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Background: Several dietary factors have been linked to age-related maculopathy (ARM), the early form of age-related macular degeneration, and there is reason to think that dietary carbohydrate may play a role in the development of ARM., Objective: The purpose of the present study was to examine the relation between dietary carbohydrate quality, as measured by dietary glycemic index (GI) or total carbohydrate intake, and ARM., Design: From the Nurses' Health Study, 1036 eyes from 526 Boston-area participants without a previous ARM diagnosis were included in the present study. The presence and degree of ARM were classified by the Age-Related Eye Diseases Study system. Long-term dietary information was based on data from an average of 4 food-frequency questionnaires collected over a 10-y period before the assessment of ARM. With eyes as the unit of analysis, we used a generalized estimating approach to logistic regression to estimate the odds ratios for ARM in a manner that accounted for the lack of independence between the 2 eyes from the same subject., Results: After multivariate adjustment, dietary GI was related to ARM (specifically to retinal pigmentary abnormalities), whereas total carbohydrate intake was not. The odds ratio for ARM being in the highest tertile of dietary GI (> or =77.0) versus the lowest (<74.6) was 2.71 (95% CI: 1.24, 5.93; P for trend = 0.01). Neither dietary GI nor total carbohydrate intake was related to drusen., Conclusion: Our results suggest that dietary GI may be an independent risk factor for ARM.

Objective: A diverse diet is recommended in many dietary guidelines. However, because there are no unified standards for measurement methods, objective comparisons across different populations or time points is difficult. This report proposes a new dietary diversity index based on quantitative distribution of consumed foods to allow objective measurement of dietary diversity., Methods: A Quantitative Index for Dietary Diversity (QUANTIDD) is proposed: QUANTIDD=(1-summation operatorjn prop[j]2)/(1-1/n), where prop(j) is the proportion of food group(s) j that contributes to total energy or nutrient intake, n is the number of food groups, and j = 1,2,...,n. The numerator is the probability that the two foods taken out of an aggregation of consumed foods belong to different food groups. The denominator is its maximum value. The index ranges from 0 to 1. By using the officially released average data from the National Nutrition Survey in Japan from 1957 to 2000, we investigated annual changes in the QUANTIDD. We also investigated the distribution of the index by using individual data from the National Nutrition Survey in Japan in 1996., Results: The QUANTIDD increased from the 1960s to the 1970s. This was the era of rapid economic growth in Japan, during which the dietary habits of the Japanese underwent rapid changes. The distribution of the QUANTIDD was skewed to the left, but logit-transformation decreased this asymmetry and made it similar to a normal distribution., Conclusion: Because this index can measure dietary diversity objectively and is suitable for statistical handling, it is useful as a method to compare dietary patterns across different populations or time points.

A review is presented describing the nature and evolving definition of dietary fiber. The historical development of the current definition is discussed as are the efforts to develop analytical methods to support food labeling regulations. Also considered are the characterization and quantitation of resistance starch, a dietary starch that does not digest in the small intestine, behaves like dietary fiber and therefore may have potential as a health-related ingredient in foods. The current status of AOAC methodology is discussed along with the possibility of updating the definition of dietary fiber. The potential impacts of changing the dietary fiber definition on analytical issues and on food composition databases are also considered.

Background: Animal studies suggest a role for dietary carbohydrate in cataractogenesis. However, few published human studies have evaluated associations between carbohydrate nutrition and lens opacification., Objective: Our objective was to test the hypothesis that long-term carbohydrate intake and dietary glycemic index are associated with the odds of early cortical and nuclear opacities., Design: Subjects were 417 Boston-area members of the Nurses' Health Study cohort aged 53-73 y. Dietary information was based on an average from 5 semiquantitative food-frequency questionnaires collected over a 14-y period. Opacities were assessed by using the Lens Opacity Classification System III (LOCS III). We used eyes (n = 711) as the unit of analysis and generated odds ratios by using a generalized estimating approach to logistic regression to account for the lack of independence between the 2 eyes of each subject., Results: After multivariate adjustment, the odds of cortical opacities (LOCS III >/=1.0) among women in the highest tertile of carbohydrate intake (>/=200 g/d) was 2.46 times (95% CI: 1.30, 4.64; P for trend = 0.005) that among women in the lowest tertile (<185 g/d). This association was not affected by adjustment for dietary glycemic index, which was not associated with early cortical opacities. Carbohydrate nutrition was not associated with the odds of nuclear opacities (LOCS III >/=2.5)., Conclusions: These data suggest that carbohydrate quantity, but not carbohydrate quality, is associated with early cortical opacities, and that neither the quantity nor the quality of dietary carbohydrate affects the risk of nuclear opacities in middle-aged women.

