Pub Date : 2013-07-01DOI: 10.4103/2278-019X.114728
D. Gude
{"title":"Throwing light on parenteral nutrition- associated liver disease","authors":"D. Gude","doi":"10.4103/2278-019X.114728","DOIUrl":"https://doi.org/10.4103/2278-019X.114728","url":null,"abstract":"","PeriodicalId":443171,"journal":{"name":"Journal of Medical Nutrition and Nutraceuticals","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128936970","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 : 2013-07-01DOI: 10.4103/2278-019X.114733
T. Latt, M. Baruah, R. Sahay
The Buddhist Lent is an annual three lunar month long fast observed by devout Buddhists. This involves fasting daily from noon to midnight, abstaining from all solid foods. Only liquids and jaggery are allowed during this period. This paper discusses the unique nutritional challenges posed by this fast for people with diabetes, and suggests practical recommendations to ensure healthy nutrition and successful fasting for them.
{"title":"Nutritional recommendations for type 2 diabetes during Buddhist Lent (War Dwin)","authors":"T. Latt, M. Baruah, R. Sahay","doi":"10.4103/2278-019X.114733","DOIUrl":"https://doi.org/10.4103/2278-019X.114733","url":null,"abstract":"The Buddhist Lent is an annual three lunar month long fast observed by devout Buddhists. This involves fasting daily from noon to midnight, abstaining from all solid foods. Only liquids and jaggery are allowed during this period. This paper discusses the unique nutritional challenges posed by this fast for people with diabetes, and suggests practical recommendations to ensure healthy nutrition and successful fasting for them.","PeriodicalId":443171,"journal":{"name":"Journal of Medical Nutrition and Nutraceuticals","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114690821","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 : 2013-07-01DOI: 10.4103/2278-019X.114719
S. Kalra, B. Kalra, M. Baruah
{"title":"Nutritional therapy for hypoglycemia","authors":"S. Kalra, B. Kalra, M. Baruah","doi":"10.4103/2278-019X.114719","DOIUrl":"https://doi.org/10.4103/2278-019X.114719","url":null,"abstract":"","PeriodicalId":443171,"journal":{"name":"Journal of Medical Nutrition and Nutraceuticals","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130119696","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 : 2013-07-01DOI: 10.4103/2278-019X.114725
O. O. Singh, R. J. Devi, Surbala Waikhom, S. Ranabir
Celiac disease (CD) is an immune - mediated enteropathy caused by ingestion of gluten present in wheat, barley, and rye in genetically susceptible individuals. It was considered to be a disease of childhood, but now it is reported with an increasing frequency. Classically, it present with intestinal symptoms such as diarrhea. However, in recent studies more patients are diagnosed with extra-intestinal manifestations. A trend towards more extra-intestinal manifestations and diagnosis at later age reported from several countries. In developing countries, CD is a diagnostic dilemma because the histological changes may not be pathognomonic of the disease and several other common conditions such as persistent enteric infections, parasitic infestation, small bowel bacterial overgrowth or tropical sprue have similar mucosal abnormalities. Furthermore, interpretation of mucosal histology in the presence of severe malnutrition where similar changes may be seen is difficult. A highly sensitive and specific test as adjuncts to histology is required in diagnosing celiac disease. Delay in diagnosis may also be there mainly because of lack of awareness about this condition because the symptoms may have been attributed to many other more frequently occurring conditions such as gastrointestinal infections, infestations, and nutritional deficiencies. However, untreated CD may lead to several complications, some of which may be irreversible, so early diagnosis and prompt institution of gluten free diet is important.
