Social and Behavioral Sciences Commons^™

Effect Of 6 Weeks' Consumption Of Β-Glucan-Rich Oat Products On Cholesterol Levels In Mildly Hypercholesterolaemic Overweight Adults, Karen E. Charlton, Linda C. Tapsell, Marijka J. Batterham, Jane O'Shea, Rebecca Thorne, Eleanor Beck, Susan M. Tosh

Dr Marijka Batterham

Several regulatory bodies have approved a health claim on the cholesterol-lowering effects of oat β-glucan at levels of 3·0 g/d. The present study aimed to test whether 1·5 g/d β-glucan provided as ready-to-eat oat flakes was as effective in lowering cholesterol as 3·0 g/d from oats porridge. A 6-week randomised controlled trial was conducted in eighty-seven mildly hypercholesterolaemic ( ≥ 5 mmol/l and < 7·5 mmol/l) men and women assigned to one of three diet arms (25 % energy (E%) protein; 45 E% carbohydrate; 30 E% fat, at energy requirements for weight maintenance): (1) minimal β-glucan (control); (2) low-dose oat β-glucan …

Food Patterns Of Australian Children Ages 9 To 13 Y In Relation To Ω-3 Long Chain Polyunsaturated Intake, Setyaningrum Rahmawaty, Philippa Lyons-Wall, Marijka Batterham, Karen Charlton, Barbara J. Meyer

Dr Marijka Batterham

Objective: The aim of this study was to examine food patterns of Australian children ages 9 to 13 y in relation to ω-3 long-chain polyunsaturated fatty acid (ω-3 LCPUFA) intake. Methods: Secondary analysis was conducted on nationally representative food data of 1110 Australian children ages 9 to 13 y (525 boys and 585 girls) that was obtained using two 24-h recalls. Principle component factor analysis was used to identify food patterns. Discriminant function analysis was used to identify the relationship between the food patterns and total ω-3 LCPUFA intake. Results: Four major food patterns emerged for each sex. For boys …

Energy Expenditure Does Not Differ, But Protein Oxidation Rates Appear Lower In Meals Containing Predominantly Meat Versus Soy Sources Of Protein, Sze Yen Tan, Marijka Batterham, Linda C. Tapsell

Dr Marijka Batterham

Background: High protein meals produce 3 relevant effects in weight management: i) higher thermogenic cost, ii) enhanced fat oxidation, and iii) greater satiation. Pork has been reported to be more thermogenic than soy, suggesting meat protein may be superior to plant protein in a high-protein weight loss diet context. In this study, we aimed to compare the effects of high-protein meals using meat, dairy, and soy sources respectively. Methods: This crossover feeding trial measured energy expenditure, substrate oxidation, and satiety levels of 12 adults during 8-hour stays in a whole-room calorimeter. The 3 isoenergetic high-protein test meals (30% protein, 40% …

Oat Β-Glucan Supplementation Does Not Enhance The Effectiveness Of An Energy-Restricted Diet In Overweight Women, Eleanor J. Beck, Linda C. Tapsell, Marijka J. Batterham, Susan M. Tosh, Xu-Feng Huang

Dr Marijka Batterham

Epidemiological evidence shows an inverse relationship between dietary fibre intake and body weight gain. Oat β-glucan, a soluble fibre alters appetite hormones and subjective satiety in acute meal test studies, but its effects have not been demonstrated with chronic consumption. The present study aimed to test the effects in women of two different doses of oat β-glucan on weight loss and hormones associated with appetite regulation. In a 3-month parallel trial, sixty-six overweight females were randomised into one of three 2 MJ energy-deficit diets: a control and two interventions including 5–6 g or 8–9 g β-glucan. Anthropometric and metabolic variables …

Weight Loss Effects From Vegetable Intake: A 12-Month Randomised Controlled Trial, Linda Tapsell, Marijka Batterham, Rebecca Thorne, Jane O'Shea, Sara Jane Grafenauer, Yasmine Probst

Dr Marijka Batterham

Background/Objectives: Direct evidence for the effects of vegetable intake on weight loss is qualified. The study aimed to assess the effect of higher vegetable consumption on weight loss. Subjects/Methods: A single blind parallel controlled trial was conducted with 120 overweight adults (mean body mass index=29.98 kg/m2) randomised to two energy deficit healthy diet advice groups differing only by doubling the serving (portion) sizes of vegetables in the comparator group. Data were analysed as intention-to-treat using a linear mixed model. Spearmans rho bivariate was used to explore relationships between percentage energy from vegetables and weight loss. Results: After 12 months, the …