Critically ill patients have important modifications in their energetic requirements, in which the clinical situation, treatment applied and the time course take part. Thus, the most appropriate method to calculate the caloric intake is indirect calorimetry. When this test is not available, calculations such as Harris-Benedict's may be used, although not using the so high correction factors as previously recommended in order to avoid hypercaloric intakes. The intake of a fixed caloric amount (comprised between 25-30 KcalKg/min) is adequate for most critically ill patients. Carbohydrates intake must be of 5 g/kg/day) maximum. Glucose plasma levels must be controlled in order to avoid hyperglycemia. With regards to fat intake, the maximum limit should be 1.5 g/kg/day. The recommended protein intake is 1.0-1.5 g/kg/day, according to the clinical situation characteristics. Special care must be taken with micronutrients intake, an issue that is many times undervalued. In this sense, there are data to consider some micronutrients such as Zn, CU, Mn, Cr, Se, Mo and some vitamins (A, B, C, and E) of great importance for patients in a critical condition, although specific requirements for each one of them have not been established.

The article this research is devoted to the Orenburg student youth diet. The revealed deficiency of major nutrients (protein, fats and especially carbohydrates), as vitamins (C, PP, E, D, B groups) and analysis of diet ration concerning basis nourishing components, vitamins, macro- micro elements (Zn, Cu, I, Cr, Se).

In horses that exercise intensively (for example, event horses in training) the intake and energy requirements were compared on the basis of a diet record and estimates of energy required for exercise. Daily net energy intake over a 7 days period was on average 30% (n = 15) higher than the net energy requirement. Since the horses had a constant body weight, and thus were in energy balance, the energy intake was overestimated and/or the energy requirement was underestimated. The intake of digestible protein was 92% higher than the protein requirement. This study illustrates the problems concerning ration assessment and evaluation in practice.

The retrospective analysis of 4 variants of norms of human physiological needs in food substances and energy accepted in 1951, 1968, 1982 and 1991 is given. Dynamics of the scientifically proved specification of value of needs is revealed and the necessity of permanent development of conceptual base of normalization is determined. Last one is based on two natural laws of a balanced diet: 1) compulsion of conformity energy expense and energy consumption; 2) the value of consumption of the basic food substances (fibers, fats, carbohydrates) should be in limits of physiologically necessary quantity proportion and be accompanied by satisfaction of human needs in different nutrients.

Three experiments were conducted to study the effects of extrusion processing on growth performance of weanling pigs. In Exp. 1, 350 weanling pigs (initially 4.4 +/- 1.0 kg BW and 10 +/- 2 d of age) were used to study the effects of various carbohydrate sources (corn, cornstarch, broken rice, wheat flour, and grain sorghum), with or without moist extrusion processing, on growth performance in a 5 x 2 factorial arrangement of treatments. No carbohydrate source x extrusion processing interactions were observed (P > .10). Growth performance was not affected by extrusion processing; however, pigs fed corn had poorer growth performance (P < .05) than those fed other carbohydrate sources. In Exp. 2, 360 weanling pigs (initially 5.0 +/- .5 kg BW and 10 +/- 2 d of age) were used to determine the interactive effects of ingredient processing and diet complexity on growth performance. Three processing combinations were used with either a simple or complex diet formulation in a 3 x 2 factorial arrangement of treatments. The three processing conditions were 1) pelleted only (control); 2) corn that was moist-extruded and then the complete diet was pelleted (extruded); or 3) the complete diet was expanded and then pelleted (expanded). Pigs fed extruded diets had a greater improvement in ADG as diet complexity increased than those fed other diets (processing x diet complexity interaction, P < .10). Pigs fed moist-extruded corn had the best growth performance (P < .01). In Exp. 3, 210 weanling pigs (initially 6.8 +/- 1.5 kg BW and 21 +/- 2 d of age) were fed pelleted diets containing nonextruded corn (14.5% gelatinization; control) or corn extruded to provide 38.7, 52.7, 64.4, or 89.3% gelatinization. Average daily gain and ADFI decreased and then increased (P < .05), but apparent digestibility of DM, CP, and energy (P < .01) increased and then decreased with increasing gelatinization. These results indicate that moist extrusion processing of carbohydrate sources has variable effects on growth performance of early-weaned pigs and that the degree of gelatinization does not seem to be a major factor in explaining this variation.

We assessed diets in 16 Dene/Métis communities in the Canadian Arctic. We described nutrient intakes and identified nutrients at risk among adult Dene/Métis, evaluated the influence of traditional food on diet quality, and examined the direction of dietary change by comparing intergenerational and between-community differences in dietary intake. Diet varied according to sex, age and community. Nutrients of possibly inadequate intake (irrespective of subject sex, age or community) included calcium, vitamin A and folic acid. Dietary fiber intake was also of concern. Traditional food (animals and plants harvested from the local environment) was consumed on 65. 4% of interview days; on those days intakes of iron, zinc and potassium were higher (P < 0.05) and those of sodium, fat, saturated fat and sucrose were lower (P < 0.05) than on days when market food only was consumed. In this population, the shift away from traditional food towards a diet composed exclusively of market food was characterized by an increase (P < 0.05) in absolute energy intake and an increase (P < 0.01) in the relative contributions of carbohydrate (particularly sucrose), fat and saturated fat. This pattern of change calls for initiatives to document the current health status of this population and to prevent potential negative health consequences of dietary change.