{"title":"Coeliac disease: An under-recognized nutritional disorder","authors":"O. O. Singh, R. J. Devi, Surbala Waikhom, S. Ranabir","doi":"10.4103/2278-019X.114725","DOIUrl":"https://doi.org/10.4103/2278-019X.114725","url":null,"abstract":"Celiac disease (CD) is an immune - mediated enteropathy caused by ingestion of gluten present in wheat, barley, and rye in genetically susceptible individuals. It was considered to be a disease of childhood, but now it is reported with an increasing frequency. Classically, it present with intestinal symptoms such as diarrhea. However, in recent studies more patients are diagnosed with extra-intestinal manifestations. A trend towards more extra-intestinal manifestations and diagnosis at later age reported from several countries. In developing countries, CD is a diagnostic dilemma because the histological changes may not be pathognomonic of the disease and several other common conditions such as persistent enteric infections, parasitic infestation, small bowel bacterial overgrowth or tropical sprue have similar mucosal abnormalities. Furthermore, interpretation of mucosal histology in the presence of severe malnutrition where similar changes may be seen is difficult. A highly sensitive and specific test as adjuncts to histology is required in diagnosing celiac disease. Delay in diagnosis may also be there mainly because of lack of awareness about this condition because the symptoms may have been attributed to many other more frequently occurring conditions such as gastrointestinal infections, infestations, and nutritional deficiencies. However, untreated CD may lead to several complications, some of which may be irreversible, so early diagnosis and prompt institution of gluten free diet is important.","PeriodicalId":443171,"journal":{"name":"Journal of Medical Nutrition and Nutraceuticals","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122967046","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 : 2013-07-01DOI: 10.4103/2278-019X.114718
S. Kalra, B. Kalra, N. Agrawal
{"title":"As fit as Fauja Singh","authors":"S. Kalra, B. Kalra, N. Agrawal","doi":"10.4103/2278-019X.114718","DOIUrl":"https://doi.org/10.4103/2278-019X.114718","url":null,"abstract":"","PeriodicalId":443171,"journal":{"name":"Journal of Medical Nutrition and Nutraceuticals","volume":"468 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123472212","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 : 2013-07-01DOI: 10.4103/2278-019X.114726
M. Ranade
Background : Vitamin A deficiency is a major cause of preventable blindness in India. Aims, Materials and Methods: This study was initially performed to assess prevalence of vitamin A deficiency in a rural village. After data analysis, extremely low levels of vitamin A deficiency disorder was found lower than national average. To know the exact reasons, the initial prevalence study was converted into pilot study, and another phase was added, which included assessment of the dietary habits of population with food frequency questionnaire. To rule out bias, another control population sample was taken on a random sample basis. Results: The dietary habits of the people showed high intake of mint in the particular area, as that area was a major producer of mint. Conclusion: We conclude from this study that simple changes in diet can lead to significant reduction in disease burden, without adding cost.
{"title":"Mint (pudina) can change your vision","authors":"M. Ranade","doi":"10.4103/2278-019X.114726","DOIUrl":"https://doi.org/10.4103/2278-019X.114726","url":null,"abstract":"Background : Vitamin A deficiency is a major cause of preventable blindness in India. Aims, Materials and Methods: This study was initially performed to assess prevalence of vitamin A deficiency in a rural village. After data analysis, extremely low levels of vitamin A deficiency disorder was found lower than national average. To know the exact reasons, the initial prevalence study was converted into pilot study, and another phase was added, which included assessment of the dietary habits of population with food frequency questionnaire. To rule out bias, another control population sample was taken on a random sample basis. Results: The dietary habits of the people showed high intake of mint in the particular area, as that area was a major producer of mint. Conclusion: We conclude from this study that simple changes in diet can lead to significant reduction in disease burden, without adding cost.","PeriodicalId":443171,"journal":{"name":"Journal of Medical Nutrition and Nutraceuticals","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133154082","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 : 2013-07-01DOI: 10.4103/2278-019X.114724
S. Kalra, B. Kalra
Background: The diabetes pandemic puts an unmanageable load on exisiting health care services, especially in resource challenged settings. It is necessary to create simple, easy-to-administer, and easy-to-understand dietary prescriptions which can be explained in a short period of time, by diabetes care providers without formal training in nutrition, to patients . Aim: This study assesses the accuracy and utility of an easy-to-administer diet, termed as the Bharti Hospital, weight ÷ 10, two minute diet. Materials and Methods: This prospective, unicentric, observational study was performed at an endocrine center in Haryana, north India. Two hundred consecutive persons with diabetes were explained a simple diet, with a single page visual aid, by a multipurpose diabetes worker, supervised by the consultant dietician and endocrinologist. Accuracy of the dietary prescription was assessed by calorie and nutrient content, measured by the dietician. Efficiency was measured by the time taken to administer the dietary prescription. Acceptability of the diet therapy was judged as a patient-reported outcome, using a pre-tested structured questionnaire, self-administered by the subject after undergoing nutritional counseling. Efficacy was assessed in all patients who returned at one month for follow-up, using a 24-hour dietary recall questionnaire. Results: Without counting calories from cooking fat/oil, the calorie content of the diet was 17.5 calories/kg/day, with a balanced mix of carbohydrates, proteins, and fat. The times taken to administer this diet ranged from 1.0 to 7.5 minutes (mean average, 3.15 ± 2.46 minutes). Patients rated acceptability of this prescription at 4.1 ± 0.7 on a 5-point Likert scale. Forty patients, followed up at 1 month, reported caloric intake of 24.3 ± 4.51 cals/kg/day. Conclusion: The Bharti Hospital 2 minute weight ÷ 10 diet provides a simple framework upon which a dietary prescription can be based. It provides a fast, yet effective method of explaining dietary management by staff who do not have formal qualification in nutrition, and is acceptable to patients. This diet should be customized and studied in different culinary regions across the world.
