95 results on '"Stewart Forsyth"'
Search Results
2. Assessing the effectiveness of group based reflective practice for coaches
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Iain McCormick and Stewart Forsyth
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reflective practice ,coaching skills ,coach psychology ,group training ,developmental effectiveness ,Special aspects of education ,LC8-6691 ,Industrial psychology ,HF5548.7-5548.85 - Abstract
Reflective practice, a well-established professional development approach, involves learners enhancing their capability through deliberate, systematic evaluation of their thinking and actions. This study used a client-generated outcome measure and a coaching relationship measure to assess the effectiveness of group-based coaching development. It provides preliminary evidence that sessions reduced the level of concern for issues where participants received coaching, while levels of concern for issues that were not coached remained static. Participants rated the coaching relationship very highly. The study presents some evidence for the value of group-based reflective practice sessions, however, further research is needed to assess the finding’s generalisability.
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- 2024
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3. Hidden Realities of Infant Feeding: Systematic Review of Qualitative Findings from Parents
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Anne M. Dattilo, Ryan S. Carvalho, Rubens Feferbaum, Stewart Forsyth, and Ai Zhao
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infant feeding ,parents ,behavior ,qualitative methods ,nutrition education ,systematic review ,Psychology ,BF1-990 - Abstract
A growing, global conversation, regarding realities and challenges that parents experience today is ever-present. To understand recent parent’s attitudes, beliefs, and perceptions regarding infant feeding, we sought to systematically identify and synthesize original qualitative research findings. Following the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) framework, electronic databases were searched with a priori terms applied to title/abstract fields and limited to studies published in English from 2015 to 2019, inclusive. Study quality assessment was conducted using the Critical Appraisal Skills Programme (CASP) checklist, and thematic analyses performed. Of 73 studies meeting inclusion criteria, four major themes emerged. (1) Breastfeeding is best for an infant; (2) Distinct attitudes, beliefs, and perceptions of mothers that breastfeed, and those that could not or chose not to breastfeed, are evident; (3) Infant feeding behaviors are influenced by the socio-cultural environment of the family, and (4) Parent’s expectations of education and support addressing personal infant feeding choices from health care providers are not always met. This systematic review, guided by constructs within behavioral models and theories, provides updated findings to help inform the development of nutrition education curricula and public policy programs. Results can be applied within scale-up nutrition and behavioral education interventions that support parents during infant feeding.
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- 2020
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4. Perspective: Moving Toward Desirable Linoleic Acid Content in Infant Formula
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Stewart Forsyth, Marieke Abrahamse-Berkeveld, Beverly S. Muhlhausler, Philippe Legrand, Bert J. M. van de Heijning, Eline M. van der Beek, Susan E. Carlson, J. Thomas Brenna, Philip C. Calder, Berthold Koletzko, Carlo Agostoni, Lidewij Schipper, Reproductive Origins of Adult Health and Disease (ROAHD), and Center for Liver, Digestive and Metabolic Diseases (CLDM)
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linoleic acid ,0301 basic medicine ,Intervention trials ,infant development ,Linoleic acid ,Medicine (miscellaneous) ,030209 endocrinology & metabolism ,Functional health ,law.invention ,AcademicSubjects/MED00060 ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,law ,Environmental health ,human milk composition ,Humans ,Medicine ,Infant Nutritional Physiological Phenomena ,030109 nutrition & dietetics ,Nutrition and Dietetics ,Milk, Human ,business.industry ,Perspective (graphical) ,Nutritional Requirements ,Infant ,infant formula ,Research needs ,Infant formula ,chemistry ,Perspective ,CLARITY ,Narrative review ,LCPUFAs ,nutritional programming ,business ,Food Science - Abstract
Infant formula should provide the appropriate nutrients and adequate energy to facilitate healthy infant growth and development. If conclusive data on quantitative nutrient requirements are not available, the composition of human milk (HM) can provide some initial guidance on the infant formula composition. This paper provides a narrative review of the current knowledge, unresolved questions, and future research needs in the area of HM fatty acid (FA) composition, with a particular focus on exploring appropriate intake levels of the essential FA linoleic acid (LA) in infant formula. The paper highlights a clear gap in clinical evidence as to the impact of LA levels in HM or formula on infant outcomes, such as growth, development, and long-term health. The available preclinical information suggests potential disadvantages of high LA intake in the early postnatal period. We recommend performing well-designed clinical intervention trials to create clarity on optimal levels of LA to achieve positive impacts on both short-term growth and development and long-term functional health outcomes., Statement of Significance: The present work summarizes and discusses for the first time the (gaps in) available evidence on the effects of linoleic acid in an infant diet on infant health outcomes in relation to the recently adapted changes in regulations for the addition of linoleic acid to infant formula.
