outcomes: medically tailored meals, medically tailored groceries, and prescription food programs. The Centers for Medicare and Medicaid Services and the US Department of Agriculture are both currently advancing FAM research and pilot programs with the cooperation of the National Institutes of Health Office of Disease Prevention and Health Promotion and the Office of Nutrition Research. The full potential of FAM can be realized when the federal government is able to successfully incorporate and financially support nationwide FAM treatments, including nutrition education and healthy foods into the existing healthcare system.
"食物即药物"(FAM)是我们食用的食物与整体健康之间的重要联系。食物即药物 "采用以营养为基础的治疗方法,并结合现有的医疗保健来缓解 "代谢 "疾病。尽管医学、医疗保健技术和治疗方法不断进步,但慢性疾病仍影响着近 50% 的美国人,并导致 86% 的医疗保健费用。FAM 计划还没有超越试点计划的范畴,几乎还没有为美国人所接受。试点项目正在取得可喜的成果,为患者带来更健康的结果。经济评估表明,医疗保健支出可节省净成本。三项主要干预措施在实现积极的健康结果方面始终有效:医疗定制膳食、医疗定制杂货和处方食品计划。目前,美国医疗保险和医疗补助服务中心以及美国农业部都在与美国国立卫生研究院疾病预防和健康促进办公室以及营养研究办公室合作,推进 FAM 研究和试点计划。当联邦政府能够成功地将营养教育和健康食品等全国性的 FAM 治疗纳入现有的医疗保健系统并提供财政支持时,FAM 的潜力就能得到充分发挥。
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引用次数: 0
Have We Considered Women in Current Sports Nutrition Guidelines? 我们在现行的运动营养指南中考虑过女性吗?
Q3 Nursing Pub Date : 2024-07-03 DOI: 10.1097/nt.0000000000000692
Ella S Smith, Louise M. Burke
The need to address the underrepresentation of female athletes in sports nutrition research is receiving substantial attention from practitioners and academics alike. To systematically and efficiently direct priorities for future research activities, we have developed a protocol to “audit” the current literature across various areas of sports nutrition research. This process provides detailed information regarding the quantity, quality, and nature of existing research including women. We have conducted such audits across the areas of dietary performance (auditPERF) and medical (auditMED) supplements, both acute and chronic carbohydrate (CHO) fueling strategies (auditCHOAC and auditCHOCH), as well as protocols for heat adaptation (auditHEAT). Women accounted for between 11% and 23% of the total participant count across these themes, with the exception of auditMED where female participants dominated (71%). Across all audits, few studies compared responses between the sexes or investigated sex-specific differences. Furthermore, methodological consideration of menstrual status was poor, with only 0.25% of studies implementing best practice recommendations and 79% of studies failing to classify menstrual status entirely. Females were most poorly represented in studies examining sports performance outcomes, and few studies involved elite female athletes (national/international level) within participant cohorts. Our findings demonstrate an overall lack of female-specific considerations in the literature underpinning the current guidelines in the areas of dietary performance/medical supplementation, CHO fueling, and heat adaptation. As such, current guidelines may not reflect optimal practice for female athletes. New research should therefore implement female-specific methodological considerations, with particular attention to menstrual status, before these current sports nutrition guidelines can be applied to female athletes with complete confidence.
解决女性运动员在运动营养研究中代表性不足的问题受到了从业人员和学术界的广泛关注。为了系统、高效地指导未来研究活动的优先顺序,我们制定了一项协议,以 "审核 "当前运动营养研究各领域的文献。这一过程提供了有关包括女性在内的现有研究的数量、质量和性质的详细信息。我们在膳食性能(auditPERF)和医疗(auditMED)补充剂、急性和慢性碳水化合物(CHO)燃料策略(auditCHOAC 和 auditCHOCH)以及热适应方案(auditHEAT)等领域进行了此类审核。在这些主题的总参与人数中,女性占 11% 至 23%,但在审核MED 中,女性参与者占多数(71%)。在所有审计中,很少有研究对不同性别的回答进行比较或调查性别差异。此外,对月经状况的方法考虑也很差,只有 0.25% 的研究落实了最佳实践建议,79% 的研究没有对月经状况进行完全分类。在检查运动成绩结果的研究中,女性的代表性最差,而且很少有研究在参与者群组中涉及精英女运动员(国家/国际水平)。我们的研究结果表明,在膳食表现/医疗补充、CHO 燃料补充和热适应等领域的现行指南所依据的文献中,总体上缺乏针对女性的考虑。因此,现行指南可能无法反映女性运动员的最佳实践。因此,新的研究应采用针对女性的方法学考虑,尤其要关注月经状况,然后才能完全放心地将当前的运动营养指南应用于女性运动员。
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引用次数: 0
Sorting Dietary Advice for Bone Health 整理骨骼健康饮食建议
Q3 Nursing Pub Date : 2024-07-03 DOI: 10.1097/nt.0000000000000691
Connie M. Weaver, Taylor C. Wallace, Sisi Cao
Healthcare professionals are consistently bombarded with conflicting messages about the role of diet in bone health. Yet, few resources are available that compile the broad scope of dietary factors that influence bone health. This article evaluates the evidence on the association of diet and exercise with bone health, with the aim to provide a resource for healthcare professionals and researchers in the field. This review also highlights gaps in knowledge, provides dialogue around why some studies exhibit conflicting outcomes, and showcases why many remaining questions likely cannot be answered with the current evidence to date. The best evidence to date supports obtaining recommended dairy and calcium intakes for building bone in early life and mitigating bone loss with age. However, nutrients do not solely work in isolation, and there is growing evidence that many other nutrients and dietary bioactives play a synergistic role in supporting bone health. Large randomized controlled trials, particularly in traditionally underserved subpopulations (eg, people of color, transgender individuals, older adults, etc), are needed to fully elucidate the effects of diet and exercise on bone health across the lifespan.