{"title":"The two minute weight ÷ 10 diabetes diet","authors":"S. Kalra, B. Kalra","doi":"10.4103/2278-019X.114724","DOIUrl":"https://doi.org/10.4103/2278-019X.114724","url":null,"abstract":"Background: The diabetes pandemic puts an unmanageable load on exisiting health care services, especially in resource challenged settings. It is necessary to create simple, easy-to-administer, and easy-to-understand dietary prescriptions which can be explained in a short period of time, by diabetes care providers without formal training in nutrition, to patients . Aim: This study assesses the accuracy and utility of an easy-to-administer diet, termed as the Bharti Hospital, weight ÷ 10, two minute diet. Materials and Methods: This prospective, unicentric, observational study was performed at an endocrine center in Haryana, north India. Two hundred consecutive persons with diabetes were explained a simple diet, with a single page visual aid, by a multipurpose diabetes worker, supervised by the consultant dietician and endocrinologist. Accuracy of the dietary prescription was assessed by calorie and nutrient content, measured by the dietician. Efficiency was measured by the time taken to administer the dietary prescription. Acceptability of the diet therapy was judged as a patient-reported outcome, using a pre-tested structured questionnaire, self-administered by the subject after undergoing nutritional counseling. Efficacy was assessed in all patients who returned at one month for follow-up, using a 24-hour dietary recall questionnaire. Results: Without counting calories from cooking fat/oil, the calorie content of the diet was 17.5 calories/kg/day, with a balanced mix of carbohydrates, proteins, and fat. The times taken to administer this diet ranged from 1.0 to 7.5 minutes (mean average, 3.15 ± 2.46 minutes). Patients rated acceptability of this prescription at 4.1 ± 0.7 on a 5-point Likert scale. Forty patients, followed up at 1 month, reported caloric intake of 24.3 ± 4.51 cals/kg/day. Conclusion: The Bharti Hospital 2 minute weight ÷ 10 diet provides a simple framework upon which a dietary prescription can be based. It provides a fast, yet effective method of explaining dietary management by staff who do not have formal qualification in nutrition, and is acceptable to patients. This diet should be customized and studied in different culinary regions across the world.","PeriodicalId":443171,"journal":{"name":"Journal of Medical Nutrition and Nutraceuticals","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128332307","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 : 2012-07-01DOI: 10.4103/2278-019X.101300
Y. Balhara, T. Yadav, Dinesh Kataria
Background: Nutraceuticals are increasingly being used in psychiatric practice. However the literature continues to be limited for most of these agents. Prescription of nutraceuticals to psychiatric patients has not been systematically studied in Indian setting. The current study is aimed at assessment of prescription pattern of nutraceuticals in psychiatry out-patient setting in a tertiary care center. Materials and Methods: The study was carried out at the out-patient department of a tertiary care hospital. The sample frame was constituted by all the prescriptions from the out-patient psychiatry department. The information was collected for the socio-demographic variables using a semi-structured proforma. The patients were diagnosed based on the ICD-10 and the diagnoses were grouped as per the 10 categories of ICD-10. The prescriptions were screened for the nutraceuticals. The data were analyzed using SPSS ver 14.0. Results: A total of 174 consecutive prescriptions from the consenting patients were included in the study. Highest proportion of the study subjects (36.8%) belonged to the 'mood disorder' category (F 30-39), followed by 'schizophrenia, schizotypal and delusional disorders' category (F 20-29) (24.1%). Majority of the prescriptions at first visit (75.9%) did not include a nutraceutical. 63.2% of the last prescriptions did not include any nutraceutical. The different diagnostic categories did not differ significantly with regards to prescription of nutraceutical at the first visit. However there was a significant difference between the different diagnostic categories with regards to nutraceutical in the last prescription. Conclusions: Of all the diagnostic categories, prescriptions of individuals diagnosed with 'mood (affective) disorders' and 'neurotic, stress related and somatoform disorders' demonstrated significant increase in prescription of nutraceutical at the last prescription as compared to the first prescription.
