Journal of the American Dietetic Association articles from October 1998

Journal of the American Dietetic Association archives from October 1998

Computer-based certification tests integrate testing and scoring, increase convenience.
October 1, 1998... Like so many other aspects of our lives, technology has also affected the testing experience. The large halls and sharpened No. 2 pencils of the past have been replaced with small, private testing carrels and computer keyboards. Beginning in...

ADA responds to nursing home initiative; task force is developing nutrition care recommendations for HCFA. (American Dietetic Association; Health Care Financing Administration)
October 1, 1998... Responding to President Clinton's recent announcement of an initiative to improve the quality of nursing home care, The American Dietetic Association (ADA) is developing recommendations that will be forwarded to the Health Care Financing...

Hunger and satiety: deceptively simple words for the complex mechanisms that tell us when to eat and when to stop.
October 1, 1998... How do you know that you are hungry?" It's a question that seems as if it should be easy to answer. After all, everyone feels hungry at some point;. But pose that question to a group and it is possible that there will be as many answers as there...

The dietitian's role in developing and implementing the first federal obesity guidelines.
October 1, 1998... In June 1998 the first federal guidelines on the identification, evaluation, and treatment of overweight and obesity in adults were released by the National Institute of Health under the auspices of the National Heart, Lung, and Blood Institute...

Why Americans eat what they do: taste, nutrition, cost, convenience, and weight control concerns as influences on food consumption.
October 1, 1998... Dietary patterns of Americans differ widely, but most Americans eat a diet that could best be described as in need of improvement (1). During the past few decades, health professionals and food marketers have engaged in systematic efforts to...

Dieting status and its relationship to eating and physical activity behaviors in a representative sample of US adolescents.
October 1, 1998... Dieting for weight loss or weight control is a common and widespread practice among adolescents, especially girls (1-4). The National Adolescent and School Health Survey (1) of 8th- and 10th-grade students found that 61% of adolescent girls and...

Literacy and body fatness are associated with underreporting of energy intake in US low-income women using the multiple-pass 24-hour recall: a doubly labeled water study.
October 1, 1998... It is now well accepted that underreporting of food intake is pervasive in dietary surveys. This conclusion is based primarily on findings from studies in which the doubly labeled water technique was used for measuring total energy expenditure to...

Factors associated with fruit and vegetable consumption among women participating in WIC. (Special Supplemental Nutrition Program for Women, Infants, and Children)
October 1, 1998... A large body of scientific evidence indicates that lower levels of fruit and vegetable consumption are associated with an increased risk of developing at least 15 different types of cancer (1,2). As a result of this strong evidence, in 1991 the...

What can I do with an eggplant? Nutrition education for low-income clients.
October 1, 1998... People seem to know more and more about nutrition but less and less about food," notes Luanne Hughes, MS, RD, chair of the Nutrition Education for the Public dietetic practice group and family and consumer sciences educator and assistant...

What to consider when conducting a cost-effectiveness analysis in a clinical setting. (nutrition services)
October 1, 1998... Coronary heart disease is a major public health problem in the United States; it caused nearly half a million deaths in 1994 and is estimated to have cost more than $90 billion in 1997 (1). Although the second report of the National Cholesterol...

The Plate Model: a visual method of teaching meal planning.
October 1, 1998... Dietitians recognize the need to have simple methods of teaching meal planning to people with type 2 diabetes mellitus and dyslipidemia (1-5). Diet is considered a cornerstone of therapy for both conditions; consequently, persons with the...

Nutrient Intake Report: a coordination of patient dietary assessment between physicians and registered dietitians.
October 1, 1998... In 1989, the US Preventive Services Task Force (1) declared that physicians should refer patients to registered dietitians or qualified nutritionists if they themselves are unable to perform a complete diet history or offer individualized...

The effect of keeping food records on eating patterns.
October 1, 1998... Historically, food records were considered the "gold standard" of dietary assessment and were used to establish the validity of other methods of assessment (1-3). However, studies using an objective method of estimating energy intake, doubly...

Reverse mentoring: a twist to teaching technology. (Internet-based continuing education in dietetics)
October 1, 1998... Computers are standard equipment for students of the 1990s, and most college students have access to E-mail and the Internet. Many dietitians, however, were educated and trained before technological advances brought computers to classrooms from...

Game to assess nutrition concepts of preschool children.
October 1, 1998... Nutritionists are challenged to develop a food and nutrition curriculum that promotes a lifetime of well-being for children and for those involved in their care - students, parents, and child-care providers (1-8). The American Dietetic...

President's page: compensation takes many forms. (mission of the American Dietetic Association)(President's Page)
October 1, 1998... It is one of the most beautiful compensations of this life that no man can sincerely try to help another without helping himself. - Ralph Waldo Emerson Those words are as true today as they were when Emerson wrote them more than a century ago....

