{"title":"Biological and environmental determinants of childhood obesity.","authors":"Elliott M Blass","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Childhood obesity reflects the confluence of three factors that minimize attention to internal physiologic satiety signals: the release of central opioids through ingestion of sweets and fats, which induces a preference for such foods; the phylogenetic quality of extending meals in response to environmental demands, as in work schedules, or through finding patches of agreeable food that are safe to consume (this is exacerbated in impoverished children, whose activity is limited); the determination of food preference through social interactions renders feeding systems open to external influences such as mass marketing and television advertising. Alternative feeding modes are presented based on studies of childhood food preferences and how children may be influenced to choose more balanced and healthier diets.</p>","PeriodicalId":83835,"journal":{"name":"Nutrition in clinical care : an official publication of Tufts University","volume":"6 1","pages":"13-9"},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22466786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How to Protect Your Bones at Any Age","authors":"M. Nelson, S. Wernick","doi":"10.1046/j.1523-5408.2002.05607.x","DOIUrl":"https://doi.org/10.1046/j.1523-5408.2002.05607.x","url":null,"abstract":"","PeriodicalId":83835,"journal":{"name":"Nutrition in clinical care : an official publication of Tufts University","volume":"5 1","pages":"311-312"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1523-5408.2002.05607.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57670613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Calcium‐Rich Foods","authors":"M. Nelson, S. Wernick","doi":"10.1046/J.1523-5408.2002.05609.X","DOIUrl":"https://doi.org/10.1046/J.1523-5408.2002.05609.X","url":null,"abstract":"251 18th Street S, #630 • Arlington, VA 22202 • 1 (703) 647-3000 or 1 (800) 231-4222 • www.nof.org American cheese Bok choy (Chinese cabbage), raw Broccoli, cooked and drained Cereal with added calcium, without milk Cheddar cheese, shredded Cottage cheese, 1% milk fat Dried figs Frozen yogurt, vanilla (soft serve) Fruit juice with added calcium Ice-cream, low-fat or high-fat Kale, cooked Milk, low-fat or fat-free Mozzarella cheese, part-skim Oranges Parmesan cheese, grated Ricotta cheese, part-skim Salmon, pink, canned with bones Sardines, canned in oil with bones Shrimp, canned Soymilk with added calcium** Soybeans, mature, cooked and drained Swiss cheese Tofu prepared with calcium Yogurt, low-fat or fat free (Greek) Yogurt, low-fat or fat free (plain) 1 oz. 8 oz. 8 oz. 8 oz. 1 oz. 4 oz. 2 figs 4 oz. 6 oz. 1 cup 8 oz. 1 cup 1 oz. 1 whole 1 tbsp. 4 oz. 3 oz. 3 oz. 3 oz. 8 oz. 8 oz. 1 oz. 4 oz. 6 oz. 6 oz. 175 75 60 100-1,000 205 70 55 105 200-345 140-210 95 300 205 50 70 335 180 325 125 300 175 220-270 200-400 200 300 CALCIUMRICH FOODS","PeriodicalId":83835,"journal":{"name":"Nutrition in clinical care : an official publication of Tufts University","volume":"5 1","pages":"314-315"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/J.1523-5408.2002.05609.X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57670643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gail B Mahady, Daniel Fabricant, Lucas R Chadwick, Birgit Dietz
{"title":"Black cohosh: an alternative therapy for menopause?","authors":"Gail B Mahady, Daniel Fabricant, Lucas R Chadwick, Birgit Dietz","doi":"10.1046/j.1523-5408.2002.05603.x","DOIUrl":"10.1046/j.1523-5408.2002.05603.x","url":null,"abstract":"<p><p>Due to the long-term health risks now associated with hormone replacement therapy, many menopausal women are actively seeking alternative treatments. One such alternative is black cohosh (Actaea racemosa, syn. Cimicifuga racemosa), which has been used in the United States for the treatment of gynecologic complaints for more than 100 years. Review of the published clinical data suggests that black cohosh may be useful for the treatment of menopausal symptoms, such as hot flashes, profuse sweating, insomnia, and anxiety. Results from the most recently published trial, however, indicate that black cohosh is not effective for the treatment of menopausal symptoms in breast cancer survivors being treated with tamoxifen. Because the overall quality of the published clinical trials is low, two new randomized, double-blind, placebo-controlled clinical trials are currently underway in the United States. To date, only one standardized black cohosh extract has been tested clinically; the current recommended dose is 40-80 mg per day. At least 4-12 weeks of treatment may be required before any therapeutic benefits may be apparent. Adverse reactions such as nausea, vomiting, headaches, dizziness, mastalgia, and weight gain have been observed in clinical trials. No drug interactions are reported in the medical literature. The estrogenic effects of black cohosh are controversial, and the more recent data indicate that black cohosh extracts may have an anti-estrogenic activity. Owing to potential effects on sex hormones, however, black cohosh should not be administered to children or during pregnancy and lactation.</p>","PeriodicalId":83835,"journal":{"name":"Nutrition in clinical care : an official publication of Tufts University","volume":"5 6","pages":"283-9"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22221084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation and treatment of low bone density in anorexia nervosa.","authors":"Madhusmita Misra, Anne Klibanski","doi":"10.1046/j.1523-5408.2002.05605.x","DOIUrl":"https://doi.org/10.1046/j.1523-5408.2002.05605.x","url":null,"abstract":"<p><p>The prevalence of anorexia nervosa has increased in recent years, and a large proportion of adults as well as adolescents with this disorder have low bone density and, therefore, an increased risk of fractures. Anorexia nervosa often begins during adolescence, when peak bone mass is accumulated, resulting in significant deficits in bone mass accrual. Therefore, it is important to determine bone mineral density in adolescent and adult women who have this disorder, and to improve or at least stabilize bone metabolism in those with low bone mass. To do this, it is necessary to understand the mechanisms underlying low bone density in anorexia nervosa. This article discusses current concepts related to bone loss associated with anorexia nervosa, including how to prevent it.