Forage preference is difficult to assess but is likely an important factor in determining DM intake. In two experiments, six sheep (wethers, Exp. 1; ewes, Exp. 2) were used to obtain preference ratings on nine hays (Exp. 1) or nine fresh forages (Exp. 2). The statistical procedure of multidimensional scaling was used to develop orthogonal dimensions to account for the observed variation in preference for hays and fresh forages. This analysis produced three dimensions that accounted for 54% of the variation in mean 3-d preference for hays (Exp. 1). The three dimensions were subsequently associated by regression analysis with seven compositional variables. These were IVDMD and concentrations of monosaccharides, short-chain polysaccharides (SCP), and disaccharides in dimension 1(R2 = .99); acid detergent insoluble ash (ADIA) concentration, monosaccharide and SCP concentrations, and masticate NDF in dimension 2 (R2 = .99); and disaccharide and starch concentrations in dimension 3 (R2 = .65). Three dimensions accounting for 51% of the variation in fresh forage preference were found and related to four variables by regression analysis. These were disaccharide concentration and median particle size in dimension 1 (R2 = .76) and starch and monosaccharide + disaccharide concentrations in dimension 3 (R2 = .97). No physicochemical variables analyzed in this study were found to be significantly associated with the coordinates for the forages in dimension 2. Multidimensional scaling accounted for more than half the observed variation in animal preference and, in all but one case, these dimensions could be associated with physicochemical characteristics of the forages.

The energy profile of the diet of the Spanish population is imbalanced, showing excessive intake of fats and protein and insufficient intake of carbohydrates. The aim of the present study was to investigate whether this imbalance also existed in 110 preschool children between 2 and 6 years of age, and to examine the relationship between their breakfast and whole diet energy profiles. The results obtained show that subjects who consumed less carbohydrate (< 50% of energy intake) or more fat (> 35% of total intake) at breakfast showed poorer energy profiles and poorer fat quality over their whole diet. Significant and positive correlations were found between energy supplied at breakfast by protein, fats, carbohydrates, saturated, monounsaturated and polyunsaturated fatty acids, and the same parameters measured for the whole diet.

Economically impoverished women in Cali, Colombia, have restricted access to food in a city where food is abundant. Ethnographic observations, interviews and 2 day food records were used to better understand the coping strategies used by a group of these women (n = 85) to maintain adequate levels of energy intake. Anthropometric indicators of nutritional status were normal for the group. Interview data revealed that the ability to purchase food was a concern for 58% of the women. When faced with a restricted ability to purchase food, the women indicated they made compromises in meal composition, reduced portion sizes, and/or reduced the number of meals. They also relied on relatives, friends, neighbors, store credit, or local government programs for access to food. Changes in meal composition were identified in 17.1% of all diet records (n = 509). Low energy intake (defined as energy intake < or = 1.27 x BMR) was identified in 17.1% of all diet records. Carbohydrate consumption was significantly greater on low-energy intake days. The adequate nutritional status of this group of women suggests that their coping strategies are usually adequate to maintain energy intake, but the presence of uncertainty, the frequency of compromises in diet composition, and the frequency of low-energy intake days suggest that these women are at risk for undernutrition.

Objective: To analyse the relationships between eating pattern, vomiting frequency, weight loss and the rate of band related complications in morbidly obese patients undergoing Adjustable Silicone Gastric Banding (ASGB)., Subjects: 80 morbidly obese patients (57 females and 23 males) consecutively operated by ASGB were evaluated both before and 3, 6 and 12 months after ASGB. Ten patients (12.5%) had binge eating disorder and were analysed separately., Measurements: (1) weight loss expressed as percentage of overweight, (2) total daily energy intake, (3) percentage of energy as lipids, carbohydrates and proteins, (4) percent as liquid, soft or solid foods and (5) vomiting frequency., Results: ASGB induced a highly significant reduction of total daily energy intake and percent as solid foods, without significant changes in macronutrient distribution. There was an inverse relationship between vomiting frequency and the intake of solid foods. Non-binge eaters with more vomiting ate less solid food and lost more weight than patients without vomiting. The frequency of neostoma stenosis was higher in patients with high vomiting frequency than in patients with no vomiting. Patients with binge eating disorder had a significantly higher vomiting frequency and a five-fold higher frequency of neostoma stenosis than patients without binge eating disorder. However, the percentage of overweight lost did not differ between patients with and without binge eating., Conclusions: Vomiting is a major determinant of global outcome after ASGB. The vomiting frequency in the first months after ASGB was associated with eating pattern, the frequency of neostoma stenosis and possibly the rate of weight loss during the first year of follow-up.

