An investigation to determine the nutritional adequacy and individuals experience of a very low fat diet used to treat type V hypertriglyceridaemia

Whitfield-Brown, Louisa M.; Hamer, Oliver; Ellahi, Basma; Burden, Sorrel; Durrington, Paul N.

doi:10.1111/j.1365-277x.2009.00945.x

Cited by 8 publications

(8 citation statements)

References 15 publications

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“…However, using a telephone to conduct interviews was necessary as participants were recruited across a wide geographical area (metropolitan and non-metropolitan regions of Victoria, Australia). Telephone interviewing is a beneficial mode of collecting qualitative data as the views of participants in more remote regions can be included [ 58 , 66 , 67 ]. Also, one-on-one interviews may provide greater depth than possible in other forms of qualitative research such as focus groups, as concentrated time is spent with each participant [ 65 ], and participants may be more relaxed and willing to talk freely [ 68 ].…”

Section: Discussionmentioning

confidence: 99%

Nutrition promotion approaches preferred by Australian adolescents attending schools in disadvantaged neighbourhoods: a qualitative study

et al. 2015

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BackgroundLinks between socioeconomic disadvantage and unhealthy eating behaviours among adolescents are well established. Little is known about strategies that might support healthy eating among this target group. This study aimed to identify potential strategies and preferred dissemination methods that could be employed in nutrition promotion initiatives focussed on improving eating behaviours among socioeconomically disadvantaged adolescents.MethodsSemi-structured interviews were conducted in 2011 among 22 adolescents (12–15 years) recruited from secondary schools in disadvantaged neighbourhoods in Victoria, Australia.ResultsStrategies suggested by adolescents to support healthy eating included increasing awareness about healthy eating; greater cooking involvement; greater parental and peer support; frequent family meal participation; greater parental and peer role-modelling of healthy eating; increased availability of healthy foods and decreased availability of unhealthy foods in homes and schools. Adolescents preferred electronic media, adolescent-specific recipe books, and school-based methods for distributing nutrition promotion messages and strategies.ConclusionsA number of suggested strategies and methods identified in the present investigation have been employed with success in previous nutrition promotion interventions targeting socioeconomically disadvantaged adolescents. The present study also contributes novel insights into potential strategies and methods that could be employed in initiatives aiming to improve eating behaviours in this vulnerable group, and particularly highlights the importance of incorporating strategies involving parents and modifying the home food environment.

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Section: Discussionmentioning

confidence: 99%

Nutrition promotion approaches preferred by Australian adolescents attending schools in disadvantaged neighbourhoods: a qualitative study

et al. 2015

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“…Increased food preparation time and financial burden, as well as an increased level of knowledge and cooking skills must be considered . Studies have found that barriers to following a restricted diet include increased burden, lack of available food, and lack of flavour and variety . Whilst these constraints may not concern some individuals who choose to follow these diets, the literature suggests adherence to low‐carbohydrate diets is challenging .…”

Section: Low‐carbohydrate Dietsmentioning

confidence: 99%

The ups and downs of low‐carbohydrate diets in the management of Type 1 diabetes: a review of clinical outcomes

et al. 2018

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Dietary management has been a mainstay of care in Type 1 diabetes since before the discovery of insulin when severe carbohydrate restriction was advocated. The use of insulin facilitated re‐introduction of carbohydrate into the diet. Current management guidelines focus on a healthy and varied diet with consideration of glycaemic load, protein and fat. As a result of frustration with glycaemic outcomes, low‐carbohydrate diets have seen a resurgence in popularity. To date, low‐carbohydrate diets have not been well studied in the management of Type 1 diabetes. Studies looking at glycaemic outcomes from low‐carbohydrate diets have largely been cross‐sectional, without validated dietary data and with a lack of control groups. The participants have been highly motivated self‐selected individuals who follow intensive insulin management practices, including frequent blood glucose monitoring and additional insulin corrections with tight glycaemic targets. These confounders limit the ability to determine the extent of the impact of dietary carbohydrate restriction on glycaemic outcomes. Carbohydrate‐containing foods including grains, fruit and milk are important sources of nutrients. Hence, low‐carbohydrate diets require attention to vitamin and energy intake to avoid micronutrient deficiencies and growth issues. Adherence to restricted diets is challenging and can have an impact on social normalcy. In individuals with Type 1 diabetes, adverse health risks such as diabetic ketoacidosis, hypoglycaemia, dyslipidaemia and glycogen depletion remain clinical concerns. In the present paper, we review studies published to date and provide clinical recommendations for ongoing monitoring and support for individuals who choose to adopt a low‐carbohydrate diet. Strategies to optimize postprandial glycaemia without carbohydrate restriction are presented.

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“…Mothers make daily decisions related to planning meals, shopping for food and preparing meals 6 . Several authors have commented on the burden this places on women, 2,5 and a few have studied the extra burden imposed by catering to a child with special dietary need 11,12 . Given the burden imposed by a special diet, these diets should be based on evidence.…”

Section: Introductionmentioning

confidence: 99%

“…6 Several authors have commented on the burden this places on women, 2,5 and a few have studied the extra burden imposed by catering to a child with special dietary need. 11,12 Given the burden imposed by a special diet, these diets should be based on evidence. The best test of effectiveness is a randomised trial.…”

Section: Introductionmentioning

confidence: 99%

How do mothers juggle the special dietary needs of one child while feeding the family? A qualitative exploration

Crowley

Williams

Brown³

2012

Nutrition & Dietetics

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Aim: The study aims to examine the lived experiences of mothers implementing a special diet (cow's milk protein free) for a child under 12 while also continuing to feed their family. The second aim was to examine how these experiences impacted on their decision of whether or not to continue the diet. Methods: A phenomenological qualitative approach was taken. Semi‐structured telephone interviews were held with mothers of children participating in a six‐week dietary trial. Questions focused on their experiences of administering a special diet and influences on diet continuation after the trial. Interviews were voice recorded and transcribed. Thematic analysis was conducted using a constant comparative inductive approach with the aid of NVivo7 (QSR International Pty Ltd., Doncaster, Victoria, Australia). Results: Twenty‐two parents were interviewed. Children participants were aged between 2 and 12 years (mean 6 years). Key themes arising about feasibility of the diet included maternal concern to please the entire family with food, sharing responsibility with the child and development of existing skills in food provision. Specialist medical advice impacted on continuation of the diet beyond the trial. Conclusion: This is one of only a few studies investigating how the extra burden of meeting the special dietary needs of one child, while feeding the family, is experienced by women. A more complete understanding of the barriers to implementing and sustaining dietary modification may eventually improve nutrition outcomes.

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An investigation to determine the nutritional adequacy and individuals experience of a very low fat diet used to treat type V hypertriglyceridaemia

Abstract: Compliance could be improved through extensive education on labelling, eating during special occasions such as Christmas, birthdays and eating out.

Cited by 8 publications

References 15 publications

Nutrition promotion approaches preferred by Australian adolescents attending schools in disadvantaged neighbourhoods: a qualitative study

Nutrition promotion approaches preferred by Australian adolescents attending schools in disadvantaged neighbourhoods: a qualitative study

The ups and downs of low‐carbohydrate diets in the management of Type 1 diabetes: a review of clinical outcomes

How do mothers juggle the special dietary needs of one child while feeding the family? A qualitative exploration

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