Canadian Journal of Dietetic Practice and Research back issues from July 2003:
Food allergens and anaphylaxis
Jul 01, 2003; ... [HEADNOTE] Brought to you by the Team of Registered Dietitians at Kellogg Canada Inc. [IMAGE ILLUSTRATION] Illustration [Not Transcribed] Introduction When one considers the very broad range of foods and food additives in the typical North American diet, ...
The basic shelf experience: A comprehensive evaluation
Jul 01, 2003; ... Abstract The Basic Shelf Experience is a program designed to assist people living on limited incomes to make better use of their food resources. The purpose of this research was to learn if the Basic Shelf Experience program helps such people to 1. utilize food resources more effectively ...
Position of the American Dietetic Association and Dietitians of Canada: Vegetarian diets
Jul 01, 2003; ... [HEADNOTE] Abstract It is the position of the American Dietetic Association and Dietitians of Canada that appropriately planned vegetarian diets are healthful, nutritionally adequate, and provide health benefits in the prevention and treatment of certain diseases. Approximately ...
Primary chylopericardium: Could early nutrition intervention prevent surgery?
Jul 01, 2003; ... Primary chylopericardium is a rare disorder in which the chylous fluid accumulates in the pericardial cavity. The exact mechanism of the pathophysiology has not been identified (Akamatsu et al., 1994). Management of chylopericardium can be conservative, with nutrition intervention and continued ...
Discovering the experts
Jul 01, 2003; ... Over a decade ago, the article "Banish the Term Compliance" (Hauchecorne, 1992), describing the arrogant attitude that this word conveys, had a profound effect on my attitudes and counselling practices. Other authors have written similar articles on this concept and the need to move away from a ...
Cultivating "communities of practice": Reflections on dietitians involved in HIV/AIDS training for health professionals in the Caribbean
Jul 01, 2003; ... Communities of practice (CoP) come together around common interests and expertise. According to Wenger (2002, p. 5), a CoP is "a group of people who share a concern, a set of problems, or a passion about a topic, and who deepen their knowledge and expertise in this area by interacting on ...
Dietitians of Canada: Advancing our profession
Jul 01, 2003; ... These are exciting and challenging times for dietitians, for our association, and for health care. Recognizing this in all our work this year, this Board has emphasized the importance of communicating with our members. We have reached out to members in many ways, to gain important input on ...
Vitamin B12 - what I didn't know
Jul 01, 2003; ... I recently had the opportunity to review the literature on vitamin B12. I was astonished at what I didn't know: * B12 deficiency is common. * Pernicious anemia does not require parenteral B12 supplementation. * Serum B12 and mean corpuscular volume are not reliable ...
Evolution of the long term care dietitian
Jul 01, 2003; ... On my first day in a newly-created part-time community dietitian position in rural Saskatchewan, I reread the job advertisement: "The Community Dietitian will provide nutrition counselling to persons experiencing selective disease conditions, develop and deliver nutrition education programs to ...
A new food guide for North American vegetarians
Jul 01, 2003; ... Abstract This companion paper to the Position of the American Dietetic Association and Dietitians of Canada: Vegetarian Diets, presents a new food guide for vegetarians. Two graphic formats are presented, a rainbow and a pyramid. The guide will assist vegetarians in choosing diets that ...
Consumer food handling recommendations: Is thawing of turkey a food safety issue?
Jul 01, 2003; ... Abstract While it is important that dietitians and other health or food professionals provide consistent messages to the public about food safety, it is equally important that the information be evidence-based. Conflicting recommendations are evident when reviewing consumer publications ...
Vitamin C and kidney stones: challenging tradition
Jul 01, 2003; ... This project began with questions that arose from reviewing the latest Manual of Clinical Dietetics, which recommends that vitamin C supplementation be restricted to under 100 mg daily for individuals with recurrent kidney stones. Why was such a low limit recommended? Did this include vitamin C ...
"Graduate studies' experiences"
Jul 01, 2003; ... Almost immediately after I graduated with my BSc, I was married and my husband was completing his law degree. As we could not live without an income, I began work, always promising myself that I would go back to school "later". Later came when my youngest child entered grade 1, when I could ...
Nutrition in your practice
Jul 01, 2003; ... BROUGHT TO YOU BY THE CANADIAN EGG MARKETING AGENCY (CEMA) Targeting the Therapy According to the Adult Treatment Panel III of the NCEP, both weight control and exercise reduce insulin resistance and favourably modify the metabolic risk factors. In addition, pharmacologic ...