To study the nutritional adequacy of a high carbohydrate diet as consumed by children in a 24-h period, a sample of 568 10-y-old children was stratified into four levels of carbohydrate intake: < 45% of total energy (kJ), 45%-50% energy, 50%-55% energy, and >55% energy. Composition of the diet for those consuming >55% energy from carbohydrates was adequate in total energy, with 29% energy from fat, 11 % energy from saturated fatty acid, an average of 88 mg dietary cholesterol/4200 kJ and less than 10% energy from sucrose. Increased carbohydrate intake was attributed to an increased consumption of total sugars, starch and fiber. The percentage of children meeting two thirds or more of the Recommended Dietary Allowances for niacin and zinc was lower in the high carbohydrate intake group than in any of the low carbohydrate intake groups. Children with a high carbohydrate intake consumed more fruits, breads, grains, milk, desserts, candy and non-dairy beverages than those with a lower carbohydrate intake who consumed more meats. To meet current dietary recommendations for increased carbohydrate intake when meal patterns are designed, it is necessary to incorporate adequate amounts of foods from all of the food groups to maximize nutritional quality.

C57BL/6J (B/6J) mice are genetically predisposed to become overweight and develop hyperglycemia if raised on a high fat diet. The purpose of the present study was to explore the effect of dietary supplementation of L-glutamine (Gln), an inhibitor of fatty acid oxidation, on the development of hyperglycemia and excessive weight gain. Groups of 10 age- and weight-matched male B/6J mice were raised on one of four diets: 1) a low fat, low sucrose (LL), studied separately, 2) a high fat, low sucrose (HL) diet alone, 3) high fat, low sucrose supplemented with L-glutamine (HL+Gln) and 4) high fat, low sucrose supplemented with L-alanine (HL+Ala). Energy intake, body weight, plasma glucose and insulin concentrations were monitored over time. We found no difference in energy intake per unit body weight between any groups after the first 2 wk of feeding. However, the mean +/- SEM for body weight (27.1 +/- 0.6 g) of the LL group measured at 16 wk was lower (P < 0.05) than that of the HL group at 37.9 +/- 1.9 g. Also, after 5.5 mo, the mean +/- SEM for plasma glucose and insulin concentrations in the LL group of mice were 6.9 +/- 0.4 mmol/l and 146 +/- 30 pmol/l, which were lower (P < 0.05) than those in the HL group at 10.1 +/- 0.9 mmol/l and 438 +/- 84 pmol/l, respectively. Although both amino acids caused a 10% reduction (P < 0.05) in body weight compared with HL feeding at wk 16, only Gln supplementation resulted in persistent reductions in both plasma glucose and insulin concentrations over 5.5 mo. In another experiment, when Gln was added to the high fat (HL) diet of heavy hyperglycemic animals for 2 mo, body weight gain, hyperglycemia and hyperinsulinemia were attenuated. In conclusion, supplementing glutamine to a high fat diet reduces body weight and attenuated hyperglycemia and hyperinsulinemia in B/6J mice.

Three experiments, using 344 pigs, were conducted to evaluate the influence of beta-glucan on growth performance, neutrophil and macrophage function, haptoglobin production, and resistance to Streptococcus suis challenge in weanling pigs. In Exp. 1, 144 pigs were used to evaluate the influence of .1% dietary beta-glucan in a soybean meal- or milk protein-based diet on growth performance and neutrophil function. Pigs fed beta-glucan from d 7 to 14 after weaning had lower ADFI (P < .01) and, although not significant, ADG was lower for pigs fed beta-glucan than for pigs fed control diets. However, no differences were observed in growth performance or neutrophil function for pigs fed control or diets containing beta-glucan from d 7 to 35 after weaning. Experiment 2 was a 28-d growth assay in which pigs were fed a diet with or without .1% beta-glucan, containing 7.5% spray-dried plasma protein and 25% dried whey from d 0 to 14 after weaning. Pigs then were fed corn-soybean mealbased diets containing 2.5% spray-dried blood meal and 10% dried whey. No differences in growth performance were observed. Experiment 3 was a 35-d assay to evaluate growth performance, neutrophil and macrophage function, and plasma haptoglobin concentration. Pigs were challenged on d 28 postweaning with intravenous S. suis. In Exp. 3, pigs were fed diets without or with .025 or .05% beta-glucan. Dietary beta-glucan did not influence neutrophil or macrophage function. However, pigs fed diets containing .025% beta-glucan had increased (P < .05) ADG and ADFI and were heavier (P < .05) on d 28 after weaning than pigs fed the control diet. No differences in feed efficiency (G/F) were detected between treatments. Pigs fed beta-glucan had decreased (P < .10) plasma haptoglobin on d 14, 21, and 28 after weaning. However, Fisher's Exact test revealed that more (P < .04) pigs fed a diet containing .025% beta-glucan died by d 12 after challenge with S. suis. In conclusion, these data suggest the existence of a complex interaction involving growth performance and resistance to S. suis in pigs fed .025% beta-glucan.

