Nutrient adequacy during weight loss interventions: a randomized study in women comparing the dietary intake in a meal replacement group with a traditional food group

<p>Abstract</p> <p>Background</p> <p>Safe and effective weight control strategies are needed to stem the current obesity epidemic. The objective of this one-year study was to document and compare the macronutrient and micronutrient levels in the foods chosen by women following two different weight reduction interventions.</p> <p>Methods</p> <p>Ninety-six generally healthy overweight or obese women (ages 25–50 years; BMI 25–35 kg/m²) were randomized into a Traditional Food group (TFG) or a Meal Replacement Group (MRG) incorporating 1–2 meal replacement drinks or bars per day. Both groups had an energy-restricted goal of 5400 kJ/day. Dietary intake data was obtained using 3-Day Food records kept by the subjects at baseline, 6 months and one-year. For more uniform comparisons between groups, each diet intervention consisted of 18 small group sessions led by the same Registered Dietitian.</p> <p>Results</p> <p>Weight loss for the 73% (n = 70) completing this one-year study was not significantly different between the groups, but was significantly different (p ≤ .05) within each group with a mean (± standard deviation) weight loss of -6.1 ± 6.7 kg (TFG, n = 35) vs -5.0 ± 4.9 kg (MRG, n = 35). Both groups had macronutrient (Carbohydrate:Protein:Fat) ratios that were within the ranges recommended (50:19:31, TFG vs 55:16:29, MRG). Their reported reduced energy intake was similar (5729 ± 1424 kJ, TFG vs 5993 ± 2016 kJ, MRG). There was an improved dietary intake pattern in both groups as indicated by decreased intake of saturated fat (≤ 10%), cholesterol (<200 mg/day), and sodium (< 2400 mg/day), with increased total servings/day of fruits and vegetables (4.0 ± 2.2, TFG vs 4.6 ± 3.2, MRG). However, the TFG had a significantly lower dietary intake of several vitamins and minerals compared to the MRG and was at greater risk for inadequate intake.</p> <p>Conclusion</p> <p>In this one-year university-based intervention, both dietitian-led groups successfully lost weight while improving overall dietary adequacy. The group incorporating fortified meal replacements tended to have a more adequate essential nutrient intake compared to the group following a more traditional food group diet. This study supports the need to incorporate fortified foods and/or dietary supplements while following an energy-restricted diet for weight loss.</p

Modulation of intraseasonal (25-70 day) processes by the superimposed ENSO cycle across the Pacific basin

In recent years, many observational studies of the intraseasonal Madden-Julian Oscillation (MJO) have been conducted. Similarly, a vast number of papers describe the interannual changes to the atmosphere and oceans as part of the El Nino-Southern Oscillation (ENSO) phenomenon. However, very little work has been done to document the effects ENSO has on the MJO and its concomitant circulation anomalies. With the advent of the fifteen-year ECMWF Reanalysis (ERA) data archive, it is now possible to stratify southern summer seasons with respect to the phase of ENSO, and still have large-enough data samples to meaningfully examine the intraseasonal processes. In this thesis, cursory reviews of ENSO and the MJO are given, followed by a description of the effects of interannual variability on intraseasonal convection along the equator. During the El Nino years, the MJO is found to propagate farther eastward across the tropical Pacific, whereas it tends to become quasi-stationary over the western Pacific Warm Pool region in other years. Changes in the MJO\u27s upper-level outflow and the associated low-level westerly wind bursts during El Nino are examined. Changes in downstream extratropical teleconnections are also documented. Tropical MJO events generally established a region of enhanced upper-level westerlies over the North Pacific, but the effect occurs later and farther to the south in El Nino years. The South Pacific Convergence Zone (SPCZ) is found to propagate eastward with the tropical MJO convection. This effect is not seen in non-El Nino situations, despite the fact that many studies have shown that the passage of MJO convection almost always excites convection in the SPCZ. One possible interpretation of this result is that the MJO/SPCZ linkage may be stronger in El Nino years

