Dietetics, Nutrition and Biological Sciences
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Item Comparison of choice, cost and availability of a healthy balanced gluten-free diet (GFD) with a standard diet that meets nutrient and food based guidance(Cambridge University Press, 2011-07) Abernethy, G.; Bannerman, ElaineItem The investigation of the effects of food texture and energy density on appetite and food intakes at a single eating occasion in older adults: A pilot study(Cambridge University Press, 2011-01) Pritchard, S.; Bannerman, Elaine; Jones, Jacklyn; Davidson, IsobelItem Dietary intakes in geriatric orthopaedic rehabilitation patients: Need to look at food consumption not just provision(Elsevier, 2015-06-19) Bannerman, Elaine; Cantwell, Linda; Gaff, Lisa; Conroy, Ashiling; Davidson, Isobel; Jones, JacklynItem An investigation into food provision and consumption in an orthopaedic rehabilitation hospital in Scotland, UK(Cambridge University Press, 2011-01) Williams, L.; Jones, Jacklyn; Davidson, Isobel; Bannerman, ElaineItem A study of Fluid provision and consumption in a rehabilitation hospital in Scotland, UK(Cambridge University Press, 2011-01) Williams, L.; Jones, Jacklyn; Davidson, Isobel; Bannerman, ElaineItem Childhood coeliac disease diagnoses in Scotland 2009-2010: the SPSU project(British Medical Journal, 2012-11) White, Lois; Bannerman, Elaine; McGrogan, Paraic; Kastner-Cole, Dagmar; Carnegie, Elsie; Gillett, Peter M.Objectives To establish the incidence of childhood coeliac disease (CD) in Scotland between 1 September 2009 and 31 August 2010, to determine clinical features at presentation and reasons for diagnosis, and to identify any differences in incidence and practice between regions. Design Prospective data collection through the Scottish Paediatric Surveillance Unit (SPSU). Strategic contacts in each tertiary gastrointestinal region (East, West and North) were emailed monthly to report new cases of CD (<16-years). A clinical questionnaire was completed for each case. Additionally, regional laboratories were asked to report the number of diagnostic antibody tests for CD performed over the year. Setting This national study looked at the total cases within Scotland. Scotland has a population of 5.2 million, with the mid-year estimate in 2009 of 912-144 children under the age of 16. Results 91 new cases were reported, giving an overall adjusted incidence of 10.0/100-000/year. Incidence in the East was 16.3/100-000/year, West 8.1/100-000/year and North 7.7/100-000/year. Cases diagnosed due to active screening in the East (4.6/100-000/year) were more than twice the number observed in the West (2.0/100-000/year) and North (1.3/100-000/year), as was the incidence of classic cases. The most frequent symptoms reported were abdominal pain (50/91; 54.9%), failure to thrive (29/91; 31.9%), fatigue (29/91; 31.9%), diarrhoea (27/91; 29.7%) and bloating (19/91; 20.9%). Twenty-two children (24.2%) were diagnosed due to active screening, of which 14 had associated type 1 diabetes mellitus, one Down syndrome and seven had family history. Fifty-five per cent (12/22) of the patients diagnosed through active screening were asymptomatic. Significantly more CD diagnostic antibody tests were performed per head of population in the East compared with the West (OR 1.65, 95% CI 1.57 to 1.73) and North (OR 1.81, 95% CI 1.70 to 1.92). Conclusions Approximately double the incidence of paediatric CD was observed in the East of Scotland. Evidence of more actively screened cases diagnosed and more antibody tests performed in the region suggests a lower threshold to test. An environmental influence cannot be dismissed since more classic cases were also captured. Further research is needed to highlight the role of any exogenous factors.Item An investigation into food and fluid provision and consumption in a Scottish rehabilitation hospital for older adults(Elsevier, 2015-10) Ofstad, TWK; Bannerman, Elaine; Davidson, Isobel; Jones, JacklynItem Coeliac disease and the gluten-free diet: a review of the burdens; factors associated with adherence and impact on health-related quality of life, with specific focus on adolescence(Wiley, 