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  1. Article ; Online: Development of a nutrition screening tool to identify need for dietetic intervention in female infertility

    Deepak Kumar, Komal / Huntriss, Rosemary / Green, Eulalee / Bora, Shabana / Pettitt, Claire

    Journal of Human Nutrition and Dietetics. 2023 Feb., v. 36, no. 1 p.154-168

    2023  

    Abstract: BACKGROUND: One in seven couples are impacted by infertility in the UK, and female infertility is often associated with several health conditions impacted by nutrition. Despite many studies aimed at identifying the critical role of nutrition in ... ...

    Abstract BACKGROUND: One in seven couples are impacted by infertility in the UK, and female infertility is often associated with several health conditions impacted by nutrition. Despite many studies aimed at identifying the critical role of nutrition in infertility, there is currently no screening tool that identifies nutritional risk factors for infertility. AIM: To propose a self‐administered screening tool to identify women who would benefit from nutritional intervention to promote fertility. METHODS: A narrative review was carried out to identify and summarise modifiable nutritional risk factors that can influence female fertility, including comorbidities that can influence nutrition intake, absorption, and metabolism. KEY FINDINGS: A nutrition screening tool outlining modifiable nutrition risk factors potentially improving female fertility has been proposed, comprising of BMI, medical history and quality of diet and lifestyle which would aid in designing evidence based dietetic services for female infertility.
    Keywords absorption ; diet ; dietetics ; female fertility ; lifestyle ; medical history ; metabolism ; nutrition risk assessment ; nutritional intervention ; risk
    Language English
    Dates of publication 2023-02
    Size p. 154-168.
    Publishing place John Wiley & Sons, Ltd
    Document type Article ; Online
    Note JOURNAL ARTICLE
    ZDB-ID 645183-4
    ISSN 1365-277X ; 0952-3871 ; 1465-8178
    ISSN (online) 1365-277X
    ISSN 0952-3871 ; 1465-8178
    DOI 10.1111/jhn.13055
    Database NAL-Catalogue (AGRICOLA)

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  2. Article ; Online: A service evaluation exploring the effectiveness of a locally commissioned tier 3 weight management programme offering face-to-face, telephone and digital dietetic support.

    Huntriss, Rosemary / Haines, Matthew / Jones, Lucy / Mulligan, Danielle

    Clinical obesity

    2021  Volume 11, Issue 3, Page(s) e12444

    Abstract: Obesity continues to be a global health problem with significant costs associated with management, treatment, and obesity-related comorbidities. Tier 3 weight management programmes support patients with complex obesity and traditionally offer ... ...

    Abstract Obesity continues to be a global health problem with significant costs associated with management, treatment, and obesity-related comorbidities. Tier 3 weight management programmes support patients with complex obesity and traditionally offer interventions through face-to-face delivery. In this study, a service evaluation compared weight loss for adults with a BMI ≥ 45 kg/m
    MeSH term(s) Computer Communication Networks ; Dietetics ; Humans ; Obesity/therapy ; Telephone ; Weight Loss ; Weight Reduction Programs
    Language English
    Publishing date 2021-02-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 2625816-X
    ISSN 1758-8111 ; 1758-8103
    ISSN (online) 1758-8111
    ISSN 1758-8103
    DOI 10.1111/cob.12444
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  3. Article ; Online: Development of a nutrition screening tool to identify need for dietetic intervention in female infertility.

    Deepak Kumar, Komal / Huntriss, Rosemary / Green, Eulalee / Bora, Shabana / Pettitt, Claire

    Journal of human nutrition and dietetics : the official journal of the British Dietetic Association

    2022  Volume 36, Issue 1, Page(s) 154–168

    Abstract: Background: One in seven couples are impacted by infertility in the UK, and female infertility is often associated with several health conditions impacted by nutrition. Despite many studies aimed at identifying the critical role of nutrition in ... ...