</p>","PeriodicalId":83835,"journal":{"name":"Nutrition in clinical care : an official publication of Tufts University","volume":"5 6","pages":"298-308"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1523-5408.2002.05605.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22221010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Women's health and gender biology: the late but welcome arrival of evidence-based research.","authors":"Shumin M Zhang, JoAnn E Manson","doi":"10.1046/j.1523-5408.2002.05601.x","DOIUrl":"https://doi.org/10.1046/j.1523-5408.2002.05601.x","url":null,"abstract":"","PeriodicalId":83835,"journal":{"name":"Nutrition in clinical care : an official publication of Tufts University","volume":"5 6","pages":"269-71"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1523-5408.2002.05601.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22221082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Soy foods and soybean isoflavones and menopausal health.","authors":"Mark J Messina","doi":"10.1046/j.1523-5408.2002.05602.x","DOIUrl":"10.1046/j.1523-5408.2002.05602.x","url":null,"abstract":"<p><p>Soybeans are a natural dietary source of isoflavones, which have estrogen-like properties. Therefore, it is worthwhile to consider the implications for soy of the recently published findings of the Heart and Estrogen/Progestin Replacement Study (HERS) I/II and the Women's Health Initiative (WHI). The WHI found coronary heart disease (CHD) risk to be increased in women receiving hormone replacement therapy, and both studies found increases in venous thromboembolic disease in such women. Additionally, stroke and breast cancer risk were increased in the WHI, although risk of colorectal cancer and fracture was decreased. Because research suggests that it is the combination of estrogen plus progestin, and not estrogen alone, that increases breast cancer risk, soy seems unlikely to increase risk because it has no progestin activity. Similarly, there is no evidence to suggest that soy will increase venous thromboembolic disease or stroke; however, only limited data are available in this area. There are promising data suggesting that soy may decrease CHD risk, although studies conducted thus far have examined only markers of risk and not actual CHD events. Similarly, short-term studies generally suggest that soy reduces bone loss in postmenopausal women; however, such effects have been noted primarily only at the spine, and longer-term studies are needed. Finally, very limited human research suggests that soy may decrease colon cancer risk, but this is highly speculative. The results of HERS I/II and WHI suggest that soy may have some of the advantages, but not the disadvantages, of combined hormone replacement therapy (at least with respect to the specific hormones and doses used in the HERS I/II and WHI), but that large, long-term intervention studies examining disease outcome are needed before definitive conclusions can be drawn. Nevertheless, the evidence warrants recommendations that menopausal women include soy in their diets.</p>","PeriodicalId":83835,"journal":{"name":"Nutrition in clinical care : an official publication of Tufts University","volume":"5 6","pages":"272-82"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1523-5408.2002.05602.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22221083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The obese patient with infertility: a practical approach to diagnosis and treatment.","authors":"L J Moran, R J Norman","doi":"10.1046/j.1523-5408.2002.05604.x","DOIUrl":"https://doi.org/10.1046/j.1523-5408.2002.05604.x","url":null,"abstract":"<p><p>Overweight and obesity are serious and prevalent conditions in Western countries and carry many health consequences, including reproductive dysfunction. In particular, excess fat in the abdominal area is strongly related to disorders of the reproductive system. Moderate weight loss and reduction of abdominal fat improves menstrual regularity, ovulation, and infertility in women. This may be etiologically related to insulin resistance, particularly in a subset of infertile women with polycystic ovary syndrome. As such, weight loss should be promoted as an initial treatment option for obese women with infertility. However, the most effective method for achieving and maintaining weight loss is unclear. Gradual weight loss is best achieved through a sensible eating plan that can be maintained over long periods of time. The likelihood of maintaining weight loss is increased when diet is combined with regular exercise, cognitive behavior therapy, and a supportive group environment. Adoption of these principles in a primary healthcare setting can therefore aid in treatment of infertility related to obesity.</p>","PeriodicalId":83835,"journal":{"name":"Nutrition in clinical care : an official publication of Tufts University","volume":"5 6","pages":"290-7"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1523-5408.2002.05604.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22221086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Putting Soy on Your Menu","authors":"M. Nelson, S. Wernick","doi":"10.1046/j.1523-5408.2002.05608.x","DOIUrl":"https://doi.org/10.1046/j.1523-5408.2002.05608.x","url":null,"abstract":"","PeriodicalId":83835,"journal":{"name":"Nutrition in clinical care : an official publication of Tufts University","volume":"5 1","pages":"313-313"},"PeriodicalIF":0.0,"publicationDate":"2002-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1523-5408.2002.05608.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57670632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Iron deficiency anemia finally reaches the global stage of public health.","authors":"Gary R Gleason","doi":"10.1046/j.1523-5408.2002.05502.x","DOIUrl":"https://doi.org/10.1046/j.1523-5408.2002.05502.x","url":null,"abstract":"","PeriodicalId":83835,"journal":{"name":"Nutrition in clinical care : an official publication of Tufts University","volume":"5 5","pages":"217-9"},"PeriodicalIF":0.0,"publicationDate":"2002-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1523-5408.2002.05502.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22131227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}