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Madan, Jagmeet
- High Fructose Intake, HCFS and Metabolic Syndrome-Should We Be On Guard?
Authors
1 Sir Vithaldas Thackersey College of Home Science (Autonomous), SNDT Women’s University, Mumbai, IN
2 Nirmala Niketan College of Home Science, Mumbai University, IN
Source
The Indian Practitioner, Vol 71, No 10 (2018), Pagination: 7-10Abstract
The prevalence of Non-Communicable Diseases (NCDs) is increasing universally at an alarming rate. NCDs are estimated to account for 60% of total deaths. Globally, type 2 diabetes mellitus is prevalent in epidemic proportions. According to International Diabetes Federation (IDF), 366 million adults were affected by the disease in 2011, and this figure is likely to escalate to 552 million by 2030. India, like many other developing countries, faces the triple burden of malnutrition from the persisting array of communicable diseases, lifestyle related NCDs and micronutrient deficiencies. This cuts across all age groups and socioeconomic strata.References
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- Bone Mineral Density of Post-Menopausal Diabetic and Non-Diabetic Women from Mumbai City
Authors
1 Department of Food Nutrition and Dietetics, Sir Vithaldas Thackersey College of Home Science (Autonomous), SNDT Women’s University, Mumbai, IN
2 Sir Vithaldas Thackersey College of Home Science (Autonomous), SNDT Women’s University, Mumbai, IN
3 Department Nutrition Research and Biostatistics, NutriCanvas, Mumbai, IN
4 Department of Imaging Nanavati Super speciality Hospital, Mumbai, IN
Source
The Indian Practitioner, Vol 73, No 6 (2020), Pagination: 20-25Abstract
Objective: To assess the bone mineral density of type 1 and type 2 diabetic and non-diabetic post-menopausal women.
Methods: A cross-sectional study was conducted in 98 post-menopausal women aged 60.5±6.4 years. The participants comprised of 20 type 1 diabetics, 28 type 2 diabetic women and 50 non diabetic women. Anthropometry and dietary intake was assessed for all participants. T score for bone mineral density was measured by DEXA at lumbar spine, femoral neck and total body. This was used to classify women as suffering from osteoporosis and osteopenia.
Results: The mean weight was significantly higher in type 1 and type 2 diabetics as compared to non-diabetics (p<0.05). Protein and calcium intake was 52-60% of the RDA in diabetics. There was no significant difference in T score at lumbar spine, femoral neck or total body between the 3 groups (p>0.05). After adjusting for weight and nutri-ent intake, lumbar spine and femoral neck T score was significantly lower in type 1 diabetics (p<0.05). Type 2 diabetics also had significantly lower adjusted femoral neck T score as compared to non-diabetics (p<0.05). Higher percentage of type 2 diabetics (77.8%) and non-diabetics (77.5%) had low bone density (osteopenia + osteoporosis) at lumbar spine as compared to type 1 diabetics (60%). Higher percentage of type 1 diabetics (75%) and type 2 diabetics (82.1%) had low bone density at femoral neck.
Conclusion: A high percentage of postmenopausal women in Mumbai were observed to be osteopenic and osteopo-rotic. Dietary and lifestyle Intervention programs need to be developed to prevent onset of osteopenia and osteoporo-sis especially in diabetic post-menopausal women.
Keywords
Osteoporosis, Osteopenia, Type 1 Diabetes, Type 2 Diabetes, T Score, Dietary Intake.References
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- Medical Nutrition Therapy for Management of COVID 19 for Adults – Compiled Guidelines by the Indian Dietetic Association (2019-2022)
Authors
1 Principal, Sir Vithaldas Thackersey College of Home Science (Autonomous) SNDT Women’s University, Mumbai, IN
2 Registered Dietitian, Assistant Professor, College of Home -Science Nirmala Niketan, Mumbai., IN
3 Former Senior Dietician, AIIMS, New Delhi, IN
4 Former Senior Dietician, PGI, Chandigarh, IN
5 Founder Director, Freedom, Mumbai, IN
6 RD, CDE, Chief Dietitian and Founder Director, Nurture Health Solutions, Mumbai, IN
7 Faculty, Nagpur, IN
8 Consultant Nutritionist, Pune, IN
9 Chief Dietitian, HN Reliance Foundation Hospital, Mumbai, IN
Source
The Indian Practitioner, Vol 75, No 7 (2022), Pagination: 7-12Abstract
The advent of COVID-19 waves has continued since 2020, and we are here to accept that as individuals we have to learn to combat and recover from this infection effectively by COVID appropriate behaviour of quarantine, complete schedules of vaccination, masking, hand washing and a good dietary intervention to enable good recovery. This compiled review from the working group of Nutritionist of Indian Dietetic Association (2019-2022) will serve as a ready reference for dietitians, physicians and healthcare professionals in different settings; to advise the right diet and adequate nutrition for the adult COVID patients in different stages of the infection.The key points include- in mild intensity disease, while the patient is quarantined and home bound, the emphasis is on consuming adequate nutrient dense foods supporting the immune system, as well as providing adequate hydration. The role of traditional practices and immune boosting nutrients will also help in supporting the mildly affected patient. In case of moderate illness, the demand consequent to running fever and cough needs to be met. The needs of the elderly population and patients with co-morbidities would be very specific and critical, and that needs to be thoroughly monitored. The management of a patient with critical illness, needing intensive care support, will need customized parenteral and enteral nutrition support. The dietary specifications in case of co-morbidities, for those needing ventilator support and ECHMO have been enumerated. This paper clearly brings out the need for an individualized nutrition support delivered by a qualified Nutritionist as a part of health care team in each of the stages of the COVID-19 infection, and is a strong recommendation.Keywords
COVID 19, Medical Nutrition Therapy, Adults, Mild, Moderate, Acute Respiratory DistressReferences
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