Dietetics, Nutrition and Biological Sciences
Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/23
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Item Reformulation of Biscuit and Oatcake Products With Nutritional and Environmental Benefits Using a Novel Palm Shortening Substitute(Wiley, 2025-08-28) Mora-Gallego, Hector; Craddock, Robert; Euston, Stephen R.; Liddle, Catriona; Lonchamp, JulienThis paper assessed the feasibility of replacing palm shortening with a novel sustainable ingredient composed of rapeseed oil, linseed meal, and beta-glucan (PALM-ALT) in hard-texture bakery products (biscuit and oatcake). There is currently no palm shortening alternative that is functional, sustainable, nutritionally-balanced, and competitive. The PALM-ALT ingredient was characterized by oil droplet size distribution, rheology, confocal microscopy, and scanning-electron microscopy, whilst the biscuits and oatcakes were profiled by sensory, texturometry, colorimetry, water activity, and moisture analyses. The PALM-ALT ingredient exhibited a stable emulsion-gel structure (32 µm oil droplet size, 62 Pa.s viscosity, 40 Pa yield stress). Linseed proteins contributed to the formation and stabilization of oil droplets, whilst linseed mucilage, oat beta-glucan, and aggregates of linseed proteins and/or beta-glucan (observed in the continuous phase) further stabilized the emulsion. Three formulations were prepared with either palm shortening, rapeseed oil, or PALM-ALT. PALM-ALT biscuits and oatcakes respectively showed an 86% and 75% saturated fat reduction in comparison with their palm-based control product. PALM-ALT products displayed similar sensory and instrumental profiles to their palm-based controls, whereas rapeseed oil formulations exhibited significantly different color, odor, and texture profiles than the controls (p < 0.05). Rapeseed oil biscuits showed a lower overall sensory quality than their palm-based control, whilst PALM-ALT oatcakes displayed a higher acceptability than the control and rapeseed oil products (p < 0.05). This study showed that PALM-ALT was able to replace palm shortening in hard-texture bakery formulations with maintenance of their sensory profiles, whilst providing nutritional and sustainability benefits.Item The Evaluation of a Simulated Interprofessional Education Session Between Dietetics and Acting Students(2025-08-18) Lyles, Alison L.; Scott, MarionIntroduction: This paper evaluates a simulated interprofessional education (IPE) session that brought together dietetic and acting students to explore the development of communication skills and collaborative practice through role‐play consultations. Designed to foster experiential learning, the session enabled dietetics students to practice patient‐centred communication while acting students portrayed patients based on character briefs and offered feedback from a service‐user perspective. Methods: The session aimed to enhance empathy, rapport‐building, and professional adaptability across both disciplines. Evaluation data were collected via a structured questionnaire completed by 17 dietetic and 5 acting students, assessing areas including skill development, interprofessional collaboration, and session impact. Results: Results indicated high satisfaction, with 100% of participants rating the session positively and reporting gains in communication, teamwork, and understanding of interdisciplinary roles. Both groups valued the opportunity to apply their respective skills in a realistic, low‐risk setting, highlighting the benefits of including nontraditional disciplines in IPE. Recommendations for future iterations include expanding scenario diversity and providing more time for practice and feedback. Conclusion: Overall, the session was found to be an effective and engaging method of supporting communication competence and mutual learning between healthcare and performing arts students.Item UV Spectrophotometric analysis of phosphate content in plant-based milk alternatives in relation to Advanced Chronic Kidney Disease(Elsevier, 2025-08-05) Lyles, Alison L.; Sture, Estere; Walker, RossBackground: Managing dietary phosphorus is critical in advanced chronic kidney disease (CKD), where excess intake can lead to complications such as hyperphosphataemia. Plant-based milk alternatives (PBMAs) are increasingly consumed, yet their phosphorus content, particularly in relation to phosphate additives, remains poorly defined in the UK. Objective: This study aimed to quantify and compare the total phosphorus content and phosphorus-to-protein ratio (PPR) in a range of commercially available UK PBMAs, with and without phosphate additives, using UV spectrophotometric analysis. Materials & Methods: Fourteen PBMAs (from seven plant sources) were analysed using the molybdenum blue method. Samples were categorised based on presence or absence of phosphate additives. Phosphorus content (mg/100g) and PPR (mg/g protein) were calculated and compared with previously documented data for cow’s milk. Results: PBMAs with phosphate additives contained significantly higher phosphorus levels (mean 58.47 mg/100g) than those without (mean 7.38 mg/100g; p < .001). Similarly, PPR was substantially higher in additive-containing PBMAs (mean 197.76 mg/g) versus additive-free options (mean 16.25 mg/g; p < .001). Some PBMAs with additives had phosphorus content and PPR values exceeding those of cow’s milk, raising concerns for phosphate management in CKD. Conclusion: Phosphate additives significantly increase the phosphorus load and PPR of PBMAs, which may not be readily apparent to consumers or clinicians due to insufficient labelling. For patients with advanced CKD, selecting additive-free PBMAs may support better phosphorus control and dietary management.Item Bioavailability and Urinary Excretion of Phenolic-Derived Metabolites after Acute Consumption of Purple Majesty Potato in Humans(E-Cronicon, 2015-03-18) Tsang, Catherine; Smail, Nacer F.; McDougall, Gordon J.; Almoosawi, Suzana; Al-Dujaili, Emad A. S.A novel purple potato variety, Purple Majesty (PM) contains an abundance of phenolic compounds, especially anthocyanins. The aim of this study was to assess the bioavailability of phenolic compounds in plasma measured as total polyphenols and urinary excretion of phenolic-derived metabolites after acute consumption of cooked PM. Five healthy male subjects (27-60 years; mean BMI: 26.7 ± 4.1) participated in a bioavailability study. Blood and urine were sampled at baseline and following consumption of 400 g cooked PM at 1h, 2h, 4h and 24h. A peak plasma antioxidant capacity was reached 1-2 hours post-consumption (from 1044 ± 281 µmol/L Fe(II) at baseline and increased to 1257 ± 180 after 1 hour (p = 0.045) and 1112 ± 251 µmol/L Fe(II) after 2 hours (borderline significance of p = 0.06). Total phenols level in plasma was reached after 2 hours (from 342.4 ± 28.3 at baseline to 368.4 ± 25 mg/L GAE). Liquid chromatography mass spectrometric (LC-MS) analysis was used to track the levels of anthocyanin-like derivatives and metabolites in the urine of volunteers after intake of the cooked Purple Majesty potatoes. No anthocyanin derivatives were detected in urine by liquid chromatography mass spectrometry indicating levels were < 2 nM. The majority of peaks that increased after intake were putatively identified as sulphated phenolic metabolites. Phenolic glucuronides were identified but other peaks remain unidentified. Hippuric acid was identified as a major phenolic derivative. Hydroxy benzoic derivatives, characteristic of intake of anthocyanins, were not detected in urine, however metabolites expected from the B-ring of petunidin (i.e. methyl gallic acid) may have been obscured by other peaks. Some metabolites could have arisen through metabolism of chlorogenic acid, which is present at ~ equivalent amounts to anthocyanins in cooked PM. In conclusion, acute consumption of PM resulted in an increase in excretion of urinary phenolic-derived metabolites. Identifying these unknown phenolic derivatives warrants further investigation.Item Consumption of Pomegranate Juice Attenuates Exercise - Induced Oxidative Stress, Blood Pressure and Urinary Cortisol/Cortisone Ratio in Human Adults(E-Cronicon, 2016-08-23) Al-Dujaili, Emad A. S.; Good, Gillian; Tsang, CatherineBackground: Oxidative stress is exacerbated in overweight and obese individuals after acute exercise compared with their nonobese counterparts. Antioxidants supplementation of the diet may be one intervention to reduce exercise-induced oxidative stress in this vulnerable population. The aim of this study was to investigate whether polyphenol-rich pomegranate juice attenuates postexercise oxidative stress and contributors to oxidative stress (glucocorticoids) and blood pressure in healthy overweight subjects. Methods: Males and females participated in a randomized placebo controlled parallel pilot-study (mean BMI: 26.7 ± 6.6 kg/m2 ). Two groups of (n = 12) participants received either pomegranate pure juice (500 mL/day containing total polyphenols of 1685 mg GAE/L) or placebo (water matched for total energy) and all participants completed two standardized 30 min treadmill tests (50% Wmax) at baseline and after one week of the intervention. Results: Exercise induced lipid peroxidation (MDA) was lower following pomegranate juice consumption compared with placebo (31.2 ± 10.6 to 26.5 ± 9.8 MDA µmole/day) after 1 week (P = 0.035). Urinary free cortisol was reduced from 179.4 ± 53.2 to 125.6 ± 43.5 nmole/24h which was significant (p = 0.042). In addition, there was a statistically significant increase in urinary free cortisone: from 112.2 ± 40.4 to 187.6 ± 90.2 nmole/24 h (p = 0.045), and a significant decrease in the urinary free cortisol/cortisone ratio (p=0.009) from 1.6 ± 1.1 to 0.67 ± 0.55 following one