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- 2021
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5. 2.3 Marketing of Breast-Milk Substitutes Revisited: New Ideas for an Old Problem
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Stewart Forsyth
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- 2022
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6. In 1938 the Beano introduced satire to children’s literature
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Stewart Forsyth
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General Medicine - Published
- 2023
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7. Formula milk: a new regulatory system is needed
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Stewart, Forsyth
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Milk, Human ,Humans ,Infant ,General Medicine ,Infant Formula - Published
- 2022
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8. 2.3 Marketing of Breast-Milk Substitutes Revisited: New Ideas for an Old Problem
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Stewart, Forsyth
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Marketing ,Breast Feeding ,Milk, Human ,Humans ,Infant ,Female ,Milk Substitutes ,World Health Organization - Published
- 2021
9. The importance of dietary DHA and ARA in early life: a public health perspective
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Stewart Forsyth, Sheila Gautier, and Norman Salem
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0301 basic medicine ,medicine.medical_specialty ,Docosahexaenoic Acids ,Medicine (miscellaneous) ,Developing country ,030209 endocrinology & metabolism ,Breast milk ,Recommended Dietary Allowances ,03 medical and health sciences ,0302 clinical medicine ,Environmental health ,medicine ,Humans ,Infant Nutritional Physiological Phenomena ,skin and connective tissue diseases ,Developing Countries ,Poverty ,Volume concentration ,Arachidonic Acid ,030109 nutrition & dietetics ,Nutrition and Dietetics ,Milk, Human ,business.industry ,Public health ,Dietary intake ,Infant, Newborn ,Infant ,food and beverages ,biochemical phenomena, metabolism, and nutrition ,Dietary Fats ,Infant Formula ,Early life ,carbohydrates (lipids) ,Child, Preschool ,lipids (amino acids, peptides, and proteins) ,Public Health ,business - Abstract
Although the literature on the contribution of DHA and arachidonic acid (ARA) to fundamental metabolic functions in brain, immune and cardiovascular systems is extensive, there is a lack of consensus on the need for explicit recommendations on dietary intake for both DHA and ARA during the early years of life. This review takes a public health perspective with the objective of ensuring that recommendations protect the most vulnerable children worldwide. Most studies on the effects of DHA and ARA in early life have been undertaken in high-income countries and this is reflected in policy recommendations. Although breast milk is considered the gold standard and always contains DHA and ARA, there are proposals that infant formulas, especially follow-on formulas, do not need to be supplemented with these fatty acids. Complementary foods frequently have low concentrations of ARA and DHA and this is most significant in low-income countries where availability is also limited. Recent evidence shows that in developing countries, intakes of DHA and ARA during the age period 6–36 months are low and this relates to low national income. It is concluded that a continuum of DHA and ARA intake needs to be maintained during early life, a critical period of infant growth and development. For both infant and follow-on formulas, DHA and ARA should be mandatory at levels that are equivalent to breast milk. An optional recommendation may be limited to countries that can demonstrate evidence of adequate intakes of DHA and ARA during early life.
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- 2017
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10. Should There Be a Comprehensive Independent Review of Infant Feeding Policymaking?
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Stewart Forsyth
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Male ,medicine.medical_specialty ,Population ,Medicine (miscellaneous) ,Context (language use) ,Overweight ,law.invention ,Nutrition Policy ,Feeding Methods ,law ,Environmental health ,Quarantine ,Medicine ,Humans ,education ,Infant Nutritional Physiological Phenomena ,Policy Making ,education.field_of_study ,Nutrition and Dietetics ,business.industry ,Public health ,Health Policy ,Infant, Newborn ,Social environment ,Infant ,Breast Feeding ,Anxiety ,Female ,medicine.symptom ,Diet, Healthy ,business ,Food quality - Abstract
Introduction: Social distancing and isolation during quarantine due to coronavirus (COVID-19) has definitely affected people´s eating behavior, situation which must be evaluated in public health. Objective: description of food and nutritional context among the Paraguayan population and changes caused during the COVID-19 quarantine. Methods: an observational, exploratory, cross-sectional study was conducted among adults from 18 years old, both sexes, through a self reported digital survey which contained multiple choice questions on sociodemographic aspects, anthropometric data, presence of diseases, usual eating behaviors and perception about changes in food intake and physical activity during mandatory quarantine. The data was collected from May 22 to June 12, 2020 (second phase of quarantine). The results are presented in frequencies and percentages. Results: 2,178 people participated;54,2% were overweight (21,5% obese);29,2% referred to have at least one chronic disease;hypertension and hypercholesterolemia were the most frequent;62% consumed less than 2 servings of fruits and vegetables per day, and during quarantine their consumption decreased by 21% and 12% respectively. Only 12% consumed at least 3 servings of dairy products per day;60% felt that the quality of their diet was affected by the anxiety generated during the pandemic and 43% faced reduction in income which affected food purchasing capacity. Foods most frequently consumed during quarantine were rice, noodles, pasta and bread (41%), fried foods (31%), sugary foods (44%), sugary drinks (26%) and alcoholic beverages (21 %);64% practiced physical activity less frequently. Conclusions: The COVID-19 pandemic has had a strong impact on society, affecting among other aspects, food quality. It is important to rethink strategies focused on improving food and nutritional status considering the new health and social context.
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- 2020
11. Infant Feeding and Conflict of Interest: A Healthcare Perspective
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Stewart Forsyth
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Nutrition and Dietetics ,business.industry ,Conflict of Interest ,Perspective (graphical) ,MEDLINE ,Conflict of interest ,Infant, Newborn ,Medicine (miscellaneous) ,Infant ,Public relations ,Global Health ,Breast Feeding ,Health care ,Global health ,Food Industry ,Humans ,Infant Food ,business ,Psychology ,Breast feeding ,Infant feeding - Published
- 2019
12. A systematic review of the effects of increasing arachidonic acid intake on PUFA status, metabolism and health-related outcomes in humans
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Ans Eilander, Bert J. M. van de Heijning, Szimonetta Lohner, Cristina Campoy, Per-Olof Larsson, Stewart Forsyth, Aliz Szommer, Mathilde Fleith, Ronald P. Mensink, Bettina Schelkle, and Philip C. Calder
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0301 basic medicine ,Male ,BLOOD ,Medicine (miscellaneous) ,Physiology ,Blood lipids ,ARA arachidonic acid ,law.invention ,chemistry.chemical_compound ,Randomized controlled trial ,LC-PUFA long-chain PUFA ,law ,Medicine ,DGLA dihomo-γ-linolenic acid ,heterocyclic compounds ,RESISTANCE EXERCISE ,PLATELET ,LA linoleic acid ,Randomized Controlled Trials as Topic ,POLYUNSATURATED FATTY-ACIDS ,chemistry.chemical_classification ,FA fatty acid ,Nutrition and Dietetics ,Arachidonic Acid ,n-6 Fatty acids ,PL phospholipid ,food and beverages ,RCT randomised controlled trial ,CE cholesteryl ester ,Middle Aged ,Arachidonic acid ,Fatty Acids, Unsaturated ,Female ,lipids (amino acids, peptides, and proteins) ,DIETARY SUPPLEMENTATION ,Polyunsaturated fatty acid ,Adult ,LONG-CHAIN N-3 ,EICOSANOIDS ,Linoleic acid ,Nutritional Status ,03 medical and health sciences ,Humans ,CELL ,Fatty acids ,Adverse effect ,Aged ,Inflammation ,030109 nutrition & dietetics ,Dihomo-γ-linolenic acid ,business.industry ,Human health ,Fatty acid ,DOCOSAHEXAENOIC ACID ,biochemical phenomena, metabolism, and nutrition ,carbohydrates (lipids) ,030104 developmental biology ,chemistry ,Dietary Supplements ,business - Abstract
We conducted a systematic review of randomised controlled trials (RCT) of increased intake of arachidonic acid (ARA) on fatty acid status and health outcomes in humans. We identified twenty-two articles from fourteen RCT. Most studies were conducted in adults. These used between 80 and 2000 mg ARA per d and were of 1–12 weeks duration. Supplementation with ARA doses as low as 80 mg/d increased the content of ARA in different blood fractions. Overall there seem to be few marked benefits for adults of increasing ARA intake from the typical usual intake of 100–200 mg/d to as much as 1000 mg/d; the few studies using higher doses (1500 or 2000 mg/d) also report little benefit. However, there may be an impact of ARA on cognitive and muscle function which could be particularly relevant in the ageing population. The studies reviewed here suggest no adverse effects in adults of increased ARA intake up to at least 1000–1500 mg/d on blood lipids, platelet aggregation and blood clotting, immune function, inflammation or urinary excretion of ARA metabolites. However, in many areas there are insufficient studies to make firm conclusions, and higher intakes of ARA are deserving of further study. Based on the RCT reviewed, there are not enough data to make any recommendations for specific health effects of ARA intake.
