Thesis (Mnutr)--Stellenbosch University, 2003. / ENGLISH ABSTRACT: INTRODUCTION: The objective of this pilot study was to evaluate the effects of a new micronutrient, glutamine, pre- and probiotic enriched liquid nutritional supplement on the nutritional status and immunity of adults living with HIV/AIDS. The study was designed as a prospective randomised double-blind placebo-controlled trial. Subjects were HIV-infected male and female adult volunteers (n = 47) from a community-based hospice centre in a peri-urban area in a resource-poor setting and were included irrespective of duration or clinical stage of HIV/AIDS. None of the subjects received antiretroviral therapy. METHOD: The intervention involved the daily ingestion of 40g (200 ml reconstituted) of either the enriched test product or an lsocalorie carbohydrate placebo for a period of 12 weeks. Anthropometric assessment (weight, height and triceps skinfold thickness; mid-upper arm, waist and hip circumferences) was performed at baseline and thereafter every 4 weeks (4 times). Biochemical (serum total protein, serum albumin and C-reactive protein) and haematological (full blood count and immunophenotyping) assessment was performed at baseline and again after week 12. RESULTS: Statistical analysis of baseline values was performed with Wilcoxon two-sample tests for comparison between the supplemented and placebo groups. Outcomes were evaluated using analysis of variance with Shapiro-Wilk tests and thereafter either pair-wise t-tests or sign tests (for nonparametric data) were used. Thirty-two subjects completed the trial, 14 in the supplemented group and 18 in the placebo group. Weight increased significantly in the supplemented group (2.73 ± 3.53 kg, P = 0.013). Triceps skinfold thickness increased significantly in both the supplemented (p = 0.047) and placebo group (p = 0.001). No other significant anthropometric change was observed. Serum albumin increased significantly in the supplemented group (p = 0.003) and was associated with a significant decline in C-reactive protein (p = 0.028). Haemoglobin decreased significantly in both groups. A significant decline in CD4+ count was observed in the placebo group while the decline in the supplemented group did not reach significance. CONCLUSION: Oral nutritional supplementation in limited quantities was well tolerated for a period of 3 months. This study demonstrated that an enriched nutritional supplement was able to promote weight gain and ameliorate hypoalbuminaemia and possibly inflammation in adults living with HIV/AIDS in the short to medium term. The enriched nutritional supplement does not appear to have an effect on the immunity of people with HIV/AIDS. The small sample is a limitation of the study and the conclusions pertain to the test product as a whole and not to any of its respective ingredients. Although further studies are required to evaluate long-term feasibility, these findings suggest that the use of an enriched nutritional supplement has a role in the management of weight loss in persons with HIV/AIDS. / AFRIKAANSE OPSOMMING: INLEIDING: Die doel van hierdie loodsstudie was om die uitwerking van 'n nuwe mikronutriënt, glutamien, pre- en probiotika verrykte voedingsaanvulling in vloeistof vorm te ondersoek. Die studie is ontwerp as 'n prospektiewe ewekansige dubbelblinde plasebogekontroleerde toets. Proefpersone was MIV-geïnfekteerde manlike and vroulike vrywilligers (n = 47) van 'n gemeenskapsgebaseerde hospitium in a semi-stedelike gebied in 'n hulpbron-arme omgewing. Proefpersone is ingesluit ongeag die duur of kliniese graad van MIVNIGS. Geen proefpersoon het antiretrovirale behandeling ontvang nie. METODE: Die intervensie het die daaglikse inname van 40g (200 ml gerekonstitueer) van óf die toetsproduk óf 'n isokaloriese koolhidraatplasebo gedurende 'n 12 week periode behels. Antropometriese evaluering (gewig, lengte en trisepsvelvoudikte; midbo-arm-, middel- en heupomtrekke) is uitgevoer met aanvang en daarna weer elke 4 weke (4 keer). Biochemiese (serum totale protein, serumalbumien en C-reaktiewe protein) en hematologiese (volbloedtelling en immunofenotipering) evaluering is uitgevoer met aanvang en weer na 12 weke. RESULTATE: Statistiese verwerking van basislyndata is gedoen deur middel van Wilcoxon twee-steekproef toetse waarmee vergelyking tussen die aangevulde en plasebogroep uitgevoer is. Studiegevolge is geëvalueer deur verspeidingsanalise met behulp van Shapiro-Wilk toetse waarna óf paargewyse t-toetse óf tekentoetse (vir nie-parametriese data) gebruik is. Twee-en-dertig proefpersone het die studietydperk voltooi, 14 in die aangevulde groep en 18 in die plasebogroep. Gewig het betekenisvol toegeneem in die aangevulde groep (2.73 ± 3.53 kg, p = 0.013). Triseps velvoudikte het betekenisvol toegeneem in beide die aangevulde (p = 0.047) en die plasebogroep (p = 0.001). Geen ander betekenisvolle antropometriese veranderinge is waargeneem nie. Serumalbumien het betekenisvol gestyg in die aangevulde groep (p = 0.003) en het gepaard gegaan met 'n betekenisvolle daling in C-reaktiewe protein (p = 0.028). Hemoglobienwaardes het in beide groepe betekenisvol gedaal. 'n Betekenisvolle daling in CD4+ telling is waargeneem in die plasebogroep terwyl die daling in die aangevulde groep nie betekenisvol was nie. GEVOLGTREKKING: Mondelingse voedingsaanvulling van 'n beperkte hoeveelheid was goed aanvaar en verdra oor 'n 3-maande tydperk. Hierdie studie toon dat 'n verrykte voedingsaanvulling in staat is om gewigstoename te bevorder en om hipoalbumienemie en moontlik ook inflammasie te verlig in volwassenes met MIVNIGS oor 'n kort tot medium tydperk. Die verrykte voedingsaanvulling blyk nie 'n effek op die immuniteit van mense met MIVNIGS te hê nie. Die klein steekproef is 'n beperking van die studie en die gevolgtrekkinge is slegs van toepassing op die toetsproduk as 'n geheel en nie op enige van die onderskeie bestanddele daarvan nie. Hoewel verdere studies nodig geag word om langtermyn uitvoerbaarheid te ondersoek, dui hierdie bevindinge daarop dat die gebruik van 'n verrykte voedingsaanvulling 'n rol speel in die beheer van gewigverlies in persone met MIVNIGS.