Milk products: An investment in one's future
Jul 01, 2003; ... Since peak bone mass is obtained for the most part by the time we reach our twenties,1 adequate intake of dietary calcium during childhood and adolescence is crucial. Dairy product consumption by the young is associated with persistent, long-term skeletal benefits2,3 while the benefits of ...
Healthy you: Outcomes of a group weight loss intervention in primary care
Jul 01, 2003; ... Objectives: The Healthy You Program was developed by dietitians to address the large demand for weight loss counseling in primary care. Methods: The program consists of eleven one-hour weekly sessions facilitated by a dietitian. Inclusion criteria were BMI>27 and no concurrent ...
Dining experiences of lucid versus non-lucid residents in nursing homes
Jul 01, 2003; ... Objectives: Many studies have shown that malnutrition is prevalent among residents in long-term care (LTC) facilities. These studies have addressed physical and psychological factors that put LTC residents at risk of malnutrition and have determined some of the consequences of malnutrition. The ...
Bowel care for institutionalized elderly residents with dementia: Nutrition-related findings from a broad interdisciplinary study
Jul 01, 2003; ... Objectives: This study was conducted to examine issues and options related to bowel care in an institutionalized elderly population with dementia. Methods: This was a descriptive study conducted on an extended care unit specializing in the care of demented elderly residents (n=42). The ...
Effectiveness of individualized nutrition counseling for well community-living seniors
Jul 01, 2003; ... Objectives: Little research has been published showing the effectiveness of nutrition counseling for community-living seniors. This study reports preliminary results of process and outcome evaluation of individualized nutrition counseling for well community-living seniors. Methods: ...
Enhancing seniors nutrition -- guidelines for community initiatives
Jul 01, 2003; ... Purpose: To develop a tool to share experiences and knowledge gained in community nutrition initiatives for free living seniors within the Calgary Health Region. To share this tool with others interested in developing and/or improving access to nutrition related services and supports in the ...
Bringing nutrition screening to seniors on the North Shore of Vancouver: a community partnership
Jul 01, 2003; ... Objectives: Dietitians of Canada and Professor Heather Keller, University of Guelph, received funds from Health Canada for a collaborative three year project, "Bringing Nutrition Screening to Seniors in Canada." The project objectives were to: 1)Enhance appreciation and understanding of the ...
A web-based approach to assessment of food intake and behaviour of school children and adolescents
Jul 01, 2003; ... Purpose: A web-based survey of food intake and behaviour will be described along with experience in developing, validating and implementing the tool with grade 6-10 students in Ontario and Alberta. Description of Content: An electronic survey was designed to collect data on 24-hour food ...
Effect of processed vs fresh fruit on net acid excretion and urinary calcium loss
Jul 01, 2003; ... Objectives: Foods promoting net acid excretion (NAE) may cause bone loss, as increased calcium loss is seen with high NAE. The purpose of the study was to determine if fruit intake (a dietary source of alkalinity) would lower NAE and urinary calcium excretion. Methods: A crossover, acute ...
The role of ready-to-eat cereal in the diets of U.S. children
Jul 01, 2003; ... Objectives: Breakfast is an important contributor to the nutrient intakes of children, and ready-to-eat (RTE) cereal is commonly consumed at this meal. This study examined the impact of RTE cereal consumption on the diets and body weights of 4-12 year old children using the Bell Institute of ...
An evidence-based approach for the development of public health nutrition guidelines: Filtering the literature
Jul 01, 2003; ... Objectives: Our research group is exploring the use of an evidence-based approach for the development of nutrition guidelines. This approach includes three steps: (i) Literature retrieval; (ii) Literature filtering; and (iii) Appraisal of research evidence. Our broad research question is whether ...
Vegetarian status of adolescents: consistency between two self-report measures
Jul 01, 2003; ... Objective: The purpose of this study was to determine if a single question could be used to accurately identify vegetarians in an adolescent population. Methods: Two methods were used to categorize 622 grade 9 survey respondents as either vegetarian or omnivore. Self-reported vegetarian ...
Challenges dietitians experience in counselling clients for weight management
Jul 01, 2003; ... Objective: To describe the challenges experienced by Canadian dietitians in counselling clients for weight management. Methods: As part of a larger study examining dietitians' attitudes and practices regarding weight management, 15 focus groups including a total of 103 dietitians were ...
