- Email: [email protected]
Validity of a Newly Developed Nutrition Screening Tool, FORMS
SUNDAY, OCTOBER 4
Poster Session: Professional Skills; Nutrition Assessment; Medical Nutrition Therapy Validity of a Newly Developed Nutrition Screening Tool, FORMS Author(s): M.M. DePrenger, A. Coltman, D. Sowa, S. Peterson, S. Foley; Clinical Nutrition, Rush Univ. Med. Ctr., Chicago, IL Learning Outcome: The participant will be able to identify the validity of a novel screening tool in determining nutrition risk in adult hospitalized patients when compared with SGA. Many screening tools are available for use in hospitalized patients; however, no gold standard currently exists. A new screening tool, including functional status, oral intake, muscle wasting and SIRS (FORMS), was developed from pilot data identifying characteristics that predicted hospital length of stay (LOS). The purpose of this ongoing study was to determine the validity of the newly developed screening tool. Adult patients admitted to general medical floors were consented and assessed within 48 hours of admission. One researcher conducted Subjective Global Assessment (SGA); patients with a score of B or C were characterized as malnourished. A second researcher conducted FORMS; patients meeting at least two criteria were at nutritional risk. Criterion validity was assessed using sensitivity and specificity between FORMS and SGA, the reference standard. Differences in admission albumin levels and LOS between those at nutrition risk and those not at risk were used to provide evidence for construct validity. A total of 99 patients were included; 58 screened at risk and 41 were deemed malnourished. The sensitivity and specificity of FORMS were 83% and 66%, respectively. At risk patients (n¼50) had a lower serum albumin compared to those not at risk (n¼38) (3.07 vs. 3.55 mg/dL, p¼0.002); at risk patients (n¼53) trended toward a longer length of stay compared to those not at risk (n¼45) (4.70 vs. 3.89 days, p¼0.170). The newly developed screening tool displays good sensitivity and specificity when compared to SGA. Further research may be needed to determine the utility of FORMS in specialized populations. Funding Disclosure: None
Association between the Nutritional Status and Eating Disorders among Mexican Undergraduate Students at a Private College Author(s): M. Urrutia1, V. Mota2, M. Ruiz1, M. Moran1, H. Vallejo1; 1Anahuac University, Mexico, Mexico, 2ABC Medical Center, Mexico, Mexico Learning Outcome: The participant will be able to early identify risky eating behaviors among college students especially among those with higher BMI and body fat percentage. According to the 2012 Nutrition and Health National Survey, eating disorders (ED) are public health problems in Mexican adolescents of both sexes and relatively little is known about nutritional status and risk eating behaviors (REB) in community-based studies. The aim of the study was to measure the correlation between nutritional status through BMI and body fat percentage with clinical manifestations of ED (CMED); stratified by sex. Also to evaluate the difference of REB according to the presence of being overweight or obese. In 2014, a cross-sectional study was conducted among 120 students. CMED and REB were measured using the brief questionnaire for REB, previously validated in Mexican studies. Body weight and stature were measured by standardized techniques. The body fat was obtained by bioelectrical impedance analysis. Frequencies, proportions, media and S.D. were calculated. Spearman correlations and T-student test for independent sample were applied. The mean age was of 19.9 (+1.31); 70.8% female. In women, distress about gaining weight positively correlated with nutritional status through BMI (r¼0.343; p¼0.0001) and body fat percentage (r¼0.453; p<0.000). Frequent compulsive eating and exercise correlate with body fat percentage (r¼ -0.225; p¼0.038 and r¼0.247; p¼0.023, respectively). In men, taking laxatives to lose weight positively correlated with nutritional status through BMI (r¼0.420; p¼0.012). Students being overweight or obese scored higher for REB (p¼0.05). These results highlight the importance to provide schoolbased nutrition education to deliver knowledge and skills for healthier eating and physical activity habits in order to prevent future development of ED among college students. Funding Disclosure: None
Hurricane Irene and the Disruption of Home Delivered Meals to Homebound Seniors
The Effectiveness of a Carbohydrate and Protein Supplement on Athletic Performance: A Clinical and Physical Evaluation
