Subclinical vitamin A deficiency was assessed in 65 Hispanic children attending four migrant Head Start programs in Utah. Subjects aged 2 to 6 years (median 3 years 10 months) were examined for evidence of vitamin A deficiency by conjunctival impression cytology. Biochemical indices for serum vitamin A, retinol-binding protein, zinc, and iron were performed. Of eight children (12.5%) with subclinical vitamin A deficiency, one child had a marginal serum vitamin A of 11 μg/dl. Retinol-binding protein concentrations were significantly lower in two subjects with abnormal conjunctival impression cytology. Serum zinc, which when low can mimic signs of ocular vitamin A lesions, was normal for all 65 subjects. Fifteen children (23%) had iron-deficiency anemia. Logistic regression was the central method of analysis used in this study. The results of the statistical analyses indicated there was a correlation value (0.31) between abnormal conjunctival impression cytology and serum vitamin A, which supports the hypothesis that abnormal conjunctiva! impression cytology is concurrent with decreased serum vitamin A. Assessment of vitamin A status of Hispanic migrant children by impression cytology was effective in identifying children at risk for hypovitaminosis A. Beyond vitamin A's role in vision and maintenance of epithelium, it is also required for growth and hematopoiesis. The children of migrant workers may be suffering physiologically important consequences of vitamin A and iron deficiency that can be prevented by screening with biochemical and histological testing. Nutrition intervention for deficient children is warranted.

This study described three days of dietary intake, physical activity, and glycemic control in 14 female and eight male adult diabetics using Continuos Subcutaneous Insulin Infusion (CSII). Changes in weight after initiation of CSII were also described. Dietary intakes were analyzed using the NUTREDFO computer program then compared to established standards. Both sexes had mean intakes of zinc, folate, vitamin B6, and magnesium below the Recommended Dietary Allowances (RDA, 1980) for age and sex. Female consumption of iron and total calories consumed were also below recommendations. When dietary intakes were analyzed on a nutrient per 1,000 kcal basis men had intakes of zinc and folate below recommended levels, but met suggested allowances for other nutrients. Women still had suboptimal intakes of zinc, folate, iron, and, to a lesser extent, vitamin B6 and magnesium. Mean protein intake was within the recommendation range outlined by the American Diabetes Association (ADA, 1979), but above levels suggested in a 1987 (ADA) update. Intake of total fat, saturated fat, monounsaturated fat, and cholesterol were above and carbohydrate was below recommended levels (ADA, 1987). No significant differences between the mean dietary intake of an age and sex matched group of females from this study and the second National Health and Nutrition Examination Survey (NHANES II, 1983) were noted. When variability in caloric and carbohydrate intake was examined no significant differences between days were found. Mean energy expenditures were higher than estimated levels for the general population. Activities were often reported in fairly large blocks of time, thus changes in activity on a minute to minute basis nay not have been accurately described. Mean blood glucose was near normal on all three days of the study. However, glycosylated hemoglobin levels, done within two months of the study period, were elevated in seven out of 18 subjects. Weight gain is often reported after initiation of CSII. The women in this study showed a net increase of 3.13 lbs after changing to CSII. However, men lost an average of 1.79 lbs after starting pump therapy. To the extent that this population is indicative of CSII users as a whole it was concluded that education, directed at increasing dietary intake of foods rich in zinc, folate, magnesium, and vitamin B6 for both sexes and iron intake for females, would be beneficial. Information on appropriate ways to comply with the dietary recommendations of the ADA (1987) and to offset the weight gain often associated with CSII may also be useful to the pump wearer.

The steroid hormone 1,25-dihydroxyvitamin D3 [1,25(OH)2D3] rapidly stimulates the uptake of phosphate in isolated chick intestinal cells, while the steroid 24,25-dihydroxyvitamin D3 [24,25(OH)2D3] inhibits the rapid stimulation by 1,25(OH)2D3. Previous work in this laboratory has indicated that 24,25(OH)2D3 inhibits phosphate uptake in isolated intestinal cells and perfused duodenal loops. It is critical to show this effect in the whole animal to determine the presence of any confounding factors. Studies were therefore undertaken to determine if 24,25(OH)2D3 had a similar effect in vivo. 24,25(OH)2D3 has two isomers which are 24R, 25dihydroxyvitamin D3 [24R,25(OH)2D3] and 24S, 25dihydroxyvitamin D3 [24S,25(OH)2D3]. We studied these two isomers separately and tested them over a time course of 1, 5, 10, 15, and 18 h after steroid using chicks on regular diet, but fasted, and chicks on a lower vitamin D diet. All chicks were anesthetized prior to surgical exposure of the duodenal loop and injection of a solution containing H3 32PO4 into the lumen. An initial time course study of phosphate transport determined that 3 to 9 min of absorption in vivo was in a linear range, as judged by serum levels of radioactivity. Chicks were then injected with either 200 μg of 24R,25(OH)2D3, 20 μg of 24S,25(OH)2D3, or vehicle for control groups within the same time course studies. We found that the isomers had different effects on phosphate absorption. 24R,25(OH)2D3 had a hypophosphatemic effect in vivo. The serum levels of radionuclide revealed hypophosphatemic effects at 1, 5, 15, and 18 h time points with a decrease of 20%, 42%, 39%, and 43%, respectively, (P< 0.05) compared with controls; chicks raised on a low vitamin D diet also showed a decrease in phosphate absorption at 10 h time point by 33%. In contrast, 24S,25(OH)2D3 stimulated intestinal phosphate absorption at the 5-h time point by 64%, but had no other effects at the other time points tested. Because 24S,25(OH)2D3 was largely ineffective, dose-response studies were undertaken with only the 24R,25(OH)2D3 isomer. In comparing phosphate absorption in chicks fasted 18 h, and dosed with vehicle, 100 μg, 200 μg, or 300 μg of steroid 1 h prior to experimentation it was found that the lowest dose increased absorption to 99% of controls, while the 200 μg and 300 μg doses decreased phosphate absorption. (48 pages)

