Pub Date : 2024-01-01DOI: 10.1097/nt.0000000000000664
Lara Tupper, Monique Terol, Jennifer Utter, Shannon Morley
Guar fiber is a soluble fiber that has been used for symptom management of irritable bowel syndrome (IBS), functional constipation (FC), and functional diarrhea (FD). However, the effect of guar fiber supplementation on symptom management is currently unclear. The aim of this review is to determine the effect of guar fiber supplementation compared with any other nutrition intervention on gastrointestinal (GI) symptoms with individuals diagnosed with IBS, FC, and FD. A secondary aim is to determine the dosage of guar fiber supplementation required to elicit an improvement in associated symptoms. A systematic review (CRD42022374730) was performed with literature from inception. PubMed, EMBASE, CINAHL, and Web of Science were searched on October 28, 2022, to identify eligible studies which reported guar fiber supplementation in patients diagnosed with IBS, FC, and/or FD using the Rome criterion. Findings were synthesized narratively. Study quality was assessed using the Johanna Briggs Institute quality assessment tools. Nine articles reported on stool consistency, defecation frequency, laxative use, bloating, abdominal pain, flatulence, and quality of life (QOL). All pre-post studies (n = 5) reported statistically significant improvements for GI symptoms and QOL. Two of 4 randomized controlled trial studies reported improvements in GI symptoms when supplemented daily with 5 to 6 g of guar fiber for 4 to 12 weeks. Our study shows that guar fiber supplementation appears effective in improving symptom management of IBS and FC with a 5-g/d dosage most used. Future studies are required to more clearly understand the benefits of guar fiber supplementation and elucidate dosing strategies. This review provides the grounds for further well-designed studies to investigate the impact of guar fiber supplementation in populations with IBS, FC, and FD.
{"title":"The Role of Guar Fiber in Improving the Management of Irritable Bowel Syndrome, Functional Constipation, and Functional Diarrhea","authors":"Lara Tupper, Monique Terol, Jennifer Utter, Shannon Morley","doi":"10.1097/nt.0000000000000664","DOIUrl":"https://doi.org/10.1097/nt.0000000000000664","url":null,"abstract":"\u0000 \u0000 Guar fiber is a soluble fiber that has been used for symptom management of irritable bowel syndrome (IBS), functional constipation (FC), and functional diarrhea (FD). However, the effect of guar fiber supplementation on symptom management is currently unclear. The aim of this review is to determine the effect of guar fiber supplementation compared with any other nutrition intervention on gastrointestinal (GI) symptoms with individuals diagnosed with IBS, FC, and FD. A secondary aim is to determine the dosage of guar fiber supplementation required to elicit an improvement in associated symptoms.\u0000 \u0000 \u0000 \u0000 A systematic review (CRD42022374730) was performed with literature from inception. PubMed, EMBASE, CINAHL, and Web of Science were searched on October 28, 2022, to identify eligible studies which reported guar fiber supplementation in patients diagnosed with IBS, FC, and/or FD using the Rome criterion. Findings were synthesized narratively. Study quality was assessed using the Johanna Briggs Institute quality assessment tools.\u0000 \u0000 \u0000 \u0000 Nine articles reported on stool consistency, defecation frequency, laxative use, bloating, abdominal pain, flatulence, and quality of life (QOL). All pre-post studies (n = 5) reported statistically significant improvements for GI symptoms and QOL. Two of 4 randomized controlled trial studies reported improvements in GI symptoms when supplemented daily with 5 to 6 g of guar fiber for 4 to 12 weeks.\u0000 \u0000 \u0000 \u0000 Our study shows that guar fiber supplementation appears effective in improving symptom management of IBS and FC with a 5-g/d dosage most used. Future studies are required to more clearly understand the benefits of guar fiber supplementation and elucidate dosing strategies. This review provides the grounds for further well-designed studies to investigate the impact of guar fiber supplementation in populations with IBS, FC, and FD.\u0000","PeriodicalId":19386,"journal":{"name":"Nutrition Today","volume":"8 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139635109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.1097/nt.0000000000000663
K. Craven, Drillious Gay, Jason Foltz, K. Kolasa
Registered dietitian nutritionists working in ambulatory clinics should not be waiting for an administrator to invite them to the planning group for the transition from fee for service to value-based care payment models. Registered dietitian nutritionists should be identifying and promoting the services they can provide to ensure quality healthcare for patients. In this article, we describe value-based care as it is presented in dietetics literature. We also describe how registered dietitian nutritionists in our family medicine practice demonstrate their value as a member of the expanded interprofessional ambulatory care team providing quality care, reducing costs, and providing an exceptional experience for the patient. We call on educators of dietetics students, interns, and professionals to teach the necessary interprofessional skills to be successful in value-based care models of care.