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- 2019
13. Should the World Health Organization Relax Its Policy of Non-Cooperation with the Infant Food Industry?
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Stewart Forsyth
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Economic growth ,Nutrition and Dietetics ,Food industry ,business.industry ,MEDLINE ,Medicine (miscellaneous) ,Infant ,World Health Organization ,World health ,Infant Formula ,Nutrition Policy ,Food Industry ,Humans ,Infant Food ,business ,Infant Nutritional Physiological Phenomena - Published
- 2018
14. Contents Vol. 68, 2016
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Jaroslav A. Hubacek, Revilane A. P. Britto, Yu Chen, André Luis Balbi, Fabiana C. A. Albuquerque, Telma Maria de Menezes Toledo Florêncio, Yukie Omichi, Methavee Srivareerat, Hui Ping Lou, Daniela Ponce, Marina N. Berbel-Bufarah, Ya-Chun Kao, Yong-Pei Lin, Nicolas Demartines, Wen-Harn Pan, Markus Schäfer, Andrzej Pajak, Druckerei Stückle, Cassiana Regina de Góes, George H.B. Greenhall, Martin Hübner, Abdonas Tamosiunas, Sanjana Gupta, Baoheng Xing, Martin Bobak, Qin Li, Ursula Schwab, Joyce A. Nettleton, Ana Cláudia Soncini Sanches, Patrícia Santi Xavier, Pauline Coti Bertrand, Anne Peasey, Fang Ma, Ruzena Kubinova, Yao-Hsu Yang, Stewart Forsyth, Nassib Bezerra Bueno, Isabela L. L. Lins, Yang-Ching Chen, Ana Lydia Sawaya, Fabian Grass, Norman Salem, Kwanpeemai Panorchan, Hynek Pikhart, Sofia Malyutina, Peng Ju Liu, Josep Solà, Andrew Davenport, Michael Benoit, Julie A. Lovegrove, Sheila Gautier, Ronald P. Mensink, and Yungling Leo Lee
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Gerontology ,Nutrition and Dietetics ,Anthropology ,Philosophy ,Medicine (miscellaneous) - Published
- 2016
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15. Dietary Docosahexaenoic Acid and Arachidonic Acid in Early Life: What Is the Best Evidence for Policymakers?
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Bruce J. Holub, Francis Zotor, Paul Amuna, Barbara J. Meyer, Stewart Forsyth, and Philip C. Calder
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0301 basic medicine ,Gerontology ,medicine.medical_specialty ,Docosahexaenoic Acids ,Psychological intervention ,Medicine (miscellaneous) ,Review Article ,law.invention ,Nutrition Policy ,03 medical and health sciences ,Randomized controlled trial ,law ,medicine ,Animals ,Humans ,Lactation ,Child ,Developing Countries ,Randomized Controlled Trials as Topic ,030109 nutrition & dietetics ,Nutrition and Dietetics ,Arachidonic Acid ,business.industry ,Public health ,Nutritional Requirements ,food and beverages ,Infant ,Cognition ,Early life ,Diet ,Clinical trial ,Docosahexaenoic acid ,Child, Preschool ,Evidence-Based Practice ,lipids (amino acids, peptides, and proteins) ,Observational study ,Female ,Public Health ,business - Abstract
Background: A wealth of information on the functional roles of docosahexaenoic acid (DHA) and arachidonic acid (ARA) from cellular, animal, and human studies is available. Yet, there remains a lack of cohesion in policymaking for recommended dietary intakes of DHA and ARA in early life. This is predominantly driven by inconsistent findings from a relatively small number of randomised clinical trials (RCTs), which vary in design, methodology, and outcome measures, all of which were conducted in high-income countries. It is proposed that this selective evidence base may not fully represent the biological importance of DHA and ARA during early and later life and the aim of this paper is to consider a more inclusive and pragmatic approach to evidence assessment of DHA and ARA requirements in infants and young children, which will allow policymaking to reflect the marked diversity of need worldwide. Summary: Data from clinical RCTs is considered in the context of the extensive evidence from experimental, animal and human observational studies. Although the RCT data shows evidence of beneficial effects on visual function and in specific cognitive domains, early methodological approaches do not reflect current thinking and this undermines the strength of evidence. An outline of a framework for an inclusive and pragmatic approach to policy development on dietary DHA and ARA in early life is described. Conclusion: High-quality RCTs that will determine long-term health outcomes in appropriate real-world settings need to be undertaken. In the meantime, a collective pragmatic approach to evidence assessment, may allow public health policymakers to make comprehensive reasoned judgements on the merits, costs, and expediency of dietary DHA and ARA interventions.
