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ADA’s Dietetic Practice-Based Research Network (DPBRN) Members
MONDAY, SEPTEMBER 18
POSTER SESSION: SCIENCE/EDUCATION/MANAGEMENT/FOODSERVICE/CULINARY/RESEARCH TITLE: ADA’S DIETETIC PRACTICE-BASED RESEARCH NETWORK (DPBRN) MEMBERS
TITLE: UNDERSTANDING THE RELATIONSHIP BETWEEN NUTRITION AND RECOVERY
AUTHOR(S): N. Trostler, PhD, RD; E.F. Myers, PhD, RD, FADA; Hebrew University of Jerusalem, Rehovot, Israel; American Dietetic Association, Chicago, Illinois
AUTHOR(S): D.N. Fendley, MS, RD, LD
LEARNING OUTCOME: To determine if members of ADA’s DPBRN are representative of ADA members. TEXT: The American Dietetic Association’s (ADA) Dietetics Practice-Based Research Network (DPBRN) is an important infrastructure to study questions of primary importance to practice and clients. To-date 539 ADA members registered and completed an initial enrollment form. In addition, 129 (23.4%) responded to another 90 question on-line descriptive study (DS). In the DPBRN (N⫽539) the interest to participate in research increased with years in practice; 28% did not have any previous research experience, 35% worked in hospital settings, 40% were generalists and 10% managers; 40% had over 20 years in practice. Over 50% provided nutrition counseling to adults and clients’ most common diagnoses were diabetes and overweight. Compared to 2005 Salary Survey data, these data indicate that DBPRN members have strong similarities to ADA membership. The 129 DS individuals had proportionately more advanced degrees (64% vs 45% MSc, 12% vs 4% PhD); 40% used computers in their practice, 55% are also educators and 60% engaged in research, over 50% have authored and presented data.. Over 50% have supervision responsibilities; 72% are in direct care, 55% work full time; their clients represent the full range of geographical, cultural and economic diversity. In general, the DBPRN DS (N⫽129) group appears not to represent ADA membership with the exceptions noted. FUNDING DISCLOSURE: Partial support from the American Dietetic Association Foundation
LEARNING OUTCOME: To determine and supplement substance abuse education and rehabilitation with nutrition education and test subjects’ knowledge of their nutritional needs. TEXT: It is estimated that 777,146 veterans treated in the Veterans Affairs Medical Centers suffer from one or more types of substance abuse. Research has confirmed that the client’s nutritional status is affected by the abuse of drugs. Substance induced eating and appetite changes cause nutrient deficiencies and malnutrition which in-turn increases the urge to use drugs. Yet, relatively few substance abuse programs actively incorporate nutrition education into core program components. To address this gap, a Veterans Affairs Medical Center established a structured education program for 56 clients in an outpatient substance abuse clinic. A 45 minute nutrition education program was provided for small groups during the four week program. Pre-and post-testing revealed that client awareness of healthy nutrition and its relationship to their recovery improved roughly 43% after the program with 75% of the clients indicating and demonstrating improved nutritional choices including: eating sufficient amounts of high nutrient foods, increasing intake of fruits, vegetables and fiber; avoiding substance substitutions and consuming less fat. Clients expressed a decrease in drug cravings. Positive results were most influenced by the following factors: basic concepts delivered with colorful visuals, clear language, incentives/prizes and pacing that allowed question and answer periods encouraging questions relating to this and other personal health issues. This initial study demonstrated that inclusion of nutrition education produced positive health outcomes for clients completing an outpatient substance recovery program. Further study would be beneficial in identifying which clients benefit the most from such education. FUNDING DISCLOSURE: None
TITLE: VITAMIN D IN REAL AND SIMULATED WEIGHTLESSNESS: IMPLICATIONS FOR EARTH AUTHOR(S): B.L. Rice, RD, LD; S.R. Zwart, PhD; S. M. Smith, PhD; Enterprise Advisory Services, Inc.; Universities Space Research Association; NASA Johnson Space Center, Houston, TX LEARNING OUTCOME: To understand the importance of dietary vitamin D for healthy individuals not exposed to sunlight, the difficulties of meeting vitamin D requirements with typical supplements, and the implications for other populations (such as the elderly, and patients with disease states such as cancer or diabetes). TEXT: Vitamin D deficiency has reemerged as a public health concern in the United States. It is also a concern for astronauts because spacecraft are shielded from ultraviolet light, leaving diet as the sole source of vitamin D. Our findings are from four studies: one evaluation of astronauts before and after 4- to 6-month International Space Station missions, and three ground-based spaceflight analog studies: bed rest. Blood samples were collected before flight and after flight. Crewmembers (n ⫽ 11) were provided vitamin D supplements (cholecalciferol, 10 g/d). Serum 25-hydroxycholecalciferol was 25% less postflight (48 ⫾ 20 nmol/L; mean ⫾SD) than preflight (63 ⫾ 16 nmol/L) (P ⬍ 0.01). Ground-based studies (total n⫽ 11) were undertaken to evaluate nutritional changes during and after 60 or 90 days of head-down-tilt bed rest. Vitamin D intake was 4.8 ⫾ 0.2 (study 1), 6.2 ⫾ 0.8 (study 2), and 7.2 ⫾ 1.4 (study 3) g/day. In study 1, subjects received a 10 g vitamin D (ergocalciferol) supplement daily. In study 1, 7 days after bed rest, 25hydroxycholecalciferol was 30% less than it was before bed rest (p ⬍ 0.05). There was no significant change in the other 2 studies. These data demonstrate that vitamin D intake is critical for individuals not exposed to the sun, including people living in northern latitudes, and elderly people who seldom go outdoors. The inability of supplements to maintain vitamin D status is significant, and highlights the need for careful food selection to ensure adequate vitamin D intake. FUNDING DISCLOSURE: These studies were funded by the NASA. The Bed Rest studies were funded by the NASA Flight Analogs/Bed Rest Research Project.
