A regional diabetes nutrition education program: its effect on knowledge and eating behavior.

The effect of a nutrition education program on knowledge and self-care behavior in a group of individuals with diabetes was evaluated. The nutrition education program was developed using outlines and knowledge tests produced by the University of Michigan Diabetes Research and Training Center. The program, sponsored by the American Diabetes Association, Akron Chapter, was presented free of charge to Northeast Ohio area residents. Forty-four individuals participated in the study. Results indicated a statistically significant (p < 0.01) gain in knowledge but no statistically significant change in eating behavior for the sample. However, post-food records indicated that the mean for the percentage of total kcalories (kcals) from protein and fat (ie, 20% and 28%, respectively) were within the American Diabetes Association's recommendations of no more than 20% of kcals from protein and 30% of kcals from fat. In addition, the percentage of kcals from carbohydrate and the recommended total number of kcals improved toward the recommended levels.

Effect of heat processing and storage on protein quality and lysine bioavailability of a commercial enteral product.

Several rat bioassays were conducted to evaluate protein quality and lysine (LYS) bioavailability (BIO) of Osmolite HN, a commercial enteral product, as affected by the severity of heat processing during sterilization and by storage of the products for 1 year. Without amino acid supplementation, the protein quality of Osmolite HN, as determined by protein efficiency ratio (PER), was lower than that of casein, regardless of heat treatment. With addition of the limiting amino acid, cystine, the PER of Osmolite HN was equivalent to that of cystine-fortified casein. Storage of the product for 1 year had no effect (p greater than 0.05) on PER, even though the products had darkened in color. Slope-ratio regression analysis (weight gain regressed on supplemental LYS intake) yielded a LYS BIO estimate of 94.4% for the Osmolite HN control relative to crystalline LYS. Partitioning weight gain into that resulting from LYS consumed in the basal diet and that resulting from the LYS supplement per se provided more accurate estimates of LYS BIO. This method estimated LYS BIO at 100% for the Osmolite HN products, regardless of heat treatment. With storage, LYS BIO decreased 11-12% in all of the Osmolite HN products. The decreased LYS BIO is of minimal nutritional significance in that overall protein quality of the products was not affected by storage. This is likely due to the fact that there is a plethora of lysine in Osmolite HN such that LYS is not a protein-quality limiting factor.

Amelioration of selenium toxicity by arsenicals and cysteine.

Young chicks exhibited a 61% reduction in weight gain when a corn-soybean meal diet was supplemented with 15 mg/kg Se provided as Na selenite. The same level of Se provided as selenomethionine depressed weight gain by 32%. Supplementing the high selenite diet with isoarsenous (14 mg/kg As) additions of As2O5, As2O3, phenylarsonic acid, phenylarsine oxide and roxarsone ameliorated the Se-induced growth depression: As2O5 almost totally restored growth rate; As2O3, phenylarsonic acid and phenylarsine oxide gave intermediate responses; and roxarsone gave only a small ameliorative growth response. Arsanilic acid was without effect in stimulating growth rate of selenite-intoxicated chicks. Dietary addition of .4% L-cysteine produced a growth response in selenite intoxicated chicks that was somewhat greater than that obtained with roxarsone; administering both roxarsone and cysteine corrected growth better than either compound given singly. Both roxarsone and As2O5 also effectively ameliorated the Se-toxicity growth depression caused by selenomethionine (15 mg Se/kg) supplementation, but cysteine showed no efficacy against morbidity caused by this form of Se. Liver Se concentration was elevated 10-fold by selenite and 25-fold by selenomethionine supplementation. The arsenic compounds had varying effects on liver Se, whereas cysteine tended to increase Se concentration. These findings suggest that both inorganic and organic arsenicals as well as cysteine ameliorate selenium toxicity by different mechanisms.

Urea cycle metabolism: effects of supplemental ornithine or citrulline on performance, tissue amino acid concentrations and enzymatic activity in young pigs fed arginine-deficient diets.

Two experiments were conducted with young pigs to determine the efficacy of ornithine (Orn) or citrulline (Cit) as precursors of arginine (Arg). In Exp. 1, pigs were individually fed an Arg-deficient, semipurified diet (.18% Arg) supplemented with .3% Arg or an equimolar quantity of Orn or Cit. Supplemental Arg or Cit increased rate and efficiency of weight gain, but Orn addition was without effect. Free Arg in plasma 3 h post-prandial was increased by addition of either Arg or Cit to the basal diet. Liver Arg was elevated by dietary addition of Arg, Orn or Cit; kidney Arg and Orn were elevated only in pigs receiving supplemental Cit. Arginine or Cit addition to the diet increased Arg concentration in muscle tissue, but muscle Orn was unresponsive to any of the supplements fed. In Exp. 2, pigs were again fed the Arg-deficient, semipurified diet supplemented with .3% Arg or four times an isomolar quantity of ornithine. Arginine addition to the diet increased weight gain and feed efficiency, while Orn supplementation was without effect. Plasma Orn was increased by excess Orn, while plasma Cit was unaffected by supplemental Arg or Orn. Moreover, excess Orn increased free Orn and proline (Pro) in liver, kidney and muscle. Free Cit, however, increased only in liver from feeding excess Orn. In addition, excess Orn decreased both plasma ammonia and free glutamine (Gln) concentration in brain. Arginase activity was roughly 10, 40 and 100 times greater in hepatic tissue than in renal cortex, renal medulla or intestinal mucosa, respectively, while hepatic ornithine transcarbamoylase (OTC) activity was about 15 times greater than the activity present in mucosa tissue. Renal OTC activity was too low to be accurately measured.

Utilization of the L- and DL-isomers of alpha-keto-beta-methylvaleric acid by rats and comparative efficacy of the keto analogs of branched-chain amino acids provided as ornithine, lysine and histidine salts.