The impact of physical training on body weight and fat depends on the ability of exercise to promote a negative fat balance. This effect is more likely to occur in individuals who are good responders in fat oxidation to exercise and who adhere to a dietary regimen containing a low to moderate amount of fat. Experimental evidence suggests that exercise per se may also increase the preference for carbohydrates, i.e. reduce the relative fat content of the diet, and this might be related to the composition of the substrate mix oxidized during exercise. The body fat loss resulting from a long-term negative fat balance is associated with a progressive decrease in fat oxidation which is likely involved in the occurrence of resistance to lose fat in reduced obese individuals. This suggests that fat loss related factors represent signals for neurosystems controlling feeding behavior. Further research pertaining to exercise and the control of food intake should focus on the mechanisms by which exercise may influence neurosystems which are known to affect food intake.

Factors influencing nutritional supplement use by high school students were assessed. Comparisons were made between various groups of sports participants and non-sports participants. The Nutritional Supplement Use and Knowledge Scale was administered to 509 students. Mean supplement use score was 10.87 (SEM = 0.50, range 0-57). Mean knowledge score was 13.56 (SEM = 0.16, range 1-21). Significant relationships (p < .01) were obtained for supplement knowledge with use, and supplement use with gender. ANOVA found significant differences between supplement use by gender (p < .01), supplement use by sports category (p < .05), and knowledge scores by sports category (p < .01). Discriminant function analysis indicated knowledge, supplement use, and subscores for protein, vitamins/minerals, knowledge, supplement use, and subscores for protein, vitamins/minerals, and carbohydrates were best discriminators of sport group membership. Greater knowledge about supplements was associated with less use; hence, education about supplements can be a deterrent to use. This study may help coaches, athletic trainers, athletic directors, teachers, physicians, and parents identify nutritional misconceptions held by adolescents.

Based on the analysis of fat distribution by computed tomography (CT) scans, the classification scheme for obesity should include visceral fat obesity in which fat accumulation is predominant in the intra-abdominal cavity. Obese subjects with visceral fat accumulation more frequently demonstrate impairment of glucose and lipid metabolism than those with subcutaneous fat accumulation. We have shown that visceral fat obesity is present in almost 90% of obese patients with ischemic heart disease. Even in non-obese subjects, visceral fat accumulation is correlated with glucose intolerance, hyperlipidemia and hypertension. Forty percent of non-obese subjects with coronary artery disease (CAD) had increased visceral fat. In non-obese subjects, visceral fat area assessed by abdominal CT at the level of the umbilicus correlates with metabolic risk factors, whereas in obese subjects the visceral fat area to subcutaneous fat area ratio provides a more significant correlation. From clinical and basic investigations, aging, sex hormones, excess intake of sucrose and lack of physical exercise have been suggested to be determinants for visceral fat accumulation. Since intra-abdominal fat (mesenteric and omentum fat) has been shown to have high activities of both lipogenesis and lipolysis, its accumulation can induce high levels of free fatty acids, a product of lipolysis, in portal circulation which go into the liver. Excess free fatty acids may cause the enhancement of lipid synthesis and gluconeogenesis as well as insulin resistance, resulting in hyperlipidemia, glucose intolerance and hypertension and finally atherosclerosis. Thus we propose a disease entity, visceral fat syndrome, which may increase susceptibility to atherosclerosis due to multiple risk factors induced by visceral fat accumulation.

Diet-induced obesity was treated with a high carbohydrate, low fat diet and/or increased voluntary exercise in mice. All mice had free access to food and water during the two stage experiment. In Stage 1, 20 female mice were fed a high carbohydrate diet and 50 were made obese by consumption of a diet providing 40.8% of energy from fat. At the end of Stage 1, obese mice had significantly greater body fat stores (22.9 +/- 0.9 g/100 g body wt) than mice fed the high carbohydrate diet (12.9 +/- 1.2) (P < 0.001), yet there was no significant difference in lean body mass. In Stage 2, half of the mice were given activity wheels to increase their voluntary activity and half of the obese mice were switched to a high carbohydrate diet resulting in six groups with treatment designations of obese or lean; exercise or nonexercise, and carbohydrate or fat diets. Body fat was significantly reduced by consumption of the high carbohydrate diet (P < 0.005) and by exercise (P < 0.001), but neither treatment affected lean body mass. Exercising mice consumed significantly more energy than nonexercising mice, yet experienced a decrease in body fat and energy stores.(ABSTRACT TRUNCATED AT 250 WORDS)

The purpose of this study was to evaluate the adequacy of dietary intake in 16 female heavyweight rowers during the sprint racing phase of the season. Caloric intake for the rowers was 2,633 kcal/day, lower than expected given the training regimen of these athletes. On average, rowers consumed below-optimal levels of carbohydrate. Protein intake was satisfactory but fat intake was higher than recommended. For the majority of rowers, micronutrient intake met the RDA. However, calcium, zinc, B6, and B12 fell short of meeting two-thirds of the RDA for a significant percentage of rowers. The preevent meal consumed both 15 hr and 2 hr before the event provided less carbohydrate and fluid but more fat than desirable. Female heavyweight rowers would benefit from nutritional counseling that provides strategies for increasing complex carbohydrates, calcium, zinc, B6, and B12 while reducing dietary fat. Adequate fluid intake is also essential.

