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  Subjects -> NUTRITION AND DIETETICS (Total: 201 journals)
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South African Journal of Clinical Nutrition
Journal Prestige (SJR): 0.205
Number of Followers: 5  

  This is an Open Access Journal Open Access journal
ISSN (Print) 1607-0658 - ISSN (Online) 2221-1268
Published by African Journals Online Homepage  [261 journals]
  • Fostering healthy eating in children

    • Authors: Mieke Faber
      Abstract: No abstract.
      PubDate: 2023-01-07
      Issue No: Vol. 35, No. 2 (2023)
       
  • ‘Finishing that plate of food …’ The role of the nurse caring for
           the patient with dysphagia

    • Authors: Jaishika Seedat, Nikki Strime
      Pages: 39 - 43
      Abstract: Objective: Dysphagia is a ‘hidden’ disorder that can present with a range of consequences including fatality. It is important for intervention to be timeous and adopt a team approach, with each professional displaying understanding of both dysphagia and each other’s roles. The nurse is at the epicentre of service provision in hospitals and is ideally positioned to collaborate with the speech-language therapist to manage dysphagia. The state of collaboration, however, is not ideal. Reasons perpetuating this need, to be understood to facilitate improved care by nurses for patients with dysphagia. Design: The aim of the study was to describe the caseload of dysphagia patients seen by nurses, their experiences caring for patients with dysphagia, and nurses’ views on inter-professional training. Setting: A qualitative, exploratory study was conducted with nurses working at two government hospitals in Johannesburg, South Africa. Subjects: An open-ended semi-structured interview was conducted with nine nurses working with adult patients. Descriptive and inductive thematic analysis was used, comparisons were made between the responses, and data were categorised according to emerging themes. Results: Results confirmed that while experience improved care, gaps in dysphagia knowledge, inexperience and contextual challenges adversely impacted efficiency of dysphagia care. Inter-professional training and recognition of nurse intervention positively impacted on interactions with dysphagia. Conclusion: Nurses have a central role in dysphagia care in acute settings. The study confirmed that multidisciplinary management, inter-professional training and inter-professional relations contribute to overall improved service delivery in dysphagia in acute settings, with nurses at the epicentre.
      PubDate: 2023-01-07
      Issue No: Vol. 35, No. 2 (2023)
       
  • Introducing a nutritional risk screening tool in a South African hospital

    • Authors: Lesego Ndhlovu, Tim De Maayer
      Pages: 44 - 50
      Abstract: Background Nutritional screening facilitates the early identification of hospitalised children at risk of malnutrition. Screening tools have scarcely been evaluated in the developing world where the burden of malnutrition is greatest. Methods A retrospective study was undertaken of 113 patients admitted to the general paediatric wards at Rahima Moosa Mother and Child Hospital in Johannesburg, South Africa. Children 6 months to 14 years old were screened for malnutrition using anthropometry and correlating WHO z-scores, and retrospectively assessed for nutritional risk using a modified STAMP (mSTAMP). Results The mSTAMP identified additional patients at nutritional risk. The majority (87%) of children with normal anthropometry scored as medium and high risk using the mSTAMP. Weight loss and length of hospital stay (LOS) were higher in medium and high risk groups: One (5%) low risk child lost weight, compared with 8 (38%) medium and 12 (57%) high risk children (p = 0.021). Low risk children had a median LOS of two and half days (IQR 1–8) compared with medium and high risk groups, with medians of three (IQR 3–8) and six (IQR 4–9) days respectively (p = 0.04). Conclusion The mSTAMP identified more children at risk of malnutrition who may not have been considered for nutritional therapy during the hospital stay using anthropometry screening alone. There is a place for nutritional risk screening in developing world settings, but tools may need to be modified locally. Further studies and validation of these tools in sub-Saharan Africa seem prudent and may result in improved nutrition and outcomes of hospitalised children.
      PubDate: 2023-01-07
      Issue No: Vol. 35, No. 2 (2023)
       
  • Breakfast and lunchboxes provided to foundation phase learners: do
           caregivers’ knowledge and attitude reflect their practices'

