The National Cholesterol Education Program Adult Treatment Panel guidelines specify that dietary intervention is the cornerstone of treatment for hypercholesterolemia. Self-monitoring is a strategy used to achieve self-direction in adopting and maintaining a cholesterol-lowering dietary pattern. The Cholesterol Saturated Fat Index (CSI) illustrates the atherogenic potential of food. Given that saturated fat and dietary cholesterol are the two major dietary components known to raise serum cholesterol, a CSI Scorecard was developed and pilot tested as a dietary self-monitoring tool. Twelve nutritionists scored the same five food records with known CSI scores, the reference data. The food records represented CSI scores from the 10th, 25th, 50th, 75th, and 90th percentiles from a pool of 400 usual diet food records. Two-tailed, one-sample t-tests demonstrated that the CSI Scorecard scores were not statistically significant at only the 25th and 75th percentiles. Therefore, in three of five food record percentiles, nutritionists’ CSI scores differed from the corresponding reference CSI scores. Small sample size and years of experience may have been factors influencing the results. Comments from the nutritionists’ critique forms were incorporated into the revision of the CSI Scorecard. Twelve participants scored their four-day food records using the booklet. The Spearman’s rho correlation of the CSI Scorecard derived CSI scores to the reference CSI scores was r_S=.8 (p<.05). These preliminary results and comments from the formative evaluation meetings suggested that the CSI Scorecard deserves further validity testing with a larger sample of subjects. The CSI Scorecard appeared to show promise as a dietary self-monitoring tool that would facilitate increased self-direction in the adoption of a cholesterol-lowering diet. / Master of Science

The composition of the diet has been recently researched as an important factor in controlling excess body fat, and thus obesity. Along with dietary modifications, it has been stressed to incorporate behavior modification and daily physical activity to promote weight loss. A comprehensive program incorporating all three components is the suggested treatment for long term weight maintenance. This study investigated a 12 week low dietary fat education program including behavior modification and physical activity to promote weight loss in the abdominally obese. There were eight experimental subjects and four controls. Measurements assessed were height, weight, percent body fat, body mass index, waist/hip ratio, ideal body weight, daily caloric intake, percent dietary fat intake, percent saturated fat intake, saturated fat gram intake, physical activity assessments and resting metabolic rate. Results showed significant differences between the experimental and control groups for calorie intake, body weight, ideal body weight and saturated fat gram intake at post-intervention. Percent of dietary fat intake decreased from baseline to follow-up in the experimental group, but did not reach significance. There was a 33% decrease in saturated fat gram intake from baseline to follow-up in the experimental group. A significant decrease in daily caloric intake occurred in the experimental group from baseline to post-intervention. The decrease in body weight could not be directly correlated to dietary fat intake, although they did have a tendency to move in the same direction. These data suggest the weight management program in this study was successful at decreasing body weight, daily caloric intake, dietary fat intake and saturated fat intake.The qualitative interview revealed obstacles faced by the subjects. The most common difficulties in adhering to the program included time constraints, travel, lack of a structured physical activity component, social pressures triggering eating behavior, feeling of guilt when prioritizing time for oneself and lack of continued support and education through class sessions. Individual motivational factors existed. Therefore, personalized attention and a continued support system would be beneficial as part of the treatment program for success in changing lifestyle behaviors.In conclusion, this data suggest an educational program encouraging decreased dietary fat intake, behavior modification and increased daily physical activity without a calorie controlled plan can promote weight management in the abdominally obese. / Institute for Wellness