关于饮食对骨骼健康的作用,医疗保健专业人员不断收到相互矛盾的信息。然而,很少有资源能汇编影响骨骼健康的广泛饮食因素。本文评估了饮食和运动与骨骼健康相关性的证据,旨在为该领域的医疗保健专业人员和研究人员提供资源。本综述还强调了知识方面的差距,就一些研究结果相互矛盾的原因进行了对话,并说明了为什么目前的证据可能无法解答许多遗留问题。迄今为止的最佳证据表明,获得推荐的乳制品和钙摄入量有助于在生命早期建立骨骼并减少随着年龄增长而出现的骨质流失。然而,营养素并不是孤立发挥作用的,越来越多的证据表明,许多其他营养素和膳食生物活性物质在支持骨骼健康方面发挥着协同作用。需要进行大型随机对照试验,特别是在传统上未得到充分服务的亚人群(如有色人种、变性人、老年人等)中进行试验,以充分阐明饮食和运动对整个生命周期骨骼健康的影响。
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引用次数: 0
Quality-of-Life Instruments and Nutrition Screening Tools 生活质量工具和营养筛查工具
Q3 Nursing Pub Date : 2024-05-22 DOI: 10.1097/nt.0000000000000687
M. Arensberg, Jaime Gahche, Raquel Clapés Pemau, Kirk W. Kerr, Johanna T. Dwyer
Quality of life (QoL) is critical for healthy aging—both for older adults and for healthcare providers/health systems. Eating and nutritious food are essential for older adults to remain healthy/independent and maintain good nutrition status and also provide pleasure and enhance QoL. However, research on nutrition and QoL is limited, including for building understanding of the relationship between nutrition and QoL and of the instruments and tools used to help develop a research framework and evaluate the impact of United States community nutrition programs/services on QoL. The first objective is to review overlaps/gaps in previously identified/validated QoL instruments and nutrition screening tools used in research with community-living older adults and then, second, to use these findings to suggest opportunities for further research and implications for developing US health and nutrition policies/programs supporting healthy aging. Twenty validated QoL instruments were reviewed to determine if they included nutrition-related items that corresponded to 8 QoL domains (physical health, emotional state, mental health, social connection, environment, personhood, autonomy, and spiritual feeling). Sixteen validated nutrition screening tools were reviewed to determine if any of their nutrition items corresponded with these same 8 QoL domains. Of the 20 QoL instruments reviewed, 75% included at least 1 nutrition-related item, most commonly fitting into the autonomy (n = 11), physical health (n = 7), social connection (n = 3), environment (n = 3), emotional state (n = 2), mental health (n = 2), and personhood (n = 1) domains, with none in the spiritual feeling domain. All 16 nutrition screening tools included at least 1 nutrition-related item corresponding to a QoL domain, most commonly the physical health (n = 16) domain. Other QoL domains represented by nutrition items in nutrition screening tools were autonomy (n = 9), emotional state (n = 5), social connection (n = 5), environment (n = 4), and mental health (n = 3). Commonalities existed between QoL instruments and nutrition screening tools in types of nutrition-related items included, but there were many inconsistencies/gaps. Nutrition items corresponding to different QoL domains are found inconsistently among validated QoL instruments and nutrition screening tools. Nutrition can be potentially modified to benefit healthy aging and QoL outcomes; findings present opportunities for further research to help increase understanding of the relationship between QoL and nutrition and the effectiveness of nutrition interventions, as well as to help advance US policy development and programs supporting healthy aging.
