Master of Public Health / Department of Human Nutrition / Sandra B. Procter / Nutritionally vulnerable women are more apt to give birth to low birth weight, small for gestational babies who have increased medical complications and higher risk of mortality. Participating in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) prenatally has been found to enhance positive pregnancy outcomes for women; reduced risk of low birth weights and nutrient deficiencies thus reducing the costs associated with medical care for infants covered by Medicaid, the joint federal and state insurance program for low income women, which covers 40% of infants in the United States. Pregnant women covered by Medicaid insurance are normally at the most risk but are adjunct eligible for the WIC program. This descriptive cross-sectional research study determined the demographic and nutritional characteristics of Medicaid births in the WIC program compared to non-Medicaid births for the 2009 WIC program year, using the Kansas birth certificate, WIC program data linked to the birth certificate by unique identifying code. Results from the study show that the Kansas WIC and Medicaid programs are serving the target population for the objectives of the programs. Mothers of Medicaid births who received WIC food during pregnancy and those in the WIC program are of low socioeconomic status and they are more likely to be younger in age, of minority racial group, less educated, never married and less likely to breastfeed infants at discharge and high likelihood of smoking. Compared to Medicaid births that did not participate in the WIC program, women at the lower margins of low socioeconomic status participated in WIC, signaling that the most vulnerable were getting the needed services. Distinct findings from the Kansas WIC program reveal that Medicaid births in the WIC program were more likely to be breastfed at discharge, compared to Medicaid births not in the WIC program, even though WIC recipients had demographic characteristics associated with low breastfeeding patterns. A study investigating the reasons for not enrolling in WIC by Kansas Department of Health would be beneficial to the WIC program’s goal to provide nutrition support to low income eligible women, infants and children in Kansas.

Master of Science / Department of Kinesiology / Craig A. Harms / Obesity and asthma often coexist in the same people. Both are characterized by the presence of low-grade systemic inflammation. A high-fat diet may contribute to concurrent development of both conditions by promoting a pro-inflammatory postprandial environment leading to a transient accumulation of blood lipids (postprandial lipemia; PPL) and acute airway inflammation. Previous results from our lab have shown an ~20% increase in airway inflammation two hours after consuming a high-fat meal (HFM) that was significantly associated with increased plasma triglycerides. While acute exercise has been shown to attenuate PPL, it is unknown whether these protective effects will translate to reduced airway inflammation after a high-fat meal. PURPOSE: To determine the effects of an acute bout of exercise on airway inflammation after a HFM. We tested the hypothesis that an acute bout of exercise 12 hours before a high-fat meal would protect against subsequent airway inflammation in healthy men and would be related to the decreased PPL and systemic inflammatory markers. METHODS: In a randomized cross-over study, 12 healthy college-aged men consumed a HFM (1g fat/1kg body weight) 12 hours following exercise (EX; 60 min at 60% VO2max) or without exercise (CON). Exhaled nitric oxide (eNO; measure of airway inflammation), blood lipid profiles (venous sample; total cholesterol, HDL, LDL, triglycerides, glucose), inflammatory markers (hsCRP, TNF-[alpha], IL-6) and pulmonary function tests (PFT) (forced expiratory volume in 1-s,forced vital capacity, forced expiratory flow at 25-75% of vital capacity) were measured pre-HFM, two hours, and four hours post-HFM. RESULTS: Baseline eNO was not different (p>0.05) between trials. eNO increased (p<0.05) post HFM at two hours in the both CON and EX conditions. eNO between trials was not different (p>0.05). Triglycerides were significantly increased two and four hours post HFM but were not different (p>0.05) between conditions. There was no relationship (p>0.05) between eNO and triglycerides or systemic inflammatory markers for any time point in either condition. Pulmonary function did not differ (p>0.05) between any condition. CONCLUSION: These results demonstrate that an acute bout of moderate intensity exercise 12 hours before a HFM does not attenuate postprandial airway inflammation or lipemia in healthy college-aged men.