{"title":"Remaining Relevant in a Changing Healthcare Organization","authors":"K. Craven, Drillious Gay, Jason Foltz, K. Kolasa","doi":"10.1097/nt.0000000000000663","DOIUrl":"https://doi.org/10.1097/nt.0000000000000663","url":null,"abstract":"Registered dietitian nutritionists working in ambulatory clinics should not be waiting for an administrator to invite them to the planning group for the transition from fee for service to value-based care payment models. Registered dietitian nutritionists should be identifying and promoting the services they can provide to ensure quality healthcare for patients. In this article, we describe value-based care as it is presented in dietetics literature. We also describe how registered dietitian nutritionists in our family medicine practice demonstrate their value as a member of the expanded interprofessional ambulatory care team providing quality care, reducing costs, and providing an exceptional experience for the patient. We call on educators of dietetics students, interns, and professionals to teach the necessary interprofessional skills to be successful in value-based care models of care.","PeriodicalId":19386,"journal":{"name":"Nutrition Today","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139632639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.1097/nt.0000000000000666
{"title":"The Role of Guar Fibre in Improving the Management of Irritable Bowel Syndrome, Functional Constipation and Functional Diarrhea: A Systematic Review","authors":"","doi":"10.1097/nt.0000000000000666","DOIUrl":"https://doi.org/10.1097/nt.0000000000000666","url":null,"abstract":"","PeriodicalId":19386,"journal":{"name":"Nutrition Today","volume":"60 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139640179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-01DOI: 10.1097/NT.0000000000000654
Majed AbuKhader, Mohammad A. Al-Ghazali, Salma Khamis Ali, Ismael Merie, Aya Bouazza
The aim of this study was to investigate the eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) content found in fish oil supplements and formula milks for young children sold in Europe, the Middle East, and North Africa's local markets and online stores. To allow comparison of fish oil supplements and formula milks, information about the EPA and DHA content was collected from the nutrition panel of each product. A total of 79 fish oil supplements and 70 formula milks were studied. Out of the 32 fish oil supplements in local markets 12 products (37.5%) and of the 47 fish oil supplements in Amazon online stores 12 products (25.5%) contained more EPA than DHA. The highest DHA:EPA ratio for fish oil supplements was 4.6. The percentage of Recommended Dietary Intake for DHA, based on 250 mg daily, ranged from 3.2% to 558% for the fish oil supplements, and the range of 0.4% to 25.2% was found for the formula milks. Fish oil supplements provided high daily dose of DHA, which was significantly higher than that provided by the formula milks.