Author(s): W.K. Hallman1, A. Senger-Mersich1, C.L. Cuite1, C. Byrd-Bredbenner2, R.M. McWilliams1, L. Netterville3; 1Human Ecology, Rutgers. The State Univ. of New Jersey, New Brunswick, NJ, 2Nutritional Sciences, Rutgers. The State Univ. of New Jersey, New Brunswick, NJ, 3Meals on Wheels America, Alexandria, VA
Author(s): W.A. Harris III1, K.D. Johnson2, K. Robichaud1, A. Marshall3, R.N. Henry4; 1 Exercise and Nutrition Science, Lipscomb Univ., Nashville, TN, 2Department of Kinesiology, Lipscomb Univ., Nashville, TN, 3College of Pharmacy and Health Sciences, Lipscomb Univ., Nashville, TN, 4Department of Nutrition and Kinesiology, Lipscomb Univ., Nashville, TN
Learning Outcome: The participant will be able to understand experiences and coping behaviors of homebound seniors during Hurricane Irene and the resulting disruption of the delivery of home-delivered meals (HDM). On August 28, 2011 Hurricane Irene made landfall in New Jersey, causing major flooding and power outages. For three days, a HDM organization in central NJ was unable to deliver meals to its homebound senior clients. This study investigated the clients’ experiences during Irene, including hurricane preparation, home power outages, food consumption, and food safety knowledge. Of 45 clients contacted, 36 participated (80%) in telephone interviews conducted during October 2011. Participants were 67% female, 72% White, 22% African American, and 6% other; mean age was 82. During the hurricane, 92% stayed in their homes; 24% and 36% had stocked up on water and food, respectively; 83% had emergency supplies (e.g., radio, flashlight). Most, 94%, did not experience hunger during the non-delivery period; 83% reported eating canned fruit or vegetables, dry food (39%), non-dessert grains, (e.g., oatmeal) (19%), and sweet grains, (e.g., cookies) (15%). Forty-four percent lost power; 12% of the seniors who stayed in their homes ate food from their refrigerator/freezer after the power outage. Participants’ misestimates of safe food storage in the refrigerator after losing power ranged from 4-12 hours (19%) to one week (3%), and from 18-48 hours (13%) to “a couple of months” (3%) in the freezer. Most seniors (82%) were not distressed by the hurricane. Overall, this population coped well with an emergency of relatively short duration. However, the mistaken estimates of safe food storage in the refrigerator/freezer after losing power suggests a need to continue preparing seniors to cope with the consequences of natural disasters. Funding Disclosure: USDA NIFSI grant # 2010-51110-21078
Learning Outcome: The objective of this project was to examine if GameOn Sports NutritionÔ Recovery Beverage (GSNRB) could be utilized as a preevent supplement to enhance performance. Supplements are designed and used in numerous ways. Some are designed to be consumed prior to activity, while others are formulated to enhance recovery after physical activity. The objective of this project was to examine if GameOn Sports NutritionÔ Recovery Beverage (GSNRB) could be utilized as a pre-event supplement to enhance performance. Eleven trained participants (5 males, 6 females; 32.36 6.33 years) volunteered for this project. Prior to testing, participants voided and specific gravity was measured to ensure subjects were adequately hydrated. If specific gravity was high, subjects were given fluids until the sample was within normal limits. After ensuring hydration, participants were given either the GSNRB or a placebo, asked to sit quietly for 60 minutes, and then performed four exercise tests: standing long jump, pro-agility shuttle run, Biodex knee peak torque test, and an o2max metabolic test. Approximately one week later, the participants returned, consumed the other beverage, sat quietly for 60 minutes, and repeated the test protocol. The supplement and placebo were randomized in a double blind, controlled fashion. Results indicate that there were no significant differences (p>0.05) for standing long jump (GSNRB ¼181.0340.29cm; Placebo¼179.0736.20cm), pro-agility shuttle run (GSNRB¼5.35.51sec; Placebo¼5.370.54sec), Biodex knee peak torque extension (GSNRB¼126.443.45 N∙m; Placebo¼124.839.71N∙m), Biodex knee peak torque flexion (GSNRB¼84.231.36N∙m; Placebo¼88.226.44N∙m), or o2max (GSNRB¼40.4310.09 mlkg-1min-1; Placebo¼39.288.96 mlkg-1 min-1). Based on the results of this project and subject population, GSNRB is not an effective pre-exercise supplement as measured in this study. Funding Disclosure: None
September 2015 Suppl 2—Abstracts Volume 115 Number 9