The process of partial hydrogenation produces trans fats and the fats that undergo this process are called partially hydrogenated fats (PHF). Clinical studies have shown a strong association between PHF and coronary heart diseases. In 2015 The U.S. Food and Drug Administration removed the Generally recognized as safe or "GRAS" status of PHF. These fats were used in confectionary, margarines, shortenings, doughnuts, cookies, cakes, etc. The PHF serve a function in food by providing a higher shelf life and a desired harder structure due to their higher melting point. Hence, the food industry is currently looking for PHF alternatives which serve the function but have no harmful health effects. One of the alternatives to replace PHF is to use interesterified fats that have a low level of saturation that makes them healthier. However, these new fats are too soft with restricted use in many food applications. In this study, we explored the use of high intensity ultrasound (HIU) to improve the functional properties of interesterified fats and make them harder. Our study showed that HIU formed small crystals in these fats and increased their viscosity. The results from this study on the flavor release from the interesterified fats showed that the physical structure and hence the amount of solid fat in the sample affected its flavor perception. The solid fats had higher flavor perception than the liquid fat samples. The goal of this study is to improve the functionality of the interesterified fats using HIU and understand the flavor release from these fats to make substitution in food products easier.

To date there have been no complete reports of the nutrient intakes of persons with Type I diabetes mellitus who use continuous subcutaneous insulin infusion (CSII) pumps. The purpose of this study was to describe the sample population and to determine the nutrient intake of adult Type I diabetics from the Salt Lake City, Utah area, who use CSII. Seven male and 15 female CSII users, ages 25 to 53, completed a questionnaire and a three-day diet record as instructed. Diet records were coded and household measurements of foods were converted to gram weights for computerized nutrient analysis. Nutrient intake is reported as group mean and standard deviation for sex and age. The average duration of diabetes was 17 years. The average length of CSII use was l.6 years. Review of the medical charts revealed that weight gain since beginning CSII averaged 5.5 pounds irrespective of the duration of pump use. The dietary intake of protein, calcium, phosphorus, vitamin A, thiamin, riboflavin, niacin, vitamin B12 , and ascorbic acid met or exceeded the Recommended Dietary Allowances (RDA) for both men and women. For males, mean nutrient intakes were below the RDA for zinc (82.7%), folate (82.2%), and vitamin 86 (69.0%). For females, intakes were also below the RDA for zinc (64.0%), folate (58.3%), and vitamin 86 (69.0%), as well as for iron (58.5%) and magnesium (88.0%). The average percent of kilocalories from protein, carbohydrate and fat, (approximately 17%, 43%, and 40%) was similar for both the males and females. The day-to-day variation in carbohydrate intake for both sexes was not significantly different. Intake of added sugar in the diet was 6.6% and 5.8% of total kilocalories (14.8% and 13.9% of the carbohydrate kilocalories) for males and females, respectively. In conclusion, dietary intake for this small group of CSII users was adequate in most nutrients . Of concern is the apparent inadequate intakes of zinc, folate, vitamin s6 and iron for women, as compared to the current RDA standards. The distribution of kilocalories from protein, carbohydrate and fat approaches the 1979 recommendations by the American Diabetes Association. Weight gain may be a problem for some CSII pump users, and should be monitored.

The catalytic necessity of tyrosine residues in uridine diphospho- glucose pyrophosphorylase [E.C. 2.7.7.9] was investigated. Chemical modification of the pyrophosphorylase by N-acetylimidazole indicated that tyrosine residues were essential for activity. Approximately 23 of 112 tyrosines per molecule of 475,000 Daltons could be 0-acetylated. Solvent perturbation difference spectroscopy supported this number of exposed tyrosine side chains and in conjunction with chemical modification indicated that at least 11 to 12 tyrosyl residues per protein molecule are fully exposed. it her subst rate, uridine t riphosphate or uridine diphosphoglucose, afforded significant protection against inactivation by N-acetylimidazole. The significance of these tyrosine residues is discussed in terms of a quaternary subunit model for uridine diphosphoglucose pyrophosphorylase.