Adaptation of the National Cancer Institute's (NI) dietary history questionnaire and nutrient database for Canadian populations
Jul 01, 2003 ... Objectives: Differences exist between US and Canadian nutrient fortification standards and practices. The purpose of this study, was to adapt the US Dietary History Questionnaire (DHQ) and nutrient database to reflect Canadian foods and their nutrient profiles. Methods: A modified DHQ ...
Dietary regulation of nitric oxide synthesis in the neonate
Jul 01, 2003; ... Objectives: Arginine is a precursor for nitric oxide (NO) synthesis which is critical for immune and vascular function. Impaired NO production is associated with neonatal diseases such as persistent pulmonary hypertension of the newborn and necrotizing enterocolitis. The purpose of this study ...
Sensitivity and specificity of dietitian screening methods in an acute care hospital
Jul 01, 2003; ... Objectives: It is well documented that protein energy malnutrition (PEM) has significant negative implications in the hospital setting, both for patient well-being and health care costs. Nutrition screening is used to identify which patients are at risk for PEM. This study determined the ...
Evaluation of three methods of cleaning gastrostomy feeding equipment in a home setting
Jul 01, 2003; ... Objective: To assess the bacteriological safety of three cleaning methods for gastrostomy feeding equipment in a home setting. Methods: Gravity tube Feeds of Nutren[Symbol Not Transcribed] [registered symbol] 1.5 unflavored (Nestle[Symbol Not Transcribed] [registered symbol]) were ...
The relationship of nutritional status to postoperative outcomes of infection in older cardiac patients hospitalized post elective coronary bypass surgery
Jul 01, 2003; ... Objectives: The purpose of this prospective study was to investigate the relationship of preoperative nutritional status to postoperative clinical outcomes of incidence for developing pneumonia; and sternal wound infections post elective coronary bypass (ACB). Methods: Older cardiac ...
A nutrition support protocol improves the proportion of patients reaching enteral nutrition targets in the adult intensive care unit
Jul 01, 2003; ... Objectives: Enteral nutrition is the standard of care for nutrition support in the adult intensive care unit (ICU). Despite the reported benefits of enteral nutrition, intake is often well below goals set by the dietitian. The purpose of this study was to determine if enteral nutrition delivered ...
Heart health promotion in practice: an exploration of dietitians' experiences and perceptions
Jul 01, 2003; ... Objectives: Cardiovascular disease remains the number one cause of death in Canada. Considerable time and resources have been spent in research and developing guidelines. This study explores, using a qualitative approach, the experiences and perceptions of dietitians in the practical application ...
Assessment of diet knowledge, practices and barriers to diet adherence among adult South Indian cardiac patients and their care-givers
Jul 01, 2003; ... Objectives: The purpose of this study was to assess the diet knowledge, practices and barriers to diet compliance in South Indian cardiac patients and their care-givers, as there is little information on which interventional strategies for this population may be based. Methods: A ...
Adherence to a very low-fat diet in a cardiac rehabilitation reversal program: a descriptive study
Jul 01, 2003; ... Objectives: This cross-sectional survey described adherence to a very low-fat (10%) near-vegan diet in individuals who participated in a cardiac rehabilitation reversal program in Southwestern Ontario. Methods: A single survey and 3-day food records were mailed to 252 individuals who ...
A community-based and culturally-sensitive diabetes intervention program in partnership with Indo-Asian communities in Calgary, Alberta, Canada
Jul 01, 2003; ... Objectives: Type 2 diabetes is highly prevalent among Indo-Asians. Current services for diabetes care in Canada do not meet the cultural needs of this population. To address this issue, in 2001, Calgary Health Region, in partnership with Indo-Asian communities of Calgary, piloted a ...
Canadian dietitians' attitudes and practices regarding obesity and weight management
Jul 01, 2003; ... Objective: Obesity is a growing health concern in Canada. This study was designed to assess Canadian dietitians' attitudes and practices regarding obesity and weight management. Methods: A questionnaire was sent to a regionally-stratified random sample of members of Dietitians of Canada ...
Attitudes, beliefs and application of the Glycemic Index among dietitians in Ontario
Jul 01, 2003; ... Objectives: The Glycemic Index (GI) as a research tool has stimulated interest amongst dietitians in recent years. Are dietitians ready to use it in practice? This study assessed dietitians' attitudes, beliefs and application of the GI, in order to recommend strategies and resources to support ...