Lean Body Mass Associated With Upper Body Strength In Healthy Older Adults While Higher Body Fat Limits Lower Extremity Performance And Endurance, Karen E. Charlton, Marijka Batterham, Kelly Langford, Jenna Lateo, Erin Brock, Karen L. Walton, Philippa M. Lyons-Wall, Katie Eisenhauer, Nick Green, Cameron Mclean

Dr Marijka Batterham

Impaired strength adversely influences an older person's ability to perform activities of daily living. A cross-sectional study of 117 independently living men and women (age = 73.4 9.4 year; body mass index (BMI) = 27.6 4.8 kg/m2) aimed to assess the association between body composition and: (1) upper body strength (handgrip strength, HGS); (2) lower extremity performance (timed up and go (TUG) and sit to stand test (STS)); and (3) endurance (6-minute walk (SMWT). Body composition (% fat; lean body mass (LBM)) was assessed using bioelectrical impedance. Habitual physical activity was measured using the Minnesota Leisure Time Physical Activity Questionnaire …

Interdisciplinary Lifestyle Intervention: A Pilot Study Of Effects On Weight Loss, Linda Tapsell, Marijka Batterham, Rebecca Thorne, Joseph Russell, Allison Humphries

Dr Marijka Batterham

Abstract of a presentation that was present at the NSA 2014 Annual Scientific Meeting, 26-28 November, Hobart, Australia.

Pace: A Group Randomised Controlled Trial To Increase Children's Break-Time Playground Physical Activity, Anne-Maree Parrish, Anthony D. Okely, Marijka Batterham, Dylan P. Cliff, Christopher A. Magee

Dr Marijka Batterham

Abstract presented at Be Active 2014, 15-18 October 2014, Canberra, Australia.

Predictive Validity And Classification Accuracy Of Actigraph Energy Expenditure Equations And Cut-Points In Young Children, Xanne Janssen, Dylan P. Cliff, John J. Reilly, Trina Hinkley, Rachel A. Jones, Marijka Batterham, Ulf Ekelund, Soren Brage, Anthony D. Okely

Dr Marijka Batterham

Objectives Evaluate the predictive validity of ActiGraph energy expenditure equations and the classification accuracy of physical activity intensity cut-points in preschoolers. Methods Forty children aged 4–6 years (5.3±1.0 years) completed a ~150-min room calorimeter protocol involving age-appropriate sedentary, light and moderate-to vigorous-intensity physical activities. Children wore an ActiGraph GT3X on the right mid-axillary line of the hip. Energy expenditure measured by room calorimetry and physical activity intensity classified using direct observation were the criterion methods. Energy expenditure was predicted using Pate and Puyau equations. Physical activity intensity was classified using Evenson, Sirard, Van Cauwenberghe, Pate, Puyau, and Reilly, ActiGraph cut-points. …

Validation Of Activpaltm Defined Sedentary Time And Breaks In Sedentary Time In 4- To 6-Year Olds., Xanne Janssen, Dylan P. Cliff, John J. Reilly, Trina Hinkley, Rachel A. Jones, Marijka Batterham, Ulf Ekelund, Soren Brage, Anthony D. Okely

Dr Marijka Batterham

This study examined the classification accuracy of the activPAL™, including total time spent sedentary and total number of breaks in sedentary behavior (SB) in 4-6 year old children. Forty children aged 4-6 years (5.3±1.0 years) completed a ~150-min laboratory protocol involving sedentary, light and moderate-to vigorous-intensity activities. Posture was coded as sit/lie, stand, walk or 'other' using direct observation. Posture was classified using the activPAL™ software. Classification accuracy was evaluated using sensitivity, specificity and area under the receiver operating characteristic curve (ROC-AUC). Time spent in each posture and total number of breaks in SB were compared using paired sample t-tests. …

Conversion Of Australian Food Composition Data From Ausnut1999 To 2007 In The Clinical Trial Context, Elizabeth P. Neale, Yasmine C. Probst, Rebecca Thorne, Qingsheng Zhang, Jane E. O'Shea, Marijka J. Batterham, Linda C. Tapsell

Dr Marijka Batterham

An Australian food composition database, AUSNUT1999, does not include long chain omega-3 polyunsaturated fatty acid (LC omega-3 PUFA) data. Measurement of the fatty acid content of diets initially analysed using AUSNUT1999 requires conversion to AUSNUT2007, an updated database inclusive of LC omega-3 PUFA. The aim of this study was to convert clinical trial dietary data from AUSNUT1999 to AUSNUT2007 and measure LC omega-3 PUFA intake. Clinical trial diet history (DH) data was converted from AUSNUT1999 to 2007 using a staged approach. Macronutrient intake from AUSNUT1999 and 2007 were calculated and compared via paired t-tests and Wilcoxon Signed Ranks tests. Mean …