This investigation examined the plasma glucose and insulin response in 6 trained athletes after consumption of four commercially available sport feedings 2 hr before as well as immediately after 1 hr of running under common training conditions. Four feedings were compared: Feeding 1, 160 g CHO/400 ml; Feeding 2, 69 g CHO/400 ml; Feeding 3, 69 g CHO + 6 g protein/400 ml; and Feeding 4, solid 69 g CHO + 5 g protein + 4 g fat. Before the training session, there were no differences between the four sport feedings in the area under the glucose and insulin curves and the insulin/glucose ratio. However, after exercise, Feeding 2 resulted in a significantly greater area under the glucose curve compared with Feedings 1, 3, and 4 (respectively, 352 vs. 241, 251, and 182) and a significantly lower insulin/glucose ratio compared with Feeding 1 (respectively, 6.2 vs. 15.8). Therefore, it is concluded that the kind of sport feeding may influence postexercise glucose and insulin responses.

The use of sugar as a vehicle for iodine supplementation was explored in a study of iodine deficiency in the Sudan. A survey of sugar consumption was conducted and established a widespread and uniform intake of sugar in all ages with no differences among socio-economic groups. The daily intake among adults varied from 48 g to 78 g as examined in five different geographical areas in the country. Iodinated sugar was produced by addition to sugar solution prior to crystallisation in an evapocrystallizer or sprayed on the conveyor of cured sugar before it entered the dryers. Subsequently, the iodinated sugar was given to members of 18 and 60 families in a mildly (urinary iodine < 5.1 micrograms/dl) and moderately (urinary iodine < 3 micrograms/dl) iodine deficient areas, respectively, over a 1-month and a 6-month period, respectively. In both tests, improvements were recorded, i.e. the rates of goitre decreased, urinary iodine levels increased significantly (from 5.1 to 14.4 micrograms/dl and from 3 to 9.8 micrograms/dl, respectively) and thyroid hormones values rose. No side effects were noted. The results indicate that fortification of sugar with iodine may serve as a new alternative approach in attempts to eradicate iodine deficiency related disorders in endemic areas.

Twelve nondepressed healthy female obese subjects (BMI > 30 kg/m2) took part in a study which conformed to a double-blind randomized crossover design. Each subject acted as her own control across 2 weeks of treatment with either 60 mg of the 5-HT reuptake inhibitor fluoxetine or matching placebo. On days 7 and 14 of both treatment phases subjects were provided with fixed energy lunch meals high in either CHO or fat. The effect of these meals on satiety during the fluoxetine and placebo phases was assessed by a battery of procedures. Subjects felt less hungry after consuming the high CHO meal than after consuming the high-fat meal. They also felt less hungry when taking fluoxetine than when taking the placebo. Analysis of energy intake from the test meal revealed a main effect of prior lunch meal type (high CHO or high fat) and a main effect of drug treatment. Subjects consumed an average of 574 kcal following the high CHO meal compared to 689 kcal following the high-fat meal. Subjects also consumed an average of 532 kcal when taking fluoxetine compared to 730 kcal when taking the placebo. Fluoxetine did not exert any significant effects on macronutrient selection. Mean daily energy intake, calculated from food diary records, was 1881 kcal when subjects were taking the placebo compared to 1460 kcal when taking fluoxetine (a reduction of 22.4%). Fluoxetine treatment produced a significant weight loss of 1.97 kg over the two weeks of treatment compared to a weight loss of only 0.04 kg on placebo.

The dental risk of dietary sugars is dependent mainly on the frequency of intake, but the prevalence of caries in a population is strongly modified by other dietary, social, and behavioral factors independent from intake of sugars. Regarding dietary factors, it must be remembered that hidden sugars in fruit as well as polysaccharides are cariogenic. The most important of the other factors is regular tooth brushing, which results in the removal of the bacterial plaque that causes caries and periodontal diseases and makes fluoride (which is contained in every advanced toothpaste) available for maintenance of the hard dental tissues and for remineralization wherever demineralization has occurred. This explains why in most highly developed countries caries prevalence has decreased markedly during the past 20 y although consumption of sugars remained high.