    Abstract Background: One in seven couples are impacted by infertility in the UK, and female infertility is often associated with several health conditions impacted by nutrition. Despite many studies aimed at identifying the critical role of nutrition in infertility, there is currently no screening tool that identifies nutritional risk factors for infertility.
    Aim: To propose a self-administered screening tool to identify women who would benefit from nutritional intervention to promote fertility.
    Methods: A narrative review was carried out to identify and summarise modifiable nutritional risk factors that can influence female fertility, including comorbidities that can influence nutrition intake, absorption, and metabolism.
    Key findings: A nutrition screening tool outlining modifiable nutrition risk factors potentially improving female fertility has been proposed, comprising of BMI, medical history and quality of diet and lifestyle which would aid in designing evidence based dietetic services for female infertility.
    MeSH term(s) Humans ; Female ; Infertility, Female ; Dietetics ; Nutritional Status ; Diet ; Fertility
    Language English
    Publishing date 2022-07-24
    Publishing country England
    Document type Review ; Journal Article
    ZDB-ID 645183-4
    ISSN 1365-277X ; 0952-3871 ; 1465-8178
    ISSN (online) 1365-277X
    ISSN 0952-3871 ; 1465-8178
    DOI 10.1111/jhn.13055
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The interpretation and effect of a low-carbohydrate diet in the management of type 2 diabetes: a systematic review and meta-analysis of randomised controlled trials.

    Huntriss, Rosemary / Campbell, Malcolm / Bedwell, Carol

    European journal of clinical nutrition

    2017  Volume 72, Issue 3, Page(s) 311–325

    Abstract: Background/objectives: Recently, the role of a low-carbohydrate diet in diabetes management has generated interest with claims being made regarding its superiority over the traditional high-carbohydrate, low-fat dietary approach. This systematic review ... ...

    Abstract Background/objectives: Recently, the role of a low-carbohydrate diet in diabetes management has generated interest with claims being made regarding its superiority over the traditional high-carbohydrate, low-fat dietary approach. This systematic review and meta-analysis evaluated the interpretation and effect of a low-carbohydrate diet in the management of type 2 diabetes.
    Subjects/methods: Randomised controlled trials were searched for which included adults with type 2 diabetes aged 18 years or more. The intervention was a low-carbohydrate diet as defined by the author compared to a control group of usual care. MEDLINE, EMBASE, CINAHL, Cochrane Central Register of Controlled Trials, ISRCTN, ProQuest and opengrey.eu were searched. Independent experts were contacted and reference lists of selected papers were checked. Results were analysed descriptively and meta-analyses were completed to include trials that presented data at 1 year.
    Results: Eighteen studies (n = 2204) were eligible for inclusion within the systematic review. The definition of a low-carbohydrate diet varied. At trial end, the descriptive analysis suggested that the low-carbohydrate intervention arm (LCIA) may promote favourable outcomes in terms of HbA1c, triglycerides and HDL cholesterol. The LCIA demonstrated reduced requirements for diabetes medication, which may have reduced the observed benefit of dietary carbohydrate restriction on HbA1c. Seven studies provided data to be included in the meta-analyses at 1 year. The meta-analyses showed statistical significance in favour of the LCIA for HbA1c (estimated effect = -0.28%, 95% CI -0.53 to -0.02, p = 0.03; χ
    Conclusions: Reducing dietary carbohydrate may produce clinical improvements in the management of type 2 diabetes. Further research is needed to understand the true effect of dietary carbohydrate restriction on HbA1c independent of medication reduction and to address known issues with adherence to this dietary intervention. Clarity is needed regarding appropriate classification of a low-carbohydrate diet.
    MeSH term(s) Adult ; Blood Pressure/physiology ; Diabetes Mellitus, Type 2/diet therapy ; Diabetes Mellitus, Type 2/epidemiology ; Diet, Carbohydrate-Restricted ; Glycated Hemoglobin A/analysis ; Humans ; Lipids/blood ; Patient Compliance/statistics & numerical data ; Randomized Controlled Trials as Topic ; Treatment Outcome ; Weight Loss/physiology
    Chemical Substances Glycated Hemoglobin A ; Lipids ; hemoglobin A1c protein, human
    Language English
    Publishing date 2017-12-21
    Publishing country England
    Document type Journal Article ; Meta-Analysis ; Research Support, Non-U.S. Gov't ; Systematic Review
    ZDB-ID 639358-5
    ISSN 1476-5640 ; 0954-3007
    ISSN (online) 1476-5640
    ISSN 0954-3007
    DOI 10.1038/s41430-017-0019-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: A low-energy total diet replacement program demonstrates a favorable safety profile and improves liver disease severity in nonalcoholic steatohepatitis.

