2010 carbohydrate for weight and metabolic control- where do we standAgrin Life
This document reviews the evidence on carbohydrate intake for weight and metabolic control. It discusses how recommendations have generally advocated high carbohydrate intake but the prevalence of obesity and diabetes has still increased. Recent evidence suggests diets lower in carbohydrates and higher in unsaturated fats or protein may facilitate weight loss and improve health markers independent of weight loss. The document concludes that future studies are still needed to determine if diets with a more balanced macronutrient composition than currently recommended could better support weight and metabolic health.
A summary of a review on high-fructose corn syrup (HFCS). The sugars found in HFCS, are the same ones found in honey and table sugar, but in different ratios. HFCS takes the brunt of the criticism, but I'd argue it has more to do with the food it is found in, and the culture associated with those foods, and not the sugar itself. Moderation should be taken toward the addition of any form of sugar.
This document discusses the potential metabolic effects of three aspects of nutrition: saturated fats, refined carbohydrates, and overeating. It reviews research on how each can contribute to conditions like metabolic syndrome. Saturated fats may increase risk when consumed in excess, though their effects are complex and inconsistent in studies. Refined carbohydrates are easily digested, causing blood sugar and insulin spikes that can lead to fat storage and insulin resistance over time. Overeating stresses the body's ability to process nutrients, increasing fat storage regardless of diet composition. Managing total calorie intake and choosing whole, complex carbohydrates and unsaturated fats may help support metabolic health.
Effect of the_glycemic_index_of_the_diet_on_weight (2)AmineYahyaoui2
This randomized controlled trial assessed the effects of 3 iso-caloric energy-restricted diets with different glycemic indexes (GIs) on weight loss, satiety, inflammation, and metabolic risk factors in 122 overweight and obese adults over 6 months. The diets included: 1) a moderate-carbohydrate, low-GI diet (LGI); 2) a moderate-carbohydrate, high-GI diet (HGI); and 3) a low-fat, high-GI diet (LF). The results showed greater reductions in body mass index in the LGI group compared to the LF group. Fasting insulin, insulin resistance, and beta cell function also decreased more in the LGI group than the
Low-carbohydrate diets have been suggested to help treat diabetes, but multiple meta-analyses and studies have found them to be largely ineffective. Studies show little to no difference in weight loss, blood sugar levels, or other health factors between low-carb and higher-carb diets for diabetics. Low-carb diets also reduce satiety and are difficult for patients to maintain long-term. While carbohydrate counting in children with type 1 diabetes led to some improvements, it did not provide significant benefits and is not an effective overall treatment approach.
The effect of high-fat versus high-carb diet on body composition in strength-...RefoRefaat
Low-fat, high-carb (LFHC) and low-carb, high-fat (LCHF) diets change body composition as a consequence of the reduction of body fat of overweight persons. The
aim of this study is the assessment of the impact of LFHC and LCHF diets on body
composition of men of a healthy body mass who do strength sports while maintaining the appropriate calorific value in a diet and protein intake. The research involved
55 men aged 19–35, with an average BMI of 24.01 ± 1.17 (min. 20.1, max. 26.1). The
participants were divided into two groups following two interventional diets: highfat diet or high-carb diet, for 12 weeks. The body composition of the participants
2010 carbohydrate for weight and metabolic control- where do we standAgrin Life
This document reviews the evidence on carbohydrate intake for weight and metabolic control. It discusses how recommendations have generally advocated high carbohydrate intake but the prevalence of obesity and diabetes has still increased. Recent evidence suggests diets lower in carbohydrates and higher in unsaturated fats or protein may facilitate weight loss and improve health markers independent of weight loss. The document concludes that future studies are still needed to determine if diets with a more balanced macronutrient composition than currently recommended could better support weight and metabolic health.
A summary of a review on high-fructose corn syrup (HFCS). The sugars found in HFCS, are the same ones found in honey and table sugar, but in different ratios. HFCS takes the brunt of the criticism, but I'd argue it has more to do with the food it is found in, and the culture associated with those foods, and not the sugar itself. Moderation should be taken toward the addition of any form of sugar.
This document discusses the potential metabolic effects of three aspects of nutrition: saturated fats, refined carbohydrates, and overeating. It reviews research on how each can contribute to conditions like metabolic syndrome. Saturated fats may increase risk when consumed in excess, though their effects are complex and inconsistent in studies. Refined carbohydrates are easily digested, causing blood sugar and insulin spikes that can lead to fat storage and insulin resistance over time. Overeating stresses the body's ability to process nutrients, increasing fat storage regardless of diet composition. Managing total calorie intake and choosing whole, complex carbohydrates and unsaturated fats may help support metabolic health.
Effect of the_glycemic_index_of_the_diet_on_weight (2)AmineYahyaoui2
This randomized controlled trial assessed the effects of 3 iso-caloric energy-restricted diets with different glycemic indexes (GIs) on weight loss, satiety, inflammation, and metabolic risk factors in 122 overweight and obese adults over 6 months. The diets included: 1) a moderate-carbohydrate, low-GI diet (LGI); 2) a moderate-carbohydrate, high-GI diet (HGI); and 3) a low-fat, high-GI diet (LF). The results showed greater reductions in body mass index in the LGI group compared to the LF group. Fasting insulin, insulin resistance, and beta cell function also decreased more in the LGI group than the
Low-carbohydrate diets have been suggested to help treat diabetes, but multiple meta-analyses and studies have found them to be largely ineffective. Studies show little to no difference in weight loss, blood sugar levels, or other health factors between low-carb and higher-carb diets for diabetics. Low-carb diets also reduce satiety and are difficult for patients to maintain long-term. While carbohydrate counting in children with type 1 diabetes led to some improvements, it did not provide significant benefits and is not an effective overall treatment approach.
The effect of high-fat versus high-carb diet on body composition in strength-...RefoRefaat
Low-fat, high-carb (LFHC) and low-carb, high-fat (LCHF) diets change body composition as a consequence of the reduction of body fat of overweight persons. The
aim of this study is the assessment of the impact of LFHC and LCHF diets on body
composition of men of a healthy body mass who do strength sports while maintaining the appropriate calorific value in a diet and protein intake. The research involved
55 men aged 19–35, with an average BMI of 24.01 ± 1.17 (min. 20.1, max. 26.1). The
participants were divided into two groups following two interventional diets: highfat diet or high-carb diet, for 12 weeks. The body composition of the participants
1) A study divided participants into three groups - one following a low-carb diet plus daily chocolate, one following a low-carb diet only, and a control group.
2) Those in the chocolate group lost slightly more weight (3.2% vs 3.1%) and experienced greater improvements in well-being and biochemical measures than the low-carb only group.
3) While both low-carb groups lost weight steadily, the chocolate group gained slightly at first before losing more weight than the low-carb group in later weeks.
This document summarizes a randomized controlled trial that compared weight loss and metabolic outcomes after 2 years on a low-carbohydrate versus low-fat diet. 307 participants were assigned to either a low-carbohydrate diet with limited carbohydrate intake (20g/day for 3 months, then increasing) or a low-fat diet with limited calorie intake (1200-1800 kcal/day). Both diets were combined with behavioral treatment. At 2 years, weight loss was similar (around 7kg) between groups. The low-carbohydrate diet resulted in greater improvements in blood lipids but also more initial side effects. Long-term weight loss requires ongoing behavioral support regardless of diet.
This document summarizes a study that investigated the effects of altered milk protein treatments on satiety in healthy young adults. 32 participants were given one of four milk treatments or a placebo and measured their satiety levels before and after using visual analogue scales. The treatments varied the ratios of casein and whey proteins. The results found no significant differences in satiety levels between the treatment days for the 5 participants whose data was analyzed. The study was unable to provide strong evidence of a relationship between the altered milk protein treatments and satiety, and further research is needed.
This document analyzes the short-term benefits of the ketogenic diet (KD), such as fast weight loss and reduced blood lipids, versus the unknown long-term health outcomes. While initial studies show advantages of the KD, long-term consumption may lead to deficiencies. More research is needed to understand long-term effects, especially for average individuals not in disease states. The KD may not be a sustainable lifestyle change and could potentially cause psychological or physiological issues if maintained indefinitely.
FODMAPS, Put simply, FODMAPs are a collection of short-chain carbohydrates (sugars) that aren’t absorbed properly in the gut, which can trigger symptoms in people with IBS. FODMAPs are found naturally in many foods and food additives.
The Okinawa Flat Belly Tonic is a new one of a kind weight loss “tonic” supplement. It helps men and women burn fat fast using a simple 20-second Japanese tonic. IF THAT TONIC DOES NOT WORK AS GIVEN YOUR VALUABLE MONEY WILL REFUND WITH IMMEDIATE EFFECT.
04 May 2015Page 1 of 28ProQuestIntegrating Fundamental Conce.docxmercysuttle
04 May 2015
Page 1 of 28
ProQuest
Integrating Fundamental Concepts of Obesity and Eating Disorders: Implications for the Obesity Epidemic
Author: Macpherson-Sánchez, Ann E, EdD, MNS
ProQuest document link
Abstract: Physiological mechanisms promote weight gain after famine. Because eating disorders, obesity, and dieting limit food intake, they are famine-like experiences. The development of the concept of meeting an ideal weight was the beginning of increasing obesity. Weight stigma, the perception of being fat, lack of understanding of normal growth and development, and increased concern about obesity on the part of health providers, parents, and caregivers have reinforced each other to promote dieting. Because weight suppression and disinhibition provoke long-term weight increase, dieting is a major factor producing the obesity epidemic. The integrated eating disorder-obesity theory included in this article emphasizes that, contrary to dieters, lifetime weight maintainers depend on physiological processes to control weight and experience minimal weight change.
Links: Linking Service
Full text: Headnote
Physiological mechanisms promote weight gain after famine. Because eating disorders, obesity, and dieting limit food intake, they are famine-like experiences. The development of the concept of meeting an ideal weight was the beginning of increasing obesity. Weight stigma, the perception of being fat, lack of understanding of normal growth and development, and increased concern about obesity on the part of health providers, parents, and caregivers have reinforced each other to promote dieting. Because weight suppression and disinhibition provoke long-term weight increase, dieting is a major factor producing the obesity epidemic. The integrated eating disorder-obesity theory included in this article emphasizes that, contrary to dieters, lifetime weight maintainers depend on physiological processes to control weight and experience minimal weight change. (Am J Public Health. 2015;105:e71-e85. doi:10. 2105/AJPH.2014.302507)
Since 1960, the Centers for Disease Control and Prevention has done periodic surveys of representative samples of the US population, which include measured heights and weights.1 From the 1960 to 1962 to the 1976 to 1980 measurement periods, there was little change in population weight. However, the next survey (1988-1994) showed increases in body mass index (BMI; defined as weight in kilograms divided by the square of height in meters [kg/m2]) that were unanticipated and inexplicable.2 Most of the increase occurred in those with BMI of 30 or greater.3 In 2006, a prominent Centers for Disease Control and Prevention researcher expressed frustration with her incapacity to explain why this happened.2
Losing weight and recuperating from that weight loss is part of the biological heritage of every human being.4-6 However, in the past 70 years, self-induced famine (dieting to achieve and maintain a lower weight)7 became the socie ...