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
A-19
Poster Session: Professional Skills; Nutrition Assessment; Medical Nutrition Therapy Validity of a Newly Developed Nutrition Screening Tool, FORMS Author(s): M.M. DePrenger, A. Coltman, D. Sowa, S. Peterson, S. Foley; Clinical Nutrition, Rush Univ. Med. Ctr., Chicago, IL Learning Outcome: The participant will be able to identify the validity of a novel screening tool in determining nutrition risk in adult hospitalized patients when compared with SGA. Many screening tools are available for use in hospitalized patients; however, no gold standard currently exists. A new screening tool, including functional status, oral intake, muscle wasting and SIRS (FORMS), was developed from pilot data identifying characteristics that predicted hospital length of stay (LOS). The purpose of this ongoing study was to determine the validity of the newly developed screening tool. Adult patients admitted to general medical floors were consented and assessed within 48 hours of admission. One researcher conducted Subjective Global Assessment (SGA); patients with a score of B or C were characterized as malnourished. A second researcher conducted FORMS; patients meeting at least two criteria were at nutritional risk. Criterion validity was assessed using sensitivity and specificity between FORMS and SGA, the reference standard. Differences in admission albumin levels and LOS between those at nutrition risk and those not at risk were used to provide evidence for construct validity. A total of 99 patients were included; 58 screened at risk and 41 were deemed malnourished. The sensitivity and specificity of FORMS were 83% and 66%, respectively. At risk patients (n¼50) had a lower serum albumin compared to those not at risk (n¼38) (3.07 vs. 3.55 mg/dL, p¼0.002); at risk patients (n¼53) trended toward a longer length of stay compared to those not at risk (n¼45) (4.70 vs. 3.89 days, p¼0.170). The newly developed screening tool displays good sensitivity and specificity when compared to SGA. Further research may be needed to determine the utility of FORMS in specialized populations. Funding Disclosure: None
Association between the Nutritional Status and Eating Disorders among Mexican Undergraduate Students at a Private College Author(s): M. Urrutia1, V. Mota2, M. Ruiz1, M. Moran1, H. Vallejo1; 1Anahuac University, Mexico, Mexico, 2ABC Medical Center, Mexico, Mexico Learning Outcome: The participant will be able to early identify risky eating behaviors among college students especially among those with higher BMI and body fat percentage. According to the 2012 Nutrition and Health National Survey, eating disorders (ED) are public health problems in Mexican adolescents of both sexes and relatively little is known about nutritional status and risk eating behaviors (REB) in community-based studies. The aim of the study was to measure the correlation between nutritional status through BMI and body fat percentage with clinical manifestations of ED (CMED); stratified by sex. Also to evaluate the difference of REB according to the presence of being overweight or obese. In 2014, a cross-sectional study was conducted among 120 students. CMED and REB were measured using the brief questionnaire for REB, previously validated in Mexican studies. Body weight and stature were measured by standardized techniques. The body fat was obtained by bioelectrical impedance analysis. Frequencies, proportions, media and S.D. were calculated. Spearman correlations and T-student test for independent sample were applied. The mean age was of 19.9 (+1.31); 70.8% female. In women, distress about gaining weight positively correlated with nutritional status through BMI (r¼0.343; p¼0.0001) and body fat percentage (r¼0.453; p<0.000). Frequent compulsive eating and exercise correlate with body fat percentage (r¼ -0.225; p¼0.038 and r¼0.247; p¼0.023, respectively). In men, taking laxatives to lose weight positively correlated with nutritional status through BMI (r¼0.420; p¼0.012). Students being overweight or obese scored higher for REB (p¼0.05). These results highlight the importance to provide schoolbased nutrition education to deliver knowledge and skills for healthier eating and physical activity habits in order to prevent future development of ED among college students. Funding Disclosure: None
Hurricane Irene and the Disruption of Home Delivered Meals to Homebound Seniors
The Effectiveness of a Carbohydrate and Protein Supplement on Athletic Performance: A Clinical and Physical Evaluation