本研究旨在调查在欧洲、中东和北非当地市场和网店销售的鱼油补充剂和幼儿配方奶中发现的二十碳五烯酸（EPA）和二十二碳六烯酸（DHA）含量。为了对鱼油补充剂和配方奶进行比较，我们从每种产品的营养面板上收集了有关 EPA 和 DHA 含量的信息。共研究了 79 种鱼油补充剂和 70 种配方奶。在本地市场的 32 种鱼油补充剂中，12 种产品（37.5%）的 EPA 含量高于 DHA；在亚马逊网店的 47 种鱼油补充剂中，12 种产品（25.5%）的 EPA 含量高于 DHA。鱼油补充剂中 DHA 与 EPA 的最高比例为 4.6。按每天 250 毫克计算，鱼油补充剂的 DHA 占膳食建议摄入量的百分比从 3.2% 到 558% 不等，配方奶的 DHA 占膳食建议摄入量的百分比从 0.4% 到 25.2% 不等。鱼油补充剂提供的 DHA 每日剂量较高，明显高于配方奶。
{"title":"The Eicosapentaenoic Acid and Docosahexaenoic Acid Content Reported in the Nutrition Panel of Fish Oil Supplements and Formula Milks Promoted for Young Children in Selected Markets","authors":"Majed AbuKhader, Mohammad A. Al-Ghazali, Salma Khamis Ali, Ismael Merie, Aya Bouazza","doi":"10.1097/NT.0000000000000654","DOIUrl":"https://doi.org/10.1097/NT.0000000000000654","url":null,"abstract":"The aim of this study was to investigate the eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) content found in fish oil supplements and formula milks for young children sold in Europe, the Middle East, and North Africa's local markets and online stores. To allow comparison of fish oil supplements and formula milks, information about the EPA and DHA content was collected from the nutrition panel of each product. A total of 79 fish oil supplements and 70 formula milks were studied. Out of the 32 fish oil supplements in local markets 12 products (37.5%) and of the 47 fish oil supplements in Amazon online stores 12 products (25.5%) contained more EPA than DHA. The highest DHA:EPA ratio for fish oil supplements was 4.6. The percentage of Recommended Dietary Intake for DHA, based on 250 mg daily, ranged from 3.2% to 558% for the fish oil supplements, and the range of 0.4% to 25.2% was found for the formula milks. Fish oil supplements provided high daily dose of DHA, which was significantly higher than that provided by the formula milks.","PeriodicalId":19386,"journal":{"name":"Nutrition Today","volume":"64 1","pages":"244 - 250"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139304279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-01DOI: 10.1097/nt.0000000000000660
{"title":"See you in Chicago for NUTRITION 2024","authors":"","doi":"10.1097/nt.0000000000000660","DOIUrl":"https://doi.org/10.1097/nt.0000000000000660","url":null,"abstract":"","PeriodicalId":19386,"journal":{"name":"Nutrition Today","volume":"96 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139305659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-01DOI: 10.1097/NT.0000000000000655
K. Singletary
The spice ginger is prepared from the rhizome of Zingiber officinale (Rosc.) belonging to the family Zingiberaceae. The unique aromas and flavors of the many cultivars make them suited for multiple food-related purposes. Besides being used in the preparation of pickles, candies, gingerbread, biscuits, soups, puddings, alcoholic beverages, and soft drinks, ginger and its extracts are also packaged in dietary supplements. Ginger has been a part of traditional medicine for thousands of years treating such ailments as gastrointestinal disorders, nausea, pain, cold, and asthma. In the past 10 to 15 years, a considerable number of preclinical and clinical studies have explored in more detail the potential of ginger to ameliorate diverse conditions such as nausea and vomiting, glycemic dysfunction, pain, and the metabolic syndrome. This narrative review provides an update on the clinical evidence related to potential benefits of ginger and discusses future research opportunities.
{"title":"Ginger Update","authors":"K. Singletary","doi":"10.1097/NT.0000000000000655","DOIUrl":"https://doi.org/10.1097/NT.0000000000000655","url":null,"abstract":"The spice ginger is prepared from the rhizome of Zingiber officinale (Rosc.) belonging to the family Zingiberaceae. The unique aromas and flavors of the many cultivars make them suited for multiple food-related purposes. Besides being used in the preparation of pickles, candies, gingerbread, biscuits, soups, puddings, alcoholic beverages, and soft drinks, ginger and its extracts are also packaged in dietary supplements. Ginger has been a part of traditional medicine for thousands of years treating such ailments as gastrointestinal disorders, nausea, pain, cold, and asthma. In the past 10 to 15 years, a considerable number of preclinical and clinical studies have explored in more detail the potential of ginger to ameliorate diverse conditions such as nausea and vomiting, glycemic dysfunction, pain, and the metabolic syndrome. This narrative review provides an update on the clinical evidence related to potential benefits of ginger and discusses future research opportunities.","PeriodicalId":19386,"journal":{"name":"Nutrition Today","volume":"4 1","pages":"263 - 273"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139304801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-01DOI: 10.1097/NT.0000000000000658
K. Borton, K. Sonneville
Eating disorders are serious mental health disorders characterized by persistent disturbances in eating that impair physical health and/or psychosocial functioning. Widespread screening for eating disorders can help reduce disparities in diagnosis and may prevent the physical, psychological, and social consequences associated with delayed treatment. Evidence-based recommendations involve intervention by specialized mental healthcare providers; however, dietitians are pivotal in the prevention, identification, and treatment of eating disorders, leading to improved outcomes for the patient. Developing skills aimed at identification of disordered eating and basic treatment guidelines is of critical importance due to the ubiquity of these behaviors and symptoms.
