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Dietary History (dietary + history)
Selected AbstractsOral status of 35 subjects with eating disorders , A 1-year studyEUROPEAN JOURNAL OF ORAL SCIENCES, Issue 4 2000Rolf Öhrn The aim was to record changes over time in the oral status of subjects with diagnosed eating disorders. The outpatient psychiatrist had referred to the hospital dental clinic 35 women (19,47 yr, median 27 yr) with eating disorders, diagnosed according to DSM III-R criteria. At the baseline examination, dental, medical and dietary histories were taken, and intra-oral clinical and radiographic examinations were supplemented by intra-oral photographs, study casts and salivary analysis. The subjects were re-examined 1 yr later. Together, the investigators assessed progression of tooth wear blindly by comparing coded study casts from the baseline and 12-month examinations. Progression of erosive tooth wear was recorded in almost half of the subjects. Several subjects had low unstimulated salivary flow rates (<0.1 ml/min) and very high counts of mutans streptococci and lactobacilli, both at baseline and 1 yr later. The flow rates for paraffin-stimulated saliva at baseline were significantly lower for subjects with progression of erosive tooth wear than for those without. Because of the increased susceptibility to both caries and erosion, patients with eating disorders should be encouraged to have regular dental check-ups. Test of salivary flow may serve as an indicator of patients' risk of progression of erosive tooth wear. [source] Stable isotopic evidence for diet at the Imperial Roman coastal site of Velia (1st and 2nd Centuries AD) in Southern ItalyAMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY, Issue 4 2009Oliver E. Craig Abstract Here we report on a stable isotope palaeodietary study of a Imperial Roman population interred near the port of Velia in Southern Italy during the 1st and 2nd centuries AD. Carbon and nitrogen stable isotope analyses were performed on collagen extracted from 117 adult humans as well as a range of fauna to reconstruct individual dietary histories. For the majority of individuals, we found that stable isotope data were consistent with a diet high in cereals, with relatively modest contributions of meat and only minor contributions of marine fish. However, substantial isotopic variation was found within the population, indicating that diets were not uniform. We suggest that a number of individuals, mainly but not exclusively males, had greater access to marine resources, especially high trophic level fish. However, the observed dietary variation did not correlate with burial type, number of grave goods, nor age at death. Also, individuals buried at the necropolis at Velia ate much less fish overall compared with the contemporaneous population from the necropolis of Portus at Isola Sacra, located on the coast close to Rome. Marine and riverine transport and commerce dominated the economy of Portus, and its people were in a position to supplement their own stocks of fish with imported goods in transit to Rome, whereas at Velia marine exploitation existed side-by-side with land-based economic activities. Am J Phys Anthropol, 2009. © 2009 Wiley-Liss, Inc. [source] Measuring natural abundance of 13C in respired CO2: variability and implications for non-invasive dietary analysisFUNCTIONAL ECOLOGY, Issue 6 2001S. E. PERKINS Summary 1,Three experiments were performed, using laboratory mice (Mus musculus) as a model species, to evaluate the potential of using measurements of carbon isotope ratios in expired CO2 for tracing diets. 2,Breath 13C signatures of mice fed a constant diet (,21·4, ± 0·35) reflected their diet, but were depleted by on average ,5·7,. Body mass, sex and age were independent and significant factors correlated with the variability of 13C enrichment in respired CO2. 3,Breath 13C signatures from starved mice (7 h) were lower than unstarved mice by 2·0,. Subsequently when starved mice were fed a small meal of a new diet, breath 13C signatures approached those of the new diets within 15 min, returning to preingestion levels after 105 min. 4,After a permanent diet switch 13C values of breath were not asymptotic within 6 days, possibly because of use of fat reserves during the daytime carrying an isotopic memory of the previous diet. Hence, individual breath 13C signatures may vary according to nutritive state and previous dietary history. 