Diurnal Eating Rhythms: Association With Long-Term Development of Diabetes in the 1946 British Birth Cohort.

Diurnal eating rhythms: Association with long-term development of diabetes in the 1946 British birth cohort.

Nutr Metab Cardiovasc Dis. 2013 Mar 26;
Almoosawi S, Prynne CJ, Hardy R, Stephen AM

BACKGROUND AND AIMS: Few studies have described the association between time-of-day of macronutrient intake and diabetes. This study examined the prospective association between time-of-day and nutrient composition of eating occasions in relation to diabetes incidence in the 1946 British birth cohort. METHODS AND RESULTS: The study included 1618 survey members who completed dietary assessment at age 43 (1989) and for whom data on glycosylated haemoglobin at age 53 years (1999) were available. Diet was assessed using 5d estimated diaries, divided into seven meal slots: breakfast, mid-morning, lunch, mid-afternoon, dinner, late evening and extras. Diabetes was defined by glycosylated haemoglobin (HbA1c) ? 6.5% or diabetes medication use. The association between time-of-day of macronutrient intake at age 43 years and diabetes at age 53 years was assessed using logistic multivariate nutrient density models after adjustment for potential confounders. There were 66 cases of diabetes at age 53 years. Survey members with diabetes obtained 50.4% of their energy from carbohydrate at breakfast compared to 55.9% in survey members without diabetes (P = 0.001). Increasing carbohydrate intake at breakfast at the expense of fat was related to lower odds ratio (OR) of diabetes (OR = 0.86; 95%CI = 0.79-0.93; P < 0.001). This relationship was attenuated after adjustment for body mass index and waist circumference. CONCLUSION: Increasing energy intake from carbohydrate at the expense of fat at breakfast is inversely associated with 10-year diabetes incidence. However, further studies are required to elucidate whether the type or source of carbohydrates or fat influences the above association. HubMed – eating


Comprehensive Care of Amyotrophic Lateral Sclerosis Patients: A Care Model.

Arch Bronconeumol. 2013 Mar 26;
Güell MR, Antón A, Rojas-García R, Puy C, Pradas J,

Amyotrophic lateral sclerosis (ALS) is a devastating neurodegenerative disease that presents with muscle weakness, causing progressive difficulty in movement, communication, eating and ultimately, breathing, creating a growing dependence on family members and other carers. The ideal way to address the problems associated with the disease, and the decisions that must be taken, is through multidisciplinary teams. The key objectives of these teams are to optimise medical care, facilitate communication between team members, and thus to improve the quality of care. In our centre, we have extensive experience in the care of patients with ALS through an interdisciplinary team whose aim is to ensure proper patient care from the hospital to the home setting. In this article, we describe the components of the team, their roles and our way of working. HubMed – eating


Prevalence and socio-demographic distribution of eating, physical activity and sedentary behaviours among Australian adolescents.

Health Promot J Austr. 2012 Dec; 23(3): 213-8
Morley B, Scully M, Niven P, Baur LA, Crawford D, Flood V, Okely AD, Pratt IS, Salmon J, Wakefield M

Issue addressed: To examine the prevalence and socio-demographic distribution of adherence to national dietary and physical activity recommendations among Australian secondary school students. Methods: Cross-sectional survey of 12,188 students in Years 8 to 11 (aged 12-17 years). Students’ self-reported eating, physical activity and sedentary behaviours were assessed using validated instruments administered via an online questionnaire. Results: Less than one-quarter of students (24%) reported meeting the daily requirement of at least four serves of vegetables, while 41% reported consuming the recommended three or more daily serves of fruit. Just 15% of students reported engaging in at least 60 minutes of moderate-to-vigorous activity every day, and only one in five students met the recommendation of spending no more than two hours per day in small screen recreation. Males were performing better than females in terms of fruit intake and physical activity, but worse in relation to frequency of consumption of sugary drinks and fast food, and time spent using electronic media. The proportion of students meeting fruit and vegetable recommendations declined with advancing year level, while lower socio-economic position (SEP) students were faring less well than those from high SEP neighbourhoods, particularly with regards to healthy eating. Conclusions: There is considerable scope for improving young people’s health behaviours in line with national dietary and physical activity recommendations. HubMed – eating



Erasing Eating Disorders – The Local Show – You will hear several stories from people suffering from these devastating illnesses in Erasing Eating Disorders, a national public television documentary co…