Development and piloting of a food-based intervention to increase vitamin E intake in pregnant women in a randomised controlled trial

Acknowledgement This study was funded by the University of Aberdeen and an unrestricted grant from Baxters Food Group Ltd. LC acknowledges funding from the RESAS programme of the Scottish Government.Peer reviewedPublisher PD

Repeatability and validity of a food frequency questionnaire in free-living older people in relation to cognitive function

Objectives: To determine the repeatability and validity of a self-administered, 175-item food frequency questionnaire (FFQ) in free-living older people and to assess whether these are influenced by cognitive function. Participants and setting: 189 free-living people aged 64-80y were recruited from participants in a previous study. Design: To assess repeatability, 102 (52M, 50F) participants completed the FFQ on two occasions three months apart. To assess validity, another 87 participants (44 M, 43 F) completed the FFQ and a four-day weighed diet record three months later. 25 nutrients were studied. Results: For repeatability, Spearman rank correlation coefficients were above 0.35 (p<0.05) for all nutrients. Cohen’s weighted Kappa was above 0.4 for all nutrients except starch, riboflavin, retinol, β-carotene, and calcium. There were no substantial differences in correlation coefficients between sub-groups divided by short-term memory test score. There was no clear pattern for correlation coefficients in sub-groups divided by executive function test score. For validity, the Spearman rank correlation coefficients were above 0.2 (p<0.05) for all nutrients except fat, mono-unsaturated fatty acids, niacin equivalents and vitamin D, and Cohen’s weighted kappa was above 0.4 for alcohol and was above 0.2 for 13 other nutrients. Participants in the lowest-score groups of short-term memory and executive function had the lowest median Spearman correlation coefficient. Conclusions: The FFQ had reasonable repeatability and validity in ranking nutrient intakes in this population though the results varied between nutrients. Poor short-term memory or executive function may affect FFQ validity in ranking nutrient intakes

Seafood inclusion ion early years' feeding : a comparison of commercial products to home-cooking

Background and Aims Under-exposure to seafood during early years feeding, when taste and food acceptance is developed, may impact on the future development of a healthy diet. The aim of this study was to investigate the inclusion of seafood in commercial baby food products and baby and toddler cookbooks, and the occurrence of beneficiary and cautionary information on seafood in the cookbooks. Methods A survey was conducted of all commercial pre-prepared baby food main-meal products in Scotland from September-December 2012. The primary food type within each product, (vegetables, poultry, meat, and seafood), nutritional composition, and ingredient contribution were collected. A survey of Amazon’s top 20 best-selling baby and toddler cookbooks was conducted in June 2013. The types and varieties of the different food types cited in addition to recipes, beneficiary claims and cautionary information was recorded. Results Seafood (n=13 (3.8%)) was significantly underrepresented as a main-meal product compared to poultry (103 (30.2%)), meat (121 (35.5%)) and vegetables (104 (30.5%)). Similarly, seafood-based main-meal recipes were significantly lower than vegetable recipes however were not significantly different to poultry and meat recipes. Cautionary claims in the cookbooks were significantly higher for seafood than other food types. Conclusions Parents who predominantly wean their infant using commercial products are may face challenges in sourcing a suitable range of products to enable the inclusion of seafood. Parents who predominantly home-cook have greater exposure to seafood in recipes however, this may be counteracted by the prominence of negative seafood messages, deterring them from including this healthful food into the diet of their infant.Publisher PDFNon peer reviewe

Sugar intake and dental decay : results from a national survey of children in Scotland

Peer reviewedPreprin

Process evaluation for the FEeding Support Team (FEST) randomised controlled feasibility trial of proactive and reactive telephone support for breastfeeding women living in disadvantaged areas