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- 2017
16. The roles of long-chain polyunsaturated fatty acids in pregnancy, lactation and infancy: review of current knowledge and consensus recommendations
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Michael E. Symonds, Peter Willatts, Alexandre Lapillonne, Wolfgang Holzgreve, Joachim W. Dudenhausen, Stewart Forsyth, Ricardo Uauy, Hansjosef Böhles, Cristina Campoy, Niels Jørgen Secher, Tamás Decsi, G Putet, Cristophe Dupont, Irene Hoesli, Berthold Koletzko, Eric L. Lien, Irene Cetin, Carlo Agostoni, and Hania Szajewska
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medicine.medical_specialty ,Docosahexaenoic Acids ,Breastfeeding ,Nutrition Policy ,chemistry.chemical_compound ,Essential fatty acid ,Dietary Fats, Unsaturated ,Eicosanoic Acids ,Pregnancy ,Internal medicine ,medicine ,Humans ,Lactation ,Infant Nutritional Physiological Phenomena ,Prenatal Nutritional Physiological Phenomena ,chemistry.chemical_classification ,alpha-Linolenic acid ,Obstetrics ,business.industry ,Infant, Newborn ,Nutritional Requirements ,Obstetrics and Gynecology ,Infant ,food and beverages ,medicine.disease ,Infant Formula ,Endocrinology ,Breast Feeding ,chemistry ,Term Infant ,Infant formula ,Pediatrics, Perinatology and Child Health ,Dietary Supplements ,Fatty Acids, Unsaturated ,Female ,lipids (amino acids, peptides, and proteins) ,business ,Breast feeding ,Polyunsaturated fatty acid - Abstract
This paper reviews current knowledge on the role of the long-chain polyunsaturated fatty acids (LC-PUFA), docosahexaenoic acid (DHA, C22:6n-3) and arachidonic acid (AA, 20:4n-6), in maternal and term infant nutrition as well as infant development. Consensus recommendations and practice guidelines for health-care providers supported by the World Association of Perinatal Medicine, the Early Nutrition Academy, and the Child Health Foundation are provided. The fetus and neonate should receive LC-PUFA in amounts sufficient to support optimal visual and cognitive development. Moreover, the consumption of oils rich in n-3 LC-PUFA during pregnancy reduces the risk for early premature birth. Pregnant and lactating women should aim to achieve an average daily intake of at least 200 mg DHA. For healthy term infants, we recommend and fully endorse breastfeeding, which supplies preformed LC-PUFA, as the preferred method of feeding. When breastfeeding is not possible, we recommend use of an infant formula providing DHA at levels between 0.2 and 0.5 weight percent of total fat, and with the minimum amount of AA equivalent to the contents of DHA. Dietary LC-PUFA supply should continue after the first six months of life, but currently there is not sufficient information for quantitative recommendations.
- Published
- 2017
17. Dietary Intakes of Arachidonic Acid and Docosahexaenoic Acid in Early Life - With a Special Focus on Complementary Feeding in Developing Countries
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Norman Salem, Stewart Forsyth, and Sheila Gautier
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0301 basic medicine ,Male ,Time Factors ,Docosahexaenoic Acids ,Research methodology ,Population ,Medicine (miscellaneous) ,Developing country ,Review Article ,Biology ,03 medical and health sciences ,chemistry.chemical_compound ,Eating ,Humans ,Food science ,education ,Infant Nutritional Physiological Phenomena ,Developing Countries ,education.field_of_study ,030109 nutrition & dietetics ,Nutrition and Dietetics ,Arachidonic Acid ,Nutritional Requirements ,food and beverages ,Infant ,Infant nutrition ,Early life ,carbohydrates (lipids) ,Breast Feeding ,chemistry ,Docosahexaenoic acid ,Child, Preschool ,lipids (amino acids, peptides, and proteins) ,Arachidonic acid ,Female ,Breast feeding ,Food Analysis - Abstract
Background: In developing countries, dietary intakes of arachidonic acid (ARA) and docosahexaenoic acid (DHA) in early life are lower than current recommended levels. This review specifically focusses on the contribution that complementary feeding makes to ARA and DHA intakes in medium- to low-income countries. The aims of the review are (1) to determine the availability of ARA and DHA food sources in developing countries, (2) to estimate the contribution of complementary feeding to dietary intakes of ARA and DHA in infants aged 6-36 months, and (3) to relate the dietary ARA and DHA intake data to key socioeconomic and health indicators. Summary: The primary dietary data was collected by the Food and Agriculture Organisation (FAO) using Food Balance Sheets, and fatty acid composition was based on the Australian food composition tables. There is evidence of wide variation in per capita dietary intake for both DHA and ARA food sources, with low intakes of meat and seafood products being highly prevalent in most low-income countries. In children aged 6-36 months, the supply of ARA and DHA from the longer duration of breastfeeding in low-income countries is counterbalanced by the exceptionally low provision of ARA and DHA from complementary foods. The lowest tertile for ARA intake is associated with higher percentages of childhood stunting, birth rate, infant mortality, and longer duration of breast feeding. Key Message: In developing countries, intakes of DHA and ARA from complementary foods are low, and public health organisations need to adopt pragmatic strategies that will ensure that there is a nutritional safety net for the most vulnerable infants.