Master of Science / Department of Hospitality Management and Dietetics / Kevin Sauer / Registered Dietitians (RDs) attribute the success of their careers to a variety of factors, including formal education, influential mentors, specific skill sets, flexibility, and even having a supportive spouse. RDs with strong management skills are increasingly in demand in order to coordinate nutrition care and services in a cost effective manner. Clinical Nutrition Managers (CNMs) specifically coordinate medical nutrition therapy across the continuum of patient care. To aid in the career development of CNMs, research is necessary to determine the factors that have positive and negative effects on their career paths. This study examined intrinsic and extrinsic factors that impact the career paths of CNMs in addition to perceived career satisfaction. A five-part online survey was disseminated to members of the Clinical Nutrition Management Dietetic Practice Group (CNM DPG). CNMs were also defined as RDs who coordinate medical nutrition therapy and who manage personnel, finances, or both. Results (n=146) of both quantitative and qualitative analyses identified key intrinsic factors that demonstrated a positive effect on CNMs’ career paths including self-motivation, communication skills, teamwork, and leadership skills. The study also examined CNMs’ perceptions about the extrinsic factors on their career paths. Support from upper-level management and administration was identified as a crucial factor in career advancement. Having support from family was shown to be a positive influence, while many CNMs also reported that family needs and expectations, unforeseen life circumstances, and the economic climate had limited their career paths. Social service motivation had a slightly positive influence on career paths. Perceptions about career satisfaction indicated that CNMs were moderately satisfied with overall career success but less satisfied with income and career ladders. This study serves as an important precursor to future research which could explore CNMs’ perceptions regarding pay equity as well as the intrinsic and extrinsic factors that are more critical at various junctures in their career paths. Results from the study also help to fill an existing gap in the dietetics and career path literature and will also assist the Academy of Nutrition and Dietetics and others in developing strategies to foster the career development of CNMs.

Master of Science / Food Science / Fadi Aramouni / Little in vivo research on glycemic index (GI) values or the digestive impact of sorghum based food products currently exists. Because sorghum is a gluten-free grain, its utilization in the United States is growing, especially in baking applications. Information on how sorghum affects blood sugar levels would be beneficial as new products emerge because glycemic effect has an impact on human health and in controlling diabetes. The objective of this study was to determine the GI of a sorghum muffin, and compare this value to the GI of muffins made from commonly consumed grains in the United States. The effects of particle size and damaged starch on GI were also studied. GI values were determined for muffins made from white sorghum, corn, brown rice, whole wheat, and all-purpose flours. All muffin formulations were composed of flour, water, baking powder and salt. To determine the GI, weighed portions of muffin containing 20g of available carbohydrates were eaten on separate occasions by eight healthy volunteers (ages 18-40) after an overnight fast (10 hours). Each muffin was administered twice. Two capillary blood samples were taken at 0 (fasting), 30, 45, 60, 90 and 120 minutes after consumption and averaged. Blood glucose curves were constructed from mean blood glucose values. The GI was calculated by dividing the incremental area under the curve for the test food (muffin) by that for the standard (20g dextrose drink) and multiplying by 100. The GI for the muffins was calculated as the mean from the respective average GIs of the 8 volunteers. The data indicated that sorghum flour milled at particle size < 400 um resulted in the lowest GI of 32 ± 16.8. These findings should assist in development of lower GI sorghum foods.

High fibre diets are associated with reduced risk of type 2 diabetes mellitus (T2DM). This may be due to short-chain-fatty-acids (SCFA) influencing insulin resistance and secretion via changes in free-fatty-acids (FFA) and specific gut hormones. We aimed to determine the postprandial effects of inulin, a fermentable, soluble fibre in healthy subjects. Twelve fasted subjects were studied for 6 hours after either 80g high fructose corn syrup (HFCS), 56g HFCS plus 24g inulin, or 56g HFCS drinks using a randomized, cross-over design. SCFA were higher after inulin beginning at 4 hours. FFA were lower 4 hours after inulin than 56gHFCS. GLP-1 was higher 30 minutes after inulin than 56 and 80HFCS, while ghrelin was lower from 4-6 hours after inulin. The results support the hypothesis that inulin and SCFA generated from colonic fermentation of dietary fibre may improve insulin resistance and secretion via modulation of FFA and specific gut hormones.