This pilot study assessed differences in body composition and response to a high protein liquid diet in obese adolescents with and without type 2 diabetes (T2D). 28 subjects were recruited, 19 obese without T2D and 9 obese with T2D. At baseline, the obese without T2D group had higher average body weight, fat percentage, and total fat mass than the obese with T2D group, though differences were not statistically significant due to small sample sizes. Following a 2-week high protein liquid diet, both groups saw reductions in fat mass, with average reductions of 1.4% for those without T2D and 1.2% for those with T2D. However, high dropout rates and noncompliance with
REVIEW Open AccessWeight Science Evaluating the Evidence .docxjoellemurphey
REVIEW Open Access
Weight Science: Evaluating the Evidence for a
Paradigm Shift
Linda Bacon1*, Lucy Aphramor2,3
Abstract
Current guidelines recommend that “overweight” and “obese” individuals lose weight through engaging in lifestyle
modification involving diet, exercise and other behavior change. This approach reliably induces short term weight
loss, but the majority of individuals are unable to maintain weight loss over the long term and do not achieve the
putative benefits of improved morbidity and mortality. Concern has arisen that this weight focus is not only
ineffective at producing thinner, healthier bodies, but may also have unintended consequences, contributing to
food and body preoccupation, repeated cycles of weight loss and regain, distraction from other personal health
goals and wider health determinants, reduced self-esteem, eating disorders, other health decrement, and weight
stigmatization and discrimination. This concern has drawn increased attention to the ethical implications of
recommending treatment that may be ineffective or damaging. A growing trans-disciplinary movement called
Health at Every Size (HAES) challenges the value of promoting weight loss and dieting behavior and argues for a
shift in focus to weight-neutral outcomes. Randomized controlled clinical trials indicate that a HAES approach is
associated with statistically and clinically relevant improvements in physiological measures (e.g., blood pressure,
blood lipids), health behaviors (e.g., eating and activity habits, dietary quality), and psychosocial outcomes (such as
self-esteem and body image), and that HAES achieves these health outcomes more successfully than weight loss
treatment and without the contraindications associated with a weight focus. This paper evaluates the evidence
and rationale that justifies shifting the health care paradigm from a conventional weight focus to HAES.
Introduction
Concern regarding “overweight” and “obesity” is reflected
in a diverse range of policy measures aimed at helping
individuals reduce their body mass index (BMI)1. Despite
attention from the public health establishment, a private
weight loss industry estimated at $58.6 billion annually in
the United States [1], unprecedented levels of body dissa-
tisfaction [2] and repeated attempts to lose weight [3,4],
the majority of individuals are unable to maintain weight
loss over the long term and do not achieve the putative
benefits of improved morbidity and mortality [5].
Concern has arisen that this weight focused paradigm is
not only ineffective at producing thinner, healthier
bodies, but also damaging, contributing to food and body
preoccupation, repeated cycles of weight loss and regain,
distraction from other personal health goals and wider
health determinants, reduced self-esteem, eating disor-
ders, other health decrement, and weight stigmatization
and discrimination [6-8]. As evidence-based competen-
cies are more firmly embedded in health practitioner
standa ...
An extensive literature review on Nutrigenetics -A new trajectory in obesity...nutritionistrepublic
Obesity is a multifactorial disease influenced by genes and environment. Various genes involved in appetite, metabolism, and fat storage have been identified that can cause differential responses to diet. Nutrigenetics examines how genetic variations affect the interaction between diet and disease, with the goal of developing personalized diets. One study found that patients who received nutrigenetic testing and were given a personalized diet based on their genetic profile lost more weight and better maintained reductions in BMI and blood glucose levels over time compared to a control group without genetic testing. While nutrigenetics shows promise for developing targeted weight loss strategies, challenges remain in fully characterizing gene-diet interactions and implementing testing in clinical practice.
This randomized controlled trial examined the effects of diet-induced weight loss, exercise-induced weight loss, exercise without weight loss, and a control group on obesity and related health factors in obese men over 3 months. It found that both diet-induced and exercise-induced weight loss groups lost approximately 7.5 kg (8%) of body weight, with greater total fat loss in the exercise group. Abdominal fat and insulin resistance decreased similarly in both weight loss groups. Exercise without weight loss reduced abdominal fat and prevented further weight gain, but did not change weight or insulin resistance.
This document summarizes a study assessing the impact of lifestyle interventions on men and women aged 24-50 with prediabetes in Mumbai, India. The study involved 35 participants who received nutritional education and were encouraged to increase physical activity and make healthier diet choices. Biochemical parameters, eating habits, and physical activity levels were measured before and after the 2-month intervention. The results showed reductions in fasting blood sugar, post-lunch blood sugar, consumption of fried and junk foods, and sweetened products. Physical activity levels increased. The nutritional education and lifestyle changes had a positive impact on the health of prediabetic participants.
Alicia Wong1
, Wan Chien Han1
, Elsie Low1
,
Chai Xiang Goh1
,
Siew Li Ng1
,
Lee Kuan Kwan1
Abstract: Diabetes-specific formulas have shown to be effective at improving glucose control with additional
nutritional benefits. Furthermore, diabetes-specific formulas are commonly used for diabetic patients with
insufficient oral intake. However, not much diabetes-specific formulas in the market shows the GI of these
formulas, which is clinically useful on glycemic control in patients with diabetes. The aim of this study was to
assess the GI of a newly developed diabetes-specific formula, Contro eazy NOW. The open labelled, single center
study involved 11 individuals from a pool of 18 healthy subjects. After an overnight fast, volunteers were given
Contro eazy NOW containing 50g of carbohydrate or the reference drink (glucolin) on different occasions in
random order. Postprandial blood glucose levels were measured in finger pricked capillary blood for two hours
after intake of the beverages and positive incremental area under the curve (AUC) was calculated for both Contro
eazy NOW and reference drink. The GI of Contro eazy NOW was determined by dividing AUC (Contro eazy
NOW) by the AUC (reference drink). The results show that the diabetes-specific formula has the GI of 38.4, which
is categorized as low GI. Therefore, Contro eazy NOW with low GI can be the preferred option for nutritional
management of diabetic patients in need of nutritional support.
Keywords: diabetes-specific formula, diabetes, low glycemic index, medical nutrition therapy.
A study found that 2,3-pentanedione (PD), an ingredient used to promote butter flavor in microwave popcorn, is a respiratory hazard that can also change gene expression in the brain. Researchers exposed rats to different concentrations of PD and found that 12-14 hours later, PD caused respiratory epithelial injury in the nose similar to diacetyl. PD exposure also caused cell death and apoptosis in the olfactory neuroepithelium and signs of neurotoxicity, including changes in expression of genes related to inflammation and growth in the brain.
Fructose Contributes To Metabolic SyndromePaulvitiello
The document discusses the negative health effects of fructose consumption, which has increased substantially with the rise of high fructose corn syrup. Studies in animals and humans link high fructose intake to obesity, insulin resistance, liver problems, heart disease, and other metabolic issues. In particular, fructose does not stimulate insulin or leptin in the same way as glucose, which can lead to overeating and weight gain over time. The evidence suggests fructose is a key driver of the obesity and diabetes epidemics affecting many countries.
Exercise or exercise and diet for preventing type 2 dmDiabetes for all
This Cochrane review summarizes evidence from eight randomized controlled trials that examined the effects of exercise alone or exercise combined with diet interventions on preventing type 2 diabetes in high-risk groups. The trials involved over 4,000 participants and lasted from one to six years. The review found that interventions combining exercise and diet reduced the relative risk of developing diabetes by 37% compared to standard recommendations. These interventions also had beneficial effects on weight, waist circumference, and blood pressure. However, more evidence is needed on the effects of exercise alone and on outcomes like diabetes-related morbidity, mortality, and quality of life.
This study aims to demonstrate the effect of sugar-sweetened beverages on childhood obesity by examining 210 children ages 4-10. The children will have their height, weight, and BMI measured to determine if they are overweight or obese. Guardians will complete a food frequency questionnaire to determine the children's sugar-sweetened beverage consumption. The researcher hypothesizes that higher consumption of sugar-sweetened beverages will be correlated with higher BMI. Statistical analysis will be used to determine if a significant relationship exists between sugar-sweetened beverage intake and childhood obesity.
This document discusses methods for analyzing starch in food. It begins with an introduction on the importance of measuring different types of starch, including rapidly digestible starch (RDS), slowly digestible starch (SDS), and resistant starch (RS). It then describes the colorimetry and high-performance liquid chromatography methods for measuring these starch fractions. The document provides details on reagents, apparatus, sample preparation, calculations, and quality control procedures. It also discusses validating the methods and comparing the methods to other starch measurement techniques.
This study examined the effects of consuming probiotic yogurt on serum cholesterol levels in 46 individuals with hypercholesterolemia in Shiraz, Iran. The participants were divided into two groups, with one group consuming 300g per day of probiotic yogurt containing Lactobacillus acidophilus and Bifidobacteria, and the other consuming regular yogurt, over two 6-week periods. Blood samples analyzed before and after each period found that consumption of probiotic yogurt significantly reduced LDL ("bad") cholesterol levels compared to regular yogurt. Additionally, probiotic yogurt reduced total cholesterol and increased HDL ("good") cholesterol, though not significantly. The results suggest that probiotic bacteria like L. acidophilus and Bifidobacteria can
Answer the following questions in a minimum of 1-2 paragraphs ea.docxSHIVA101531
Answer the following questions in a minimum of
1-2 paragraphs
each. Be sure to explain your answers and give reasons for your views.
When you talk about the meaning of life, which sense of the term do you use-- external meaning or internal meaning?
What bearing, if any, does the ephemeral nature of our existence have on the question of whether life has meaning? Does the fact that we die negate the possibility of meaning in life?
Is Schopenhauer right about the meaninglessness of life? Does the wretchedness of our existence show that life has no meaning?
Note:
All journal entries must be submitted as attachments (
in Microsoft Word format
) in order to generate an originality report.
.
Answer the following questions using scholarly sources as references.docxSHIVA101531
Answer the following questions using scholarly sources as references. Add references at the end of the page.
Answer each question with at least 300 words counter.
1.What is your assessment of Frantz Fanon's argument that “The wealth of the imperialist nations is also our wealth”? Do you believe "developed nations" owe some form of reparations to colonized peoples?
2.How would you account for revolutionaries in Spain such as the CNT and FAI having more success than in other European countries leading up to 1936?
3.How you can you account for the outcome of the Russian Revolution?
4.Why do you think that acts of violence against tyrannical leaders in the era did not inspire the masses to rise up in revolution?
.