Intraindividual Variation In Urinary Iodine Concentrations: Effect Of Adjustment On Population Distribution Using Two And Three Repeated Spot Urine Collections, Karen E. Charlton, Marijka Batterham, Li Min Buchanan, Dorothy Mackerras

Dr Marijka Batterham

Objectives: To determine the effect of adjustment for intraindividual variation on estimations of urinary iodine concentrations (UIC), prevalence of iodine deficiency and population distribution of iodine status. Setting: Community-dwelling older adults from New South Wales, Australia. Participants: 84 healthy men and women aged 60–95 years were recruited prior to introduction of the mandatory iodine fortification programme. Primary and secondary outcome: measures UIC data were collected from three spot urine samples, each 1 week apart. Repeated measures analysis of variance were determined between-person (sb) and total (sobs) SDs. Adjusted UIC values were calculated as ((person's UIC−group mean)×(sb/sobs))+group mean, and a corrected …

Baseline Characteristics Associated With Different Bmi Trajectories In Weight Loss Trials: A Case For Better Targeting Of Interventions, Marijka Batterham, Linda C. Tapsell, Karen E. Charlton

Dr Marijka Batterham

Background/Objectives: Dietary weight loss interventions have heterogeneous outcomes in long-term studies, with many participants regaining part or all of the lost weight. Growth mixture modelling is a novel analytic approach that can be used to identify different trajectories of weight change during a trial rather than focussing on the total amount of weight lost. Subjects/Methods: Data were pooled from two 12-month dietary weight loss studies where no significant difference was detected between the treatment and control arms, thus allowing analysis independent of treatment. The data set included 231 subjects (74.5% female), with a mean weight loss of 6.40 kg (4.96). …

Segregation Of A Latent High Adiposity Phenotype In Families With A History Of Type 2 Diabetes Mellitus Implicates Rare Obesity-Susceptibility Genetic Variants With Large Effects In Diabetes-Related Obesity, Arthur B. Jenkins, Marijka Batterham, Dorit Samocha-Bonet, Katherine Tonks, Jerry R. Greenfield, Lesley V. Campbell

Dr Marijka Batterham

Background We recently reported significantly greater weight gain in non-diabetic healthy subjects with a 1st degree family history (FH+) of type 2 diabetes mellitus (T2DM) than in a matched control group without such history (FH−) during voluntary overfeeding, implying co-inheritance of susceptibilities to T2DM and obesity. We have estimated the extent and mode of inheritance of susceptibility to increased adiposity in FH+. Methods Normoglycaemic participants were categorised either FH+ (≥1 1st degree relative with T2DM, 50F/30M, age 45±14 (SD) yr) or FH− (71F/51M, age 43±14 yr). Log-transformed anthropometric measurements (height, hip and waist circumferences) and lean, bone and fat mass …

Baseline Omega-3 Index Correlates With Aggressive And Attention Deficit Disorder Behaviours In Adult Prisoners, Barbara J. Meyer, Mitchell K. Byrne, Carole Collier, Natalie Parletta, Donna Crawford, Pia C. Winberg, David G. Webster, Karen Chapman, Gayle Thomas, Jean Dally, Marijka Batterham, Ian Farquhar, Anne-Marie Martin, Luke Grant

Dr Marijka Batterham

Background There is emerging evidence that the supplementation of omega-3 contributes to a decrease in aggressive behaviour in prison populations. A challenge of such research is achieving statistical power against effect sizes which may be affected by the baseline omega-3 index. There are no published data on the blood omega-3 index with studies of this kind to assess the variability of the blood omega-3 index in conjunction with aggression and attention deficit assessments. Objective To determine if the variance of the omega-3 index is correlated with aggressive and attention deficit behaviour in a prison population. Design 136 adult male prisoners …

A High Prevalence Of Abnormal Nutrition Parameters Found In Predialysis End-Stage Kidney Disease: Is It A Result Of Uremia Or Poor Eating Habits?, Maria C. Chan, John Kelly, Marijka Batterham, Linda Tapsell

