{"title":"What are the dietary protein requirements of physically active individuals? New evidence on the effects of exercise on protein utilization during post-exercise recovery.","authors":"Roger A Fielding, Jascha Parkington","doi":"10.1046/j.1523-5408.2002.00606.x","DOIUrl":"https://doi.org/10.1046/j.1523-5408.2002.00606.x","url":null,"abstract":"<p><p>Exercise and physical activity increase energy expenditure up to 10-fold. This brief review will focus on the effect of exercise on protein requirements. Evidence has accumulated that amino acids are oxidized as substrates during prolonged submaximal exercise. In addition, studies have determined that both endurance and resistance training exercise increase skeletal muscle protein synthesis and breakdown in the post-exercise recovery period. Studies using nitrogen balance have further confirmed that protein requirements for individuals engaged in regular exercise are increased. The current recommended intakes of protein for strength and endurance athletes are 1.6 to 1.7 g/kg and 1.2 to 1.4 g/kg per day, respectively. Presently, most athletes consume an adequate amount of protein in their diet. The timing and nutritional content of the post-exercise meal, although often overlooked, are known to have synergistic effects on protein accretion after exercise. New evidence suggests that individuals engaging in strenuous activity consume a meal rich in amino acids and carbohydrate soon after the exercise bout or training session.</p>","PeriodicalId":83835,"journal":{"name":"Nutrition in clinical care : an official publication of Tufts University","volume":"5 4","pages":"191-6"},"PeriodicalIF":0.0,"publicationDate":"2002-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1523-5408.2002.00606.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22065976","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":"Clinical implications of household food security: definitions, monitoring, and policy.","authors":"John T Cook","doi":"10.1046/j.1523-5408.2002.00505.x","DOIUrl":"https://doi.org/10.1046/j.1523-5408.2002.00505.x","url":null,"abstract":"<p><p>Poverty-related food insecurity is a reality that many clinicians in nutrition and health care encounter either directly or indirectly. It is associated with both overnutrition and undernutrition, but it is not congruent with malnutrition. Food insecurity affects human development and health throughout the lifecycle, but can be particularly harmful during critical or vulnerable stages early and late in life. Understanding the causes and consequences of food insecurity and knowing how to identify them can improve the quality and effectiveness of clinical care, and facilitate prevention and treatment of many kinds of health problems. Numerous public policies and programs exist to ameliorate and prevent poverty-related food insecurity. However, the resources to support them ebb and flow with the politics of annual state and federal budgetary cycles. Support and need for these social-safety-net programs also vary with business cycles. Unfortunately, need often expands as support shrinks along with employment and government revenues during recessions, and shrinks as support expands along with employment and government revenues during expansions.</p>","PeriodicalId":83835,"journal":{"name":"Nutrition in clinical care : an official publication of Tufts University","volume":"5 4","pages":"152-67"},"PeriodicalIF":0.0,"publicationDate":"2002-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1523-5408.2002.00505.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22065970","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 new Thrifty Food Plan.","authors":"Kara Becker, Helen Rasmussen","doi":"10.1046/j.1523-5408.2002.t01-1-00008.x","DOIUrl":"https://doi.org/10.1046/j.1523-5408.2002.t01-1-00008.x","url":null,"abstract":"","PeriodicalId":83835,"journal":{"name":"Nutrition in clinical care : an official publication of Tufts University","volume":"5 4","pages":"199-202"},"PeriodicalIF":0.0,"publicationDate":"2002-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1523-5408.2002.t01-1-00008.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22065979","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":"Talking to patients about food insecurity.","authors":"Ellen Messer, Elizabeth M Ross","doi":"10.1046/j.1523-5408.2002.00303.x","DOIUrl":"https://doi.org/10.1046/j.1523-5408.2002.00303.x","url":null,"abstract":"<p><p>Food insecurity is highly prevalent in the United States. Even in the best of times, some 10% of the U.S. population self-reports food insecurity in the U.S. annual census instrument, and some 23.3 million Americans use the community-based emergency food system. Unemployed or underemployed individuals, the elderly, single parents, substance abusers, and uninsured or underinsured individuals with medical illnesses are at increased risk for food insecurity. This article discusses clinical approaches to food-insecure individuals. Measurement tools developed to define and document the extent of hunger and food insecurity in the U.S. population are presented as templates for discussion between doctor or dietitian and patient. Information is provided to help clinicians guide patients with food insecurity to appropriate resources.</p>","PeriodicalId":83835,"journal":{"name":"Nutrition in clinical care : an official publication of Tufts University","volume":"5 4","pages":"168-81"},"PeriodicalIF":0.0,"publicationDate":"2002-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1523-5408.2002.00303.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22065980","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 get food stamps.","authors":"Isabel Jimenez Canez, Helen Rasmussen","doi":"10.1046/j.1523-5408.2002.00091.x","DOIUrl":"https://doi.org/10.1046/j.1523-5408.2002.00091.x","url":null,"abstract":"","PeriodicalId":83835,"journal":{"name":"Nutrition in clinical care : an official publication of Tufts University","volume":"5 4","pages":"203-10"},"PeriodicalIF":0.0,"publicationDate":"2002-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1523-5408.2002.00091.