This article discusses special considerations in the diet and nutrition of severely handicapped children. Nutritional needs are examined as they are affected by (1) specific handicapping conditions, (2) medications commonly used with severely handicapped children, (3) special diets, and (4) behavioral influences. The potential for interaction among these factors is discussed, and six guidelines are provided to help ensure improved nutrition for children with severely handicapping conditions.
Purpose Examine whether the association between Supplemental Nutrition Assistance Program (SNAP) participation and diet quality is different by gender and household headship. Design Quantitative, cross-sectional. Setting The 2007-2018 waves of the National Health and Nutrition Examination Survey (NHANES). Subjects 6180 individuals aged 20 to 65 with household annual income below 130% of the poverty level. Measures The outcome of diet quality was measured using the 2015 Healthy Eating Index (HEI) based on dietary intake from 24-hour diet recall. The exposures were self-reported participation in SNAP and socio-demographic variables. Analysis Ordinary Least Square (OLS) regression models. Results The study found that female household heads had higher average total HEI scores relative to their male and non-head counterparts (β = 1.81, 95% CI: −.27, 3.88). However, for SNAP participants, female household heads had lower average total HEI scores (β = −3.67, 95% CI: −7.36, .11). Conclusion Female household heads are more likely to experience difficulty in maintaining diet quality relative to their counterparts. The study suggests that intra-household effort allocation may play an important role in differentiating and maintaining diet quality.
Starting from the recent public debate over global warming we discuss the scientific consensus and public perception on climate issues. We then turn to the ongoing debate on diets and nutrition, comparing scientific perspectives, public views and religious standpoints.
Introduction: Chronic inflammation plays a critical role in lymphomagenesis and several dietary factors seem to be involved its regulation. The aim of the current study was to assess the association between the inflammatory potential of the diet and the risk of lymphoma and its subtypes in the European Investigation into Cancer and Nutrition (EPIC) study. Methods: The analysis included 476,160 subjects with an average follow-up of 13.9 years, during which 3,136 lymphomas (135 Hodgkin lymphoma (HL), 2606 non-Hodgkin lymphoma (NHL) and 395 NOS) were identified. The dietary inflammatory potential was assessed by means of an inflammatory score of the diet (ISD), calculated using 28 dietary components and their corresponding inflammatory weights. The association between the ISD and lymphoma risk was estimated by hazard ratios (HR) and 95% confidence intervals (CI) calculated by multivariable Cox regression models adjusted for potential confounders. Results: The ISD was not associated with overall lymphoma risk. Among lymphoma subtypes, a positive association between the ISD and mature B-cell NHL (HR for a 1-SD increase: 1.07 (95% CI 1.01; 1.14), p trend = 0.03) was observed. No statistically significant association was found among other subtypes. However, albeit with smaller number of cases, a suggestive association was observed for HL (HR for a 1-SD increase = 1.22 (95% CI 0.94; 1.57), p trend 0.13). Conclusions: Our findings suggested that a high ISD score, reflecting a pro-inflammatory diet, was modestly positively associated with the risk of B-cell lymphoma subtypes. Further large prospective studies on low-grade inflammation induced by diet are warranted to confirm these findings ; Grant sponsor: Spanish Ministry of Economy and Competitiveness-Carlos III Institute of Health cofunded by FEDER funds/European Regional Development Fund (ERDF)—a way to build Europe, Grant numbers: [PI13/00061 (to Granada), PI13/01162 (to EPIC-Murcia, Regional Governments of Andalucıa, Asturias, Basque Country, Murcia and Navarra), ...