A-60 / August 2006 Suppl 2—Abstracts Volume 106 Number 8
TITLE: THE IMPACT OF DIABETES CAMP EXPERIENCE ON CHILDREN’S KNOWLEDGE OF DIABETES AND MEAL PLANNING TECHNIQUES AUTHOR(S): R.M. Fournet, PhD, LDN, RD, School of Human Resources, University of Louisiana at Lafayette; D.L. Thibodeaux, Dietetic Intern, University of Louisiana at Lafayette LEARNING OUTCOME: To determine the impact of diabetes camp experience on diabetic children’s knowledge of Carbohydrate Counting. TEXT: The objective of this study was to determine the influence of a one-week session of diabetic camp on the knowledge of Carbohydrate Counting by 15 diabetic youth ages 11-14 years old and to determine the percentage of campers who currently use this meal planning technique. A 17-question survey was used to gather demographic information and to test the knowledge of the subjects on their designated meal plan. Pearson’s correlation analysis was performed between the number of correct answers and the number of years the subject attended camp. A t-test of two independent population means was done in order to compare survey scores of the girls versus boys and the pump users versus the non-pump users. There was a positive correlation between the number of correct answers and the number of years at camp. Results concluded that there would be no difference between boys and girls with diabetes regarding the knowledge of their disease and diet. Children using insulin pumps were equally knowledgeable about their disease and diet when compared to children not using insulin pump therapy. The more camp experiences each camper had, the more knowledgeable the camper was about their disease and diet regimen (as measured by the researcher’s survey). The American Diabetes Association (ADA) is aware of this impact as it continues to provide diabetic youth with these camp opportunities. FUNDING DISCLOSURE: None
POSTER SESSION: SCIENCE/EDUCATION/MANAGEMENT/FOODSERVICE/CULINARY/RESEARCH TITLE: ADA’S DIETETIC PRACTICE-BASED RESEARCH NETWORK (DPBRN) MEMBERS
TITLE: UNDERSTANDING THE RELATIONSHIP BETWEEN NUTRITION AND RECOVERY
AUTHOR(S): N. Trostler, PhD, RD; E.F. Myers, PhD, RD, FADA; Hebrew University of Jerusalem, Rehovot, Israel; American Dietetic Association, Chicago, Illinois
AUTHOR(S): D.N. Fendley, MS, RD, LD
LEARNING OUTCOME: To determine if members of ADA’s DPBRN are representative of ADA members. TEXT: The American Dietetic Association’s (ADA) Dietetics Practice-Based Research Network (DPBRN) is an important infrastructure to study questions of primary importance to practice and clients. To-date 539 ADA members registered and completed an initial enrollment form. In addition, 129 (23.4%) responded to another 90 question on-line descriptive study (DS). In the DPBRN (N⫽539) the interest to participate in research increased with years in practice; 28% did not have any previous research experience, 35% worked in hospital settings, 40% were generalists and 10% managers; 40% had over 20 years in practice. Over 50% provided nutrition counseling to adults and clients’ most common diagnoses were diabetes and overweight. Compared to 2005 Salary Survey data, these data indicate that DBPRN members have strong similarities to ADA membership. The 129 DS individuals had proportionately more advanced degrees (64% vs 45% MSc, 12% vs 4% PhD); 40% used computers in their practice, 55% are also educators and 60% engaged in research, over 50% have authored and presented data.. Over 50% have supervision responsibilities; 72% are in direct care, 55% work full time; their clients represent the full range of geographical, cultural and economic diversity. In general, the DBPRN DS (N⫽129) group appears not to represent ADA membership with the exceptions noted. FUNDING DISCLOSURE: Partial support from the American Dietetic Association Foundation
LEARNING OUTCOME: To determine and supplement substance abuse education and rehabilitation with nutrition education and test subjects’ knowledge of their nutritional needs. TEXT: It is estimated that 777,146 veterans treated in the Veterans Affairs Medical Centers suffer from one or more types of substance abuse. Research has confirmed that the client’s nutritional status is affected by the abuse of drugs. Substance induced eating and appetite changes cause nutrient deficiencies and malnutrition which in-turn increases the urge to use drugs. Yet, relatively few substance abuse programs actively incorporate nutrition education into core program components. To address this gap, a Veterans Affairs Medical Center established a structured education program for 56 clients in an outpatient substance abuse clinic. A 45 minute nutrition education program was provided for small groups during the four week program. Pre-and post-testing revealed that client awareness of healthy nutrition and its relationship to their recovery improved roughly 43% after the program with 75% of the clients indicating and demonstrating