2016-05-23) White, Lois; Bannerman, Elaine; Gillett, P. M.Adherence and non-adherence to a gluten-free diet (GFD) may impact negatively on health-related quality of life (HRQoL). Understanding the factors that influence compliance could help inform management and also guide support. With a particular focus on adolescence, this narrative review critiques current literature on the burdens associated with following a GFD and the factors associated with adherence. Studies highlight a variety of burdens faced by individuals with coeliac disease, including the cost, access and availability of gluten-free (GF) foods, as well as the dilemmas experienced when eating out, travelling and socialising with friends. A number of studies report that adolescents face stigmatisation and feel isolated in social situations and at school. Additional burdens that are highlighted are a lack of knowledge regarding CD and GFD difficulties in interpreting food labels, as well as dissatisfaction with the organoleptic properties of GF foods. Factors associated with poor adherence in adolescence include older age, an absence of immediate symptoms, difficulties eating out and poor palatability of GF foods. Conversely, better emotional support and stronger organisation skills have been associated with superior adherence. Significant associations have been reported between HRQoL measures and adherence, although the findings are inconsistent. Limitations in research methodologies exist and data are restricted to just a few countries. Further research specific to adolescence is required to identify independent predictors of adherence. Journal of Human Nutrition and Dietetics 2016 The British Dietetic Association Ltd.Item The rising incidence of celiac disease in Scotland(2013-10) White, Lois; Merrick, V. M.; Bannerman, Elaine; Russell, R. K.; Basude, D.; Henderson, P.; Wilson, D. C.; Gillett, P. M.Background and objectives: Although the incidence of pediatric celiac disease (CD) is increasing globally, it is uncertain whether this is attributed to improved case ascertainment or signifies a true rise. We aimed to identify all incident cases of childhood CD in southeast Scotland over the period 1990 to 2009 to assess trends in totalincidence and cases diagnosed as a result of (1) a classic presentation, (2) a nonclassic presentation, or (3) targeted screening. Methods: Twenty-year retrospective cohortstudy of case notes, pathology databases, endoscopy, and patient records for all children (<16 years of age) diagnosed with CD on biopsy in southeast Scotland (at-riskpopulation of 225 000-233 000). Data were age-gender standardized and Poisson regression models used to calculate changes in incidence over time. Results: A total of 266 children were diagnosed from 1990 to 2009 with an increase in incidence from 1.8/100 000(95% confidence interval [CI] 1.1-2.7) to 11.7/100 000 (95% CI 9.8-13.9) between the epochs 1990 to 1994 and 2005 to 2009, respectively (P < .0001). The incidence of nonclassic presentation (children with a monosymptomatic presentation and those with extraintestinal symptoms) and actively screened cases increased by 1566% (P < .05) and 1170% (P < .001) from 1990 to 1999 to 2000 to 2009, respectively. However, a rise in the incidence of Oslo classic cases from 1.51/100 000 (95% CI 0.91-2.38) in 1990 to 1994 to 5.22/100 000 (95% CI 3.98-6.75) in 2005 to 2009 (P < .01) remained evident. Conclusions: The incidence of pediatric CD increased 6.4-fold over the 20 years. This study demonstrates that this rise is significant for classic CD, indicating a true rise in the incidence of pediatric CD. 2013 by the American Academy of Pediatrics.Item Trends in Paeditric Coeliac Disease 1990-2009: A UK Regional Retrospective Audit of Cases(BMJ, 2012-05) White, Lois; Merrick, V.; Bannerman, Elaine; Wilson, D. C.; Russell, R. K.; Basude, D.; Henderson, P.; Gillett, P. M.; Coeliac UK; Gloag Family FoundationAim - To review all incident cases of paediatric coeliac disease (CD) in a UK region over the 20 year period from 1990-2009; to observe trends in incidence, symptom presentation, age at diagnosis and the impact of active screening of at-risk groups; and to audit laboratory results at diagnosis for 01/2005-12/2009.