Sugars provide a strong, pleasant, sweet taste and at the same time deliver energy when ingested. Their effects on food intake and selection may therefore be a result of both their hedonic and their physiologic features. The theory that appetite signals arising from sugars are different from those arising from other carbohydrates because of sugars' sweetness has led to the hypothesis that sugars are a cause of excessive energy intake and obesity. However, experimental studies provide evidence that the ingestion of > or = 50 g sugar within 20-60 min of a meal results in reduced mealtime food intake, which suggests that appetite regulatory centers respond to sugar's energy content. Epidemiologic studies provide evidence that sugar consumption, as well as carbohydrate consumption, is associated with leanness, not obesity. Thus there is no evidence to support the hypothesis that sugar is unique among carbohydrates as a dietary component affecting food intake.

Carbohydrate sweeteners in the diet, which are sources of added sugars, have recently undergone changes that vary considerably among countries. The major driving force for these changes is a technological development that permits conversion of corn and other starches to sweeteners. Major changes in the type of sweeteners used in the United States began in the mid-1970s. In 1986 the US Food and Drug Administration comprehensively evaluated exposures and potential health effects of sugars contained in carbohydrate sweeteners. A UK Department of Health report followed in 1989. An overview of issues is provided, terminologies used to describe sugars and sweeteners are defined, the findings of the US and UK reports are reviewed, trends in the availability of added and naturally occurring sugars are evaluated, and recommendations for future assessment of sugars are discussed. The potential problem of underreporting of food intakes in national food consumption surveys is also reviewed.

Objective: The food selection and nutrient intake were investigated in women with anorexia nervosa, bulimia nervosa and controls., Methods: Dietary data was obtained by 24-hour recall, and 7-day recording among eating disordered patients, and by 3-day registration among controls., Results: The intake of energy and nutrients differed from controls, as expected, while there were no differences between anorectics and bulimics in this respect, except for iron. There were only minor differences among the three groups studied with respect to nutrient density. Energy percentages of protein, fat, and carbohydrates, were similar in all groups, but a subdivision of the macronutrients into respective sources showed that bulimics had a lower relative and absolute intake of carbohydrates from bread and cereals than anorectics and controls., Conclusion: Eating disorder patients, despite their marginal food intake, still met the minimum requirement for most nutrients according to the Nordic Nutrient recommendations.

Reduction of body stores of carbohydrate and blood glucose is related to the perception of fatigue and the inability to maintain high-quality performance. This has been clearly shown with aerobic, endurance events of moderate intensity of over 90 min duration. Carbohydrate intake may also have relevance for athletes involved in short, high-intensity events, especially if body weight control is an issue. Prevention of carbohydrate depletion begins with a high-carbohydrate training diet of about 60-70% carbohydrate. If possible, carbohydrate beverages should be consumed during the event at the rate of 30-70 g/hr to reduce the chance of body carbohydrate depletion. Finally, replacement of body carbohydrate stores can be achieved most rapidly if 40-60 g of carbohydrate is consumed as soon as possible after the exercise and at repeating 1-hr intervals for at least 5 hr after the event.

Caffeine ingestion (3-9 mg/kg body weight) prior to exercise increases performance during prolonged endurance exercise and short-term intense exercise lasting approximately 5 min in the laboratory. These results are generally reported in well-trained elite or recreational subjects. However, there is a lack of well-controlled field studies to determine the applicability of laboratory results to the athletic world. Caffeine does not appear to enhance performance during incremental exercise tests lasting 8-20 min and during sprinting lasting less than 90 s, although research examining sprinting is rare. In addition, the mechanisms responsible for any improvement in endurance and short-term exercise have not been clearly established. The ergogenic effects of caffeine are present with urinary caffeine levels that are below the limit of 12 micrograms/ml allowed by the International Olympic Committee, which raises serious ethical issues regarding the use of caffeine to improve athletic performance. One solution would be to add caffeine to the list of banned substances, thereby requiring athletes to abstain from caffeine ingestion 48-72 hr prior to competition.

Lean healthy males received either parenteral or enteral infusions of pure fat or carbohydrate (2092 kJ), or isotonic saline, to determine their influences on food intake and energy regulation in self-selected lunch and dinner meals. In the first study, six males received intravenous infusions for 3.5 h in the morning, followed by lunch 30 min after the infusion ended and dinner 6 h later. No compensation was seen for energy differences in intravenous infusions. In the second study, six males received intragastric infusions for 15 min or 3.5 h. Rapid intragastric infusions of fat or carbohydrate and slow infusions of fat significantly reduced intake at lunch, whereas slow carbohydrate infusions did not. In both studies, subjects reduced intake at lunch 30 min after 2092-kJ yogurt preloads varying in fat and carbohydrate, demonstrating their ability to respond to orally derived energy. These results support the existence of mechanisms in the gastrointestinal tract for the rapid detection of the energy content of ingested nutrients or foods in lean males.