{"title":"Presentation of Eating Disorders in Clinical Practice and the Role of Nutrition Therapy","authors":"K. Borton, K. Sonneville","doi":"10.1097/NT.0000000000000658","DOIUrl":"https://doi.org/10.1097/NT.0000000000000658","url":null,"abstract":"Eating disorders are serious mental health disorders characterized by persistent disturbances in eating that impair physical health and/or psychosocial functioning. Widespread screening for eating disorders can help reduce disparities in diagnosis and may prevent the physical, psychological, and social consequences associated with delayed treatment. Evidence-based recommendations involve intervention by specialized mental healthcare providers; however, dietitians are pivotal in the prevention, identification, and treatment of eating disorders, leading to improved outcomes for the patient. Developing skills aimed at identification of disordered eating and basic treatment guidelines is of critical importance due to the ubiquity of these behaviors and symptoms.","PeriodicalId":19386,"journal":{"name":"Nutrition Today","volume":"84 1","pages":"237 - 243"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139295343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-01DOI: 10.1097/nt.0000000000000656
S. Rowe, Nick Alexander
It is hardly a secret that the health, nutrition, and other science communication environment has over the past few years become ever-more problematic. The authors of the present article have repeatedly documented the challenges posed to public understanding of science by the rise of social media and other internet communication “tools” and the diminishing influence of such media as journals, legacy news organizations, and other traditional conduits of scientific information. Various remedies have been proposed for facilitating greater public appreciation and comprehension of science. In the current article, the authors offer a bold, if not surprising, new proposal: initiate or broaden public exposure to the true nature of the scientific method/process. They suggest that health and science communicators not hold back in extolling the noisy and highly contentious process by which hypotheses are explored and eventually accepted or rejected. If communicators, they argue, convince audiences of the messy, even argumentative, way in which science actually evolves, it may be easier to encourage a greater open-mindedness toward previously unpopular, even uncomprehended, dreaded, or despised, scientific ideas. The issue is of paramount importance, especially now, as keeping the public focus on science, not individual scientists, is critical.
{"title":"“Splainin” Health and Nutrition Science to a Doubtful Public","authors":"S. Rowe, Nick Alexander","doi":"10.1097/nt.0000000000000656","DOIUrl":"https://doi.org/10.1097/nt.0000000000000656","url":null,"abstract":"It is hardly a secret that the health, nutrition, and other science communication environment has over the past few years become ever-more problematic. The authors of the present article have repeatedly documented the challenges posed to public understanding of science by the rise of social media and other internet communication “tools” and the diminishing influence of such media as journals, legacy news organizations, and other traditional conduits of scientific information. Various remedies have been proposed for facilitating greater public appreciation and comprehension of science. In the current article, the authors offer a bold, if not surprising, new proposal: initiate or broaden public exposure to the true nature of the scientific method/process. They suggest that health and science communicators not hold back in extolling the noisy and highly contentious process by which hypotheses are explored and eventually accepted or rejected. If communicators, they argue, convince audiences of the messy, even argumentative, way in which science actually evolves, it may be easier to encourage a greater open-mindedness toward previously unpopular, even uncomprehended, dreaded, or despised, scientific ideas. The issue is of paramount importance, especially now, as keeping the public focus on science, not individual scientists, is critical.","PeriodicalId":19386,"journal":{"name":"Nutrition Today","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139293722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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