- Published
- 2017
18. What is opinion and what is evidence?
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Stewart Forsyth
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Evidence-Based Medicine ,Assertion ,MEDLINE ,Exact science ,General Medicine ,Evidence-based medicine ,030204 cardiovascular system & hematology ,03 medical and health sciences ,0302 clinical medicine ,Attitude ,Key (cryptography) ,Engineering ethics ,Guideline development ,030212 general & internal medicine ,Psychology - Abstract
Medicine is not an exact science, and some people consider it an art—the underlying assertion is that the best clinicians are not only knowledgeable but also have reliable clinical judgment.1 Nonetheless, Schunemann and colleagues say that guideline development needs to distinguish opinion from evidence.2 Although they provide key definitions for their conceptual …
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- 2019
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19. The European Food Safety Authority recommendation for polyunsaturated fatty acid composition of infant formula overrules breast milk, puts infants at risk, and should be revised
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J. Thomas Brenna, Stewart Forsyth, Michael A. Crawford, and Yiqun Wang
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Docosahexaenoic Acids ,Neurogenesis ,Clinical Biochemistry ,Guidelines as Topic ,Breast milk ,Bioinformatics ,Nutrition Policy ,chemistry.chemical_compound ,Child Development ,Humans ,Medicine ,media_common.cataloged_instance ,Visual Pathways ,European Union ,European union ,Visual Cortex ,media_common ,chemistry.chemical_classification ,Arachidonic Acid ,Evidence-Based Medicine ,Milk, Human ,business.industry ,Infant, Newborn ,Infant ,food and beverages ,Cell Biology ,Food safety ,Infant newborn ,Infant Formula ,chemistry ,Biochemistry ,Infant formula ,Docosahexaenoic acid ,Arachidonic acid ,business ,Nutritive Value ,Polyunsaturated fatty acid - Abstract
The European Food Safety Authority (EFSA) has concluded from a limited review of the literature that although docosahexaenoic acid (DHA) is required for infant formula, arachidonic acid is not required "even in the presence of DHA" (EFSA Journal, 12 (2014) 3760). This flawed opinion is grounded in human trials which tested functionality of DHA in neural outcomes and included arachidonic acid ostensibly to support growth. The EFSA report mistakes a nutrient ubiquitous in the diets of newborn infants, through breast milk and with wide-ranging health and neurodevelopmental effects, for an optional drug targeted to a particular outcome that is properly excluded when no benefit is found for that particular outcome. Arachidonic acid has very different biological functions compared to DHA, for example, arachidonic acid has unique functions in the vasculature and in specific aspects of immunity. Indeed, the overwhelming majority of trials include both DHA and arachidonic acid, and test development specific to DHA such as neural and visual development. DHA suppresses membrane arachidonic acid concentrations and its function. An infant formula with DHA and no arachidonic acid runs the risk of cardio and cerebrovascular morbidity and even mortality through suppression of the favorable oxylipin derivatives of arachidonic acid. The EFSA recommendation overruling breast milk composition should be revised forthwith, otherwise being unsafe, ungrounded in most of the evidence, and risking lifelong disability.
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- 2015
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20. Non-compliance with the International Code of Marketing of Breast Milk Substitutes is not confined to the infant formula industry
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Stewart Forsyth
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Marketing ,Government ,Process (engineering) ,business.industry ,Health Policy ,Corporate governance ,Public Health, Environmental and Occupational Health ,Infant ,General Medicine ,World Health Organization ,Infant Formula ,Code (semiotics) ,International code ,Politics ,Breast Feeding ,Non compliance ,Government Regulation ,Global health ,Humans ,Industry ,Medicine ,Infant Nutritional Physiological Phenomena ,business - Abstract
Infant feeding policy and practice continues to be a contentious area of global health care. The infant formula industry is widely considered to be the bête noire with frequent claims that they adopt marketing and sales practices that are not compliant with the WHO Code. However, failure to resolve these issues over three decades suggests that there may be wider systemic failings. Review of published papers, commentaries and reports relating to the implementation and governance of the WHO Code with specific reference to issues of non-compliance. The analysis set out in this paper indicates that there are systemic failings at all levels of the implementation and monitoring process including the failure of WHO to successfully 'urge' governments to implement the Code in its entirety; a lack of political will by Member States to implement and monitor the Code and a lack of formal and transparent governance structures. Non-compliance with the WHO Code is not confined to the infant formula industry and several actions are identified, including the need to address issues of partnership working and the establishment of governance systems that are robust, independent and transparent.
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- 2013
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21. New European Food Safety Authority recommendation for infant formulae contradicts the physiology of human milk and infant development
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J. Thomas Brenna, Yiqun Wang, Michael A. Crawford, and Stewart Forsyth
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Food Safety ,Docosahexaenoic Acids ,Medicine (miscellaneous) ,Physiology ,chemistry.chemical_compound ,Child Development ,Risk Factors ,Humans ,Medicine ,Infant Nutritional Physiological Phenomena ,Arachidonic Acid ,Nutrition and Dietetics ,Milk, Human ,business.industry ,Infant ,Structural integrity ,General Medicine ,Food safety ,Infant Formula ,Europe ,Infant formula ,chemistry ,Eicosanoid ,Docosahexaenoic acid ,Infant development ,Arachidonic acid ,business - Abstract
The European Food Safety Authority (EFSA) has concluded from a limited review of the literature that although docosahexaenoic acid (DHA) was required for infant formula, arachidonic acid was not ‘ even in the presence of DHA’. The EFSA report mistakes a nutrient ubiquitous in the diets of infants, and with wide-ranging effects, for an optional drug targeted to a particular outcome that is properly excluded when no benefit is found for that particular outcome. The EFSA’s conclusion is not evidence-based. Its conclusions are grounded in trials which tested functionality of DHA, not arachidonic acid. Arachidonic acid has very different biological functions, for instance, in the vasculature and in specific aspects of immunity. None of the trials cited tested any property specific to arachidonic acid. The test of time through natural selection and human evolution has resulted in milk composition in which arachidonic acid and its long-chain polyenoic family members are conserved and occupy a prominent position. As DHA suppresses arachidonic acid, an infant formula with DHA and no arachidonic acid runs the risk of cardio- and cerebrovascular morbidity through suppression of the favourable eicosanoid derivatives of arachidonic acid and cell structural integrity. The EFSA recommendation should be rejected forthwith as unsafe and risking lifelong disability.