week of pomegranate juice intake. Pomegranate juice consumption was also found to decrease systolic blood pressure pre-exercise (136.7 ± 11.7 to 131.8 ± 8.8 mmHg (p = 0.007), and post-exercise from 158.8 ± 15.8 to 148.1 ± 12.3 mmHg (p < 0.01) and diastolic blood pressure (86.3 ± 10.6 to 82.5 ± 6.8 mmHg (p = 0.04) and 103.1 ±12.5 to 93.9 ± 11.5 mmHg (p = 0.001), pre and post exercise, respectively. Correlation results between the change in Cortisol/cortisone ratio with the effect on blood pressure showed a negative significant association post pomegranate juice intake (p = 0.028 for systolic and p = 0,008 for diastolic BP). There were no changes in lipid peroxidation or blood pressure following placebo treatment. Conclusions: These findings suggest that pomegranate juice consumption prior to an acute bout of moderate intensity exercise can alleviate blood pressure and exercise-induced stress in the overweight and obese population.Item Functional Foods and Lifestyle Approaches for Diabetes Prevention and Management(MDPI, 2017-12-01) Alkhatib, Ahmad; Tsang, Catherine; Tiss, Ali; Bahorun, Theeshan; Arefanian, Hossein; Barake, Roula; Khadir, Abdelkrim; Tuomilehto, JaakkoFunctional foods contain biologically active ingredients associated with physiological health benefits for preventing and managing chronic diseases, such as type 2 diabetes mellitus (T2DM). A regular consumption of functional foods may be associated with enhanced anti-oxidant, anti-inflammatory, insulin sensitivity, and anti-cholesterol functions, which are considered integral to prevent and manage T2DM. Components of the Mediterranean diet (MD)—such as fruits, vegetables, oily fish, olive oil, and tree nuts—serve as a model for functional foods based on their natural contents of nutraceuticals, including polyphenols, terpenoids, flavonoids, alkaloids, sterols, pigments, and unsaturated fatty acids. Polyphenols within MD and polyphenol-rich herbs—such as coffee, green tea, black tea, and yerba maté—have shown clinically-meaningful benefits on metabolic and microvascular activities, cholesterol and fasting glucose lowering, and anti-inflammation and anti-oxidation in high-risk and T2DM patients. However, combining exercise with functional food consumption can trigger and augment several metabolic and cardiovascular protective benefits, but it is under-investigated in people with T2DM and bariatric surgery patients. Detecting functional food benefits can now rely on an “omics” biological profiling of individuals’ molecular, genetics, transcriptomics, proteomics, and metabolomics, but is under-investigated in multi-component interventions. A personalized approach for preventing and managing T2DM should consider biological and behavioral models, and embed nutrition education as part of lifestyle diabetes prevention studies. Functional foods may provide additional benefits in such an approach.Item Olive Oil Nutraceuticals in the Prevention and Management of Diabetes: From Molecules to Lifestyle(MDPI, 2018-07-12) Alkhatib, Ahmad; Tsang, Catherine; Tuomilehto, JaakkoLifestyle is the primary prevention of diabetes, especially type-2 diabetes (T2D). Nutritional intake of olive oil (OO), the key Mediterranean diet component has been associated with the prevention and management of many chronic diseases including T2D. Several OO bioactive compounds such as monounsaturated fatty acids, and key biophenols including hydroxytyrosol and oleuropein, have been associated with preventing inflammation and cytokine-induced oxidative damage, glucose lowering, reducing carbohydrate absorption, and increasing insulin sensitivity and related gene expression. However, research into the interaction of OO nutraceuticals with lifestyle components, especially physical activity, is lacking. Promising postprandial effects have been reported when OO or other similar monounsaturated fatty acids were the main dietary fat compared with other diets. Animal studies have shown a potential anabolic effect of oleuropein. Such effects could be further potentiated via exercise, especially strength training, which is an essential exercise prescription for individuals with T2D. There is also an evidence from in vitro, animal, and limited human studies for a dual preventative role of OO biophenols in diabetes and cancer, especially that they share similar risk factors. Putative antioxidative and anti-inflammatory mechanisms and associated gene expressions resulting from OO biophenols have produced paradoxical results, making suggested inferences from dual prevention T2D and cancer outcomes difficult. Well-designed human interventions and clinical trials are needed to decipher such a potential dual anticancer and antidiabetic effects of OO nutraceuticals. Exercise combined with OO consumption, individually or as part of a healthy diet is likely to induce reciprocal action for T2D prevention outcomes.Item Antioxidant Rich Potato