Eating Well While Dining Out: Collaborating with Local Restaurants to Promote Heart Healthy Menu Items

Background: Because Americans commonly consume restaurant foods with poor dietary quality, effective interventions are needed to improve food choices at restaurants. Purpose: The purpose of this study was to design and evaluate a restaurant-based intervention to help customers select and restaurants promote heart healthy menu items with healthful fats and high-quality carbohydrates. Methods: The intervention included table tents outlining 10 heart healthy eating tips, coupons promoting healthy menu items, an information brochure, and link to study website. Pre- and postintervention surveys were completed by restaurant managers and customers completed a brief “intercept” survey. Results: Managers (n = 10) reported that the table tents and coupons were well received, and several noted improved personal nutrition knowledge. Overall, 4214 coupons were distributed with 1244 (30%) redeemed. Of 300 customers surveyed, 126 (42%) noticed the table tents and, of these, 115 (91%) considered the nutrition information helpful, 42 (33%) indicated that the information influenced menu items purchased, and 91 (72%) reported that the information will influence what they order in the future. Discussion: The intervention was well received by restaurant managers and positively influenced menu item selection by many customers. Translation to Health Education Practice: Further research is needed to assess effective strategies for scaling up and sustaining this intervention approach

Valor nutricional do mel e pólen de abelhas sem ferrão da região Amazônica

Avaliou-se os constituintes nutricionais de amostras do mel e pólen das espécies Melipona seminigra merrillae (jandaíra), Melipona compressipes manaosensis (jupará), Melipona rufiventris paraensis (uruçu boca de ralo), provenientes do meliponário da Fazenda Poranga no município de Itacoatiara - AM e Meliponário Abelhudo em Manaus - AM. Os resultados demonstraram o potencial do mel como fonte de energia, particularmente a M. rufiventris com 305,3±2,4 kcal em 100g. O pólen da espécie M. compressipes apresentou a maior concentração de proteína 15,7±0,0% e energia 309,8±0,8 kcal. Tais constatações sugerem a implementação de novos estudos visando à incorporação destes produtos na dieta dos amazônidas, possibilitando uma nova fonte alternativa de alimento potencialmente nutritivo e saudável.<br>We evaluated the nutricional constituent of honey and pollen samples of the Melipona species seminigra merrillae (jandaíra) Melipona compressipes manaosensis (jupará), Melipona rufiventris paraensis (uruçu boca de ralo), proceeding from the Poranga Honey Farm in Itacoatiara - AM, and Meliponário Abelhudo in Manaus, AM. The results demonstrated the potencial of honey as a source of energy, particularly the kcal M. rufiventris with 305.3±2.4 kcal in 100g. The compressis pollen of species presented the highest concentration of protein 15.7±0.0 % and energy 309.8±0.8 kcal. Thus we suggest the implementation of new studies aiming at the incorporation of these products in the diet of the Amazon population, making possible a new potentially nutritional and alternative healthful food source

Contribuição dos caracteres de qualidade da forragem ao teor de proteína bruta em Urochloa brizantha

Resumo: O objetivo deste trabalho foi identificar quais caracteres qualitativos poderão ser usados na seleção direta e indireta de genótipos de Urochloa brizantha, quanto ao teor de proteína bruta. Foram avaliados nove genótipos, em delineamento de blocos ao acaso, com duas repetições. Os caracteres qualitativos avaliados foram: volume de gás acumulado nas frações rápida e lenta, proteína bruta, fibras em detergentes neutro e ácido, celulose, lignina, sílica e digestibilidade in vitro da matéria orgânica. A digestibilidade in vitro da matéria orgânica é indicada tanto para a seleção direta quanto indireta de genótipos de U. brizantha com maior teor de proteína bruta

Statistical analysis of patient-reported outcome data in randomised controlled trials of locally advanced and metastatic breast cancer: a systematic review

Although patient-reported outcomes (PROs), such as health-related quality of life, are important endpoints in randomised controlled trials (RCTs), there is little consensus about the analysis, interpretation, and reporting of these data. We did a systematic review to assess the variability, quality, and standards of PRO data analyses in advanced breast cancer RCTs. We searched PubMed for English language articles published in peer-reviewed journals between Jan 1, 2001, and Oct 30, 2017. Eligible articles were those that reported PRO results from RCTs of adult patients with advanced breast cancer receiving anti-cancer treatments with reported sample sizes of at least 50 patients—66 RCTs met the selection criteria. Only eight (12%) RCTs reported a specific PRO research hypothesis. Heterogeneity in the statistical methods used to assess PRO data was observed, with a mixture of longitudinal and cross-sectional techniques. Not all articles addressed the problem of multiple testing. Fewer than half of RCTs (28 [42%]) reported the clinical significance of their findings. 48 (73%) did not report how missing data were handled. Our systematic review shows a need to improve standards in the analysis, interpretation, and reporting of PRO data in cancer RCTs. Lack of standardisation makes it difficult to draw robust conclusions and compare findings across trials. The Setting International Standards in the Analyzing Patient-Reported Outcomes and Quality of Life Data Consortium was set up to address this need and develop recommendations on the analysis of PRO data in RCTs