More Related Content
Similar to Lowndes et al. Nutrition Journal 2012, 1155httpwww.nutri.docx
1) A study divided participants into three groups - one following a low-carb diet plus daily chocolate, one following a low-carb diet only, and a control group.
2) Those in the chocolate group lost slightly more weight (3.2% vs 3.1%) and experienced greater improvements in well-being and biochemical measures than the low-carb only group.
3) While both low-carb groups lost weight steadily, the chocolate group gained slightly at first before losing more weight than the low-carb group in later weeks.
This document summarizes a randomized controlled trial that compared weight loss and metabolic outcomes after 2 years on a low-carbohydrate versus low-fat diet. 307 participants were assigned to either a low-carbohydrate diet with limited carbohydrate intake (20g/day for 3 months, then increasing) or a low-fat diet with limited calorie intake (1200-1800 kcal/day). Both diets were combined with behavioral treatment. At 2 years, weight loss was similar (around 7kg) between groups. The low-carbohydrate diet resulted in greater improvements in blood lipids but also more initial side effects. Long-term weight loss requires ongoing behavioral support regardless of diet.
This document summarizes a study that investigated the effects of altered milk protein treatments on satiety in healthy young adults. 32 participants were given one of four milk treatments or a placebo and measured their satiety levels before and after using visual analogue scales. The treatments varied the ratios of casein and whey proteins. The results found no significant differences in satiety levels between the treatment days for the 5 participants whose data was analyzed. The study was unable to provide strong evidence of a relationship between the altered milk protein treatments and satiety, and further research is needed.
This document analyzes the short-term benefits of the ketogenic diet (KD), such as fast weight loss and reduced blood lipids, versus the unknown long-term health outcomes. While initial studies show advantages of the KD, long-term consumption may lead to deficiencies. More research is needed to understand long-term effects, especially for average individuals not in disease states. The KD may not be a sustainable lifestyle change and could potentially cause psychological or physiological issues if maintained indefinitely.
FODMAPS, Put simply, FODMAPs are a collection of short-chain carbohydrates (sugars) that aren’t absorbed properly in the gut, which can trigger symptoms in people with IBS. FODMAPs are found naturally in many foods and food additives.
The Okinawa Flat Belly Tonic is a new one of a kind weight loss “tonic” supplement. It helps men and women burn fat fast using a simple 20-second Japanese tonic. IF THAT TONIC DOES NOT WORK AS GIVEN YOUR VALUABLE MONEY WILL REFUND WITH IMMEDIATE EFFECT.
04 May 2015Page 1 of 28ProQuestIntegrating Fundamental Conce.docxmercysuttle
04 May 2015
Page 1 of 28
ProQuest
Integrating Fundamental Concepts of Obesity and Eating Disorders: Implications for the Obesity Epidemic
Author: Macpherson-Sánchez, Ann E, EdD, MNS
ProQuest document link
Abstract: Physiological mechanisms promote weight gain after famine. Because eating disorders, obesity, and dieting limit food intake, they are famine-like experiences. The development of the concept of meeting an ideal weight was the beginning of increasing obesity. Weight stigma, the perception of being fat, lack of understanding of normal growth and development, and increased concern about obesity on the part of health providers, parents, and caregivers have reinforced each other to promote dieting. Because weight suppression and disinhibition provoke long-term weight increase, dieting is a major factor producing the obesity epidemic. The integrated eating disorder-obesity theory included in this article emphasizes that, contrary to dieters, lifetime weight maintainers depend on physiological processes to control weight and experience minimal weight change.
Links: Linking Service
Full text: Headnote
Physiological mechanisms promote weight gain after famine. Because eating disorders, obesity, and dieting limit food intake, they are famine-like experiences. The development of the concept of meeting an ideal weight was the beginning of increasing obesity. Weight stigma, the perception of being fat, lack of understanding of normal growth and development, and increased concern about obesity on the part of health providers, parents, and caregivers have reinforced each other to promote dieting. Because weight suppression and disinhibition provoke long-term weight increase, dieting is a major factor producing the obesity epidemic. The integrated eating disorder-obesity theory included in this article emphasizes that, contrary to dieters, lifetime weight maintainers depend on physiological processes to control weight and experience minimal weight change. (Am J Public Health. 2015;105:e71-e85. doi:10. 2105/AJPH.2014.302507)
Since 1960, the Centers for Disease Control and Prevention has done periodic surveys of representative samples of the US population, which include measured heights and weights.1 From the 1960 to 1962 to the 1976 to 1980 measurement periods, there was little change in population weight. However, the next survey (1988-1994) showed increases in body mass index (BMI; defined as weight in kilograms divided by the square of height in meters [kg/m2]) that were unanticipated and inexplicable.2 Most of the increase occurred in those with BMI of 30 or greater.3 In 2006, a prominent Centers for Disease Control and Prevention researcher expressed frustration with her incapacity to explain why this happened.2
Losing weight and recuperating from that weight loss is part of the biological heritage of every human being.4-6 However, in the past 70 years, self-induced famine (dieting to achieve and maintain a lower weight)7 became the socie ...
This pilot study assessed differences in body composition and response to a high protein liquid diet in obese adolescents with and without type 2 diabetes (T2D). 28 subjects were recruited, 19 obese without T2D and 9 obese with T2D. At baseline, the obese without T2D group had higher average body weight, fat percentage, and total fat mass than the obese with T2D group, though differences were not statistically significant due to small sample sizes. Following a 2-week high protein liquid diet, both groups saw reductions in fat mass, with average reductions of 1.4% for those without T2D and 1.2% for those with T2D. However, high dropout rates and noncompliance with
REVIEW Open AccessWeight Science Evaluating the Evidence .docxjoellemurphey
REVIEW Open Access
Weight Science: Evaluating the Evidence for a
Paradigm Shift
Linda Bacon1*, Lucy Aphramor2,3
Abstract
Current guidelines recommend that “overweight” and “obese” individuals lose weight through engaging in lifestyle
modification involving diet, exercise and other behavior change. This approach reliably induces short term weight
loss, but the majority of individuals are unable to maintain weight loss over the long term and do not achieve the
putative benefits of improved morbidity and mortality. Concern has arisen that this weight focus is not only
ineffective at producing thinner, healthier bodies, but may also have unintended consequences, contributing to
food and body preoccupation, repeated cycles of weight loss and regain, distraction from other personal health
goals and wider health determinants, reduced self-esteem, eating disorders, other health decrement, and weight
stigmatization and discrimination. This concern has drawn increased attention to the ethical implications of
recommending treatment that may be ineffective or damaging. A growing trans-disciplinary movement called
Health at Every Size (HAES) challenges the value of promoting weight loss and dieting behavior and argues for a
shift in focus to weight-neutral outcomes. Randomized controlled clinical trials indicate that a HAES approach is
associated with statistically and clinically relevant improvements in physiological measures (e.g., blood pressure,
blood lipids), health behaviors (e.g., eating and activity habits, dietary quality), and psychosocial outcomes (such as
self-esteem and body image), and that HAES achieves these health outcomes more successfully than weight loss
treatment and without the contraindications associated with a weight focus. This paper evaluates the evidence
and rationale that justifies shifting the health care paradigm from a conventional weight focus to HAES.
Introduction
Concern regarding “overweight” and “obesity” is reflected
in a diverse range of policy measures aimed at helping
individuals reduce their body mass index (BMI)1. Despite
attention from the public health establishment, a private
weight loss industry estimated at $58.6 billion annually in
the United States [1], unprecedented levels of body dissa-
tisfaction [2] and repeated attempts to lose weight [3,4],
the majority of individuals are unable to maintain weight
loss over the long term and do not achieve the putative
benefits of improved morbidity and mortality [5].
Concern has arisen that this weight focused paradigm is
not only ineffective at producing thinner, healthier
bodies, but also damaging, contributing to food and body
preoccupation, repeated cycles of weight loss and regain,
distraction from other personal health goals and wider
health determinants, reduced self-esteem, eating disor-
ders, other health decrement, and weight stigmatization
and discrimination [6-8]. As evidence-based competen-
cies are more firmly embedded in health practitioner
standa ...
An extensive literature review on Nutrigenetics -A new trajectory in obesity...nutritionistrepublic
Obesity is a multifactorial disease influenced by genes and environment. Various genes involved in appetite, metabolism, and fat storage have been identified that can cause differential responses to diet. Nutrigenetics examines how genetic variations affect the interaction between diet and disease, with the goal of developing personalized diets. One study found that patients who received nutrigenetic testing and were given a personalized diet based on their genetic profile lost more weight and better maintained reductions in BMI and blood glucose levels over time compared to a control group without genetic testing. While nutrigenetics shows promise for developing targeted weight loss strategies, challenges remain in fully characterizing gene-diet interactions and implementing testing in clinical practice.
This randomized controlled trial examined the effects of diet-induced weight loss, exercise-induced weight loss, exercise without weight loss, and a control group on obesity and related health factors in obese men over 3 months. It found that both diet-induced and exercise-induced weight loss groups lost approximately 7.5 kg (8%) of body weight, with greater total fat loss in the exercise group. Abdominal fat and insulin resistance decreased similarly in both weight loss groups. Exercise without weight loss reduced abdominal fat and prevented further weight gain, but did not change weight or insulin resistance.
This document summarizes a study assessing the impact of lifestyle interventions on men and women aged 24-50 with prediabetes in Mumbai, India. The study involved 35 participants who received nutritional education and were encouraged to increase physical activity and make healthier diet choices. Biochemical parameters, eating habits, and physical activity levels were measured before and after the 2-month intervention. The results showed reductions in fasting blood sugar, post-lunch blood sugar, consumption of fried and junk foods, and sweetened products. Physical activity levels increased. The nutritional education and lifestyle changes had a positive impact on the health of prediabetic participants.
Alicia Wong1
, Wan Chien Han1
, Elsie Low1
,
Chai Xiang Goh1
,
Siew Li Ng1
,
Lee Kuan Kwan1
Abstract: Diabetes-specific formulas have shown to be effective at improving glucose control with additional
nutritional benefits. Furthermore, diabetes-specific formulas are commonly used for diabetic patients with
insufficient oral intake. However, not much diabetes-specific formulas in the market shows the GI of these
formulas, which is clinically useful on glycemic control in patients with diabetes. The aim of this study was to
assess the GI of a newly developed diabetes-specific formula, Contro eazy NOW. The open labelled, single center
study involved 11 individuals from a pool of 18 healthy subjects. After an overnight fast, volunteers were given
Contro eazy NOW containing 50g of carbohydrate or the reference drink (glucolin) on different occasions in
random order. Postprandial blood glucose levels were measured in finger pricked capillary blood for two hours
after intake of the beverages and positive incremental area under the curve (AUC) was calculated for both Contro
eazy NOW and reference drink. The GI of Contro eazy NOW was determined by dividing AUC (Contro eazy
NOW) by the AUC (reference drink). The results show that the diabetes-specific formula has the GI of 38.4, which
is categorized as low GI. Therefore, Contro eazy NOW with low GI can be the preferred option for nutritional
management of diabetic patients in need of nutritional support.