Improves Arterial Stiffness in Healthy Adults(Springer, 2018-06-26) Tsang, Catherine; Smail, Nacer Foudil; McDougall, G. J. M.; Al-Dujaili, EmadArterial stiffness is an emerging risk factor for cardiovascular disease and dietary anthocyanins may be important in mediating vascular tone. The present study investigated the effect of consumption of an anthocyanin-rich potato, Purple Majesty on arterial stiffness measured as pulse wave velocity in 14 healthy male and female adults. Participants consumed 200 g/day of cooked purple potato containing 288 mg anthocyanins, or a white potato containing negligible anthocyanins for 14 days, separated by a 7-day washout period. Non-invasive assessment of vascular tone by pulse wave velocity was determined in addition to systolic and diastolic blood pressure, high-density lipoproteins, low-density lipoproteins, triglycerides, glucose, insulin and C-reactive protein. Pulse wave velocity was significantly reduced (p = 0.001) following Purple Majesty consumption for 14-days. There were no significant changes with any other clinical parameter measured, and no changes following white potato consumption. The findings from this short-term study indicate a potential effect of Purple Majesty consumption on arterial stiffness.Item Effect of Polyphenol-Rich Dark Chocolate on Salivary Cortisol and Mood in Adults(MDPI, 2019-05-29) Tsang, Catherine; Hodgson, Lindsay; Bussu, Anna; Farhat, Grace; Al-Dujaili, EmadThe aim of the present study was to investigate whether ingestion of polyphenol-rich dark chocolate improved salivary cortisol levels and subjective mood states in adults recruited from a health and social care setting. Twenty-six participants ingested 25 g/day of a high polyphenol dark chocolate (containing 500 mg of total flavonoids) or a similar amount of a control dark chocolate containing negligible flavonoids for four weeks. Twenty-four-hour salivary glucocorticoid levels (cortisol and cortisone) were measured by an enzyme-linked immunosorbent assay, and subjective mood was assessed using a validated Positive Affect and Negative Affect Schedule. Total daily cortisol, morning cortisol, and the cortisol/cortisone ratio were significantly reduced (p < 0.001) after ingestion of only the high polyphenol dark chocolate. There were no significant differences between groups for overall scores for positive affect and negative affect. No changes were observed after the control dark chocolate, or any other parameter measured. In conclusion, the findings from this small-scale study indicate lowering of salivary cortisol levels following polyphenol-rich dark chocolate in adults recruited from a health and social care setting. Such changes may be attributable to their ability to inhibit 11β-hydroxysteroid dehydrogenase type 1 activity and warrant further investigation.Item Effect of N-Acetylcysteine on Positive and Negative Syndrome Scale associated with Schizophrenia: A Meta-Analysis(Mashhad University of Medical Sciences, 2020-10) Ghaderi, Amir; Bussu, Anna; Tsang, Catherine; Jafarnejad, SadeghBackground and objective: N-acetylcysteine (NAC), a precursor of L-cysteine with antioxidant, anti-inflammatory and neurotropic effects, is a promising agent in alleviating symptoms associated with schizophrenia. However, the role of NAC on parameters of Positive and Negative Syndrome Scale (PANSS) remain uncertain. This systematic review and meta-analysis explored the effect of NAC on parameters of PANSS in patients with chronic schizophrenia. Methods: We searchedPubmed/MEDLINE™, PsycNET™, PsycLIT™, Scopus™ and Google Scholar™ for studies on the effect of NAC on PANSS in patients with schizophrenia from inception to March 2019. We adopted medical and non-medical subjects headings (MeSH, non-MeSH) and several keywords, including “NAC”, “N-acetylcysteine”, “N-acetyl cysteine”, “Acetylcysteine”, “N-Acetyl-L-cysteine”, “schizophrenia”, “psychotic disorder”, “psychosis”, “schizoaffective” and “dementia praecox”. Results: We identified seven trials with274 patients meeting the inclusion criteria, with follow up between 8-52 weeks, and NAC supplementation between 1200-3600 mg/day. Significant improvements in PANSS were identified following NAC for total (SMD=-0.61, 95% CI = -0.91, -0.31 ; P<0.001), general (SMD = -0.58; 95% CI = -0.90, -0.26; P=0.0004); and negative (SMD = -0.56; 95% CI = -0.92, -0.21; P = 0.001) scores, respectively. No significant heterogeneity was found among studies. Significant reductions were observed following sub-group analysis in trials ≤ 24 weeks duration, with appreciable effect size for total (SMD= -0.83), general (SMD= -0.67) and negative (SMD=-1.09) scores. Conclusion: Supplementation of NAC was effective in alleviating PANSS symptoms associated with schizophrenia in trials ≤ 24 weeks duration. The use of NAC as an adjunct seems promising and further investigation is warranted to determine its precise role.