Author(s): W.K. Hallman1, A. Senger-Mersich1, C.L. Cuite1, C. Byrd-Bredbenner2, R.M. McWilliams1, L. Netterville3; 1Human Ecology, Rutgers. The State Univ. of New Jersey, New Brunswick, NJ, 2Nutritional Sciences, Rutgers. The State Univ. of New Jersey, New Brunswick, NJ, 3Meals on Wheels America, Alexandria, VA
Author(s): W.A. Harris III1, K.D. Johnson2, K. Robichaud1, A. Marshall3, R.N. Henry4; 1 Exercise and Nutrition Science, Lipscomb Univ., Nashville, TN, 2Department of Kinesiology, Lipscomb Univ., Nashville, TN, 3College of Pharmacy and Health Sciences, Lipscomb Univ., Nashville, TN, 4Department of Nutrition and Kinesiology, Lipscomb Univ., Nashville, TN
Learning Outcome: The participant will be able to understand experiences and coping behaviors of homebound seniors during Hurricane Irene and the resulting disruption of the delivery of home-delivered meals (HDM). On August 28, 2011 Hurricane Irene made landfall in New Jersey, causing major flooding and power outages. For three days, a HDM organization in central NJ was unable to deliver meals to its homebound senior clients. This study investigated the clients’ experiences during Irene, including hurricane preparation, home power outages, food consumption, and food safety knowledge. Of 45 clients contacted, 36 participated (80%) in telephone interviews conducted during October 2011. Participants were 67% female, 72% White, 22% African American, and 6% other; mean age was 82. During the hurricane, 92% stayed in their homes; 24% and 36% had stocked up on water and food, respectively; 83% had emergency supplies (e.g., radio, flashlight). Most, 94%, did not experience hunger during the non-delivery period; 83% reported eating canned fruit or vegetables, dry food (39%), non-dessert grains, (e.g., oatmeal) (19%), and sweet grains, (e.g., cookies) (15%). Forty-four percent lost power; 12% of the seniors who stayed in their homes ate food from their refrigerator/freezer after the power outage. Participants’ misestimates of safe food storage in the refrigerator after losing power ranged from 4-12 hours (19%) to one week (3%), and from 18-48 hours (13%) to “a couple of months” (3%) in the freezer. Most seniors (82%) were not distressed by the hurricane. Overall, this population coped well with an emergency of relatively short duration. However, the mistaken estimates of safe food storage in the refrigerator/freezer after losing power suggests a need to continue preparing seniors to cope with the consequences of natural disasters. Funding Disclosure: USDA NIFSI grant # 2010-51110-21078
Learning Outcome: The objective of this project was to examine if GameOn Sports NutritionÔ Recovery Beverage (GSNRB) could be utilized as a preevent supplement to enhance performance. Supplements are designed and used in numerous ways. Some are designed to be consumed prior to activity, while others are formulated to enhance recovery after physical activity. The objective of this project was to examine if GameOn Sports NutritionÔ Recovery Beverage (GSNRB) could be utilized as a pre-event supplement to enhance performance. Eleven trained participants (5 males, 6 females; 32.36 6.33 years) volunteered for this project. Prior to testing, participants voided and specific gravity was measured to ensure subjects were adequately hydrated. If specific gravity was high, subjects were given fluids until the sample was within normal limits. After ensuring hydration, participants were given either the GSNRB or a placebo, asked to sit quietly for 60 minutes, and then performed four exercise tests: standing long jump, pro-agility shuttle run, Biodex knee peak torque test, and an o2max metabolic test. Approximately one week later, the participants returned, consumed the other beverage, sat quietly for 60 minutes, and repeated the test protocol. The supplement and placebo were randomized in a double blind, controlled fashion. Results indicate that there were no significant differences (p>0.05) for standing long jump (GSNRB ¼181.0340.29cm; Placebo¼179.0736.20cm), pro-agility shuttle run (GSNRB¼5.35.51sec; Placebo¼5.370.54sec), Biodex knee peak torque extension (GSNRB¼126.443.45 N∙m; Placebo¼124.839.71N∙m), Biodex knee peak torque flexion (GSNRB¼84.231.36N∙m; Placebo¼88.226.44N∙m), or o2max (GSNRB¼40.4310.09 mlkg-1min-1; Placebo¼39.288.96 mlkg-1 min-1). Based on the results of this project and subject population, GSNRB is not an effective pre-exercise supplement as measured in this study. Funding Disclosure: None
September 2015 Suppl 2—Abstracts Volume 115 Number 9
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
A-19