Keywords: diabetes-specific formula, diabetes, low glycemic index, medical nutrition therapy.
A study found that 2,3-pentanedione (PD), an ingredient used to promote butter flavor in microwave popcorn, is a respiratory hazard that can also change gene expression in the brain. Researchers exposed rats to different concentrations of PD and found that 12-14 hours later, PD caused respiratory epithelial injury in the nose similar to diacetyl. PD exposure also caused cell death and apoptosis in the olfactory neuroepithelium and signs of neurotoxicity, including changes in expression of genes related to inflammation and growth in the brain.
Fructose Contributes To Metabolic SyndromePaulvitiello
The document discusses the negative health effects of fructose consumption, which has increased substantially with the rise of high fructose corn syrup. Studies in animals and humans link high fructose intake to obesity, insulin resistance, liver problems, heart disease, and other metabolic issues. In particular, fructose does not stimulate insulin or leptin in the same way as glucose, which can lead to overeating and weight gain over time. The evidence suggests fructose is a key driver of the obesity and diabetes epidemics affecting many countries.
Exercise or exercise and diet for preventing type 2 dmDiabetes for all
This Cochrane review summarizes evidence from eight randomized controlled trials that examined the effects of exercise alone or exercise combined with diet interventions on preventing type 2 diabetes in high-risk groups. The trials involved over 4,000 participants and lasted from one to six years. The review found that interventions combining exercise and diet reduced the relative risk of developing diabetes by 37% compared to standard recommendations. These interventions also had beneficial effects on weight, waist circumference, and blood pressure. However, more evidence is needed on the effects of exercise alone and on outcomes like diabetes-related morbidity, mortality, and quality of life.
This study aims to demonstrate the effect of sugar-sweetened beverages on childhood obesity by examining 210 children ages 4-10. The children will have their height, weight, and BMI measured to determine if they are overweight or obese. Guardians will complete a food frequency questionnaire to determine the children's sugar-sweetened beverage consumption. The researcher hypothesizes that higher consumption of sugar-sweetened beverages will be correlated with higher BMI. Statistical analysis will be used to determine if a significant relationship exists between sugar-sweetened beverage intake and childhood obesity.
This document discusses methods for analyzing starch in food. It begins with an introduction on the importance of measuring different types of starch, including rapidly digestible starch (RDS), slowly digestible starch (SDS), and resistant starch (RS). It then describes the colorimetry and high-performance liquid chromatography methods for measuring these starch fractions. The document provides details on reagents, apparatus, sample preparation, calculations, and quality control procedures. It also discusses validating the methods and comparing the methods to other starch measurement techniques.
This study examined the effects of consuming probiotic yogurt on serum cholesterol levels in 46 individuals with hypercholesterolemia in Shiraz, Iran. The participants were divided into two groups, with one group consuming 300g per day of probiotic yogurt containing Lactobacillus acidophilus and Bifidobacteria, and the other consuming regular yogurt, over two 6-week periods. Blood samples analyzed before and after each period found that consumption of probiotic yogurt significantly reduced LDL ("bad") cholesterol levels compared to regular yogurt. Additionally, probiotic yogurt reduced total cholesterol and increased HDL ("good") cholesterol, though not significantly. The results suggest that probiotic bacteria like L. acidophilus and Bifidobacteria can
Similar to Lowndes et al. Nutrition Journal 2012, 1155httpwww.nutri.docx (20)
Answer the following questions in a minimum of 1-2 paragraphs ea.docxSHIVA101531
Answer the following questions in a minimum of
1-2 paragraphs
each. Be sure to explain your answers and give reasons for your views.
When you talk about the meaning of life, which sense of the term do you use-- external meaning or internal meaning?
What bearing, if any, does the ephemeral nature of our existence have on the question of whether life has meaning? Does the fact that we die negate the possibility of meaning in life?
Is Schopenhauer right about the meaninglessness of life? Does the wretchedness of our existence show that life has no meaning?
Note:
All journal entries must be submitted as attachments (
in Microsoft Word format
) in order to generate an originality report.
.
Answer the following questions using scholarly sources as references.docxSHIVA101531
Answer the following questions using scholarly sources as references. Add references at the end of the page.
Answer each question with at least 300 words counter.
1.What is your assessment of Frantz Fanon's argument that “The wealth of the imperialist nations is also our wealth”? Do you believe "developed nations" owe some form of reparations to colonized peoples?
2.How would you account for revolutionaries in Spain such as the CNT and FAI having more success than in other European countries leading up to 1936?
3.How you can you account for the outcome of the Russian Revolution?
4.Why do you think that acts of violence against tyrannical leaders in the era did not inspire the masses to rise up in revolution?
.
Answer the following questions about this case studyClient .docxSHIVA101531
Answer the following questions about this case study:
Client with Pneumonia
Mr Edwards is a 75 yr old man who has a history of chronic obstructive pulmonary disease for the last two years. He continues to smoke ½ pack of cigarettes a day and does not participate in any exercise regimen and must do self-care activities slowly because of fatigue. He does not see any reason to increase his fluid intake. Presently, he is admitted for right upper lobe pneumonia and reports having an intermittent cough that produces thick, yellow sputum. He has more episodes of coughing when lying flat. He is married and his wife, Kathy is at his bedside.
Assessment
Mr Edwards SpO2 ranges from 78%-84%, and currently this am is 84%. His other vital signs are T 101.4F, HR 102/min, RR 30/min, BP 130/90mmHg. He is chilled and has had some diaphoresis. He reports that his ribs are sore and that his mouth is dry. Upon inspection, Mr Edwards mucous membranes are dry, as is his skin. Crackles are auscultated in the lower lobes bilaterally. His sputum is thick, and a yellow to yellow green in color. His health care provider has told him that if he gradually increases his exercise, drinks more fluids and stops smoking, his respiratory status will improve. He is lying in a semi-fowlers position in bed.
What relevant assessment data would you cluster to support a nursing diagnosis?
What priority nursing diagnosis would you identify for this patient? List five and give both Problem focused and Risk for nursing diagnoses.
What short term goal would you identify for the priority nursing diagnosis you identified? What long term goal would you identify?
List all the nursing interventions that you would perform for identified goals and nursing diagnosis. Give a rationale for each.
If you implemented all of the identified interventions, how would you evaluate that your interventions were successful and that the goals were met?
.
Answer the following questions using art vocabulary and ideas from L.docxSHIVA101531
Answer the following questions using art vocabulary and ideas from Lectures 2, 3, & 4 and Chapter 2 in your textbook. Please make
sure each answer is thoughtful, edited for grammar and spelling errors, and
at least
4-5
COMPLETE
sentences. Also, be as
specific as possible and
use examples to support EVERY statement. Write your answers in your own words (not taken
directly from your readings or outside resources).
A grading rubric is attached to this assignment.
**When answering the questions/prompts below,
write in PARAGRAPH FORM
(while making sure each question is addressed in your paragraph).
**Copy the photos of the artworks and the questions BEFORE each paragraph answer.
PROMPTS
:
1.
-Is Henri Matisse's 1947 print,
Icarus
,
an example of Representational Art, Abstracted Art, or Non-Representational Art? Explain your reasoning.
-Describe the use of
SHAPE
in Henri Matisse's 1947 print,
Icarus
. Are the shapes organic or geometric? Which ones? Describe how the shapes interact, or "touch" each other. Are the edges of the shapes soft or hard? Do they bump, blend, or overlap?
-Which theme(s) best describe the content of Matisse's
Icarus
?
Support your answers with specific examples from the painting.
2.
-Is Kathe Kollwitz' 1903 etching,
Mother with Dead Child
an example of Representational Art, Abstracted Art, or Non-Representational Art? Explain your reasoning.
-Describe the use of
LINE
in this print. What types of line (geometric, organic, implied) are present? What do you believe these lines express? Are there any contour lines? Hatching or cross-hatching? Where? In what direction(s) do the lines move?
-Which theme(s) best describe the content of Kollwitz'
Mother with Dead Child?
Support your answers with specific examples from the etching.
3.
-Is the
Colossal 8-feet-tall Olmec Head
(1500-300 BCE) an example of Representational Art, Abstracted Art, or Non-Representational Art? Explain your reasoning.
-Describe the
FORM/MASS
of the Olmec Head. Address the size, density, material(s) used, and how it may have interacted with it's original location.
-Is the sculpture an example of
Closed Form
or
Open Form
? Explain your answer.
-Which theme(s) best describe the content of the Olmec Heads? Support your answers with specific examples from the sculpture.
4.
-Is Jan van Eyck's 1434 oil painting,
The Arnolfi Portrait
,
an example of Representational Art, Abstracted Art, or Non-Representational Art? Explain your reasoning.
-Discuss the use of
TEXTURE
in van Eyck's painting. Does the work have actual/tactile texture, visual/simulated texture, or a combination of both? Explain your answer.
-Which theme(s) best describe the content of van Eyck's
The Arnolfi Portrait
? Support your answers with specific examples from the painting.
5.
Is George Caleb Bingham's 1845 painting,
Fur Traders Descending the Missouri
, an example of Representational Art, Abstracted Art, or Non-Represen.
Answer the following questions in a total of 3 pages (900 words). My.docxSHIVA101531
Answer the following questions in a total of 3 pages (900 words). My budget is between $50-60. Deadline is 5 hours
What, in your opinion, are the salient attributes of indigenous African religious cultures?
Do you feel western scholars were justified in tagging negative labels on African religions?
Would you say African religions are polytheistic because of the belief in numerous deities?
Describe the Core Elements of Yoruba or Fon Cosmology
.
Answer the following questions No single word responses (at lea.docxSHIVA101531
Answer the following questions: No single word responses (at least 70+ words in each response)
Give the questions some thought and answer honestly
1. What is happening?
2. What issues does it raise?
3. What emotions come to your awareness?
4. What implications does it have for how we practice?
.
Answer the following questions based on the ethnography Dancing Skel.docxSHIVA101531
Answer the following questions based on the ethnography Dancing Skeletons. It is not necessary to write
an essay, but do engage the questions at a thoughtful level. Be sure to answer the question thoroughly as
each has several parts and use examples from the ethnography.
1. Why is it important for an anthropologist to be able to speak the local language? What
advantages did the author enjoy because of her language ability? What difficulties ensue when a
researcher is not able to speak the local language? If all contact with the population is through an
interpreter, what sorts of bias might arise in the data collection?
2. What was the outcome of the author’s visit to #104’s compound? What had happened to the
child since her last visit several years earlier? Why did the author use numbers to refer to people
in her study, instead of their names? Do you think it was right for Dettwyler to intervene in the
case of child #104, or should anthropologists just study people in other cultures and endeavor to
have as little impact on them as possible? Is it possible to conduct anthropological research
without having some effect on the people you study?
3. How do the medical resources of Magnambougou compare to those available in the United
States? What are the main diseases children in Mali must contend with?