Call number: LD2668 .T4 1986 N47 / Master of Science / Human Nutrition

Thesis (MTech (Consumer Science: Food and Nutrition))--Cape Peninsula University of Technology, 2016. / Objective: To determine the association between the dietary fat knowledge and consumption of foods rich in fat among first-year students in self-catering residence at a university of technology, Cape Town, South Africa. Design: The two concepts – the dietary fat knowledge (represented by dietary fat food knowledge and dietary fat nutrition knowledge) and the consumption of foods rich in fat – were assessed separately. Two norm-referenced, valid and reliable knowledge tests and an intake screening questionnaire were used for the assessments (as subsidiary objectives), before the associations between the concepts were determined (main objective). The dietary fat food and nutrition knowledge as assessed was categorised in the range poor or below average, average and good or above average, and the consumption of foods rich in fat as high, quite high, the typical Western diet, approaching low or desirable. The Pearson‟s chi-square test was applied to these categorical findings to determine if associations (five percent significance) existed between the concepts. Results: The stratified sample included 225 first-year students. Nearly half (48.4%) of them achieved an average fat food knowledge score, while the majority (80.9%) achieved a poor fat nutrition knowledge score. More than half (52.5%) either followed a typical Western diet, a diet quite high in fat or high in fat. While no significant (p > 0.05) association was found between the students‟ dietary fat food knowledge and consumption of foods rich in fat, significant results were found in the association between the students‟ dietary fat nutrition knowledge and consumption of foods rich in fat (p < 0.05) and between their fat food knowledge and fat nutrition knowledge (p < 0.001). Conclusions: An inverse association was found between the students‟ dietary fat nutrition knowledge and fat consumption, a positive association between their dietary fat food knowledge and dietary fat nutrition knowledge, and no association between their dietary fat food knowledge and fat consumption.

Introduction: Excessive consumption of high fat, high sugar foods may precipitate cognitive decline. This effect may be more pronounced during cognitive development. The present single-blind randomized controlled trial (RCT) was conducted to examine the effect of a moderate fat, low added sugar (MF/LS) dietary intervention on cognitive function in 8-11 yr old preadolescents with a pre-established high fat, high sugar (HF/HS) dietary pattern. Participants included 17 non-obese (BMI Percentile: 25.4 - 91.3) low to middle income preadolescents randomized to 2 weeks of their usual HF/HS diet (control) or a MF/LS intervention diet. Method: The MF/LS intervention diet was restricted to 25% of calories/day from total fat and <10% of calories from added sugar while the HF/HS control diet was maintained at > 40% of calories/day from total fat and >15.9% of calories from added sugar. All food served was measured to the tenth of a gram. Any uneaten portion of food was weighed to obtain accurate measures of actual intake. NDSR dietary analysis software was used to assess macronutrient, micronutrient and added sugar intakes. Participants were weighed weekly to ensure they remained in energy balance throughout the duration of the study. Pre-post cognitive assessment served as the primary outcome measure. A battery of age appropriate tests from the Penn Computerized Neurocognitive Battery (CNB) as well as the widely used and a previously validated Trail Making task were selected to assess executive function, speed of processing, working memory, attention and spatial ability. Results: Both ANCOVA and a repeated measures approach were used to evaluate the mean difference of post-intervention scores between conditions, controlling for pre-intervention scores and other covariates including age, gender, sleep and mood. For each statistical approach, 10 tests were run, encompassing each of the cognitive assessments given and, for some, their delayed counterpart. Based on the ANCOVA analysis, participants randomized to the MF/LS intervention had a faster median response time (RT) for correct responses on 2 of the 10 tests analyzed, including the initial facial recognition task and its delayed counterpart. Compared to controls, the intervention group displayed 1) a faster total correct RT while controlling for gender (p = 0.02), 2) a faster true negative RT when controlling for gender and age (p = 0.012), and 3) a faster delayed task median total correct RT when controlling for gender and age (p = 0.005). No significant differences between groups were detected for the other assessments. Based on a repeated measures approach, none of the 10 tests analyzed reached statistical significance. Multiple regression analyses revealed a dose response effect on face recognition RT based on % intake of daily calories from total sugar, added sugar, total fat and saturated fat such that a 10% increase in % calories from total sugar, added sugar and saturated fat decreased processing speed for total correct responses on the initial facial recognition task by 0.58 seconds whereas a 10% increase in % total fat decreased processing speed on the same task by 0.44 seconds. The multivariate regression analyses controlled for gender and pretest scores. Conclusions: A 2-week MF/LS dietary intervention may improve delayed face recognition in low to middle income preadolescents with a pre-established HF/HS dietary pattern. Although the intervention appeared to demonstrate a positive effect on 2 measures of cognitive function (initial and delayed facial recognition), after Bonferroni correction, these results only remained significant for the delayed task median total correct RT when controlling for gender and age (p = 0.005). Thus, study results must be interpreted with caution as they may simply be an artifact of chance finding in the ANCOVA statistical analysis. Further investigation of benefits proffered by decreasing % total sugar, % added sugar, % total fat and % saturated fat intake to preadolescent cognition is warranted. Future work should focus on replicating the present study in a larger sample, using hippocampal-dependent specific tasks.