Dr Marijka Batterham

Objective To describe the baseline nutritional characteristics of a cohort of end-stage kidney disease (ESKD) patients attending a pre-dialysis clinic. Setting Outpatient clinic of a metropolitan tertiary teaching hospital in Sydney, Australia. Subjects All ESKD patients attending the multidisciplinary pre-dialysis assessment clinic between April 2002 and March 2008. Methods Retrospective analysis of data extracted from the routine initial nutrition assessment records. These included anthropometric and biochemical measures, Subjective Global Assessment, appetite score, presence of symptoms, dietary energy, protein, and other macro- and micronutrient intakes. Results Of the 210 patients assessed, 60.5% were male; mean age was 65.7 ± 13.6 years …

Effect Of 6 Weeks Consumption Of B-Glucan Rich Oat Products On Cholesterol Levels In Mildly Hypercholesterolaemic Overweight Adults, Karen Charlton, Linda Tapsell, Marijka Batterham, Jane E. O'Shea, Rebecca L. Thorne, Eleanor Beck, Susan Tosh

Dr Marijka Batterham

Abstract presented at the Dietitians Association of Australia 16th International Congress of Dietetics, 5-8 September 2012, Sydney Convention & Exhibition Centre, Sydney, Australia

Compilation Of An Australian Database Of Manufactured And Packaged Food Products Containing Wholegrain Ingredients, Sayne Mam Dalton, Yasmine Probst, Marijka Batterham, Linda C. Tapsell

Dr Marijka Batterham

Comprehensive food databases are critical components of translational nutrition research. The food industry maintains proprietary data on the wholegrain content of manufactured food products which are available for collation. The aim of this study was to systematically collate wholegrain composition data on Australian manufactured and packaged food products. Wholegrain content data (g) per 100 g of product were retrieved from the Australian food industry via the representative body the Grains & Legumes Nutrition Council™, direct data transfer from food manufacturers and product packaging. Products were coded according to the food grouping hierarchy applied in the AUSNUT (Australian food and nutrient) …

Baseline Dietary Patterns Are A Significant Consideration In Correcting Dietary Exposure For Weight Loss, S J. Grafenauer, L C. Tapsell, E J. Beck, M J. Batterham

Dr Marijka Batterham

Background/objectives: Dietary pattern studies are traditionally the domain of epidemiological research. From a clinical perspective, there is a need to explore the effects of changing food and dietary patterns of individuals. The aim was to identify patterns of food choice in the context of a clinical weight loss trial. Cluster analysis based on reported serves of food groups revealed dietary patterns informative for the clinical setting. Subjects/Methods: Cluster analysis was conducted using diet history data from two clinical trials at baseline, and outcomes at 3 months were reviewed based on these clusters (n=231). The cluster solution was analysed using defined …

Practical Utility And Reliability Of Whole-Room Calorimetry In Young Children, Xanne Janssen, Dylan Cliff, Anthony D. Okely, Rachel A. Jones, Marijka Batterham, Ulf Ekelund, Soren Brage, John J. Reilly

Dr Marijka Batterham

The use of whole-room calorimetry (WRC) in young children can increase our understanding of children's energy balance. However, studies using WRC in young children are rare due to concerns about its feasibility. To assess the feasibility of WRC in young children, forty children, aged 4-6 years, were asked to follow a graded activity protocol while in a WRC. In addition, six children participated in two additional resting protocols to examine the effect of diet-induced thermogenesis on resting energy expenditure (REE) measures and the reliability of REE measurement. Refusals to participate and data loss were quantified as measures of practical utility, …

Using Data From Patient Interactions In Primary Care For Population Level Chronic Disease Surveillance: The Sentinel Practices Data Sourcing (Spds) Project, Abhijeet Ghosh, Karen Charlton, Lisa Girdo, Marijka Batterham

Dr Marijka Batterham

Background Population health planning within a health district requires current information on health profiles of the target population. Information obtained during primary care interactions may provide a valuable surveillance system for chronic disease burden. The Sentinel Practices Data Sourcing project aimed to establish a sentinel site surveillance system to obtain a region-specific estimate of the prevalence of chronic diseases and mental health disorders within the Illawarra-Shoalhaven region of New South Wales, Australia. Methods In September 2013, de-identified information for all patient interactions within the preceding 24 months was extracted and collated using a computerised chronic disease management program that has …

Hypocaloric Dietary Advice Targeting Increased N-3 Pufa Intake Does Not Increase Blood Pressure Reduction Over 3 Months, Karen E. Charlton, Linda Tapsell, Marijka Batterham

Dr Marijka Batterham

Abstract of a presentation that was present at the NSA 2014 Annual Scientific Meeting, 26-28 November, Hobart, Australia.