No description available.

No description available.

No description available.

M.S.

Parental attitudes about childrearing, parental nutrition knowledge, and the food consumption of one randomly selected six-to eight-year-old child per family were investigated in a group of 66 nuclear families and 17 single-parent families. Each family recorded three consecutive, non-weekend days of their child's food and beverage intake, and completed a demographic questionnaire, true/false nutrition knowledge test and the Parent Attitude Research Instrument (PARI). There were no statistically significant differences between groups for food consumption based on assessment using a modified version of the Basic Four food groups; however, children in single-parent families consumed school breakfast more frequently than did children in nuclear families (p < 0.01). Approximately 50% or more of the children in single-parent families and the children in nuclear families consumed less than the recommended number of servings of the Basic Four food groups, with the exception of above recommended intake levels of the breads and cereals group in both family types. Parental attitudes were different in single-parent and nuclear families when measuring the factor of irritability versus warmth for parents from both family structures (p <0.01) and for mothers alone in both family types (p <0.02). Single-parent mothers were less warm than mothers or both parents in nuclear families. However, parental attitudes were not significantly correlated with Basic Four food group intake in either family type. Nutrition knowledge was not statistically different in single-parent and nuclear families, with a mean score of 18 out of 23 correct in both family types. In single-parent families, nutrition knowledge was positively correlated with breads/cereal intake (r=0.64, p <0.006) and in nuclear families, nutrition knowledge was negatively correlated with meat/meat substitute intake (r=-0.36, p <0.0001). Income and educational level were not correlated with food consumption in nuclear families, when food intake was assessed using a modified version of the Basic Four food groups. In single-parent families, educational level was positively correlated with the mean number of meals consumed over a three day period (r=0.54, p <0.02) and negatively correlated with meat and meat substitute consumption (r=-0.50,p <0.04). / Ph. D. / incomplete_metadata

Typescript (photocopy). / Digitized by Kansas Correctional Industries

Typescript (photocopy). / Digitized by Kansas Correctional Industries

Call number: LD2668 .T4 1986 B56 / Master of Science / Grain Science and Industry

The effects of 18 milligrams elemental zinc as zinc sulfate were investigated in 24 hemodialysis patients during a double blind study. The study was conducted at two different dialysis centers in Utah. Each patient was evaluated for a 12 week period. The effects of zinc supplementation were evaluated using the parameters of serum zinc, hair zinc, dialysate zinc, and objective and subjective taste evaluation procedures. To possibly clearify the above determination in zinc status, copper determination were made of the same parameters. In addition, determinations of serum ferritin, transferrin and iron levels were made. A three day diet record was used to document the dietary intakes of calories, protein, and zinc as well as indicate the balance of food groups in the diets. Patients were evaluated biweekly throughout the study period. There were a total of six evaluations made on each participant during the investigation. Complete data were collected on six patients in the treatment group, and on ten patients in the control group. Even though the sample size was small, results were very steady and values fell within narrow ranges for most parameters examined. The mean baseline serum zinc value (n = 24) was 56 micrograms per deciliter. Patients, by this value would be classified as zinc deficient. However, the hair zinc levels were within the normal range, and no other signs or symptoms of zinc deficiency were evident in any patient, other than altered taste. There were no differences between pre and post dialysis serum zinc levels, nor were there any consistent increases in zinc levels cleared from the plasma during dialysis. There were no increases seen in the serum zinc or hair levels in response to zinc supplementation. Furthermore, there was no significant improvement in the taste acuities of the treatment group patients compared to the controls. The low serum levels maintained were probably due to the redistribution of body zinc known to occur in uremia. Most patients improved their taste test scores. This displayed the learning phenomena that was inherent in the taste testing technique. Furthermore, hemodialysis patients and the failure of many subjects to identify all four tastants (sweet, sour, bitter, and salt) correctly. Daily dietary intakes of high bioglogical value protein and zinc by the patients were less than the amounts recommended by the National Dietary Counsil and the physicians. However, the daily intakes of protein (55 grams) and zinc (7.9 milligrams) were not limited to the level where deficiency signs or symptoms of either nutrient were seen. Copper serum levels were all within the normal range. The mean baseline level for all patients was 113 micrograms per deciliter. Copper status appeared unaffected by uremia or hemodialysis. Body stores of iron, determined by serum ferritin levels, ranged from possibly indicating iron deficiency to iron overload. The body iron stores did not correlate with patients’ responses to the oral zinc supplementation.