4. Using female circumcision as the focus, discuss the concept of cultural relativism as used by
anthropologists. Even though we may understand the beliefs behind the practice, does cultural
relativism compel us to approve of female circumcision? What are some of the rationales
provided by cultures that practice female circumcision? What was Agnes’s attitude (Chapter 3)
when she found out that neither the author nor her daughter had been, or where intending to be
circumcised?
5. Aminata’s parents could see that she was very skinny even though she ate a lot of food.
“Everyone knows that you can eat a lot and still be skinny” (Dettwyler 1994: 44). How do
observations such as these contribute to the belief among some Malians that food intake and
health are not related?
Essay and Homework Requirements:
• Minimum of 2 typed pages of your writing (not including heading or prompt)
• 12 point font size
• 1 inch margins on all sides
• Double-spaced throughout
• Spell-checked, grammar-checked
.
Answer the following questions to the best of your ability1) De.docxSHIVA101531
Answer the following questions to the best of your ability:
1) Describe Native America societies prior to European contact. What are some examples of how their civilizations varied by region across North and South America?
2) What was the Columbian Exchange? Give at least 5 examples,
(be specific with details)
. What are some effects this had on both the Old and New Worlds?
3) Briefly describe the relationship between Powhatan and the English colonists of Virginia Colony in the 17thcentury. How did they help one another? How did they oppose one another?
4) Refer to the website below on the
Mayflower Compact, 1620
. What do the writers claim their purpose was in founding a colony (Plymouth)? What do the writers claim is their purpose in establishing this charter?
*copy/paste into your browser to answer the questions above:
https://avalon.law.yale.edu/17th_century/mayflower.asp
5) What was the major cash crop of the English colonies around the Chesapeake Bay (e.g., Virginia and Maryland)? What unfree laborers primarily worked that crop for wealthier landowners in the 17th century? What unfree laborers were the predominant labor force on plantations as the 18th century wore on?
6) Describe the First and Second Great Awakenings. What were some similarities between those movements? What were some differences?
7) What are at least 4 factors that led to the American Revolution? Briefly describe each one.
8) Describe the influence of Enlightenment ideals on the Constitution? What were three (3) major compromises that were necessary to gain enough support to ratify the Constitution
(describe them)
?
9) What was the “Revolution of 1800” and why is it important, even today?
10) What was the Louisiana Purchase? Give three examples of long-term consequences of the US acquiring that territory?
11) Throughout the 17th, 18th, and 19th centuries, what are some of the ways in which American Indian peoples interacted with European (and later, American) settlers? What were some of the strategies which American Indian tribes used to navigate European and US expansion?
12) Describe the difference between northern and southern states in the US between 1800 and 1850. What were some of their defining characteristics?
13) What factors prompted the South to secede from the United States in 1860/1861? What was Pres. Lincoln’s response? What were 3 consequences of the Civil War?
14) Describe Reconstruction. Did it work (how and/or how not)?
.
Answer the following questionDo you think it is necessary to .docxSHIVA101531
Answer the following question:
Do you think it is necessary to create a different law to serve minors who violate the law or should they be processed in the same way that adults are processed? Explain.
**Arguments in response to the question must be supported by at least two academic sources.**
Essay ( 1-3 pages)
.
Answer the following question. Use facts and examples to support.docxSHIVA101531
Answer the following question. Use facts and examples to support your answer. Use APA style for any references.
Due June 14, 11:59 p.m. EST
Using Figure 5.4 as the target architecture, who are the threat agents who will be most interested in attacking Web applications created through AppMaker?
.
Answer the bottom questions in apa format and decent answer no shor.docxSHIVA101531
Answer the bottom questions in apa format and decent answer no short answer please.
Subaru's Sales Boom Thanks to the Weaker Yen For the Japanese carmaker Subaru, a sharp fall in the value of yen against the U.S. dollar has turned a problem—the lack of U.S. production—into an unexpected sales boom. Subaru, which is a niche player in the global auto industry, has long bucked the trend among its Japanese rivals of establishing significant manufacturing facilities in the North American market. Instead, the company has chosen to concentrate most of its manufacturing in Japan in order to achieve economies of scale at its home plants, exporting its production to the United States. Subaru still makes 80 percent of its vehicles at home, compared with 21 percent for Honda. Back in 2012, this strategy was viewed as something of a liability. In those days, one U.S. dollar bought only 80 Japanese yen. The strong yen meant that Subaru cars were being priced out of the U.S. market. Japanese companies like Honda and Toyota, which had substantial production in the United States, gained business at Subaru's expense. But from 2012 onward, with Japan mired in recession and consumer prices falling, the country's central bank repeatedly cut interest rates in an attempt to stimulate the economy. As interest rates fell in Japan, investors moved money out of the country, selling yen and buying the U.S. dollar. They used those dollars to invest in U.S. stocks and bonds where they anticipated a greater return. As a consequence, the price of yen in terms of dollars fell. By December 2015, one dollar bought 120 yen, representing a 50 percent fall in the value of the yen against the U.S. dollar since 2012. For Subaru, the depreciation in the value of the yen has given it a pricing advantage and driven a sales boom. Demand for Subaru cars in the United States has been so strong that the automaker has been struggling to keep up. The profits of Subaru's parent company, Fuji Heavy Industries, have surged. In February 2015, Fuji announced that it would earn record operating profits of around ¥410 billion ($3.5 billion) for the financial year ending March 2015. Subaru's profit margin has increased to 14.4 percent, compared with 5.6 percent for Honda, a company that is heavily dependent on U.S. production. The good times continued in 2015, with Subaru posting record profits in the quarter ending December 31, 2015. Despite its current pricing advantage, Subaru is moving to increase its U.S. production. It plans to expand its sole plant in the United States, in Indiana, by March 2017, with a goal of making 310,000 a year, up from 200,000 currently. When asked why it is doing this, Subaru's management notes that the yen will not stay weak against the dollar forever, and it is wise to expand local production as a hedge against future increases in the value of the yen. Indeed, when the Bank of Japan decided to set a key interest rate below zero in early February 2016, the yen .
Answer the following below using the EXCEL attachment. chapter 5.docxSHIVA101531
This document requests that someone answer Excel exercise questions from chapter 5, including questions 9 through 12. It also asks the person to post at least two points they learned from the questions and two additional questions they have. Finally, it mentions completing an appendix exercise question from chapter 5.
Answer the following prompts about A Germanic People Create a Code .docxSHIVA101531
Answer the following prompts about “A Germanic People Create a Code of Law” on pgs. 104-108 from the
Sources of
World Societies: Volume 1: To 1600
book. your answer should include one original question that you have about the readings.
1. Compare and contrast this law code with the Twelve Tables and the Code of Hammurabi.
2. Where do you see major similarities, and differences?
3. Of the three codes, which would you prefer to live under, and why?
.
Answer the following discussion board question below minumun 25.docxSHIVA101531
Answer the following discussion board question below: minumun 250 words in total.
[1] How did the attempted impeachment of President Clinton come about? What do you think about this attempt at impeachment and the surrounding controversies and circumstances?
[2] What parallels, if any, do you see between the impeachment efforts against President Clinton and those today against President Trump? Are they comparable or completely different, in your view? Explain.
.
Answer the following questions about IT Project Management. What.docxSHIVA101531
Answer the following questions about IT Project Management.
What is a project, and what are its main attributes? How is a project different from what most people do in their day-to-day jobs? Discuss the importance of top management commitment and the development of standards for successful project management. Provide examples to illustrate the importance of these items based on your experience on any type of project. Discuss the unique challenges that an IT project presents.
.
Answer the following in at least 100 words minimum each1.Of.docxSHIVA101531
Answer the following in at least 100 words minimum each:
1.Often times we will see data that goes up and down and doesn’t appear to be moving at a steady rate in either direction. Can we draw any conclusion from data like that?
2.
Time series and future prediction of value is something that many of you likely deal with at work. You may see the type of future prediction in a retirement or investment account on a personal level. When would this type of analysis be important in your industry?
.
Answer the following questions(at least 200 words) and responses 2 p.docxSHIVA101531
Answer the following questions(at least 200 words) and responses 2 posts(not word limitation):
Should the federal, state, or local governments pass legislation that requires organizations to offer voluntary benefits? Why or why not?
You need to find a source and make reference
.
Answer the following questions in a Word document and upload it by M.docxSHIVA101531
Answer the following questions in a Word document and upload it by March 19. Answers should be one paragraph each.
1. What arguments can you provide to show there is or is not political bias in the media?
2. Do you feel that the existence of Wikileaks helps or undermines America's national security?
3. Why do you feel that polling errors occur in gathering data on Presidential elections?
4. Do you feel the Fairness Doctrine was justified, or do you feel it was right to repeal it?
5. Is the rise of digital citizenship a good or bad thing for the media?
.
Answer the following questions in complete sentences. Each answer sh.docxSHIVA101531
This document contains two questions about the emergence and economic policies of communism in Russia and China. It asks how communism emerged in each country, noting both the similarities and differences between the two processes. It also asks about the main economic policies pursued by communist regimes, and their degrees of success and failure. Responses to each question should be one or two paragraphs with examples and quotes from the textbook.
ANSWER THE DISCUSSION QUESTION 250 WORDS MINDiscussion Q.docxSHIVA101531
**ANSWER THE DISCUSSION QUESTION 250 WORDS MIN**
Discussion Questions:
How should the United States government deal with the heightened concern about homegrown violent extremism and the growing concern for the preservation of civil liberties? What are the political and constitutional consequences of counter-terrorism? Lastly, how do we assess the tradeoffs between freedom and security?
***REPLY TO EACH POST 100 WORDS MIN EACH***
1. The United States government will always have to face the homegrown violent extremist because with the internet alone people are able to research just about anything and find their answers. The civil liberties are being violated because you have FBI and CIA looking into what people on doing on the webs. I personally believe that you gave up the right when you decided to goggle whatever it is you’re looking up. It’s also like social media site take Facebook for example people are willing to give up their rights so they can be on Facebook and be able to look or post whatever they want. But just like ever website the owner of that site has a right to delete what they don’t want on it as well. So why can’t the FBI/CIA look into and potentially stop a homegrown extremist from attacking the nation or even just attacking schools, churches, and retail stores like the mall or Wal-Mart. All these locations have had attacks from violent extremist when if they were being watched or monitored those attacks could have been stopped or at least less death could have occurred. From a political and constitutional stand point, consequences of counter-terrorism can vary. I political stand is to protect and preserve the freedom for the people. Protecting one’s Constitutional rights depends on what the politician’s plans on policies and procedures that could begin to take away those civil rights that were granted and give people the sense of freedom that the nation is built on. Policies and procedures can change everything take the mask wearing and social distancing for Covid-19, you have the people that are okay with it all and are following the rules but then you have the ones that have been protesting or fighting people over the fact that they don’t want to wear a mask. To me personally it’s simple to wear a mask but to others it’s a reason of rights being taken away by mandating it. Working for the military and DHS I personally don’t see freedom and security as a tradeoff. If agencies do their jobs correctly and protect the United States and National Security then freedom wouldn’t be at stake. I believe in freedom but the security measures in place are to help protect that freedom, without the security measures the nation would be under attack like 9/11 or worse.
