Abstract This abstract was withdrawn by the authors.
The participant will be able to discuss oportunities for potential research related to nutrition, anthropometric, and psychosocial parameters.
Polycystic ovary syndrome (PCOS) affects approximately 5 million women of reproductive age in the United States and is associated with increased risk of obesity, cardiovascular disease, cancer and infertility. Hyperinsulinemia worsens hyperandrogenemia in women with PCOS and makes weight loss difficult. Research shows that carbohydrates from dairy and starch-based foods have greater insulinogenic properties than carbohydrates from non-starchy vegetables and fruits. The purpose of this study was to determine whether an 8-week dietary intervention eliminating insulinogenic foods results in successful weight loss and improved anthropometric measurements in women with PCOS. Prospective cohort including women with PCOS, age 18 to 45 years. Twenty-one participants enrolled, and 18 completed the study (3 did not complete the study due to noncompliance). Baseline weight, BMI, waist and hip circumference were recorded. Patients received 1 hour of dietary instruction from a registered dietician at the beginning of the study. Written instructions for foods to eat and to avoid were provided. No calorie counting was required. Participants were permitted to eat lean meats, non-starchy vegetables, nuts and low sugar fruits ad libitum until the point of satiety. Patients returned in 8 weeks for repeat weight and anthropometric measurements. Mean weight loss was 18.7 +/- 4.6 pounds (8.5 +/- 2.1 kg, p<.0001). Mean reduction of BMI was 3.2 +/- 0.8 (p<.0001). Mean reduction in waist circumference was 3.4 +/- 1.3 inches (8.6 +/- 3.3 cm, p<.0001). Mean reduction in hip circumference was 2.3 +/- 1.0 inches (5.8 +/- 2.5 cm, p<.0001). An 8-week low starch/low dairy diet resulted in significant weight loss and reduction in waist and hip circumference in PCOS patients. The dietary modification was well-tolerated and required no calorie or carbohydrate counting and no additional exercise.
Polycystic ovary syndrome (PCOS) is associated with clinical and laboratory hyperandrogenism. Hyperandrogenism is exacerbated by hyperinsulinemia. Foods containing high levels of starch and dairy induce an exacerbated insulinotropic response. The purpose of the study was to determine the effect of an 8-week low starch/low dairy diet on clinical and laboratory evidence of hyperandrogenism. Prospective cohort including women with PCOS ages 18 to 45 years. Twenty-one participants with PCOS were enrolled. 18 completed the study (3 did not complete the study due to noncompliance). Participants received 1 hour of dietary instruction from a registered dietician at the beginning of the study. Participants were permitted to eat ad libitum lean meats, non-starchy vegetables, nuts and low sugar fruits to the point of satiety. Participants returned in 8 weeks for repeat testing. Testosterone and free testosterone assays were run by one laboratory (Quest Diagnostics Nichols Institute, San Juan Capistrano, CA). Ferriman-Gallwey scores were performed by one physician at the beginning and end of the 8-week dietary intervention. Following an 8-week dietary modification, change in total and free testosterone levels were not normally distributed (p=.049 and p=.013 respectively). Both total testosterone levels (median change= -7.0, IQR=31.0ng/dL; p=.065) and free testosterone levels decreased (median change= -0.25pg/mL, IQR=4.4pg/mL; p=.200) though the change was not statistically significant. However, modified Ferriman-Gallwey hirsutism scores were reduced (median change= -2.0, IQR=5.0; p=.018) despite only 8-weeks of intervention. Reduction in modified Ferriman-Gallwey hirsutism scores were achieved after a brief 8-week dietary modification. Further studies are needed to determine if dietary intervention may be successful in lowering total and free testosterone levels in women with PCOS.
After reading this poster, the participant will be able to identidy a renal multivitamin with cholecalciferol as a useful tool to improve vitamin D status in dialysis patients
The participant will be able to identify Hispanic on hemodialysis as an at risk group for below optimal Vitamin D status.
After reading this poster, the participant will be able to discuss acculturation as a factor in childhood obesity in young Hispanic children.
After reviewing this poster, the participant should understand that oral cholecalciferol can be used to improve vitamin D status in obese hemodialysis subjects.
After reading this abstract presentation, the participant should have increased knowledge about
After reading this abstract the participant should be able to explain the effect of obesity on serum vitamin D levels.
To identify a novel approach for the recruitment of clients with no major health conditions for undergraduate didactic program in dietetics students to gain skills in using the American Dietetic Association Nutrition Care Process and Model.
The participant will be able to explain the relationship between serum vitamin D levels and bone specific alkaline phosphatase.
To describe the components of a community based infrastructure for the prevention and control of overweight in young children.
To understand that breast milk fatty acid content is varied and that breast milk from some women has below recommended levels of Docosahexaenoic acid (DHA) and arachidonic acid (ARA), but may have the precursors to these fatty acids.
Fatty acids in the n - 3 series are important in neurological and visual development in infants. The objective of this study was to evaluate fatty acid composition in the milk of lactating women from an inland area of Texas where fish consumption is rare.
Oxidative stress appears to play a key role in the development of atherosclerosis. Patients with cardio-vascular diseases have increased plasma lipid peroxides. Low-density lipoprotein cholesterol (LDL) in plasma must undergo oxidative modification before giving rise to foam cells, one of the earliest stages in the development of atherosclerosis. Epidemiological evidence suggests that high dietary intake of vitamin E may protect plasma from oxidation, thereby reducing the risk for heart disease. To test this hypothesis, five groups of hypercholesterolemic rats were fed diets containing various amounts of vitamin E, ranging from zero milligrams (deficient diet) to 2400 milligrams (high level supplementation). Total plasma oxidation was determined by measuring the formation of malondialdehyde (a lipid peroxidation product) at baseline and after inducing iron-catalyzed lipid peroxidation. The results are summarized below:Vitamin EMalondialdehyde formation(mg/kg diet)(nmol/ml plasma)BaselineOxidationGroup I603.6365.395Group II06.67323.197Group III3008.25222.358Group IV6007.53215.864Group V24008.39213.896(Group I - no cholesterol control diet)