Rachel K. Johnson wins Huddleson Award.
October 1, 1998... Rachel K. Johnson, PhD, MPH, RD, has won the 15th Annual Huddleson Award for the article "Total energy expenditure in adults with cerebral palsy as assessed by doubly labeled water," which was published in the September 1997 issue of the Journal...

Executive summary of the clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults.
October 1, 1998... THE NATIONAL HEART, LUNG, AND BLOOD INSTITUTE EXPERT PANEL ON THE IDENTIFICATION, EVALUATION, AND TREATMENT OF OVERWEIGHT AND OBESITY IN ADULTS(1) An estimated 97 million adults in the United States are overweight or obese, a condition that...

Practice-Oriented Nutrition Research: An Outcomes Measurement Approach.
October 1, 1998... By Carol S. Ireton-Jones, PhD, RD, Michele Morath Gottschlich, PhD, RD, and Stacey J. Bell, DSc, RD. Gaithersburg, Md: Aspen Publishers; 1998. Hardcover. Pp 260. Price: $45. ISBN 0-8342-0885-7 This book is designed to help nutrition care...

Nutrition Counseling and Communication Skills.
October 1, 1998... By Katherine R. Curry, PhD, RD, and Amy Jaffe, MS, RD. Philadelphia, Pa: WB Saunders; 1998. Softcover. Pp 351. Price: $32.95. ISBN 0-7216-7298-1 There has been a revolution in the delivery of medical nutrition therapy and Nutrition Counseling...

Breast-feeding basics - and beyond. (National Center for Nutrition and Dietetics Nutrition Fact Sheet)
October 1, 1998... Breast-feeding is the gold standard of infant feeding. It gives babies important immune protection, as well as overwhelming health and emotional benefits. Your decision to breast-feed is a personal one, dependent on many factors. Here are some...

Antioxidant vitamins for optimal health.(National Center for Nutrition and Dietetics and Nutrition Fact Sheet)
October 1, 1998... Encouraging healthful eating habits early in childhood is important for maintaining these habits in adulthood. The best way to get children to eat fruits and vegetables is to offer them often and to be a positive role model. The Food Guide...

Obesity as an epidemic: facing the challenge.
October 1, 1998... The prevalence of obesity in the adult population of the United States has nearly reached epidemic proportions. Despite the scientific advances made in understanding energy metabolism and its regulation, recent statistics indicate that more than...

Obesity as a chronic disease: modern medical and lifestyle management.
October 1, 1998... The United States is in the midst of an epidemic of obesity that carries profound implications for obese persons and for the public health of the nation. Obesity treatment represents a notable challenge for health care professionals as well as a...

A model for chronic care of obesity through dietary treatment.
October 1, 1998... Obesity is a poorly diagnosed chronic disease, usually thought to be caused by lack of self-discipline. Although increased risk of comorbidities and even death associated with obesity have been well documented in the literature (1-4), there is...

Modern medical management of obesity: the role of pharmaceutical intervention.
October 1, 1998... The medical treatment of obesity has been a topic of controversy for many years. The popularity, and overuse, of the combination of medications phentermine and fenfluramine (phen-fen), combined with the introduction of several new medications and...

The role of the behavioral counselor in obesity treatment.
October 1, 1998... Behavioral counselors, who are often also registered dietitians, play an important role on multidisciplinary obesity treatment teams. Because obesity treatment requires patients to make substantial changes in their eating and activity behaviors,...

The role of physical activity in the prevention and management of obesity.
October 1, 1998... The United States is in the midst of an unprecedented epidemic of obesity. According to recent data from the third National Health and Nutrition Examination Survey (NHANES III), more than one third of the adult population in the United States is...

Managing obesity in patients with comorbidities.
October 1, 1998... Obesity is associated with an increased risk for the development of significant health problems and considerable psychosocial stress. Populations affected by obesity and its comorbidities include persons at risk for type 2 diabetes,...

A multidisciplinary approach to obesity management: the physician's role and team care alternatives.
October 1, 1998... It has been difficult to convince health care professionals and the public that obesity is a disease. Considering how firmly established is the traditional belief that obesity is simply "willful misconduct," it is remarkable that there has been...

The dietitians' philosophy and practice in multidisciplinary weight management.
October 1, 1998... The dietitian's response to the multidisciplinary approach to treating obesity is two-tiered: development of a philosophy and a practice protocol of weight management. Dietitians are developing a working philosophy about this major health...

Panel discussion: the obesity epidemic - a mandate for a multidisciplinary approach.(Panel Discussion)
October 1, 1998... During our discussion today we have heard presentations describing the roles of physicians (1-3), dietitians (4-7), behaviorists (8), and other health care professionals who work both individually and as a team to combat the epidemic of obesity...