2. The internal terrorist threat in the United States is operational and complicated, with continuing threats from extreme left- and right-wing extremist groups and radicalization and recruitment efforts by international terrorist groups. Since Sept/11, our.
Elevate Your Nonprofit's Online Presence_ A Guide to Effective SEO Strategies...TechSoup
Whether you're new to SEO or looking to refine your existing strategies, this webinar will provide you with actionable insights and practical tips to elevate your nonprofit's online presence.
Andreas Schleicher presents PISA 2022 Volume III - Creative Thinking - 18 Jun...EduSkills OECD
Andreas Schleicher, Director of Education and Skills at the OECD presents at the launch of PISA 2022 Volume III - Creative Minds, Creative Schools on 18 June 2024.
Creative Restart 2024: Mike Martin - Finding a way around “no”Taste
Ideas that are good for business and good for the world that we live in, are what I’m passionate about.
Some ideas take a year to make, some take 8 years. I want to share two projects that best illustrate this and why it is never good to stop at “no”.
A Visual Guide to 1 Samuel | A Tale of Two HeartsSteve Thomason
These slides walk through the story of 1 Samuel. Samuel is the last judge of Israel. The people reject God and want a king. Saul is anointed as the first king, but he is not a good king. David, the shepherd boy is anointed and Saul is envious of him. David shows honor while Saul continues to self destruct.
CapTechTalks Webinar Slides June 2024 Donovan Wright.pptxCapitolTechU
Slides from a Capitol Technology University webinar held June 20, 2024. The webinar featured Dr. Donovan Wright, presenting on the Department of Defense Digital Transformation.
Lowndes et al. Nutrition Journal 2012, 1155httpwww.nutri.docx
1. Lowndes et al. Nutrition Journal 2012, 11:55
http://www.nutritionj.com/content/11/1/55
RESEARCH Open Access
The effects of four hypocaloric diets containing
different levels of sucrose or high fructose corn
syrup on weight loss and related parameters
Joshua Lowndes1, Diana Kawiecki1, Sabrina Pardo1, Von
Nguyen1, Kathleen J Melanson2, Zhiping Yu1
and James M Rippe1*
Abstract
Background: The replacement of sucrose with HFCS in food
products has been suggested as playing a role in the
development of obesity as a public health issue. The objective
of this study was to examine the effects of four
equally hypocaloric diets containing different levels of sucrose
or high fructose corn syrup (HFCS).
Methods: This was a randomized, prospective, double blind
trial, with overweight/obese participants measured for
body composition and blood chemistry before and after the
completion of 12 weeks following a hypocaloric diet.
The average caloric deficit achieved on the hypocaloric diets
was 309 kcal.
Results: Reductions were observed in all measures of adiposity
including body mass, BMI,% body fat, waist
circumference and fat mass for all four hypocaloric groups, as
well as reductions in the exercise only group for
body mass, BMI and waist circumference.
3. tion of high fructose corn syrup (HFCS) [4]. In particular,
some studies in animals have linked consumption of
added sugars, in general, and HFCS, in particular, with
weight gain and obesity [12-14], although these studies
have been criticized for delivering amounts of added
sugars above those consumed in the human diet. Given
the complexity of energy regulation, it is unlikely that
one, single component of the diet causes obesity. None-
theless, many myths persist in this area and are given
traction when prestigious scientific organizations such as
the American Heart Association (10) recommend
restricting one specific component of the diet.
National recommendations for healthful weight loss
focus on strategies that include both overall caloric re-
striction and increased physical activity [15]. However,
few individuals actually follow these guidelines by
al Ltd. This is an Open Access article distributed under the
terms of the Creative
ommons.org/licenses/by/2.0), which permits unrestricted use,
distribution, and
iginal work is properly cited.
Lowndes et al. Nutrition Journal 2012, 11:55 Page 2 of 10
http://www.nutritionj.com/content/11/1/55
incorporating both dietary restriction and increased
physical activity [16]. Multiple studies have shown that
equally hypocaloric diets will result in comparable
weight loss irrespective of nutrient composition of these
diets [17-19]. Whether macronutrient content of the diet
effects weight loss, however, remains a topic of debate
and controversy [20-23]. It appears that the critical con-
sideration is adherence to whichever hypocaloric diet is
employed [14].
4. Many of the studies suggesting linkages between added
sugar and either cardiovascular disease, diabetes, or
other metabolic conditions are based on experiments
employing a model comparing pure fructose to pure glu-
cose [24-26], neither of which is commonly consumed in
the human diet [27], or on epidemiologic studies which
establish associations but not cause and effect [7-
9,28,29]. Very few prospective data are available explor-
ing the effects of either sucrose or HFCS (the two largest
sources of fructose in the diet) and comparing their
effects on body weight and body composition.
It has been argued that it is the fructose moiety of
both sucrose and HFCS that is particularly worrisome
in terms of potential effects on appetite and subsequent
weight gain [4,5,29]. This argument posits that differ-
ences in hepatic metabolism between fructose and glu-
cose can contribute to increased caloric consumption
because of different effects on short term energy regu-
lating hormones. In particular, studies employing a
model of 20% or 25% of total calories ingested as pure
fructose compared to similar numbers of calories
ingested from pure glucose have suggested that differ-
ences in responses of insulin, leptin and ghrelin create
circumstances where increased caloric consumption
might occur following ingestion of fructose, but not
glucose [24-26]. In particular, the failure of fructose in
these studies to stimulate insulin production, with sub-
sequent leptin production and suppression of ghrelin,
suggested a metabolic situation where increased appe-
tite and subsequent weight gain could occur.
It has been argued by some investigators that an in-
crease in sugar consumption may be a contributing fac-
tor to increases in overweight and obesity. However,
5. data from the U.S. Agriculture’s Economic Research Ser-
vice between 1970 and 2008 showed that the increase in
sugar intake over the past 4 decades has been only a
small percentage of the overall increase in energy intake.
Sugars and caloric sweeteners available for consumption
increased by an average of 58 calories per day (from 400
calories to 458 calories) [30] whereas total calories avail-
able for individuals in the United States increased 515
kilocalories per day from just over 2,100 calories to just
under 2,700 calories [30]. Thus, increases in sweeteners
represented approximately 11% of the calorie increase
for individuals in the American food supply.
Previous research studies in our laboratory and others
employing a model comparing sucrose to HFCS did not
reveal any differences in short term energy regulating
hormones or appetite when comparing the two sugars
[31,32]. This is not surprising given the relatively similar
composition of sucrose and HFCS. Sucrose is a disach-
haride containing 50% fructose and 50% glucose. HFCS
has two main forms commonly used in the food supply.
HFCS-55, the form of HFCS commonly used to sweeten
carbonated soft drinks in the United States consists of
55% fructose and 45% glucose. HFCS-42, the common
form of HFCS used in baked goods and other products
contains 42% fructose and 58% glucose. We elected to
include an “active” control group which utilized exercise
only (predominantly through walking) since, in our ex-
perience, control groups which do not ask participants
to make any changes in their daily lives in weight loss
studies have often resulted in extremely high rates of
dropout due to dissatisfaction with group selection. Fur-
thermore, individuals often believe that exercise will re-
sult in weight loss, despite the fact that most studies
suggest that exercise alone results in minimum weight
loss. Walking exercise was also included in the four milk
consuming groups to make the physical activity portion
6. of this study equivalent across all five groups. Further-
more, current recommendations for healthy weight loss
typically involve both energy restriction and physical ac-
tivity, so we wished to incorporate both of these modal-
ities in our research design.
With these considerations as background, the current
study was undertaken to explore whether two different
amounts of either sucrose or HFCS, when consumed at
current population levels (10% or 20% of calories as
fructose, representing the 25th and 50th percentile popu-
lation fructose intake levels, respectively) have any ad-
verse impact on the ability to lose weight or change
body composition when consumed as part of mixed nu-
trient, hypocaloric diets. To our knowledge, this is the
first prospective study to examine the effects of added
sugars on overweight or obese individuals attempting to
lose weight when sugars are consumed at levels typical
of the adult population in the context of hypocaloric, en-
ergy restricted diets and modest levels of physical
activities.
Methods and procedures
This study was a 12 week, randomized, prospective,
double blind trial involving 247 overweight/obese sub-
jects between the ages of 25–60 conducted at two sites
in Orlando, Florida. Staff members and subjects were
blinded as to whether or not participants in the trial
were consuming HFCS or sucrose. Staff members were,
however, aware of whether the subjects were consuming
10% or 20% of calories as added sugar since this
Lowndes et al. Nutrition Journal 2012, 11:55 Page 3 of 10
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7. information was required in order to prescribe the rest
of the hypocaloric diet. Subjects were counseled in pri-
vate counseling rooms in individual sessions to avoid the
possibility of subjects talking to subjects in other groups.
Both sites were supervised by the same research team
and followed identical protocols. We explored the im-
pact of consuming either sucrose or HFCS at the 25th or
50th percent population fructose consumption levels
(10% or 20% of total calories) as a component of mixed
nutrient, hypocaloric meal plans in a free-living environ-
ment. The study was approved for one site by the West-
ern Institutional Review Board and for the other site by
the University of Central Florida Institutional Review
Board. All subjects signed informed consent forms.
Men and women between the ages of 25–60 years of
age with body mass index (BMI) 27.0-35.0 were
recruited. Exclusions included current enrollment in
any commercial weight loss program, prescription med-
icines or supplements for weight loss, or a greater than
five pound weight change during the past three
months. Individuals with a history of orthopedic limita-
tions that would interfere with the ability to meet pre-
scribed exercise, a history of heart problems, a history
of major surgery within the last three months, clinically
diagnosed eating disorders or any gastrointestinal dis-
order, dietary restrictions or allergies to any component
of the diet or which would limit the ability to adhere
to dietary requirements of the study were all excluded.
Physical activity was measured utilizing daily physical
activity logs which were reviewed on a weekly basis by
exercise physiologists or nutritionists. Cigarette smok-
ing or the use of tobacco products, or consumption of
greater than 14 alcoholic beverages per week were also
excluded.
Interested individuals were initially screened over the
8. phone to determine eligibility based on self reported
data. A standardized screening form and phone script
were developed to ensure individuals were screened in a
consistent manner. Self reported data including height
and weight were verified during the initial clinical visit.
Fasting blood samples were also obtained to test for glu-
cose, insulin, lipids and C-reactive protein (CRP).
