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CRN 1992 Nutrition Research Grant
205
1991 CRN ANNUAL MEETING ABSTRACTS THE NUTRITION LABELING AND EDUCATION ACT OF 1990WHAT DOES IT REALLY MEAN! Janet E, Witt, Alpena General, Alpena, MI
FACTORS INFLUENCING PATIENTS' DIET REPORT QUALITY IN A LONG-TERM, MULTICENTERED CLINICAL TRIAL: THE FlRST lWO YEARS' EXPERIENCE. M.E. YamamolO, F.A. Averllach, A.W. Caggiula, B.G. Gillis, FL. Jones, R.M. Meehan, J.A. Naujelis, and the MDRD Study. MDRD-Nutrition Comlinating Center (NCC), University of Pittsburgh and NIDDK, Bethesda, MD.
Nutrition labeling has been a concern of all consumers for many years, however due to the strict dietary requirements of individuals with ESRD, understanding food labels becomes critical in maintaining control of potassium, phosphorous, calcium, etc. and enhancing the overall health status of the individual. Understanding food labels becomes a high priority for people with ESRD. Renal dietitians playa major role in the nutritional health care of their patients and can help individuals better understand their meal restrictions through an understanding of food labels.
The Modification of Diet in Renal Disease (MDRD) Study, a multicenter, five-year clinical trial, is sponsored by the National Institutes of Health and the Health Care Financing Administration and is designed 10 detennine whether controlled dietary protein and phosphorus intake and/or control of blood pressure will alter the progression of cluonic renal disease. A common question in long-term dietary studies is patients' willingness and ability 10 sustain diet report quality. To examine patterns of diet report problems, a review of the first two years of clarifications of food records requested by the NCC Dietary Dam Center was conducted. Clarification requests increased from 14.6% of 3,449 recorded days in 1989 10 26% of 8,479 days in 1990. While some improvements in quantity descriptions were seen over the two years, some types of foods continued 10 be difficult for patients 10 specify. For example, missing details on bakery goods, poultry and vegembles persisted as did questions on vilamin, mineral and special supplements. Difficulties also appeared 10 be associated with a rise in reported mixed foods and recipe items. Similar query increases occurred for both baseline and follow-up daIa but baseline daIa continued 10 generate more problems (35% vs. 23% for follow-up). A nomble downturn in problems was seen in the last quarter of the second year. This was coincident with a reduction in the number of required food records and leveling of patient accrual. Since MDRD dietitians are responsible for patient training and support in diet reporting, the availability of dietitian -time is critical 10 dietary daIa quality. Of the several faclOrs examined, dietary daIa quality was most affected by complexity of foods reported, by the period of reporting (baseline vs. follow-up) and by the worldoads carried by clinic dietitians.
The 1990 Food Labeling Law passed by congress requires mandatory nutrition and ingredient information labeling for most foods under the jurisdiction of the FDA by May 1993. This presentation will focus on the new requirements, resultant changes to food labels and how the information can-aid the person with ESRD balance their nutritional plan. This session on labeling will enhance the 1991 CRN meeting with a practical nutrition program. Participant Objective: The participant will gain an understanding of the 1990 food labeling regulations and how the changes will help people with ESRD better comply with dietary restrictions.
CRN 1992 NUTRITION RESEARCH GRANT Areas of Research • •
Renal nutrition factors in clinical nephrology and urology Clinical practice projects focusing on nutrition assessment and care plans with patient and family members • Evaluation of educational programs or teaching tools to enhance patient and family understanding of end-stage renal disease treatment and its nutritional implications • Pilot or demonstration projects that have applicability to renal nutrition and/or renal dietitians • Nutrient supplementation pertinent to renal disease
Eligibility • CRN member • Minimum of 2 years renal nutrition work experience • Residence in the United States or its territories • Appropriate approvals from institution where research is to be conducted
Funding •
$15,000 for fiscal year (July 1992 to July 1993)
• •
December 15, 1991-Letter of intent due January 31, 1992-Proposal due in NKF office For an application packet, contact National Kidney Foundation Council on Renal Nutrition, 30 East 33rd St, New York, NY 10016; (800) 622-9010.