OBJECTIVE: To assess the feasibility, acceptability and fidelity of a feeding team intervention with an embedded randomised controlled trial of team-initiated (proactive) and woman-initiated (reactive) telephone support after hospital discharge. DESIGN: Participatory approach to the design and implementation of a pilot trial embedded within a before-and-after study, with mixed-method process evaluation. SETTING: A postnatal ward in Scotland. SAMPLE: Women initiating breast feeding and living in disadvantaged areas. METHODS: Quantitative data: telephone call log and workload diaries. Qualitative data: interviews with women (n=40) with follow-up (n=11) and staff (n=17); ward observations 2 weeks before and after the intervention; recorded telephone calls (n=16) and steering group meetings (n=9); trial case notes (n=69); open question in a telephone interview (n=372). The Framework approach to analysis was applied to mixed-method data. MAIN OUTCOME MEASURES: Quantitative: telephone call characteristics (number, frequency, duration); workload activity. Qualitative: experiences and perspectives of women and staff. RESULTS: A median of eight proactive calls per woman (n=35) with a median duration of 5 min occurred in the 14 days following hospital discharge. Only one of 34 control women initiated a call to the feeding team, with women undervaluing their own needs compared to others, and breast feeding as a reason to call. Proactive calls providing continuity of care increased women's confidence and were highly valued. Data demonstrated intervention fidelity for woman-centred care; however, observing an entire breast feed was not well implemented due to short hospital stays, ward routines and staff-team-woman communication issues. Staff pragmatically recognised that dedicated feeding teams help meet women's breastfeeding support needs in the context of overstretched and variable postnatal services. CONCLUSIONS: Implementing and integrating the FEeding Support Team (FEST) trial within routine postnatal care was feasible and acceptable to women and staff from a research and practice perspective and shows promise for addressing health inequalities

Dietary patterns of school-age children in Scotland : association with socio-economic indicators, physical activity and obesity

Peer reviewedPublisher PD

The FEeding Support Team (FEST) randomised, controlled feasibility trial of proactive and reactive telephone support for breastfeeding women living in disadvantaged areas

Peer reviewedPublisher PD

Cognitive function in childhood and lifetime cognitive change in relation to mental wellbeing in four cohorts of older people

Background: poorer cognitive ability in youth is a risk factor for later mental health problems but it is largely unknown whether cognitive ability, in youth or in later life, is predictive of mental wellbeing. The purpose of this study was to investigate whether cognitive ability at age 11 years, cognitive ability in later life, or lifetime cognitive change are associated with mental wellbeing in older people.Methods: we used data on 8191 men and women aged 50 to 87 years from four cohorts in the HALCyon collaborative research programme into healthy ageing: the Aberdeen Birth Cohort 1936, the Lothian Birth Cohort 1921, the National Child Development Survey, and the MRC National Survey for Health and Development. We used linear regression to examine associations between cognitive ability at age 11, cognitive ability in later life, and lifetime change in cognitive ability and mean score on the Warwick Edinburgh Mental Wellbeing Scale and meta-analysis to obtain an overall estimate of the effect of each.Results: people whose cognitive ability at age 11 was a standard deviation above the mean scored 0.53 points higher on the mental wellbeing scale (95% confidence interval 0.36, 0.71). The equivalent value for cognitive ability in later life was 0.89 points (0.72, 1.07). A standard deviation improvement in cognitive ability in later life relative to childhood ability was associated with 0.66 points (0.39, 0.93) advantage in wellbeing score. These effect sizes equate to around 0.1 of a standard deviation in mental wellbeing score. Adjustment for potential confounding and mediating variables, primarily the personality trait neuroticism, substantially attenuated these associations.Conclusion: associations between cognitive ability in childhood or lifetime cognitive change and mental wellbeing in older people are slight and may be confounded by personality trait difference

Boussinesq/Boussinesq systems for internal waves with a free surface, and the KdV approximation

We study here some asymptotic models for the propagation of internal and surface waves in a two-fluid system. We focus on the so-called long wave regime for one dimensional waves, and consider the case of a flat bottom. Starting from the classical Boussinesq/Boussinesq system, we introduce a new family of equivalent symmetric hyperbolic systems. We study the well-posedness of such systems, and the asymptotic convergence of their solutions towards solutions of the full Euler system. Then, we provide a rigorous justification of the so-called KdV approximation, stating that any bounded solution of the full Euler system can be decomposed into four propagating waves, each of them being well approximated by the solutions of uncoupled Korteweg-de Vries equations. Our method also applies for models with the rigid lid assumption, and the precise behavior of the KdV approximations depending on the depth and density ratios is discussed for both rigid lid and free surface configurations. The fact that we obtain {\it simultaneously} the four KdV equations allows us to study extensively the influence of the rigid lid assumption on the evolution of the interface, and therefore its domain of validity. Finally, solutions of the Boussinesq/Boussinesq systems and the KdV approximation are rigorously compared and numerically computed.Comment: To appear in M2A

Parents and School Children Talking about Food and Drink Choices – A Focus Group Study

Peer reviewedPublisher PD