5,Interindividual variability was measured at 3·3,. The implications are that large samples of individuals will be required to distinguish between diets of different populations where the isotopic difference between their diets was small , for example, that expected between herbivorous and carnivorous diets. However, breath would be suitable for distinguishing between dietary intakes of individuals for food types that are isotopically more distinct , such as between C3 and C4 plants. [source] Pseudohyperaldosteronism, Liquorice, and HypertensionJOURNAL OF CLINICAL HYPERTENSION, Issue 2 2008Bruno Sontia PhD Consumption of large quantities of liquorice can cause hypokalemia and hypertension. These effects are associated with increased cortisol-mediated activation of renal mineralocorticoid receptors and hypoaldosteronism. The authors describe a patient with long-standing hypokalemia and uncontrolled hypertension related to excessive ingestion of liquorice. The case highlights the importance of obtaining a detailed dietary history, especially considering the increasing use of liquorice-containing foods, teas, and herbal products. The authors also discuss secondary causes of hypertension, focusing on pseudohyperaldosteronism. [source] Idiopathic Hypercalcemia in CatsJOURNAL OF VETERINARY INTERNAL MEDICINE, Issue 6 2000A.M. Midkiff Unexplained hypercalcemia has been increasingly recognized in cats since 1990. In some instances, hypercalcemia has been associated with calcium oxalate urolithiasis, and some affected cats have been fed acidifying diets. We studied the laboratory findings, clinical course, and treatment of 20 cats with idiopathic hypercalcemia. Eight (40%) of the cats were longhaired and all 14 cats for which adequate dietary history was available had been fed acidifying diets. Clinical signs included vomiting (6 cats), weight loss (4 cats), dysuria (4 cats), anorexia (3 cats), and inappropriate urinations (3 cats). Hypercalcemia was mild to moderate in severity, and serum parathyroid hormone concentrations were normal or low. Serum concentrations of phosphorus, parathyroid hormone-related peptide, 25-hydroxycholecalciferol, and calcitriol were within the reference range in most cats. Diseases commonly associated with hypercalcemia (eg, neoplasia, primary hyperparathyroidism) were not identified despite thorough medical evaluations and long-term clinical follow-up. Azotemia either did not develop (10 cats) or developed after the onset of hypercalcemia (3 cats), suggesting that renal failure was not the cause of hypercalcemia in affected cats. Seven of 20 cats (35%) had urolithiasis, and in 2 cats uroliths were composed of calcium oxalate. Subtotal parathyroidectomy in 2 cats and dietary modification in 11 cats did not result in resolution of hypercalcemia. Treatment with prednisone resulted in complete resolution of hypercalcemia in 4 cats. [source] Should children with a history of anaphylaxis to foods undergo challenge testing?CLINICAL & EXPERIMENTAL ALLERGY, Issue 12 2008B. J. Vlieg-Boerstra Summary Background Data on the frequency of resolution of anaphylaxis to foods are not available, but such resolution is generally assumed to be rare. Objective To determine whether the frequency of negative challenge tests in children with a history of anaphylaxis to foods is frequent enough to warrant challenge testing to re-evaluate the diagnosis of anaphylaxis, and to document the safety of this procedure. Methods All children (n=441) who underwent a double-blind, placebo-controlled food challenge (DBPCFC) between January 2003 and March 2007 were screened for symptoms of anaphylaxis to food by history. Anaphylaxis was defined as symptoms and signs of cardiovascular instability, occurring within 2 h after ingestion of the suspected food. Results Twenty-one children were enrolled (median age 6.1 years, range 0.8,14.4). The median time interval between the most recent anaphylactic reaction and the DBPCFC was 4.25 years, range 0.3,12.8. Twenty-one DBPCFCs were performed in 21 children. Eighteen of 21 children were sensitized to the food in question. Six DBPCFCs were negative (29%): three for cows milk, one for egg, one for peanut, and one for wheat. In the positive DBPCFCs, no severe reactions occurred, and epinephrine administration was not required. Conclusions This is the first study using DBPCFCs in a consecutive series of children with a history of anaphylaxis to foods, and no indications in dietary history that the food allergy had been resolved. Our study shows that in such children having specific IgE levels below established cut-off levels reported in other studies predicting positive challenge outcomes, re-evaluation of clinical reactivity to food by DBPCFC should be considered, even when there are no indications in history that anaphylaxis has resolved. DBPCFCs can be performed safely in these children, although there is a potential risk for severe reactions. [source] | |||||||||||||