    Koutoukidis, Dimitrios A / Mozes, Ferenc E / Jebb, Susan A / Tomlinson, Jeremy W / Pavlides, Michael / Saffioti, Francesca / Huntriss, Rosemary / Aveyard, Paul / Cobbold, Jeremy F

    Obesity (Silver Spring, Md.)

    2023  Volume 31, Issue 7, Page(s) 1767–1778

    Abstract: Objective: Low-energy diets are used to treat obesity and diabetes, but there are fears that they may worsen liver disease in patients with nonalcoholic steatohepatitis (NASH) and significant-to-advanced fibrosis.: Methods: In this 24-week single-arm ...

    Abstract Objective: Low-energy diets are used to treat obesity and diabetes, but there are fears that they may worsen liver disease in patients with nonalcoholic steatohepatitis (NASH) and significant-to-advanced fibrosis.
    Methods: In this 24-week single-arm trial, 16 adults with NASH, fibrosis, and obesity received one-to-one remote dietetic support to follow a low-energy (880 kcal/d) total diet replacement program for 12 weeks and stepped food reintroduction for another 12 weeks. Liver disease severity was blindly evaluated (magnetic resonance imaging proton density fat fraction [MRI-PDFF], iron-corrected T1 [cT1], liver stiffness on magnetic resonance elastography [MRE], and liver stiffness on vibration-controlled transient elastography [VCTE]). Safety signals included liver biochemical markers and adverse events.
    Results: A total of 14 participants (87.5%) completed the intervention. Weight loss was 15% (95% CI: 11.2%-18.6%) at 24 weeks. Compared with baseline, MRI-PDFF reduced by 13.1% (95% CI: 8.9%-16.7%), cT1 by 159 milliseconds (95% CI: 108-216.5), MRE liver stiffness by 0.4 kPa (95% CI: 0.1-0.8), and VCTE liver stiffness by 3.9 kPa (95% CI: 2.6-7.2) at 24 weeks. The proportions with clinically relevant reductions in MRI-PDFF (≥30%), cT1 (≥88 milliseconds), MRE liver stiffness (≥19%), and VCTE liver stiffness (≥19%) were 93%, 77%, 57%, and 93%, respectively. Liver biochemical markers improved. There were no serious intervention-related adverse events.
    Conclusions: The intervention demonstrates high adherence, favorable safety profile, and promising efficacy as a treatment for NASH.
    MeSH term(s) Adult ; Humans ; Non-alcoholic Fatty Liver Disease/diagnostic imaging ; Non-alcoholic Fatty Liver Disease/pathology ; Liver/diagnostic imaging ; Liver/pathology ; Magnetic Resonance Imaging/methods ; Patient Acuity ; Biomarkers ; Obesity/pathology ; Fibrosis ; Liver Cirrhosis/pathology
    Chemical Substances Biomarkers
    Language English
    Publishing date 2023-06-27
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2230457-5
    ISSN 1930-739X ; 1071-7323 ; 1930-7381
    ISSN (online) 1930-739X
    ISSN 1071-7323 ; 1930-7381
    DOI 10.1002/oby.23793
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