The mechanisms underlying caffeine’s acute effects and withdrawal symptoms are not entirely understood. The purpose was to determine whether the clusters of acute effects or withdrawal symptoms are associated with genetic polymorphisms in DARPP-32 and COMT, which mediate some of caffeine’s physiological effects. Subjects (n=1135) were from the Toronto Nutrigenomics and Healthy Study. Fourteen well-described acute effects of caffeine co-exist in six groups, while fourteen well-characterized withdrawal symptoms co-exist in three groups. Neither the rs907094 C>T polymorphism in the PPP1R1B gene encoding DARPP-32, nor the COMT Val158Met affected the odds of reporting any acute effects or withdrawal symptoms cluster. Among individuals consuming ≥ 200 mg/d of caffeine, Met/Met homozygotes were more likely to report the “increased heart rate” acute effects cluster. These results suggest that ‘slow’ COMT activity, conferred by the Met allele, may explain part of the inter-individual variability in the risk for increased heart rate among heavy caffeine consumers.

Previous studies showed that early exposure to soy isoflavones resulted in improved bone mineral density (BMD) and bone quality that resulted in stronger bones in CD-1 mice. This study investigated whether the benefits to bone health are transferred to second generation (F2) females and if there are any adverse effects on reproductive health. First generation (F1) female CD-1 mice received subcutaneous injections of the isoflavones daidzein (DAI) and genistein (GEN) or corn oil from postnatal day (PND) 1 to 10 or 21. F1 and F2 treated-females experienced earlier pubertal onset and lengthened anogenital distance but only F1 had reduced fertility, histological abnormalities in the uterus and ovaries, and altered estrous cycling. F2 had higher BMD and stronger bones at 4 months of age. In conclusion, early life exposure to soy isoflavones compromise reproductive function but confer a transgenerational benefit to bone development in CD-1 mice.

Canadian statistics indicate that the incidence of obesity is rising, and that the prevalence of type 2 diabetes mellitus (T2DM) within this group is significantly higher than those of a healthy weight. Preliminary evidence has shown that the oil-rich grain, Salvia hispanica L. (Salba), improves glycemic control, suppresses appetite, and affects additional cardiovascular disease (CVD) risk factors. This study followed a randomized, double-blind, placebo-controlled, parallel design in a sub-set population of twenty individuals who were overweight or obese and had T2DM. Participants received supplements of Salba, or an energy- and fibre-matched control, and followed a hypocaloric diet for 24 weeks. Findings of this study reveal that Salba does not significantly affect weight loss, glycemic control or other CVD risk factors. These findings are preliminary and highlight the complexities of weight loss research. Further investigation into the potential health benefits of Salba is currently being carried out.

The mechanisms underlying caffeine’s acute effects and withdrawal symptoms are not entirely understood. The purpose was to determine whether the clusters of acute effects or withdrawal symptoms are associated with genetic polymorphisms in DARPP-32 and COMT, which mediate some of caffeine’s physiological effects. Subjects (n=1135) were from the Toronto Nutrigenomics and Healthy Study. Fourteen well-described acute effects of caffeine co-exist in six groups, while fourteen well-characterized withdrawal symptoms co-exist in three groups. Neither the rs907094 C>T polymorphism in the PPP1R1B gene encoding DARPP-32, nor the COMT Val158Met affected the odds of reporting any acute effects or withdrawal symptoms cluster. Among individuals consuming ≥ 200 mg/d of caffeine, Met/Met homozygotes were more likely to report the “increased heart rate” acute effects cluster. These results suggest that ‘slow’ COMT activity, conferred by the Met allele, may explain part of the inter-individual variability in the risk for increased heart rate among heavy caffeine consumers.

Previous studies showed that early exposure to soy isoflavones resulted in improved bone mineral density (BMD) and bone quality that resulted in stronger bones in CD-1 mice. This study investigated whether the benefits to bone health are transferred to second generation (F2) females and if there are any adverse effects on reproductive health. First generation (F1) female CD-1 mice received subcutaneous injections of the isoflavones daidzein (DAI) and genistein (GEN) or corn oil from postnatal day (PND) 1 to 10 or 21. F1 and F2 treated-females experienced earlier pubertal onset and lengthened anogenital distance but only F1 had reduced fertility, histological abnormalities in the uterus and ovaries, and altered estrous cycling. F2 had higher BMD and stronger bones at 4 months of age. In conclusion, early life exposure to soy isoflavones compromise reproductive function but confer a transgenerational benefit to bone development in CD-1 mice.