Thirty-two non-anemic children were assessed clinically, biochemically and anthropometrically at six months, one year and two years of age to investigate the relationship of iron status to mental and motor development. Using dietary history and dietary record instruments, dietary iron was estimated and compared to the National Food Consumption Survey (1985) and the Recommended Dietary Allowances (RDA) for corresponding age groups. The Bayley Scales of Infant Development (which assess mental and motor development) and the Caldwell Home Inventory (which evaluates the environmental stimuli) were performed and correlated with blood iron parameters, anthropometric measurements and dietary nutrient intakes. Nutrient intakes of these children were similar to those reported in the NFCS (1985) for one- and two-year-olds. Iron intake decreased from 13.2 mg iron daily (88% RDA) at six months to 10.3 mg iron daily (68% RDA) and 7.4 mg iron daily (49% RDA) at two years of age. The correlation between iron intake and development was not statistically significant at any age. Stepwise, multiple regression was employed to investigate the extent to which variation in mental and motor development was explained by dietary variables, blood iron parameters and anthropometric measurements. Hematocrit was the only variable that significantly explained variation in mental development at all three ages. The findings of this study were different from earlier studies in that there was no statistical correlation between iron status and mental development; but, it did confirm the conclusion of more recent experiments that iron status has little effect on infants' and toddlers' development. The finding that infants and toddlers consuming less than the RDA for iron do not display iron deficiency symptoms and were not developmentally delayed or compromised should be comforting to parents who are concerned about iron intake during this critical period of infants' brain growth.

Ten young adults were divided into an exercising group (n = 6) and sedentary group (n = 4). Smoking, ingestion of alcohol, drugs and oral contraceptives were prohibited during 9 weeks of study. Diets were prepared by university food service. Food consumed was recorded and nutrient intakes were assessed. Cheese was consumed in 84 to 112 gram portions every day for two separate 14 day periods. All other dairy products were prohibited in the diet except 240 ml of two percent milk per day. When cheese was consumed, daily diets contained ca 400 kcal, 100 mg cholesterol, and 700 mg calcium more than diets consumed without cheese. Individual body weights were stable and no significant changes occurred in any anthropometric measure over nine weeks. A trend of becoming more lean existed in the exercise group. However, there was no significant change in serum total cholesterol, lipids, calcium, or anthropometric measures during the study. These results seriously question the advisability of recommending restricted consumption of dairy products to lower serum cholesterol.

Obesity and eating disorders are major public health problems in the U.S. Prevention of these problems in childhood and adolescence is crucial to avoid medical complications and costs associated with these conditions. A growing body of research supports designing and implementing interventions to prevent obesity and eating disorders simultaneously by targeting common risk factors such as poor body image. This study explored the use of a body image education unit as a preventive measure for obesity and eating disorders. Ninth-grade students attending health class in a public school in Northern Utah (n = 117) were assigned to either an intervention or control group. At the end of a 3-week nutrition unit, the intervention group received a 3-day intervention designed to promote body image. Participants were surveyed at baseline, immediately following the nutrition unit and intervention, and at a 2-month follow-up. At post-test and follow-up, participants in the intervention group and the control group both self-reported improved body image and dietary practices. Modest improvements were seen in both the intervention and control groups. The intervention group did not have any advantage over the control group. It is recommended that future interventions be of greater intensity and longer duration in order to assess use of body image education to improve body image and dietary constructs. Interventions will have the greatest effect sizes if they target high risk individuals. Universal interventions targeting entire schools and communities are also recommended to help change environmental risk factors and reduce risk in those who may be at high risk but would not be included in a high risk grouping for a targeted intervention.

A crossover design study was conducted to determine if reducing pain, by using alternative sites off the finger tip, would increase testing frequency and improve clinical outcome as measured by glycosylated hemoglobin. Subjects with type I and type 2 diabetes tested with the FreeStyle alternative-site meter (group I) or tested with their original meter (group 2). After 3 months the subjects used the alternate meter. Testing frequency and blood glucose concentrations were recorded for the month before the study began and monthly thereafter. Glycosylated hemoglobin was tested initially, at the crossover point, and at study conclusion. Insulin users increased testing frequency from 2.4 to 3.0 tests per day. Testing frequency for non-insulin users remained the same at 1.5 tests per day. Testing frequency was essentially the same with the FreeStyle and the original meters. The average hemoglobin A1c was 7.4% (standard deviation 1.5%) initially, 7.3% (standard deviation 1.5%) at the crossover point, and 6.9% (standard deviation 1.1%) after 6 months. There was no significant difference in hemoglobin A1c measurements between meter types after 6 months. Thirteen months later a final hemoglobin A1c, testing frequency, and a questionnaire regarding meter preference and pain rating were obtained. Seventy-four percent of participants preferred the alternative-site meter, which was rated as significantly (p < .05) less painful. Testing frequency significantly improved (p = .001) while free strips were being provided. Testing frequency 13 months later was not significantly different from the baseline (p = .101). Hemoglobin A 1 c was significantly lower 6 months after the study began (p = .000) and 13 months later (p = .008) at baseline.