Addressing The Deficiencies In The Evidence-Base For Primary Practice In Regional Australia - Sentinel Practices Data Sourcing (Spds) Project: A Pilot Study, Abhijeet Ghosh, Karen E. Charlton, Lisa Girdo, Marijka J. Batterham, Keith Mcdonald

Dr Marijka Batterham

Background Chronic disease risk on a population level can be quantified through health surveys, either continuous or periodic. To date, information gathered from primary care interactions, using sentinel sites, has not been investigated as a potentially valuable surveillance system in Australia. Methods A pilot study was conducted in a single General Practice in a regional area of New South Wales, Australia to assess the feasibility of accessing data obtained through a computerised chronic disease management program that has been designed for desktop application (Pen Computer Systems (PCS) Clinical Audit Tool: ™ PCS CAT). Collated patient data included information on chronic …

The Impact Of Fruit Flavonoids From Cherries On Memory And Cognition In Older Adults With Mild To Moderate Dementia, Katherine Caldwell, Karen E. Charlton, Steven Roodenrys, Marijka Batterham, Jan Potter, R Richards, Hannah C. Gilbert, Olivia Morgan

Dr Marijka Batterham

Abstract of a presentation that was present at the NSA 2014 Annual Scientific Meeting, 26-28 November, Hobart, Australia.

Changes In Food Choice Patterns In A Weight Loss Intervention, Sara J. Grafenauer, Linda C. Tapsell, Eleanor Beck, Marijka Batterham

Dr Marijka Batterham

Aim Analyses of changes in food choice patterns made during weight loss may be informative for practice. In this research, food categorisation may be critical. The aim of the present study was to identify key changes in food choice patterns in weight loss trials. Methods Changes in dietary patterns between baseline and three months were analysed for 231 participants from two weight loss trials in terms of grams of food, kilojoules and the number of food serves consumed. Two food categorisation systems were applied using six more traditional food groups and 17 newly defined food categories considering national food guidance …

Development And Validation Of A Food Choices Score For Use In Weight-Loss Interventions, Sara Jane Grafenauer, Linda Tapsell, Eleanor Beck, Marijka Batterham

Dr Marijka Batterham

Weight loss results from an energy deficit, although the quality of food choices making up the diet may also be important. The aim of the present study was to develop and validate a diet quality tool based on food categories to monitor dietary change in clinical weight-loss settings. The Food Choices Score (FCS) was based on seventeen food categories, each scoring up to five points, totalling 85. In addition to content validity, the tool was validated using (1) two energy-deficit diet models (6500 and 7400 kJ) assuring nutrient and food-group targets and (2) dietary data from two weight-loss trials (n …

Effectiveness Of Dietary Advice To Increase Fish Consumption Over A 12 Month Period, Elizabeth P. Neale, Amanda Cossey, Yasmine Probst, Marijka Batterham, Linda C. Tapsell

Dr Marijka Batterham

Habitual fish consumption is associated with numerous health benefits; however, in Australia fish intake remains low. The aim of this study was to compare the effect of specific or general fish consumption recommendations on fish intake behavior over the duration of a 12-month clinical trial. Participants were randomized into a control group (general die-tary advice), and two intervention groups (received dietetic advice to consume 180 g fish/wk), with one intervention group receiving LC omega-3 PUFA supplements. Dietary data was available for n = 117 at baseline, n = 85 at 3 months and n = 63 at 12 months. Total, …

45. The Productivity Of Wh- Prompts In Child Forensic Interviews., Elizabeth C, Ahern, Samantha J. Andrews, Stacia N. Stolzenberg, Thomas D. Lyon

Thomas D. Lyon

Undergraduate Music Therapy Students' Experiences In Short-Term Group Music Therapy, Susan Gardstrom, Nancy Jackson

Susan Gardstrom

Professional identity can develop through self-study along with didactic and experiential means. The authors engaged in a collaborative qualitative study on the potential benefits of student involvement as clients in short-term music therapy. Various therapeutic methods allowed for self-expression, insight, and personal sharing. Post-session journals and a final survey captured student perceptions. Analysis showed influence on identity development and raised queries about curricular change.

Working In The Music: Advancing Clinical Practice Skills, Nancy Jackson, Annie Heiderscheit, Susan Gardstrom, James Hiller

Susan Gardstrom

This experiential workshop is designed to assist experienced music therapy clinicians in advancing their clinical practice skills by participating in and processing music psychotherapy methods and interventions. Presenters will provide case illustrations, facilitate experiential exercises, and demonstrate how to maximize the power of music, effectively process the therapeutic experience,and develop an evidence-based practice. Approved for 5 CMTEs