A 3-yr study was conducted to determine effects of high-starch (HS) or high-fiber (HF) energy supplements on performance of fall-weaned steer calves (n = 192, Exp. 1 and 2; n = 84, Exp. 3) grazing winter wheat pasture (Triticum aestivum variety 2157) and subsequent feedlot performance. The steers received 1) no supplement (CL) other than free-choice access to a commercial mineral mixture or 2) were hand-fed 6 d/wk either a corn-based HS supplement, or 3) a soybean hull/wheat middling-based HF supplement. In Exp. 1 (1989-1990), a fourth treatment provided ad libitum access to the HF supplement (SFHF). Supplements contained 88 mg of monensin/kg and the combination of ionophore, minerals and salt (8%) was used to limit intake of the SFHF supplement. Target level of daily consumption of all supplements was .75% of mean BW. Stocking density was increased by 33% (i.e., from 1.24 to 1.65 steers/ha) in Exp. 1 and 3, and by 22 to 44% in Exp. 2 when supplements were fed. Subsequent to grazing wheat pasture in Exp. 2 and 3, feedlot performance and carcass quality (Exp. 2 only) of the cattle were measured. Over the 3-yr period (pooled analysis), mean daily supplement consumption was .65% BW. Daily gains were increased (P < .001) .15 kg by supplementation and were .92, 1.06, and 1.08 kg for CL, HS, and HF, respectively. Daily gains were not influenced (P > .45) by type of energy supplement. Mean supplement conversions (kilograms asfed.kilogram of increased gain-1.hectare-1) were 5.4 for HS and 5.0 for HF and did not differ (P > .95). Subsequent feedlot daily gain was decreased .09 kg (P < .05) by supplementation in Exp. 2 but not in Exp. 3 (P > .80). This supplementation program for growing cattle on wheat pasture allowed stocking density to be increased by approximately one-third and increased daily gains by .15 kg.

Accurate prediction of forage biological values and performance with animals fed forages requires accurately accounting for factors that influence animal requirements and feedstuff utilization. The Cornell Net Carbohydrate and Protein System (CNCPS) is an application model that uses a combination of mechanistic and empirical approaches to account for the effects of variation in animal factors and feed carbohydrate and protein fractions on animal performance. Thus, accurate animal and environmental descriptions, DMI, feed carbohydrate, and protein fractions and their digestion rates are required inputs. In 25 growth periods with calves fed high-forage diets, the CNCPS accounted for 74, 81, and 83%, respectively, of the variation in ADG predicted to be supported by the ME, metabolizable protein, and essential amino acid intake, the first-limiting of all three accounting for 81% of the variation with a -1% bias. Thus, the CNCPS can be used to accurately describe forage quality and the effects of changes in forage composition on animal performance. The model was sensitive to variations in NDF, CP, protein solubility, NDF and starch digestion rates, feed and microbial amino acid composition, maintenance protein requirement, body protein amino acid content, and the coefficient of efficiency of use of absorbed protein. Analysis of several trials indicates an improved efficiency of ME use with improved amino acid balances. Uses of the CNCPS discussed include interpreting, planning and applying research, teaching, developing tables of requirements and biological values for feeds, complex nutritional accounting, and predicting performance and profits.

The importance of processing conditions, product thickness and effect of egg addition for the glycaemic and hormonal responses to pasta was studied. Healthy subjects were given test meals with an equivalent amount of available carbohydrate from extruded high-temperature dried spaghetti and three varieties of fresh roll-sheeted linguine (thick, thin, thin with egg) made from the same ingredients (durum wheat, water and monoglycerides). As a reference bread was baked from the same ingredients as in the pasta products. Glucose, insulin and C-peptide levels were measured over a 3 h period. Glycaemic, insulin and C-peptide indexes (GI, II, CI) were calculated using 120 min areas under the curves. Glycaemic index was also calculated using the 90 min area. Also studied were the rates of in vitro starch digestion. The four pasta products produced significantly lower peak values (glucose, insulin, C-peptide) and lower GI (90 min), II (120 min) and CI (120 min) than the corresponding bread. The rate of in vitro starch digestion in pasta was also slower than in bread. In contrast to the pasta products, bread resulted in a prominent hypoglycaemia in the late phase, that is a drop below fasting blood glucose level. Minor differences in metabolic responses also appeared in the pasta products. In particular, the insulin and C-peptide response to the thin linguine was accentuated in the phase around 120 min.

A new approach to establishing an upper or prescriptive level of recommended intakes of nutrients was devised for use in Britain. It was based on present food supplies in the UK, and the following measures were proposed to improve the national diet: moderate reductions in intakes of fat, sugar, meat, and alcohol; increased intakes of cereals, potatoes, and other vegetables and fruit; while intakes of milk and eggs and fish, pulses, and nuts were to remain unchanged. The proportions of food energy derived from protein would be increased, despite reduced meat consumption. Nutrient content of the diet may be expressed in terms of food groups or as nutrient concentrations per energy unit, which is particularly applicable to planning or prescribing diets for individuals or small groups. The suggested changes in the national diet are large enough to be meaningful, yet would not disrupt agricultural or trade policies if implemented over the next decade. Furthermore, the methods used to assess the recommended intakes of nutrients are flexible enough to be used both for planning and prescribing diets and for evaluating results of dietary surveys or histories.