In this paper we look at Sri Lanka's food and nutrition policies from a historical perspective to identify the intervention options for addressing the country's current food security and nutrition challenges. ; Non-PR ; IFPRI1; 2 Promoting Healthy Diets and Nutrition for all ; DGO
For reformers involved in the public health movement at the end of the nineteenth century, education of the public, particularly the poor and immigrant populations, in day-to-day cleanliness and better nutrition, clothing, and housing would contribute to transforming the country from colony to prosperous nation, with a larger population better integrated into a new Canadian national identity. In Montreal, the Montreal Diet Dispensary, founded by a number of anglo-protestant women volunteers in the interest of helping those who were ill and living in poverty, became a practical laboratory for social action and intervention, inspired by a maternalist ideal. This effort developed in three stages, as the women put in place charitable structures through which those who were ill and in poverty were to be identified and selected, then diagnosed by new female professionals (social workers, dieticians, and nurses), and finally made responsible as individuals in charge of their own health through the promotion of public health. A study of the MDD reveals the definitive role of these women —philanthropists, volunteers, professionals, and those who received services —in constructing a field of activity, intervention, and service that today would be considered a mixed social economy and that was a powerful lever in evoking state and public intervention in this field.
OBJECTIVES: Secondary data analysis in Bangladesh has found associations across agricultural production, women's empowerment, and nutrition outcomes. Less is known, though, about whether combining interventions across these areas is more effective than isolated interventions to improve agricultural diversity, diet diversity, and women's empowerment in Bangladesh. METHODS: The Agriculture, Nutrition, and Gender Linkages study used a cluster randomized controlled trial to evaluate impacts of agriculture, nutrition, and/or gender interventions on food production, diets, and empowerment. 160 blocks were randomized to control and 5 training models: (T1) nutrition by government agriculture extension agents (AEAs); (T2) nutrition by community nutrition workers; (T3) agriculture on production of nutrient-rich foods by AEAs; (T4) agriculture and nutrition by AEAs; and (T5) agriculture and nutrition by AEAs, and gender sensitization. Trainings targeted men and women together. 4000 farm households with a child under age 2 at baseline were surveyed 2 years apart. Impact estimates used endline data, adjusting for baseline characteristics using analysis of covariance. RESULTS: All treatments significantly improved agriculture production knowledge and adoption of improved production practices, more so in arms with agriculture training (T3, T4, T5), and for women than men. All treatments significantly improved nutrition knowledge, more so in arms with nutrition training, and for women than men. Household diet quality and child diet diversity significantly improved only in T2 and T4. Women's empowerment significantly improved in all treatments, and men's gender attitudes improved in T1, T4, T5, more so in the gender arm (T5). No impacts were expected or found on child anthropometry. CONCLUSIONS: Joint interventions had larger impacts than isolated ones, suggesting synergies across agriculture, nutrition, and gender. Impact on food and nutrition outcomes (food production or nutrition practices) required agriculture and/or ...
The partnership for sustainable and healthy food is a challenge shared by governments, food industry, environmental science, and the health service. At the European level, the application of policies based on the Mediterranean-style eating pattern is recommended. In this regard, attention is being paid to the New Nordic Diet (NND), which shares many similarities with the Mediterranean one but comprises typical foods from Nordic countries. Therefore, it could be transferred to anywhere in the world, including Spain, where it would coexist with the recommendations of the Mediterranean Diet (MD) and the southern European Atlantic Diet (SEAD). The main objective of this study is to propose the modelling of the health, economic, environmental and nutritional indicators of the southern version of NND (SNND) and to compare, when possible, the results with those of the alternatives. The environmental metrics for SNND, carbon footprint (CF) and water footprint (WF), were estimated at 3.58 kg CO2·person−1·day−1 and 3528 L·person-1·day-1 respectively, a slightly worse environmental profile than for MD. In relation to economic metrics, the updated cost index to 2019 was 4.30 €·person−1·day−1, similar to MD and lower than for SEAD. The overall dietary quality score was 126, a higher result than the baseline (100), but worse than those identified for SEAD and MD. In terms of health outcomes, NND showed benefits that reduce non-communicable diseases such as the risks of type 2 diabetes mellitus (T2D) by 31%, colorectal cancer (CRCA) by 35% and cardiovascular disease (CVD) by 7%. Compliance with the NND was also associated with a weight loss of 1.83 kg per person following the diet. Epidemiological evidence supported greater weight loss when following the NND, but greater reductions in the CVD risk when adhering to MD. The dissemination through educational campaigns of these recommended dietary patterns and the incorporation in the dietary guidelines of simple indicators of nutritional quality, environmental impacts and health, ...