Ultra-low clouds over the southern West African monsoon region

New ground-and space-based observations show that summertime southern West Africa is frequently affected by an extended cover of shallow, non-precipitating clouds only few hundred meters above the ground. These clouds are associated with nocturnal low-level wind speed maxima and frequently persist into the day, considerably reducing surface solar radiation. While the involved phenomena are well represented in re-analysis data, climate models show large errors in low-level wind, cloudiness, and solar radiation of up to 90 W m -2. Errors of such a magnitude could strongly affect the regional energy and moisture budgets, which might help to explain the notorious difficulties of many models to simulate the West African climate. More effort is needed in the future to improve the monitoring, modeling, and physical understanding of these ultra-low clouds and their importance for the West African monsoon system

On the Potential Causes of the Nonstationary Correlations between West African Precipitation and Atlantic Hurricane Activity

For years, various indices of seasonal West African precipitation have served as useful predictors of the overall tropical cyclone activity in the Atlantic Ocean. Since the mid-1990s, the correlation unexpectedly deteriorated. In the present study, statistical techniques are developed to describe the nonstationary nature of the correlations between annual measures of Atlantic tropical cyclone activity and three selected West African precipitation indices (namely, western Sahelian precipitation in June-September, central Sahelian precipitation in June-September, and Guinean coastal precipitation in the preceding year's August-November period). The correlations between these parameters are found to vary over the period from 1921 to 2007 on a range of time scales. Additionally, considerable year-to-year variability in the strength of these correlations is documented by selecting subsamples of years with respect to various meteorological factors. Broadly, in years when the environment in the main development region is generally favorable for enhanced tropical cyclogenesis (e. g., when sea surface temperatures are high, when there is relatively little wind shear through the depth of the troposphere, or when the relative vorticity in the midtroposphere is anomalously high), the correlations between indices of West African monsoon precipitation and Atlantic tropical cyclone activity are considerably weaker than in years when the overall conditions in the region are less conducive. Other more remote climate parameters, such as the phase of the Southern Oscillation, are less effective at modulating the nature of these interactions

Standardized rainfall indices for the West and Central Sahel, and the Guinea Coast

For years, various indices of seasonal West African precipitation have served as useful predictors of the overall tropical cyclone activity in the Atlantic Ocean. Since the mid-1990s, the correlation unexpectedly deteriorated. In the present study, statistical techniques are developed to describe the nonstationary nature of the correlations between annual measures of Atlantic tropical cyclone activity and three selected West African precipitation indices (namely, western Sahelian precipitation in June-September, central Sahelian precipitation in June-September, and Guinean coastal precipitation in the preceding year's August-November period). The correlations between these parameters are found to vary over the period from 1921 to 2007 on a range of time scales. Additionally, considerable year-to-year variability in the strength of these correlations is documented by selecting subsamples of years with respect to various meteorological factors. Broadly, in years when the environment in the main development region is generally favorable for enhanced tropical cyclogenesis (e.g., when sea surface temperatures are high, when there is relatively little wind shear through the depth of the troposphere, or when the relative vorticity in the midtroposphere is anomalously high), the correlations between indices of West African monsoon precipitation and Atlantic tropical cyclone activity are considerably weaker than in years when the overall conditions in the region are less conducive. Other more remote climate parameters, such as the phase of the Southern Oscillation, are less effective at modulating the nature of these interactions

System Reliability Assessment using Covariate Theory

Annual Reliability and Maintainability Symposium, Los Angeles, CA, January 26-29, 2004.A method is demonstrated that utilizes covariate theory to generate a multi-response component failure distribution as a function of pertinent operational parameters. Where traditional covariate theory uses actual measured life data, a modified approach is used herein to utilize life values generated by computer simulation models. The result is a simulation-based component life distribution function in terms of time and covariate parameters for each failure response. A multivariate joint probability covariate model is proposed by combining the covariate marginal failure distributions with the Nataf transformation approach. Evaluation of the joint probability model produced significant improvement in joint probability predictions as compared to the independent series event approach. The proposed methods are executed for a nominal aircraft engine system to demonstrate the assessment of multi-response system reliability driven by a dual mode turbine blade component failure scenario as a function of operational parameters