This qualitative analysis of message board postings offers authentic, credible data with a unique perspective. Practitioners working in the field of eating disorders such as registered dietitian nutritionists or therapists might use evidence from the data to guide their practice.
The purpose of this study was to investigate the perceptions of youth with diabetes mellitus (DM) and their parents/guardians about issues related to eating habits and to identify the relationships between treatment and lifestyle/daily care factors, youth characteristics, and eating habits of youth with DM. Methods included medical chart review and a written survey for youth with DM (n = 125) aged 10 to 20 years and their parents/guardians (n = 125) at Miller Children's Hospital in Long Beach, California. Healthier eating was associated with stronger parent-youth relationships (P = .000), eating meals at home (P = .047), parent/guardian involvement in DM management (P = .039), younger age of youth (P = .008), and youth being male (P = .017) but not with treatment duration, special meetings with a registered dietitian, parent/guardian age, BMI z score, race/ethnicity, or language of youth. This study suggests that family-centered interventions for youth with DM should promote strong parent-youth relationships, eating at home, parent involvement in DM management for younger patients with special attention to transition to self-care among older patients, and healthy food choices for older youth with DM, especially girls.
Exploring probiotic use in a regional cystic fibrosis consortium Dear Editor Studies in cystic fibrosis (CF) patients have reported reduced rates of pulmonary exacerbation and hospitalization with probiotic use [1,2]. Furthermore, regular intake of probiotics has been associated with improvements in gastrointestinal (GI) symptoms, levels of inflammatory markers, and quality of life in this population [3]. However, little has been published about clinical use of probiotics in CF, and a recent review highlighted the need to better understand the appropriate role of these agents in long-term disease management [4]. Some patients take probiotics without supervision, and prescriptions of these formulations are not tracked in the United States Cystic Fibrosis Patient Registry (USCFPR). We therefore designed a survey to explore the rationale for patient probiotic use and to look for associations between reported intake of these products and patient characteristics, care patterns and health status within a regional consortium of CF centers in Northern New England. The study population comprised 575 adult and pediatric patients over 6 years of age at 4 CF centers (Dartmouth
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