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22065984","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":"Stress and distress in clinical practice: a mind-body approach.","authors":"Eva M Selhub","doi":"10.1046/j.1523-5408.2002.00404.x","DOIUrl":"https://doi.org/10.1046/j.1523-5408.2002.00404.x","url":null,"abstract":"<p><p>Primary care physicians are often taxed by patient complaints that do not seem to have a clear etiology, nor do the patients improve despite good medications and expensive procedures. Current studies show that stress or distress may have a significant effect on the onset, the course, and the management of many, if not all, diseases. Understanding patient's underlying stress physiology and coping mechanisms may enable physicians to better understand various clinical disorders and treat their manifested symptoms. Evidence is reviewed by which stress may exacerbate or cause illness and by which behavioral medicine interventions can improve clinical outcomes.</p>","PeriodicalId":83835,"journal":{"name":"Nutrition in clinical care : an official publication of Tufts University","volume":"5 4","pages":"182-90"},"PeriodicalIF":0.0,"publicationDate":"2002-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1523-5408.2002.00404.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22065974","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":"Botulism used as biological warfare.","authors":"M. Ripple, Helen Rasmussen","doi":"10.1046/J.1523-5408.2002.00054.X","DOIUrl":"https://doi.org/10.1046/J.1523-5408.2002.00054.X","url":null,"abstract":"","PeriodicalId":83835,"journal":{"name":"Nutrition in clinical care : an official publication of Tufts University","volume":"141 1","pages":"138-41"},"PeriodicalIF":0.0,"publicationDate":"2002-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80095513","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":"Physical Activity Tools","authors":"R. Sequin","doi":"10.1046/J.1523-5408.2002.T01-2-00053.X","DOIUrl":"https://doi.org/10.1046/J.1523-5408.2002.T01-2-00053.X","url":null,"abstract":"","PeriodicalId":83835,"journal":{"name":"Nutrition in clinical care : an official publication of Tufts University","volume":"5 1","pages":"136-137"},"PeriodicalIF":0.0,"publicationDate":"2002-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/J.1523-5408.2002.T01-2-00053.X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57670203","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":"Folate, homocysteine, and neurological function.","authors":"M. S. Morris","doi":"10.1046/J.1523-5408.2002.T01-1-00006.X","DOIUrl":"https://doi.org/10.1046/J.1523-5408.2002.T01-1-00006.X","url":null,"abstract":"The study of different neurological problems, including stroke, Alzheimer's disease (AD), and depression, has propelled a greater interest in interrelationships among folate, homocysteine, and neurological function. Specifically, low folate status is a suspected risk factor for depression that also results in an increase in circulating levels of the sulfur amino acid homocysteine. Homocysteine has emerged as an independent risk factor for stroke, and recent studies suggest that vascular disease affecting the brain and Alzheimer's disease may result together in senile dementia. The relationship between stroke and AD was at first interpreted as coincidence, given the pathologic distinctions between the two diseases. However, the connection is now hypothesized to reflect some common pathogenic factors involving folate, homocysteine, or both. It remains unclear whether there is a causal relationship between neurological dysfunction in either condition with folate or homocysteine. Nevertheless, since improvement of folate status lowers homocysteine levels, the hypothesis that folate supplementation may lower the risk of several important health consequences of aging, including various forms of neuropsychiatric dysfunction, is worthy of current intensive exploration.","PeriodicalId":83835,"journal":{"name":"Nutrition in clinical care : an official publication of Tufts University","volume":"13 1","pages":"124-32"},"PeriodicalIF":0.0,"publicationDate":"2002-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87339151","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":"Diagnosis and management of lipoprotein abnormalities.","authors":"M. Batiste, E. Schaefer","doi":"10.1046/J.1523-5408.2002.T01-1-00005.X","DOIUrl":"https://doi.org/10.1046/J.1523-5408.2002.T01-1-00005.X","url":null,"abstract":"Abnormal lipid and lipoprotein cholesterol values have been defined as a low-density lipoprotein (LDL) cholesterol (C) value of 160 mg/dL (4.1 mmol/L) or greater, a high-density lipoprotein (HDL) C value less than 40 mg/dL (1.0 mmol/L), triglycerides (TG) 150 mg/dL (1.7 mmol/L) or greater, and a lipoprotein (a) (Lp(a)) of 30 mg/dl or greater. Such values all increase coronary heart disease (CHD) risk. The National Cholesterol Education Program Adult Treatment Panel III guidelines continue to focus on optimizing LDL-C values (established as < 100 mg/dL or 2.6 mmol/L), especially in those with established CHD, diabetes, or a 10-year CHD risk over 20%. Dietary saturated fat (< 7% of calories) and cholesterol (< 200 mg/day) restriction, and the use of 3-hydroxy-3 methylglutaryl coenzyme A (HMG-CoA) reductase inhibitors are the mainstays of treatment in this regard. Such treatment substantially reduces CHD risk. Severe hypertriglyceridemia (> 1000 mg/dL or 11.0 mmol/L) is associated with pancreatitis, and fat restriction, control of glucose, and fibrate therapy are indicated in such patients. Niacin is currently the most effective agent for lowering Lp(a) and raising HDL-C. Current recommendations for treatment by diet and drugs are outlined.","PeriodicalId":83835,"journal":{"name":"Nutrition in clinical care : an official publication of Tufts University","volume":"2 1","pages":"115-23"},"PeriodicalIF":0.0,"publicationDate":"2002-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89027274","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}