Deadlines
1991 CRN ANNUAL MEETING ABSTRACTS THE NUTRITION LABELING AND EDUCATION ACT OF 1990WHAT DOES IT REALLY MEAN! Janet E, Witt, Alpena General, Alpena, MI
FACTORS INFLUENCING PATIENTS' DIET REPORT QUALITY IN A LONG-TERM, MULTICENTERED CLINICAL TRIAL: THE FlRST lWO YEARS' EXPERIENCE. M.E. YamamolO, F.A. Averllach, A.W. Caggiula, B.G. Gillis, FL. Jones, R.M. Meehan, J.A. Naujelis, and the MDRD Study. MDRD-Nutrition Comlinating Center (NCC), University of Pittsburgh and NIDDK, Bethesda, MD.
Nutrition labeling has been a concern of all consumers for many years, however due to the strict dietary requirements of individuals with ESRD, understanding food labels becomes critical in maintaining control of potassium, phosphorous, calcium, etc. and enhancing the overall health status of the individual. Understanding food labels becomes a high priority for people with ESRD. Renal dietitians playa major role in the nutritional health care of their patients and can help individuals better understand their meal restrictions through an understanding of food labels.
The Modification of Diet in Renal Disease (MDRD) Study, a multicenter, five-year clinical trial, is sponsored by the National Institutes of Health and the Health Care Financing Administration and is designed 10 detennine whether controlled dietary protein and phosphorus intake and/or control of blood pressure will alter the progression of cluonic renal disease. A common question in long-term dietary studies is patients' willingness and ability 10 sustain diet report quality. To examine patterns of diet report problems, a review of the first two years of clarifications of food records requested by the NCC Dietary Dam Center was conducted. Clarification requests increased from 14.6% of 3,449 recorded days in 1989 10 26% of 8,479 days in 1990. While some improvements in quantity descriptions were seen over the two years, some types of foods continued 10 be difficult for patients 10 specify. For example, missing details on bakery goods, poultry and vegembles persisted as did questions on vilamin, mineral and special supplements. Difficulties also appeared 10 be associated with a rise in reported mixed foods and recipe items. Similar query increases occurred for both baseline and follow-up daIa but baseline daIa continued 10 generate more problems (35% vs. 23% for follow-up). A nomble downturn in problems was seen in the last quarter of the second year. This was coincident with a reduction in the number of required food records and leveling of patient accrual. Since MDRD dietitians are responsible for patient training and support in diet reporting, the availability of dietitian -time is critical 10 dietary daIa quality. Of the several faclOrs examined, dietary daIa quality was most affected by complexity of foods reported, by the period of reporting (baseline vs. follow-up) and by the worldoads carried by clinic dietitians.
The 1990 Food Labeling Law passed by congress requires mandatory nutrition and ingredient information labeling for most foods under the jurisdiction of the FDA by May 1993. This presentation will focus on the new requirements, resultant changes to food labels and how the information can-aid the person with ESRD balance their nutritional plan. This session on labeling will enhance the 1991 CRN meeting with a practical nutrition program. Participant Objective: The participant will gain an understanding of the 1990 food labeling regulations and how the changes will help people with ESRD better comply with dietary restrictions.
CRN 1992 NUTRITION RESEARCH GRANT Areas of Research • •
Renal nutrition factors in clinical nephrology and urology Clinical practice projects focusing on nutrition assessment and care plans with patient and family members • Evaluation of educational programs or teaching tools to enhance patient and family understanding of end-stage renal disease treatment and its nutritional implications • Pilot or demonstration projects that have applicability to renal nutrition and/or renal dietitians • Nutrient supplementation pertinent to renal disease
Eligibility • CRN member • Minimum of 2 years renal nutrition work experience • Residence in the United States or its territories • Appropriate approvals from institution where research is to be conducted
Funding •
$15,000 for fiscal year (July 1992 to July 1993)
• •
December 15, 1991-Letter of intent due January 31, 1992-Proposal due in NKF office For an application packet, contact National Kidney Foundation Council on Renal Nutrition, 30 East 33rd St, New York, NY 10016; (800) 622-9010.
Deadlines