Hepatitis C: Developing nutrition guidelines
Jul 01, 2003; ... Purpose: Hepatitis C is the most common cause of chronic liver disease. Its prevalence is increasing, it is the leading reason for liver transplant in Canada. The need for evidence based nutrition guidelines, for health care professionals and persons infected with the virus, was identified in a ...
Hepatitis C: Canadian nutrition guidelines
Jul 01, 2003; ... Purpose: Hepatitis C is a driving force behind the increasing prevalence of chronic liver disease. Up to 85% of persons infected with the hepatitis C virus (HCV) develop chronic liver disease. Nutrition plays a critical role in its management. However, there has been little evidence-based ...
Developing a vegetable and fruit social marketing campaign in Alberta
Jul 01, 2003; ... Purpose: While diets high in vegetables and fruit are recommended generally for overall health and specifically for cancer prevention, a 1999 Alberta Cancer Board (ACB) study identified that only 25% of Albertans eat the recommended minimum of 5 servings daily. To encourage Albertans to eat more ...
Peer education in nutrition for students
Jul 01, 2003; ... Purpose: The Peer Education in Nutrition for Students (PENS) was developed in response to an expressed need from students living in residences. Its purpose is to educate students about the importance of making healthy food choices and the means of doing that as well as providing Foods & ...
Nutrition programming within a chronic pain setting
Jul 01, 2003; ... Purpose: To describe a triage intervention model for the chronic, non-cancer pain population which improved the utilization of limited nutrition program resources. Description of Process: Nutrition intervention progressed from a team referred, individual counseling model, which aided in ...
The missing food group: an expanded guide for eating disorders
Jul 01, 2003; ... Purpose of the Project: To create a revised food guide that supports the incorporation of all foods to normalize the eating of people with an eating disorder (ED). Content: Trying to achieve normal eating is one of the most terrifying and perplexing aspects of recovering from an ED ....
Traditional versus stages of change diet teaching: Which method is more effective in reducing dietary fat?
Jul 01, 2003; ... Objective: Encouraging dietary fat reduction is the first step in treating hyperlipidemia, a key risk factor for the development of cardiovascular disease. The purpose of this study was to compare the effect of a Stage of Change approach to a traditional teaching approach in reducing dietary fat ...
Dietitians working in primary health care: prevention of end stage renal disease in diabetes and hypertension
Jul 01, 2003; ... Objectives: Alberta Health, in recognition of the increasing prevalence of diabetes and hypertension and the associated escalating costs of renal replacement therapy has invested in innovative strategies to prevent the development of end stage renal disease. The Calgary Health Region received ...
The role of the registered dietitian within the Hamilton Health Services Organization Nutrition Program
Jul 01, 2003; ... Purpose: It has been well documented that nutrition is a key factor in the prevention and treatment of disease. The purpose of the Hamilton HSO Nutrition Program is to provide timely nutrition interventions and counseling services for both acute and chronic illnesses in the primary care ...
Pedometers 101: Answers to questions you might ask
Jul 01, 2003; ... Purpose: This presentation will provide an overview of the usefulness and limitations of the pedometer as a tool to measure and encourage increased physical activity. Content: Walking is essential to all our daily activities and is consistently reported as a preferred leisure-time ...
Win-win-win and win: Three-way collaboration for excellence in patient feeding
Jul 01, 2003; ... Purpose: The departments of Nutrition and Food Service, Nursing, and Clinical Nutrition each play an important role in feeding acute care patients. The project goals were to clarify the roles and expectations of each department, identify and collaborate on common concerns and close communication ...
A bedside cart as an alternate food service for acute and palliative oncological patients
Jul 01, 2003; ... Purpose: Palliative cancer patients and oncology patients frequently experience problems with eating, including anorexia, food aversions, nausea, xerostomia and early satiety. Present food services, which involve advanced menu selection and decentralized tray service, often fail to meet ...
Food services -- 'back to the future'
Jul 01, 2003; ... Purpose: To identify, pilot, and decide on a new and improved patient meal service. Description of Process: That change was required and inevitable was obvious to the Food and Nutrition Services Department of Riverview Hospital, B.C.'s only tertiary mental health facility for the ...
Is there any harm in increasing meal flexibility for hospitalized renal patients?