生活质量(QoL)对健康的老龄化至关重要--无论是对老年人还是对医疗服务提供者/医疗系统都是如此。饮食和营养食品对于老年人保持健康/独立、维持良好的营养状况以及提供乐趣和提高生活质量至关重要。然而,有关营养和 QoL 的研究还很有限,包括对营养和 QoL 之间关系的了解,以及对用于帮助制定研究框架和评估美国社区营养计划/服务对 QoL 影响的工具和手段的了解。 研究的第一个目的是回顾先前确定/验证的 QoL 工具和用于社区生活老年人研究的营养筛查工具之间的重叠/差距,其次是利用这些发现提出进一步研究的机会以及对制定支持健康老龄化的美国健康和营养政策/计划的影响。 研究人员对 20 种经过验证的 QoL 工具进行了审查,以确定这些工具是否包含与 8 个 QoL 领域(身体健康、情绪状态、心理健康、社会联系、环境、人格、自主性和精神感受)相对应的营养相关项目。对 16 种有效的营养筛查工具进行了审查,以确定其营养项目是否与这 8 个 QoL 领域相对应。 在所审查的 20 种 QoL 工具中,75% 的工具包含至少 1 个与营养相关的项目,其中最常见的是自主性(n = 11)、身体健康(n = 7)、社会联系(n = 3)、环境(n = 3)、情绪状态(n = 2)、心理健康(n = 2)和人格(n = 1)领域,而精神感受领域中没有任何项目。所有 16 种营养筛查工具都包含至少一项与 QoL 领域相对应的营养相关项目,其中最常见的是身体健康(16 项)领域。营养筛查工具中的营养项目所代表的其他 QoL 领域包括自主性(9 个)、情绪状态(5 个)、社会联系(5 个)、环境(4 个)和心理健康(3 个)。在营养相关项目的类型上,QoL 工具和营养筛查工具之间存在共性,但也存在许多不一致/差距。 在经过验证的 QoL 工具和营养筛查工具中,与不同 QoL 领域相对应的营养项目并不一致。对营养进行调整可能有利于健康老龄化和 QoL 结果;研究结果为进一步研究提供了机会,有助于加深对 QoL 与营养之间的关系以及营养干预措施的有效性的理解,并有助于推动美国支持健康老龄化的政策制定和计划。
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引用次数: 0
Save on Registration and Enjoy Topics Tailored for Registered Dietitians at NUTRITION 2024 节省注册费用,在 2024 年营养学大会上聆听为注册营养师量身定制的主题
Q3 Nursing Pub Date : 2024-05-22 DOI: 10.1097/nt.0000000000000686
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引用次数: 0
Nutritional Science at the University of Illinois at Urbana-Champaign 伊利诺伊大学香槟分校营养科学专业
Q3 Nursing Pub Date : 2024-05-15 DOI: 10.1097/nt.0000000000000683
John W. Erdman, Sharon M. Donovan
The University of Illinois at Urbana-Champaign (UIUC), the land-grant university for the State of Illinois, was founded in 1865, and education in nutrition was recorded as early as 1874. Herein, the contributions of the UIUC to research and graduate training in the field of nutrition are highlighted. Over the past 150 years, faculty members from many academic units have provided foundational nutrition research, including identifying the last essential amino acid, threonine, and establishing chemically defined amino acid diets for chicks, rats, dogs, and cats that led to establishing amino acid requirements for these species. Research on the adverse health effects of trans fatty acids supported their removal from the food system. UIUC has led in the area of functional foods for health, including plant bioactives, soy, and fiber. More recently, UIUC faculty have evaluated the interactions between dietary components and neurocognitive, microbiome, and health outcomes, including cancer. In 2020, the cross-campus Personalized Nutrition Initiative was launched to coordinate interdisciplinary research. The Division of Nutritional Sciences was established in 1968 as one of the country’s first interdisciplinary graduate training programs. The Division of Nutritional Sciences program has conferred over 580 degrees and has implemented innovations in graduate education, many supported by federal training grants and endowed awards and programs.
伊利诺伊大学香槟分校(University of Illinois at Urbana-Champaign,UIUC)是伊利诺伊州的赠地大学,成立于 1865 年,早在 1874 年就开始了营养学教育。本文重点介绍了伊利诺伊大学在营养学领域的研究和研究生培训方面做出的贡献。在过去的 150 年中,来自许多学术单位的教职员工提供了基础性的营养研究,包括确定最后一种必需氨基酸苏氨酸,以及为小鸡、大鼠、狗和猫建立化学定义的氨基酸饮食,从而确定了这些物种的氨基酸需求量。关于反式脂肪酸对健康不利影响的研究支持将其从食品系统中去除。UIUC 在功能性健康食品领域一直处于领先地位,包括植物生物活性物质、大豆和纤维。最近,UIUC 的教师评估了膳食成分与神经认知、微生物组和健康结果(包括癌症)之间的相互作用。2020 年,跨校区个性化营养倡议启动,以协调跨学科研究。营养科学部成立于 1968 年,是美国最早的跨学科研究生培训项目之一。营养科学部已授予 580 多个学位,并在研究生教育方面进行了创新,其中许多创新得到了联邦培训基金和捐赠奖及计划的支持。
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引用次数: 0
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Nutrition Today
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