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- 2013
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22. Systematic Review on N-3 and N-6 Polyunsaturated Fatty Acid Intake in European Countries in Light of the Current Recommendations – Focus on Specific Population Groups
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Mathilde Fleith, Ronald P. Mensink, Szimonetta Lohner, Philip C. Calder, Catarina Petisca, Aliz Szommer, Lilou van Lieshout, Stewart Forsyth, Simone R.B.M. Eussen, Isabelle Sioen, Ans Eilander, and Cristina Campoy
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0301 basic medicine ,Agriculture and Food Sciences ,Male ,Adolescent ,N-3 polyunsaturated fatty acid ,Medicine (miscellaneous) ,Nutrition Policy ,03 medical and health sciences ,Polyunsaturated fatty acid intake ,INFANT FORMULA ,Dietary Fats, Unsaturated ,Pregnancy ,N-6 polyunsaturated fatty acid ,Fatty Acids, Omega-6 ,Fatty Acids, Omega-3 ,Medicine and Health Sciences ,Medicine ,Humans ,Lactation ,BREAST-MILK ,Dietary recommendations ,Food science ,Child ,Aged ,chemistry.chemical_classification ,030109 nutrition & dietetics ,Nutrition and Dietetics ,Milk, Human ,business.industry ,ESSENTIALITY ,Dietary intake ,1ST YEAR ,Infant ,ARACHIDONIC-ACID ,DOCOSAHEXAENOIC ACID ,PREVENTION ,Europe ,Biochemistry ,chemistry ,Child, Preschool ,DIETARY GUIDELINES ,NUTRITION ,Female ,Systematic Review ,business ,Specific population ,PREGNANT-WOMEN ,Polyunsaturated fatty acid - Abstract
Background: Earlier reviews indicated that in many countries adults, children and adolescents consume on an average less polyunsaturated fatty acids (PUFAs) than recommended by the Food and Agriculture Organisation/World Health Organisation. Summary: The intake of total and individual n-3 and n-6 PUFAs in European infants, children, adolescents, elderly and pregnant/lactating women was evaluated systematically. Results: The evaluations were done against recommendations of the European Food Safety Authority. Key Messages: Fifty-three studies from 17 different European countries reported an intake of total n-3 and n-6 PUFAs and/or individual n-3 or n-6 PUFAs in at least one of the specific population groups: 10 in pregnant women, 4 in lactating women, 3 in infants 6–12 months, 6 in children 1–3 years, 11 in children 4–9 years, 8 in adolescents 10–18 years and 11 in elderly >65 years. Mean linoleic acid intake was within the recommendation (4 energy percentage [E%]) in 52% of the countries, with inadequate intakes more likely in lactating women, adolescents and elderly. Mean α-linolenic acid intake was within the recommendation (0.5 E%) in 77% of the countries. In 26% of the countries, mean eicosapentaenoic acid and/or docosahexaenoic acid intake was as recommended. These results indicate that intake of n-3 and n-6 PUFAs may be suboptimal in specific population groups in Europe., ILSI Europe Nutrient Intake Optimisation Task Force, Early Nutrition and Long-Term Health Task Force
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- 2017
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23. Early Life Nutritional Programming of Obesity: Mother-Child Cohort Studies
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Berthold Koletzko, Eline M. van der Beek, Keith M. Godfrey, Stewart Forsyth, Helle Margrete Meltzer, Michelle A. Mendez, and Michael E. Symonds
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medicine.medical_specialty ,Pediatrics ,Birth weight ,Nutritional Status ,Medicine (miscellaneous) ,030209 endocrinology & metabolism ,Overweight ,Weight Gain ,Body Mass Index ,03 medical and health sciences ,Fetus ,0302 clinical medicine ,Adipose Tissue, Brown ,Pregnancy ,Risk Factors ,Internal medicine ,Birth Weight ,Humans ,Medicine ,Obesity ,Prospective Studies ,030212 general & internal medicine ,Prenatal Nutritional Physiological Phenomena ,Nutrition and Dietetics ,business.industry ,Thermogenesis ,medicine.disease ,Diet ,3. Good health ,Europe ,Gestational diabetes ,Diabetes, Gestational ,Endocrinology ,Body Constitution ,Female ,medicine.symptom ,business ,Weight gain ,Body mass index ,Cohort study - Abstract
Background: The obesity epidemic has resulted in more overweight/obese women before and during pregnancy. Their offspring tend to have higher birth weights and more body fat, and carry an increased risk of obesity later in life. These effects may partly be related to the heightened risk of gestational diabetes, occurring in at least 16% of all pregnancies irrespective of current body weight. Methods: An ILSI Europe workshop reviewed the key contributors leading to adverse outcomes in pregnancy and childhood, including gestational weight gain and nutrition. New research opportunities from prospective mother-child cohort studies were explored. Results: Simple measures of gestational weight gain provide insufficient detail of the underlying physiological and metabolic adaptations occurring in pregnancy, and should be complemented by measures of body composition, metabolic and endocrine responses. Recordings of maternal dietary intake and nutrient status are often limited and potential correlations with gestational weight gain have been poorly studied. Many pregnancies in overweight/obese women are uncomplicated and result in offspring of normal weight, leaving the main determinants of later adverse outcomes to be clarified. Conclusions: The workshop provided insights of primary measurements for the characterization of sustainable nutritional intervention strategies in the mother, infant and child for preventing obesity in later life.
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- 2013
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24. Estimated Dietary Intakes of Arachidonic Acid and Docosahexaenoic Acid in Infants and Young Children Living in Developing Countries
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Sheila Gautier, Norman Salem, and Stewart Forsyth
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0301 basic medicine ,Male ,Docosahexaenoic Acids ,Medicine (miscellaneous) ,Developing country ,Physiology ,03 medical and health sciences ,chemistry.chemical_compound ,Dietary Fats, Unsaturated ,Surveys and Questionnaires ,Medicine ,Humans ,Infant Nutritional Physiological Phenomena ,Developing Countries ,Retrospective Studies ,030109 nutrition & dietetics ,Nutrition and Dietetics ,Arachidonic Acid ,Milk, Human ,business.industry ,Nutritional Requirements ,food and beverages ,Infant ,Breast Feeding ,Biochemistry ,chemistry ,Docosahexaenoic acid ,Child, Preschool ,lipids (amino acids, peptides, and proteins) ,Arachidonic acid ,Female ,Infant Food ,business - Abstract
Background/Aims: There are only few data on dietary arachidonic acid (ARA) and docosahexaenoic acid (DHA) intake in infants from developing countries, and current global recommendations on intake during early life may not reflect the needs of the world's most vulnerable infants. The aim of the study was to provide estimates of intake of ARA and DHA in infants and young children aged 6-36 months who live in developing countries. Methods: FAO Food Balance Sheets and fatty acid composition data from Australian food composition tables were utilized to generate mean per capita intake estimates for DHA and ARA in developing countries. The median daily intake of DHA and ARA in children age 6-36 months in each country was determined by combining the fatty acid composition of breast milk and complementary foods with the estimated intakes being weighted according to median duration of any breastfeeding. Results: The median daily dietary intake for ARA and DHA across 76 developing countries was 64.0 and 48.9 mg/day, respectively. The lowest complementary food intake of ARA and DHA was present in countries with the lowest gross national income and highest birth rates. Conclusion: Global recommendations on ARA and DHA in early life need to reflect the specific needs of infants and families living in low income countries, and country-specific food policies should address gaps between recommended and achieved intakes.