    • Authors: Thea Hansen, Elmine du Toit, Cornel van Rooyen, Ronette Lategan-Potgieter
      Pages: 51 - 58
      Abstract: Background: This study was conducted to determine nutritional knowledge, and to identify whether caregivers’ knowledge and attitudes related to their breakfast and lunchbox food-providing practices. Methods: A cross-sectional descriptive study was conducted. Questionnaires were used to collect the data. The study population included 1286 caregivers of foundation phase learners in Quintile 5 schools from Bloemfontein, South Africa. Results: The median score for knowledge regarding breakfast and lunchboxes of caregivers was 55.6% and 73.1%, respectively. Knowledge on breakfast and lunchbox foods was higher for caregivers older than 35 years (breakfast median 55.6, p = 0.0479 and lunchbox median 76.9, p < 0.0001) and who possessed a tertiary qualification (breakfast median 55.6, p = 0.0009 and lunchbox median 76.9, p < 0.0001). The attitudes of caregivers were generally positive towards providing healthy breakfast and lunchbox foods (breakfast median 71.4% and lunchbox median 82.5%). The primary objective of caregivers’ provision of a lunchbox was health considerations (n = 658, 54.2%) followed by being filling (n = 277, 22.8%). The median score to rate the provision of healthy breakfast foods was 26.7% and 35.6% for lunchbox foods. Healthier breakfasts and lunchboxes were provided by caregivers with a tertiary qualification. Conclusions: A need to educate caregivers on the provision of healthy breakfast and lunchbox foods has been identified.
      PubDate: 2023-01-07
      Issue No: Vol. 35, No. 2 (2023)
       
  • Do lifestyle choices influence the development of overweight and obesity
           in the South African Air Force, Bloemfontein'

    • Authors: Carina Haasbroek, Ronette Lategan-Potgieter, Cornel van Rooyen, Marizeth Jordaan
      Pages: 59 - 68
      Abstract: Objectives: A study was undertaken to determine the prevalence of overweight and obesity at Air Force Base Bloemspruit in Bloemfontein, Free State, and the dietary and lifestyle factors and physical activity which may play a role in the development thereof. Design: This was a descriptive cross-sectional study. Setting: Five units situated at the Air Force Base Bloemspruit, Bloemfontein were included. Subjects: The study included 166 active-duty military personnel (136 males and 30 females) aged 21–59 years. A convenience sample of volunteers participated in the study. Outcome measures: The body mass index (BMI) of the participants was calculated using weight and height, and waist circumference was measured using standardised techniques. The dietary intake of participants was evaluated using a self-administered food frequency questionnaire. Results: A high prevalence of overweight (38.6%) and obesity (36.1%) was identified in the study population. No significant associations were detected between lifestyle factors or physical activity and BMI. The majority of participants (59.6%) consumed three meals per day. Meal frequency did not differ between different BMI categories, and no associations were found between meal frequency and being overweight or obese. Inadequate intake of fruit and vegetables was observed. Conclusion: A high prevalence of overweight and obesity was observed in this study, which calls for urgent intervention. No associations were, however, found between dietary and lifestyle factors and the presence of overweight and/or obesity. Further investigation is required to identify the causes of overweight and obesity and effective ways to address this health challenge.
      PubDate: 2023-01-07
      Issue No: Vol. 35, No. 2 (2023)
       
  • Nutritional status and psychomotor development in 12–18-month-old
           children in a post-intervention study