Three experiments were conducted to quantitatively evaluate the growth-promoting capacity of alpha-keto analogs of the branched-chain amino acids (BCAA). Basal chemically defined diets were formulated to be singly deficient in the BCAA under study; analogs therefore were evaluated as sources of supplemental amino acid activity. Analogs of isoleucine tested included alpha-keto-beta-L-methylvalerate (L-KMV) as the Na salt (L-KMV-Na) and alpha-keto-beta-DL-methylvalerate (DL-KMV) as the Na (DL-KMV-Na), ornithine (DL-KMV-Orn) and lysine (DL-KMV-Lys) salts. Slope-ratio efficacy values were L-KMV-Na, 65%; DL-KMV-Na, 44%; DL-KMV-Orn, 41%; DL-KMV-Lys, 43%. Alloisoleucine accumulated in the plasma of rats fed all sources of KMV, but its concentration was three times greater when DL-KMV was fed than when L-KMV was fed. The analog of valine tested was alpha-ketoisovalerate as the ornithine (KIV-Orn) or lysine (KIV-Lys) salts. There was no significant difference in efficacy between salts (47 versus 44%, respectively). The analog of leucine, alpha-ketoisocaproate, was given as the ornithine (KIC-Orn), lysine (KIC-Lys) and histidine (KIC-His) salts with resulting efficacies of 50, 38 and 49%, respectively. Slope-ratio efficacies of KIC-Orn and KIC-His were statistically similar and efficacy of KIC-Lys was inferior to both KIC-Orn and KIC-His.

Amelioration of ethionine toxicity in the chick.

Several chick bioassays were conducted to evaluate means of ameliorating ethionine toxicity. Supplementing a corn-soy diet marginally deficient in sulfur amino acids (methionine + cystine) with .075% D,L-ethionine reduced weight gain in 8-day-old chicks by 70% compared to gains of unsupplemented controls. Dietary addition of .50% DL-methionine prevented reduction in weight gain and feed intake resulting from ethionine supplementation whereas feeding supplemental L-cystine was without effect. Supplementation of the ethionine-containing diet with either choline or betaine ameliorated the growth depression, although neither compound was able to completely overcome the toxic effects of ethionine. Dietary ethionine did not affect plasma levels of free methionine or cystine but did increase plasma free glycine 6-fold. Dietary addition of .50% DL-methionine caused normalization of plasma glycine levels whereas it elevated plasma methionine concentration. Although results suggested the possibility of ethionine-induced serine or threonine deficiency, dietary additions of .75% L-serine or .75% L-threonine failed to improve chick weight gain. These studies suggest that ethionine, in addition to affecting transsulfuration and transmethylation activity may exert specific effects on certain amino acids in tissue pools.

Effect of dietary calcium on selenium retention in postweaning swine.

Two experiments were conducted to evaluate the effect of dietary Se and Ca on Se utilization in postweaning swine. Two levels of dietary Se (.3 or 5.0 ppm) supplemented as sodium selenite and four levels of total dietary Ca (.50, .80, 1.10 or 1.40%) in a 20% protein, corn-soybean meal diet were evaluated. Inorganic Ca was supplied from dicalcium phosphate and limestone. In Exp. I, 135 pigs weaned at 4 wk of age were allotted by sex, litter and weight and fed a basal diet for 7 d and then their treatment diets for a 28-d period. Plasma and tissue were collected at the end of the trial for Se concentration and glutathione peroxidase (GSH-Px) activity. Dietary Ca had no effect on gain or feed measurements but 5.0 ppm Se depressed daily gain slightly. When 5.0 ppm dietary Se was fed, there resulted higher liver, kidney, heart and longissimus muscle Se concentrations than when .3 ppm was provided, but dietary Ca had no effect on tissue Se values within each dietary Se level. Plasma GSH-Px increased when higher dietary Se was provided, whereas neither heart nor liver GSH-Px activity was affected by dietary Se or Ca level. In Exp. II, a 5-d balance trial was conducted with 32 barrows after adjustment to their treatment diet for a 28-d period. Selenium retention increased quadratically as dietary Ca increased, whereas Ca retention was not affected by dietary Se. These results suggest that low dietary Ca levels may reduce total Se retention but not Se metabolism within body tissue.

Effect of dietary phosphorus on selenium retention in postweaning swine.

Two experiments were conducted to evaluate the effect of dietary Se and P levels on Se retention in postweaning swine. A 20% protein corn-soybean meal diet at two dietary Se levels (.3 and 5.0 ppm) and four total P levels (.50, .70, .90, 1.10%) were fed. Supplemental Se was provided from sodium selenite with inorganic P from dicalcium phosphate. In Exp. I, 151 pigs weaned at 4 wk of age were allotted by sex, litter and weight and fed their treatment diets for 28 d after a 7-d adjustment to a basal diet. Dietary Se level had no effect on performance measurements. As dietary P level increased, there was an increase in daily gain, feed intake and a decrease in feed to gain ratio. Dietary P resulted in similar plasma, longissimus muscle and kidney tissue Se values within each dietary Se level, while liver Se declined as dietary P level increased. Dietary P level had no effect on plasma, heart or liver glutathione peroxidase (GSH-Px) activity. In Exp. II, 32 barrows, after being fed their diets for a 28-d period, were placed in individual metabolism crates where a balance trial was conducted. Dietary P level reduced absolute and percentage Se retention, particularly at dietary P levels of .90 and 1.10%. Phosphorus retention was not affected by dietary Se. Neither dietary P nor Se level had any effect on N retention. These results suggest an effect of dietary P level on Se retention and liver Se, particularly at dietary P levels above the pig's P requirement, while the effect is minimal at or below the pig's P requirement.