{"title":"An exploratory study of nutraceutical prescription pattern among psychiatric patients in an out-patient setting","authors":"Y. Balhara, T. Yadav, Dinesh Kataria","doi":"10.4103/2278-019X.101300","DOIUrl":"https://doi.org/10.4103/2278-019X.101300","url":null,"abstract":"Background: Nutraceuticals are increasingly being used in psychiatric practice. However the literature continues to be limited for most of these agents. Prescription of nutraceuticals to psychiatric patients has not been systematically studied in Indian setting. The current study is aimed at assessment of prescription pattern of nutraceuticals in psychiatry out-patient setting in a tertiary care center. Materials and Methods: The study was carried out at the out-patient department of a tertiary care hospital. The sample frame was constituted by all the prescriptions from the out-patient psychiatry department. The information was collected for the socio-demographic variables using a semi-structured proforma. The patients were diagnosed based on the ICD-10 and the diagnoses were grouped as per the 10 categories of ICD-10. The prescriptions were screened for the nutraceuticals. The data were analyzed using SPSS ver 14.0. Results: A total of 174 consecutive prescriptions from the consenting patients were included in the study. Highest proportion of the study subjects (36.8%) belonged to the 'mood disorder' category (F 30-39), followed by 'schizophrenia, schizotypal and delusional disorders' category (F 20-29) (24.1%). Majority of the prescriptions at first visit (75.9%) did not include a nutraceutical. 63.2% of the last prescriptions did not include any nutraceutical. The different diagnostic categories did not differ significantly with regards to prescription of nutraceutical at the first visit. However there was a significant difference between the different diagnostic categories with regards to nutraceutical in the last prescription. Conclusions: Of all the diagnostic categories, prescriptions of individuals diagnosed with 'mood (affective) disorders' and 'neurotic, stress related and somatoform disorders' demonstrated significant increase in prescription of nutraceutical at the last prescription as compared to the first prescription.","PeriodicalId":443171,"journal":{"name":"Journal of Medical Nutrition and Nutraceuticals","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130328626","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 : 2012-07-01DOI: 10.4103/2278-019X.101284
S. Kalra, B. Kalra, M. Baruah
{"title":"Diagnosing osteoporosis made easier: The FRAX tool gets better","authors":"S. Kalra, B. Kalra, M. Baruah","doi":"10.4103/2278-019X.101284","DOIUrl":"https://doi.org/10.4103/2278-019X.101284","url":null,"abstract":"","PeriodicalId":443171,"journal":{"name":"Journal of Medical Nutrition and Nutraceuticals","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127674285","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 : 2012-07-01DOI: 10.4103/2278-019X.101283
B. Bhattacharyya, M. Baruah, B. Kalra
{"title":"The vitamin which defeated Napoleon","authors":"B. Bhattacharyya, M. Baruah, B. Kalra","doi":"10.4103/2278-019X.101283","DOIUrl":"https://doi.org/10.4103/2278-019X.101283","url":null,"abstract":"","PeriodicalId":443171,"journal":{"name":"Journal of Medical Nutrition and Nutraceuticals","volume":"124 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132305303","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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