Each subject performed a second screening visit one
week later. During this visit, research dietitians assessed
participant dietary intake by analyzing a completed three
day food record using the Nutrient Data System Re-
search (NDS-R) Software (University of Minnesota, Min-
neapolis, Minnesota, USA). Body composition was
determined by Dual X-Ray Absorptiometry (General
Electric i-DXA). This equipment and methodology have
been validated extensively by reputable research labora-
tories over a wide variety of test subjects [33-35]. Total
lean mass, percent fat and trunk fat were all determined
by DXA Scan. All females were required to have a
negative serum pregnancy test prior to DXA testing Re-
peat measurements of body mass, waist circumference
and body composition were performed after the end of
12 weeks. At this time another fasting blood sample was
also obtained. All cholesterol samples were sent to a cer-
tified, research based laboratory with error rates of less
than 1%.
Following completion of the two qualifying visits, indi-
viduals were randomly divided into one of five groups.
All groups included a fitness walking program. Exercise
physiologists counseled all subjects on a weekly basis.
All subjects in the four intervention groups were blinded
to group assignments. A control group (exercise only)
did not change their habitual diets and this group was
9. considered eucaloric. The following group assignments
were made. GROUP #1 (HFCS 10%): sweetener at 10%
of total calories (25th percentile of U.S. fructose intake)
provided from High Fructose Corn Syrup, plus exercise.
GROUP #2 (HFCS 20%): 20% of total calories (50th per-
centile of U.S. fructose intake) provided through HFCS,
plus exercise. GROUP #3 (Suc 10%): 10% of total cal-
ories provided (25th percentile of U.S. fructose intake)
from sucrose, plus exercise. GROUP #4 (Suc 20%): 20%
of total calories provided from sucrose, (50th percentile
of U.S. fructose intake), plus exercise. GROUP #5 (EO):
control group, habitual (eucaloric) diet, plus exercise. All
sweeteners were supplied in 1%, low fat milk (Tetra Pak,
Denton, Texas).
All four hypocaloric diets (Groups 1–4) were based on
individualized calorie levels using the Mifflin-St Jeor cal-
culation for REE (with activity factor) minus 500 kilocal-
ories (2093 KJ). Study personnel supplied HFCS or
sucrose products to subjects on a weekly basis in
amounts appropriate to their calorie level. The total
meal plan for all four hypocaloric groups was based on
the American Diabetes Association (ADA) Exchange List
and ranged from 50% - 55% carbohydrates, 15%-20%
protein, and 25%-30% fat. These dietary plans utilized
American Diabetes Association exchange lists similar in
fructose content, so that participants in all four interven-
tion groups were prescribed a comparable amount of
fructose from sources other than the sugars provided by
the interventions.
Subjects in all four hypocaloric groups were carefully
counseled by registered dietitians at diet initiation and
weekly thereafter. Menu suggestions and recipes were
provided to all volunteers. This was intended to reduce
boredom with foods included in the diet and provide
10. helpful guidance for subjects. Diet checklists were used
by subjects so they could monitor appropriate consump-
tion of all foods and beverages each day. Vigilant atten-
tion to portion size and condiments was emphasized. To
promote adherence, foods within all meal plans were
those foods that were affordable and fit into most
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people’s lifestyle. At each weekly counseling session, die-
titians reviewed dietary checklists with all the subjects to
discuss challenges and encourage continued compliance.
Participants in the four intervention groups met with
registered dietitians every week and dietary intake pat-
terns were reviewed. At weeks six and twelve all partici-
pants in the five groups completed a three day food
record.
Individuals in the control condition followed their
usual, habitual dietary patterns and met with exercise
physiologists on a weekly basis to monitor their exercise
prescription status.
This was done to minimize the high attrition rates
often associated with subjects in control groups that re-
ceive no intervention.
The exercise prescription was the same in all five
groups and emphasized walking as the preferred form of
exercise, however, other forms of exercise were not pro-
hibited. Participants were encouraged to adhere to
recommendations for daily physical activity. Duration of
each exercise session was progressively increased from
15 minutes three days a week at the start of the study to
11. 45 minutes three days a week at the end of three weeks
and remained at 45 minutes three days a week for the
duration of the study . Subjects exercised between 60%
and 80% of their maximal aerobic power using their pre-
determined maximal heart rate to regulate exercise in-
tensity. An additional five minutes of warm up and ten
minutes of cool down exercise were also included. To
minimize overuse injuries, subjects were encouraged to
use a variety of exercise modalities (e.g. walking, cycling,
etc.). However, walking exercise was recommended as
the main form of exercise.
Data were checked for normalcy and analyzed using a
two way (time and group assignment) Analysis of Vari-
ance with repeated measures. Only data on those who
completed the intervention were included in the ana-
lysis. Significant time X group assignment interactions
were probed by assessing the within-subject change in
each of the 5 groups independently. In addition, changes
over the course of 12 weeks (week 12 minus baseline)
were calculated and between group differences assessed
Table 1 Baseline characteristics on participants (n = 162) who
Entire population
n= 162
10% HFCS
n= 36
Age (years 42.8 ± 10.2 40.7 ± 10.3
Body Mass (kg) 87.2 ± 12.5 88.9 ± 12.3
BMI 31.9 ± 3.3 32.0 ± 3.4
Body Fat Percent 43.1 ± 6.5 43.2 ± 6.8
12. Blood Glucose (mmol/L) 4.9 ± 0.4 5.0 ± 0.4
Cholesterol (mmol/L) 4.9 ± 1.0 4.8 ± 1.1
Note: Attrition rates were not significantly different among the
groups (37%, 47%, 4
by one way ANOVA. For all analyses the alpha value
was set at 0.05. All data were analyzed using SPSS
Advanced Statistics V18.
Result
Participants
Baseline characteristics of the 162 study finishers can be
seen in Table 1. Of the 247 participants enrolled in the
study, 162 (Male = 35, Female = 127) completed the 12-
week intervention. On average, those who dropped out
or who were withdrawn by the investigators for non-
compliance were younger than those who finished the
12-weeks (38.3 ± 10.8 vs 42.9 ± 10.3 years, p < 0.05). Lack
of compliance with the consumption of the prescribed
amount of milk was the primary reason for participant
attrition (n = 38 out of 85), but other reasons included
participant unwillingness to commit to the time required
(n = 21), intolerance to the milk or unwillingness to con-
sume the amount prescribed (n = 15), Moved out of
town (n = 4), pregnancy (n = 3) and general dissatisfac-
tion with the study (n = 4). Drop-out rates were similar
across all five groups (Table 1).
Dietary Intake
Compliance to the sweetened milk in the four interven-
tion groups was very high, with 96.6% of all prescribed
servings being consumed over the 12 weeks. Compliance
was measured by daily food check lists which were
reviewed on a weekly basis with the subject by a re-
search nutritionist. . The dietary intervention prescribed
a daily caloric deficit of 500Kcal (2093KJ). Energy intake
13. decreased by 1294KJ (p < 0.001). In the entire cohort, in-
cluding the exercise group, energy intake decreased by
1231KJ per day (p < 0.001, Table 2). This was consistent
across all 5 groups (interaction p > 0.05). Each dietary
group also decreased dietary fat while increasing con-
sumption of added sugars. There was also an overall de-
crease in dietary carbohydrate consumption. Actual
sucrose and/or HFCS consumption in the diets could
not be measured. Thus, actual sucrose or HFCS intake
between the groups is unknown.
completed the intervention
20% HFCS
n= 24
10% Sucrose
n=29
20% Sucrose
n=33
EO n=40
41.7 ± 11.3 41.7 ± 11.2 42.9 ± 11.2 41.4 ± 10.2
89.4 ± 12.8 87.7 ± 14.2 89.1 ± 15.1 86.5 ± 12.7
32.2 ± 3.1 31.6 ± 3.7 32.1 ± 3.3 31.8 ± 3.1
43.5 ± 6.3 44.0 ± 7.2 42.3 ± 5.8 42.4 ± 6.5
5.0 ± 0.5 5.2 ± 0.7 5.1 ± 0.7 5.1 ± 0.6
4.9 ± 1.0 5.0 ± 1.2 5.0 ± 1.0 5.0 ± 0.8
0%, 28% and 25% respectively).
15. ± 32.8* 72.2 ± 31.7
Different than baseline, p < 0.05 *, p < 0.01 **, p < 0.001 ***.
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Body mass and adiposity
In the entire cohort, including the non-energy restricted
control group (EO), there were reductions in all mea-
sures of adiposity (Table 3). Time by group interactions
were significant for body mass (p < 0.01), BMI (p < 0.01),
waist circumference (p < 0.05) and percent body fat
(p < 0.05). Post hoc analysis for within group differences
showed that reductions were seen for all measures in all
four hypocaloric groups, and also for EO in body mass
Table 3 Changes in body mass and measures of adiposity
Base
Body Mass (kg) HFCS 10% 89.3
HFCS 20% 87.0
Sucrose 10% 86.5
Sucrose 20% 87.7
EO 86.4
BMI HFCS 10% 31.4
HFCS 20% 32.3
Sucrose 10% 31.3
Sucrose 20% 31.9
16. EO 32.3
Waist Circumference (cm) HFCS 10% 91.8
HFCS 20% 90.0
Sucrose 10% 90.7
Sucrose 20% 92.3
EO 93.5
Body Fat% HFCS 10% 42.0
HFCS 20% 42.9
Sucrose 10% 43.7
Sucrose 20% 42.5
EO 43.4
Different than baseline, p < 0.05 *, p < 0.01 **, p < 0.001 ***.
and BMI (both p < 0.05) and waist circumference
(p < 0.001). In all cases the change from baseline to post
testing was greater for the HFCS10% than for EO, but in
no cases were there any significant difference among the
four hypocaloric (Figure 1).
Cholesterol and lipids
Reductions in total cholesterol, triglycerides and LDL
were observed in the entire cohort (p < 0.001), but no
line Week 12 Time X group
interaction p
18. 4 ± 6.27 41.20 ± 6.97***
0 ± 6.55 43.02 ± 6.55
Figure 1 Changes in body mass and measures of adiposity after
12 weeks on a (500Kcal/day) hypercaloric diet containing either
10%
or 20% of calories from HFCS.
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change was observed in HDL (Table 4). Changes in these
measures over the 12 weeks were similar among the
groups (time X group interaction p > 0.05).
Discussion
This double blind, randomized, prospective study com-
pared changes in weight and body composition, as well
as risk factors for coronary heart disease, type 2 diabetes
and the metabolic syndrome in overweight and obese
individuals before and after a twelve week, free living
intervention during which low fat (1%) milk was pre-
scribed, sweetened by either sucrose or HFCS to deliver
10% or 20% of calories from the sweetener in the con-
text of hypocaloric, mixed nutrient meal plans. This is
the first attempt to examine the impact of prescribing ei-
ther sucrose or HFCS (10% or 20% of calories) at the
25th and 50th percentile fructose population intake levels
as a component of mixed nutrient, hypocaloric meal
plans in a free living environment. The major finding of
this prospective study is that typical population intake
levels of added sugars prescribed at the level to deliver
the 25th and 50th percentile population levels of fructose
consumption [36] does not prevent weight loss and asso-
19. ciated improvements in body composition when pre-
scribed in the context of a well designed and supervised
weight loss program (Figure 1).
