CLA refers to isomers of octadecadienoic acid with conjugated double bonds. The most abundant form of CLA (rumenic acid (RA): c9,t11-18:2) is found in milk and beef fat. Further, CLA supplements containing RA and t10,c12-18:2 are now available. Consumption of commercially produced CLA has been shown to decrease adipose accretion in growing laboratory and production animals and cause milk fat depression in cows. We tested the hypothesis that CLA supplementation would increase milk CLA concentration and decrease milk fat content in humans. Breastfeeding women (n = 9) participated in this double-blind, placebo-controlled, crossover study divided into three periods: intervention I (5 d), washout (7 d), and intervention II (5 d). Women were randomized to treatment order. During each intervention period, women consumed 1.5 g of CLA supplement or placebo (olive oil) daily; during the washout period, no supplements were consumed. Milk was collected by complete breast expression on the final day of each period; milk output was estimated by 24-h weighing on the penultimate day of each intervention period. Milk RA and t10,c12-18:2 concentrations were greater (P < 0.05) during the CLA treatment period as compared to the placebo period. Milk fat content was significantly lower during the CLA treatment, as compared to the placebo treatment (P < 0.05). Data indicate no effect of treatment on milk output. Therefore, it would be prudent that lactating women not consume commercially available CLA supplements at this time.
This study examined attitudes and beliefs about exercise among 83 persons with non-insulin-dependent diabetes who had completed outpatient diabetes counseling. An adaptation of the Health Belief Model, labeled the Exercise Behavior Model, guided perceptual measures. Fifty-two percent of the subjects were exercising 3 or more days per week. Those with a greater length of time since diabetes counseling were more likely to be currently exercising. Positive and negative attitudes toward exercise characterized the group; however, only negative attitudes were related to exercise. Both exercisers and nonexercisers perceived barriers to exercise. Other people, chance happenings, physical discomfort, and perceptions of fitness, weight, and appearance played a role in whether the subjects exercised. The results indicate that providing assistance in identifying support for exercise and overcoming perceived barriers to exercise may increase compliance to this important aspect of the diabetes regimen.
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