improved nutritional choices including: eating sufficient amounts of high nutrient foods, increasing intake of fruits, vegetables and fiber; avoiding substance substitutions and consuming less fat. Clients expressed a decrease in drug cravings. Positive results were most influenced by the following factors: basic concepts delivered with colorful visuals, clear language, incentives/prizes and pacing that allowed question and answer periods encouraging questions relating to this and other personal health issues. This initial study demonstrated that inclusion of nutrition education produced positive health outcomes for clients completing an outpatient substance recovery program. Further study would be beneficial in identifying which clients benefit the most from such education. FUNDING DISCLOSURE: None
TITLE: VITAMIN D IN REAL AND SIMULATED WEIGHTLESSNESS: IMPLICATIONS FOR EARTH AUTHOR(S): B.L. Rice, RD, LD; S.R. Zwart, PhD; S. M. Smith, PhD; Enterprise Advisory Services, Inc.; Universities Space Research Association; NASA Johnson Space Center, Houston, TX LEARNING OUTCOME: To understand the importance of dietary vitamin D for healthy individuals not exposed to sunlight, the difficulties of meeting vitamin D requirements with typical supplements, and the implications for other populations (such as the elderly, and patients with disease states such as cancer or diabetes). TEXT: Vitamin D deficiency has reemerged as a public health concern in the United States. It is also a concern for astronauts because spacecraft are shielded from ultraviolet light, leaving diet as the sole source of vitamin D. Our findings are from four studies: one evaluation of astronauts before and after 4- to 6-month International Space Station missions, and three ground-based spaceflight analog studies: bed rest. Blood samples were collected before flight and after flight. Crewmembers (n ⫽ 11) were provided vitamin D supplements (cholecalciferol, 10 g/d). Serum 25-hydroxycholecalciferol was 25% less postflight (48 ⫾ 20 nmol/L; mean ⫾SD) than preflight (63 ⫾ 16 nmol/L) (P ⬍ 0.01). Ground-based studies (total n⫽ 11) were undertaken to evaluate nutritional changes during and after 60 or 90 days of head-down-tilt bed rest. Vitamin D intake was 4.8 ⫾ 0.2 (study 1), 6.2 ⫾ 0.8 (study 2), and 7.2 ⫾ 1.4 (study 3) g/day. In study 1, subjects received a 10 g vitamin D (ergocalciferol) supplement daily. In study 1, 7 days after bed rest, 25hydroxycholecalciferol was 30% less than it was before bed rest (p ⬍ 0.05). There was no significant change in the other 2 studies. These data demonstrate that vitamin D intake is critical for individuals not exposed to the sun, including people living in northern latitudes, and elderly people who seldom go outdoors. The inability of supplements to maintain vitamin D status is significant, and highlights the need for careful food selection to ensure adequate vitamin D intake. FUNDING DISCLOSURE: These studies were funded by the NASA. The Bed Rest studies were funded by the NASA Flight Analogs/Bed Rest Research Project.
A-60 / August 2006 Suppl 2—Abstracts Volume 106 Number 8
TITLE: THE IMPACT OF DIABETES CAMP EXPERIENCE ON CHILDREN’S KNOWLEDGE OF DIABETES AND MEAL PLANNING TECHNIQUES AUTHOR(S): R.M. Fournet, PhD, LDN, RD, School of Human Resources, University of Louisiana at Lafayette; D.L. Thibodeaux, Dietetic Intern, University of Louisiana at Lafayette LEARNING OUTCOME: To determine the impact of diabetes camp experience on diabetic children’s knowledge of Carbohydrate Counting. TEXT: The objective of this study was to determine the influence of a one-week session of diabetic camp on the knowledge of Carbohydrate Counting by 15 diabetic youth ages 11-14 years old and to determine the percentage of campers who currently use this meal planning technique. A 17-question survey was used to gather demographic information and to test the knowledge of the subjects on their designated meal plan. Pearson’s correlation analysis was performed between the number of correct answers and the number of years the subject attended camp. A t-test of two independent population means was done in order to compare survey scores of the girls versus boys and the pump users versus the non-pump users. There was a positive correlation between the number of correct answers and the number of years at camp. Results concluded that there would be no difference between boys and girls with diabetes regarding the knowledge of their disease and diet. Children using insulin pumps were equally knowledgeable about their disease and diet when compared to children not using insulin pump therapy. The more camp experiences each camper had, the more knowledgeable the camper was about their disease and diet regimen (as measured by the researcher’s survey). The American Diabetes Association (ADA) is aware of this impact as it continues to provide diabetic youth with these camp opportunities. FUNDING DISCLOSURE: None