The relationship between hyperlipidemia and pancreatitis remains obscure in dogs. The aim of the present study was to investigate any possible association between hyperlipidemia and pancreatitis in dogs. In the first part of the study, Miniature Schnauzers with hypertriglyceridemia were found to have significantly higher serum cPLI concentrations than Miniature Schnauzers with normal serum triglyceride concentrations (P=0.0001). Also, Miniature Schnauzers with severe hypertriglyceridemia (>862 mg/dL) had 4.5 times higher odds (P=0.0343) for having a serum cPLI concentration consistent with pancreatitis. In the second part of the study, 17 Miniature Schnauzers prospectively enrolled with a history of pancreatitis were significantly more likely to have hypertriglyceridemia (71 percent) after resolution of pancreatitis than 34 age-matched Miniature Schnauzers without a history of pancreatitis (33 percent; odds ratio=5.02; P=0.0163). For the third part of the study, assessment of the feasibility and usefulness of a novel density gradient ultracentrifugation method using NaBiEDTA for lipoprotein profiling in dogs was attempted. Density gradient ultracentrifugation using NaBiEDTA was found to be useful for the study of lipoprotein profiles in dogs. Significant differences were detected in the lipoprotein profiles (mainly involving TRL and specific LDL fractions) among healthy Miniature Schnauzers, dogs of various other breeds, and hypertriglyceridemic Miniature Schnauzers. In the fourth part of the study, the effect of a commercially available low-fat diet on serum lipid and pancreas-specific lipase (Spec cPL) concentrations and lipoprotein profiles in Miniature Schnauzers with primary hypertriglyceridemia was evaluated. The study diet was found to be effective in significantly reducing serum triglyceride and cholesterol concentrations and changing the lipoprotein profiles of the dogs studied within 2 months. However, there was no significant effect of the study diet on serum Spec cPL concentrations. In the last part of the study, serum triglyceride and cholesterol concentrations and lipoprotein profiles were compared between dogs with naturally occurring pancreatitis and healthy dogs. The majority of dogs with naturally occurring pancreatitis had normal serum triglyceride and cholesterol concentrations. Important differences were identified in lipoprotein profiles between dogs with pancreatitis (higher LDL2, LDL3, and LDL4 fractions and lower TRL, HDL2a, and HDL3c fractions) and healthy control dogs.

Thesis (Ph.D.)--Ohio University, August, 2009. / Release of full electronic text on OhioLINK has been delayed until September 1, 2012. Includes bibliographical references (leaves 157-195)

Thesis (Ph.D.)--Ohio University, August, 2009. / Title from PDF t.p. Release of full electronic text on OhioLINK has been delayed until September 1, 2012. Includes bibliographical references (leaves 157-195)

Thesis (Ph. D.)--University of Missouri-Columbia, 2002. / Typescript. Vita. Includes bibliographical references (leaves 80-89). Also available on the Internet.

Thesis (Ph. D.)--University of Missouri-Columbia, 2002. / Typescript. Vita. Includes bibliographical references (leaves 80-89). Also available on the Internet.