Jul 01, 2003; ... Objectives: Traditional centralized tray service was replaced with a staffed unit hot cart to improve meal service to hospitalized renal patients with hopes that increased patient contact with service staff and increased meal flexibility would improve nutritional intake without detriment to ...
Dysphagia diet purees and fluids: how many categories are needed?
Jul 01, 2003; ... Alterations in food and beverage viscosity are prescribed for managing dysphagia. Puree and fluid viscosities provided to patients are not standard between healthcare institutions. Objectives: 1. To derive opinion from speech-language pathologists (S-LP) on the number, along with their ...
Evaluation des impacts nutritionnels de l'alimentation specialisee de l'Hopital Sainte-Anne lors du traitement de la dysphagie chez la personne agee insitutionnalisee
Jul 01, 2003; ... Objectifs: La dysphagie touche de 35% a 60% des personnes agees institutionnalisees. Les objectifs de cette etude etaient d'evaluer l'apport nutritionnel de personnes agees, institutionnalisees, dysphagiques et freles et de mesurer l'impact de l'alimentation specialisee Sainte-Anne (HSA) sur ...
Acceptability of regular and inulin-fortified thickened beverages
Jul 01, 2003; ... Objectives: The objectives of this study were to evaluate the acceptability and sensory characteristics of thickened beverages and determine if there was a sensory difference between inulin-fortified and traditional modified starch-thickened beverages. Methods: Staff and students of the ...
Suitability and nutritional content of pureed food offered in acute care facilities
Jul 01, 2003; ... Objectives: The objectives of this study were to assess the nutritional content and textural characteristics of pureed diets offered in acute care facilities, and also to assess the pureeing ability of equipment used for pureed food production. Methods: Nutritional analysis of a standard ...
Development of corporate core menu standards for capital health
Jul 01, 2003; ... Purpose: A district-wide merger of the major health care centres in Capital Health (CH), Nova Scotia, provided the opportunity to standardize menu and diet order practices. Description of Process or Content: Prior to 2001, each of the five major health care centres - Dartmouth General ...
Development of financial benchmarks for decision making in patient food services
Jul 01, 2003; ... Purpose: Patient Food Services (PFS) at London Health Sciences Centre (LHSC) has developed detailed costs and financial benchmark indicators for decision making, based on production, driven by inpatient and outpatient food service needs. Content: LHSC is an acute care facility located on ...
Importance given to family meals taking into account mothers' food motivations and culture
Jul 01, 2003; ... Objectives: To explore Haitian, Portuguese and Vietnamese mothers' food motivations when selecting foods and to verify whether these motivations can predict the importance of family meals. Methods: 208 mothers participated in the study: 68 were born in Haiti, 74 in Portugal and 66 in ...
Innovative education in foodservice management: placing students at correctional facilities and youth detention centres in Queensland Australia
Jul 01, 2003 ... Objectives: The Queensland University of Technology (QUT) needed to locate sites that provide students with an array of experiences and appropriate level of complexity for professional practice. Methods: Over a 10 year period, 6-8 students per year were placed within public and privately ...
Learning to work together: interdisciplinary modules in undergraduate education
Jul 01, 2003; ... Purpose: Dietitians contribute to patient care as members of a multi-professional team, yet undergraduate education tends to be discipline specific. Topics of relevance to all health professions provide an opportunity for interdisciplinary education of undergraduate students. Description ...
A model dietetic internship program focusing on First Nations health
Jul 01, 2003; ... Purpose: In October 2002, Health Canada (FNIHB) funded Dietitians of Canada to undertake a pilot project in two Northern Ontario sites, Sudbury and Thunder Bay. The purpose of the pilot is to provide relevant training for dietitians to practice in First Nations communities, promote dietetics as ...
Filling post-secondary education and employment gaps in the food and nutrition industry in Alberta
Jul 01, 2003; ... Purpose: The purpose of this project was to carry out a comprehensive review of the Food and Nutrition Management Technology (FNMT) Diploma program at SAIT and an environmental scan to determine employment gaps in the food and nutrition industry in Alberta. Description of Process: ...
Experience developing a diet technician training program
Jul 01, 2003; ... Purpose: The need for a training program was identified to enable diet technicians to better assist dietitians in direct patient care. Since such a program was not readily available, dietitians at Toronto Rehab pioneered its development. Description of Process or Content: Beginning in ...