- Published
- 2016
25. Global Estimates of Dietary Intake of Docosahexaenoic Acid and Arachidonic Acid in Developing and Developed Countries
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Norman Salem, Sheila Gautier, and Stewart Forsyth
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0301 basic medicine ,Adult ,Databases, Factual ,Docosahexaenoic Acids ,United Nations ,Gross Domestic Product ,Medicine (miscellaneous) ,Developing country ,Biology ,Global Health ,Vulnerable Populations ,Food Supply ,03 medical and health sciences ,Nutrient ,Dietary Fats, Unsaturated ,Environmental health ,Global health ,Per capita ,Humans ,Child ,Developing Countries ,030109 nutrition & dietetics ,Nutrition and Dietetics ,Arachidonic Acid ,business.industry ,Developed Countries ,food and beverages ,Food composition data ,Diet ,Models, Economic ,Biochemistry ,Docosahexaenoic acid ,Agriculture ,Patient Compliance ,lipids (amino acids, peptides, and proteins) ,Diet, Healthy ,business ,Developed country - Abstract
Background/Aim: For international recommendations on docosahexaenoic acid (DHA) and arachidonic acid (ARA) dietary intake to be valid, there needs to be a greater understanding of dietary patterns across both the developed and developing world. The aim of this investigation was to provide a global overview of dietary intake of DHA and ARA. Methods: Food balance sheets from the Food and Agriculture Organisation Statistics Division and fatty acid composition data from Australian food composition tables in Nutrient Tables 2010 were utilised to generate median per capita intake estimates for DHA and ARA in 175 countries worldwide. Results: Estimated dietary intake per capita for DHA and ARA in 47 developed and 128 developing countries demonstrated that 48% of the 175 countries have an ARA intake of Conclusions: This study demonstrates there are many populations worldwide that have ARA and DHA intake that do not reflect current international recommendations, and the public health consequences of this global inadequacy need to be urgently considered.
- Published
- 2016
26. Three decades of the WHO code and marketing of infant formulas
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Stewart Forsyth
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Marketing ,Marketing of Health Services ,Nutrition and Dietetics ,Developed Countries ,Corporate governance ,Member states ,Breastfeeding ,Infant ,Medicine (miscellaneous) ,Infant nutrition ,World Health Organization ,Infant Formula ,Code (semiotics) ,Compliance (psychology) ,Breast Feeding ,Humans ,Guideline Adherence ,Business ,Infant Nutritional Physiological Phenomena ,Developed country ,Breast feeding - Abstract
Purpose of review The International Code of Marketing of Breast Milk Substitutes states that governments, non-governmental organizations, experts, consumers and industry need to cooperate in activities aimed at improving infant nutrition. However, the evidence from the last three decades is that of a series of disputes, legal proceedings and boycotts. The purpose of this review is to assess the overall progress in the implementation of the Code and to examine the problematic areas of monitoring, compliance and governance. Recent findings There are continuing issues of implementation, monitoring and compliance which predominantly reflect weak governance. Many Member States have yet to fully implement the Code recommendations and most States do not have adequate monitoring and reporting mechanisms. Application of the Code in developed countries may be undermined by a lack of consensus on the WHO recommendation of 6 months exclusive breastfeeding. There is evidence of continuing conflict and acrimony, especially between non-government organizations and industry. Summary Measures need to be taken to encourage the Member States to implement the Code and to establish the governance systems that will not only ensure effective implementation and monitoring of the Code, but also deliver the Code within a spirit of participation, collaboration and trust.
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- 2012
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27. Scientific Aspects of Weight Management
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Claudia Arriaga, Rashmi Ranjan Das, Susan L. Prescott, Günter Weiss, Satz Mengensatzproduktion, Sarah S. Cohen, Ahmad Reza Dorosty, Yongsoon Park, Dong Won Byun, Hyoun-Jung Moon, Alireza Ostadrahimi, Ibrahim Elmadfa, Yi-Chia Huang, Noel W. Solomons, Abdolrasoul Safaeiyan, Jay H. Fowke, Maciej S. Buchowski, Niki A. Georgiou, Druck Reinhardt Druck Basel, Tae-Hee Kim, Tirang R. Neyestani, James Cheng-Chung Wei, Mohammad Alizadeh, Jo J.M. Marx, Sylvia Kroll, John Sinn, Stewart Forsyth, Anna Nowak-Wegrzyn, Monica N Orozco, Wei Zheng, Der Jinn Wu, Rassul Estakhri, Margaret K. Hargreaves, William J. Blot, Aida Ghaffari, Bahram Pourghassem Gargari, Sevana Daneghian, Mitra Abtahi, Klaus Schümann, Ping-Ting Lin, Charles E. Matthews, Lisa B. Signorello, Qiuyin Cai, Saeid Sadeghian, Maria-Eugenia Romero-Abal, Shih-Chien Huang, and Hamed Pouraram
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Gerontology ,Nutrition and Dietetics ,business.industry ,Weight management ,Medicine (miscellaneous) ,Medicine ,business - Published
- 2012
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28. Health professional associations and industry funding—reply from Forsyth
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Stewart Forsyth
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03 medical and health sciences ,0302 clinical medicine ,Nursing ,Health professionals ,030225 pediatrics ,Industry funding ,030212 general & internal medicine ,General Medicine ,Business - Published
- 2017
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29. Formula milk studies couldn’t exist without industry
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Stewart Forsyth
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Infant, Newborn ,MEDLINE ,Infant ,General Medicine ,030204 cardiovascular system & hematology ,Safety standards ,Intervention studies ,Infant Formula ,United Kingdom ,Nutrition Policy ,03 medical and health sciences ,Milk ,0302 clinical medicine ,Nursing ,Child, Preschool ,Intervention (counseling) ,Animals ,Humans ,Industry ,Guideline Adherence ,030212 general & internal medicine ,Product (category theory) ,Psychology - Abstract
Regarding The BMJ ’s articles on the formula milk industry, it is important to understand that nutrition intervention studies in infants and young children cannot be undertaken without the collaboration of nutrition companies.12 This is because the intervention product needs to meet established nutrition and safety standards, which requires knowledge, expertise, and technology that are not available in even the most prestigious academic …
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- 2019
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30. New ionic liquids from azepane and 3-methylpiperidine exhibiting wide electrochemical windows
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Kenneth R. Seddon, Keith Whiston, Geetha Srinivasan, Tayeb Belhocine, Alberto V. Puga, Mark Nieuwenhuyzen, H. Q. Nimal Gunaratne, and Stewart Forsyth
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Battery (electricity) ,chemistry.chemical_compound ,Viscosity ,Azepane ,chemistry ,Inorganic chemistry ,Ionic liquid ,Environmental Chemistry ,Electrolyte ,Electrochemistry ,Pollution ,Chemical synthesis - Abstract
New ionic liquids based on azepanium and 3-methylpiperidinium cations have been synthesised; they exhibit moderate viscosities and remarkably wide electrochemical windows, thereby showing promise, inter alia, as electrolytes and battery materials, and as synthetic media.