In the current study, individuals in the four interven-
tion groups who started with normal serum cholesterol
achieved reductions in serum cholesterol ranging from
13 to 19 mg/dL which is consistent with the amount of
weight loss achieved and is clinically significant.
Initial concern was raised that there might be a unique
relationship between obesity and the consumption of
HFCS because of the temporal association between
increased use of HFCS in the American food supply to
the increased prevalence of obesity between 1970 and
2000 [4]. Despite the popularity of this suggestion, there
are numerous reasons this hypothesis should be dis-
carded. Firstly, the temporal association between HFCS
and obesity ended in 1999, when HFCS use began to
diminish [30]. Secondly, numerous countries around
the world have a similarly increasing prevalence of
Table 4 Changes in cholesterol and lipids
Baseline Week 12 Time p Time X group
interaction p
Cholesterol (mmol/L) HFCS 10% 4.78 ± 1.14 4.44 ± 1.11 0.078
HFCS 20% 4.95 ± 0.89 4.47 ± 0.76
Sucrose 10% 5.14 ± 1.18 4.81 ± 0.98
Sucrose 20% 5.01 ± 1.04 4.61 ± 0.98
21. Sucrose 20% 2.94 ± 0.94 2.68 ± 0.85
EO 2.87 ± 0.74 2.85 ± 0.89
All 2.95 ± 0.89 2.76 ± 0.86*** <0.001
Different than baseline, p < 0.05 *, p < 0.01 **, p < 0.001 ***.
Lowndes et al. Nutrition Journal 2012, 11:55 Page 7 of 10
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overweight and obesity as the United States, but do
not use HFCS. Lastly, subsequent research studies have
shown there is no difference between HFCS or sucrose
in any metabolic parameter measured in human beings
including glucose, insulin, leptin, ghrelin, triglycerides,
uric acid, appetite or calories consumed at the next
meal [31,32,37]. Both the American Medical Associ-
ation [38] and the American Dietetic Association [39]
have issued statements declaring that there is nothing
unique about HFCS that leads to obesity. Both of these
statements note that all caloric sweeteners contain cal-
ories and should be used in moderation. The present
data further support the theory that, when consumed
at levels up to the 50th percentile for fructose in the
context of a hypocaloric diet, neither HFCS nor sucrose
impedes weight loss. These data provide further sup-
port to the concept that overall caloric consumption
rather than one particular component of the diet is
most important for achieving weight loss.
Recent concern has been raised that it may be the
fructose moiety of both sucrose and HFCS that could
potentially contribute to obesity [5,6,29]. This argument
is based on research performed showing differences in
short term energy regulating hormones when comparing
a pure fructose model to a pure glucose model [24-26].
22. Neither fructose nor glucose alone is available in the or-
dinary food supply as an isolated or pure substance, and
neither is consumed alone in significant amounts. It has
also been argued that differences in hepatic metabolism
between fructose and glucose may stimulate increased
caloric consumption and, therefore, increased risk of
weight gain and obesity [40-42].
Some epidemiologic studies have reported an increase
in energy intake in various population groups related to
increased sugar sweetened beverage consumption [7-9].
However, evidence regarding a potential positive associ-
ation between sugar sweetened beverage consumption
and obesity is inconsistent [43]. Because of the metabolic
nature of overweight and obesity and the complexity of
the western diet, it is unlikely that a single food or food
group is the primary cause. Randomized, clinical feeding
trials have shown inconsistent results from testing the
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effects of added sugar on weight gain. Differences in
study instruments and methods, population studied and
study design may have contributed to these inconsistent
findings.
It should be noted that since the added sugars in this
study were delivered in low fat milk, the increased con-
sumption of vitamin D may have contributed to some of
the results observed. Indeed, in this study 50% increases
in vitamin D occurred as a result of milk consumption.
Deficiencies in vitamin D and low serum 25 (OH) D
levels have been correlated with impaired glucose toler-
ance, the metabolic syndrome and diabetes independent
23. of obesity [44]. It should also be noted that vitamin D is
essential for the metabolism of insulin and may contrib-
ute to reduction in the level of CRP [45]. Furthermore,
vitamin D may contribute to LDL reduction. Thus, our
reported results on cholesterol parameters must be trea-
ted with some caution.
Our data demonstrate that equally hypocaloric diets
provoked similar weight changes regardless of type or
amount of sugar consumed. This finding is not surpris-
ing since our research group and others have previously
shown the metabolic equivalency of sucrose and HFCS
[31,32]. Strengths of the current study are that it is a
double blind, randomized, prospective study with a rela-
tively large sample size which explores normal popula-
tion consumed levels of fructose as delivered through
normally-consumed sweeteners, sucrose and HFCS.
Weaknesses are that subjects were only followed for
twelve weeks and that children, adolescents and elderly
subjects over the age of 60 were excluded. A further po-
tential weakness in the current study is the 35% dropout
rate, although this dropout rate is consistent with other
trials of comparable size and duration [46,47]. The
added amount of exercise in this study (45 minutes of
walking or comparable exercise three times a week) may
have also contributed to the observed weight loss, al-
though most studies report that weight loss from exer-
cise alone is typically modest [48,49]. It should also be
noted that 78% of participants in the intervention groups
were female. This may limit the ability of these data to
be generalized to the public since some animal data sug-
gests that gender influences response to fructose [50,51]
and young women are more resistant to fructose
induced hypertriglyceridemia than males and hyperinsu-
linemic women are more susceptible [52-54]. Further-
more, plasma leptin exhibits sexual dimorphism with
24. higher concentrations in women as androgens have a
suppressive effect on leptin secretion [55,56]. These are
further gender differences which may impact on the
ability to generalize from data generated largely in
women. Since sucrose and/or HFCS consumptions in
the diets could not be measured, the actual differences
in intake of these two sugars remain unknown, which
should also be taken into consideration in interpreting
these data.
Further studies employing larger numbers of subjects
from more diverse population groups, and higher doses
approaching 90th percentile fructose intakes (approxi-
mately 15% of calories as fructose) of either sucrose or
HFCS, with longer duration appear warranted.
Common misunderstandings about HFCS [3] have dis-
torted public perceptions, pressuring food manufacturers
to replace HFCS with sucrose and municipal and state
legislators to mandate removal of HFCS from school nu-
trition programs. Our data suggest that such actions are
pointless and potentially misleading to consumers, since
HFCS and sucrose are nutritionally interchangeable.
In conclusion, similar decreases in weight and indices
of adiposity are observed when overweight or obese indi-
viduals are subjected to hypocaloric diets with different
prescribed levels of sucrose or high fructose corn syrup.
Competing interests
JM Rippe has received research funding from the Corn Refiners
Association
for the present study. The other study authors reported no
competing
interests.
25. Authors’ contributions
JL and JMR wrote and prepared the manuscript, DK, SP, VN
and ZY
performed regular dietary assessments and ensured
interventional
compliance and carried out daily measurement of study
parameters, KJM
provided technical and scientific assistance. All authors read
and approved
the final manuscript.
Funding
This work was supported by a grant from the Corn Refiners
Association.
Author details
1Rippe Lifestyle Institute, 215 Celebration Place, Suite 300,
Celebration FL
34747, USA. 2Rhode Island University, 202 A Ranger Hall,
Kingston, RI 02881,
USA.
Received: 4 January 2012 Accepted: 23 July 2012
Published: 6 August 2012
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doi:10.1186/1475-2891-11-55
Cite this article as: Lowndes et al.: The effects of four
hypocaloric diets
containing different levels of sucrose or high fructose corn
syrup on
weight loss and related parameters. Nutrition Journal 2012
11:55.
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Data released by the United States Environmental Protection
Agency shows that somewhere between 500 billion and a
trillion plastic bags are consumed worldwide each year.
National Geographic News September 2, 2003
Less than 1% of bags are recycled. It cost more to recycle a bag
than to produce a new one.
- Christian Science Monitor News Paper
“There's harsh economics behind bag recycling: It costs $4,000
to process and recycle 1 ton of plastic bags, which can then be
sold on the commodities market for $32”
- Jared Blumenfeld
(Director of San Francisco's Department of the Environment)
38. Then…
Where Do They Go?
A study in 1975, showed oceangoing vessels together dumped 8
million pounds of plastic annually. The real reason that the
world's landfills weren't overflowing with plastic was because
most of it ended up in an ocean-fill
- U.S. National Academy of Sciences
Bags get blown around…
…to different parts of our lands
…and to our seas, lakes and rivers.
Bags find their way into the sea via drains and sewage pipes
- CNN.com/tecnhology November 16, 2007
Plastic bags have been found floating north of the Arctic Circle
near Spitzbergen, and as far south as the Falkland Islands
- British Antarctic Survey
39. Plastic bags account for over 10 percent of the debris washed up
on the U.S. coastline
- National Marine Debris Monitoring Program
Plastic bags photodegrade:
Over time they break down into smaller, more toxic petro-
polymers
- CNN.com/tecnhology November 16, 2007
which eventually contaminate soils and waterways
- CNN.com/tecnhology November 16, 2007
As a consequence microscopic particles can enter the food chain
- CNN.com/tecnhology November 16, 2007
The effect on wildlife can be catastrophic
- World Wildlife Fund Report 2005
Birds become terminally entangled
- World Wildlife Fund Report 2005
40. Nearly 200 different species of sea life including whales,
dolphins, seals and turtles die due to plastic bags
- World Wildlife Fund Report 2005
They die after ingesting plastic bags which they mistake for
food
- World Wildlife Fund Report 2005
So…
What do we do?
If we use a cloth bag,
we can save 6 bags a week
That's 24 bags a month
That's 288 bags a year
That's 22,176 bags
41. in an average life time
If just 1 out of 5 people in our country did this
we would save
1,330,560,000,000 bags
over our life time
Bangladesh has
banned plastic bags
- MSNBC.com March 8, 2007
China has banned free plastic bags
- CNN.com/asia January 9, 2008
Ireland took the lead in Europe, taxing plastic bags in 2002 and
have now reduced plastic bag consumption by 90%
- BBC News August 20, 2002
In 2005 Rwanda
banned plastic bags
- Associated Press
42. Israel, Canada, western India, Botswana, Kenya, Tanzania,
South Africa, Taiwan, and Singapore have also banned or are
moving toward banning the plastic bag
- PlanetSave.com February 16, 2008
On March 27th 2007, San Francisco becomes first U.S. city to
ban plastic bags
- NPR.org (National Public Radio)
Oakland and Boston are considering a ban
- The Boston Globe May 20, 2007
Plastic shopping bags are
made from polyethylene:
a thermoplastic made from oil
- CNN.com/tecnhology November 16, 2007
Reducing plastic bags will decrease
foreign oil dependency
43. China will save 37 million barrels of oil each year due to their
ban of free plastic bags
- CNN.com/asia January 9, 2008
It is possible...