    • Authors: Idah P Rikhotso, Mieke Faber, Marinel Rothman, Tonderayi M Matsungo, Carl Lombard, Cornelius M Smuts
      Pages: 69 - 77
      Abstract: Objectives: A study was undertaken to determine whether benefits gained by providing small-quantity lipid-based nutrient supplements (SQ-LNS) from age 6–12 months were maintained at age 18 months compared with a delayed intervention. Design: Children who completed a randomised controlled trial were enrolled at age 12 months (n = 392) and followed-up until age 18 months (n = 252; dropout rate 35.7%). Two previously exposed (PE and PE-plus) groups (received SQ-LNS from 6–12 months, but no supplement from 12–18 months) were compared with the delayed intervention (DI) group (received no supplement from 6–12 months, but received SQ-LNS from 12–18 months). Methods and outcome measures: At age 12 and 18 months, weight, length, haemoglobin (Hb) and psychomotor development were measured. Setting: The study was carried out in peri-urban Jouberton area, Klerksdorp, South Africa. Subjects: Children aged 12–18 months. Results: Compared with DI, negative effects (either a trend or statistically significant) were observed for PE and PE-plus for length-for-age Z-scores (LAZ) (p = 0.091 and p = 0.075, respectively), PE-plus for weight-for-age Z-scores (WAZ) (p = 0.027), and PE and PE-plus for Hb (p = 0.080 and p = 0.033, respectively); and a positive effect for PE-plus for eye–hand coordination (p = 0.086). The odds for anaemia were higher for PE-plus compared with DI (OR = 1.68; 95% CI 0.91, 3.09). Regardless of group, prevalence of anaemia and stunting increased from age 12 to age 18 months. Conclusions: Benefits of providing SQ-LNS from age 6–12 months were not sustained at age 18 months, compared with providing SQ-LNS from age 12–18 months. Studies to determine the optimum supplementary period to achieve sustainable benefits of SQ-LNS on linear growth and iron status are warranted.
      PubDate: 2023-01-07
      Issue No: Vol. 35, No. 2 (2023)
       
  • Mealtime challenges and food selectivity in children with autism spectrum
           disorder in South Africa

    • Authors: Skye Nandi Adams, Raeesa Verachia, Kim Coutts
      Pages: 78 - 84
      Abstract: Background: Children with autism spectrum disorder (ASD) have a number of associated feeding difficulties and problematic mealtime behaviours. These problems can have a negative impact on the child’s nutritional intake and little is known about the food preferences and characteristics of food choices. In addition, these difficulties can be exacerbated for children and caregivers living in low- and middle-income countries such as South Africa due to limited access to food, resources and health care. Objectives: The purpose of this study was to determine (1) types of feeding difficulties prevalent in children with ASD, (2) food items that children in South Africa prefer, (3) the relationship between age and ASD severity on food preferences. Method: A cross-sectional quantitative research design was employed using an online questionnaire. There was a total of 40 respondents from different provinces in South Africa. The data were analysed using descriptive statistics as well as multiple linear correlation analysis. Results: The study has identified common feeding difficulties in children with ASD and those being diagnosed as picky eaters in South Africa and compared them with difficulties that were found in the international literature. The study also highlighted the food groups that were preferred by children with ASD, showing a preference for starches and snack items compared with fruits and vegetables. In addition, there were significant correlations between ASD severity and ASD age on food preferences, suggesting that both age and severity may be predictors of food choices made by children with ASD, and highlighted a need for multidisciplinary intervention. Conclusions: This study adds to the existing literature on feeding difficulties in children with ASD but provides additional insights into children living in low- and middle-income countries and can be used to improve appropriate and responsive interventions. This study provides evidence that supports the influence of context and family environment regarding feeding in children with ASD.
      PubDate: 2023-01-07
      Issue No: Vol. 35, No. 2 (2023)
       
  • Case study: nutritional considerations in the head and neck cancer patient

    • Authors: Nathaniël Van Wyk
      Pages: 85 - 87
      Abstract: Head and neck squamous cell cancer (HNSCC) involves cancer of the oral cavity, oropharynx, hypopharynx and larynx. By virtue of the tumour location, nutrition support in this patient cohort can be extremely challenging. A 48-year-old male presented with a two-month history of progressive dysphagia, significant loss of weight, shortness of breath and coughing secondary to a non-benign lesion in his throat. This debilitating condition led to severe malnutrition and due to the prevailing nutritional risk the patient was assessed as a very high risk for refeeding syndrome. Several investigations were done during the admission, which then confirmed the final diagnosis of a transglottic squamous cell cancer. Surgical optimisation, including preoperative nutritional optimisation, was discussed in a multidisciplinary meeting and a total laryngectomy was scheduled seven days later. Perioperative nutritional management required careful consideration of several factors but the involvement of dietetics services from the day of admission played a crucial role in the successful management of this patient.
      PubDate: 2023-01-07
      Issue No: Vol. 35, No. 2 (2023)
       
 
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