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- 2011
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31. Is the WHO Creating Unnecessary Confusion Over Breast Milk Substitutes?
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Stewart Forsyth
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medicine.medical_specialty ,Milk, Human ,business.industry ,Gastroenterology ,food and beverages ,Breast milk ,International code ,03 medical and health sciences ,fluids and secretions ,0302 clinical medicine ,Milk ,Milk substitute ,030225 pediatrics ,Family medicine ,Pediatrics, Perinatology and Child Health ,medicine ,Animals ,Humans ,030211 gastroenterology & hepatology ,Female ,Milk Substitutes ,medicine.symptom ,business ,Confusion - Abstract
A recent statement by WHO that "breast milk substitutes should be understood to include any milks …that are specifically marketed for feeding infants and young children up to the age of 3 years" differs significantly from the definition in the International Code which states "a breast milk substitute is any food being marketed or otherwise presented as a partial or total replacement for breast milk, whether or not suitable for that purpose." The new interpretation, which lacks consultation and endorsement, is also ambiguous, with the boundaries between breast milk substitutes and complementary foods being blurred during the first 3 years of life. The logical definitions of breast milk substitutes and complementary foods contained within the Code should be maintained and inappropriate promotion of foods and fluids for infants and young children should be addressed through effective regulation of composition and labelling standards.
- Published
- 2018
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32. Generational differences at work: introduction and overview
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Keith Macky, Dianne Gardner, and Stewart Forsyth
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Organizational Behavior and Human Resource Management ,Social Psychology ,media_common.quotation_subject ,Context (language use) ,Work values ,Management Science and Operations Research ,Age groups ,Work (electrical) ,Premise ,Core theory ,Personality ,Sociology ,Positive economics ,Social psychology ,Applied Psychology ,media_common - Abstract
PurposeThis introduction seeks to provide a brief background to the notion that there are generational differences at work and to introduce the papers included in this special issue of the Journal of Managerial Psychology.Design/methodology/approachThe current context concerning generational differences at work is briefly outlined followed by a description of the core theory underpinning the notion of generational cohorts. Criticisms of this theoretical premise are provided before a brief outline is given to each article in the special issue.FindingsThere is evidence for changes in personality profiles across generations, and for differences in attitudes towards work and careers. However, effect sizes tend not to be large, and some findings are inconsistent with popular stereotypes regarding generational differences. Little support was found for differences in work values or motivation.Practical implicationsContrary to popular hype concerning generational differences at work, managerial time may be better spent considering employee needs relating to age (maturity), life‐cycle and career stage differences than developing generationally specific management policies and practices. Significant methodological problems remain in generational research.Originality/valueThe papers facilitate a critical understanding of the challenges facing generational research and its limitations, and provide a litmus test against which popular stereotypes can be compared.
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- 2008
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33. Correlation of angiotensin converting enzyme activity and the genotypes of the I/D polymorphism in the ACE gene with preterm birth and birth weight
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Callum G. Fraser, J. Stewart Forsyth, Allan D. Struthers, Deirdre J. Murphy, Ramalingam Uma, and Valerie Godfrey
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Adult ,Male ,medicine.medical_specialty ,Birth weight ,Peptidyl-Dipeptidase A ,Preeclampsia ,Pathogenesis ,Young Adult ,Pregnancy ,Genotype ,Birth Weight ,Humans ,Medicine ,Genetic Predisposition to Disease ,Fetus ,Polymorphism, Genetic ,biology ,business.industry ,Obstetrics ,Infant, Newborn ,Obstetrics and Gynecology ,Angiotensin-converting enzyme ,Fetal Blood ,medicine.disease ,Reproductive Medicine ,Case-Control Studies ,Uteroplacental Circulation ,biology.protein ,Premature Birth ,Term Birth ,Female ,business - Abstract
Preterm birth remains one of the most challenging areas in obstetrics. The pathogenesis of preterm labor is multifactorial and research on preterm birth has focused principally on infection and inflammatory markers. Recently the focus has turned to potential genetic factors influencing preterm birth. Uteroplacental insufficiency and thrombotic vasculopathy are considered part of the pathogenesis of preterm labor. Investigating the gene expression in the maternal/fetal interface seems of importance to expand our knowledge of the pathophysiology of preterm birth. The renin-angiotensin system (RAS) appears to play an important role in fetal/placental development and uteroplacental circulation. Hence, the aim of this study was to investigate angiotensin converting enzyme (ACE) activity and I/D polymorphisms in the ACE gene in mothers and infants with appropriately grown infants in relation to preterm birth and infant birth weight.We conducted a cross-sectional study of 113 term pregnancies (or =37 weeks) and 18 preterm pregnancies (37 weeks). Umbilical cord bloods (venous and arterial) were obtained from the placenta immediately after delivery for serum ACE activity, ACE genotype analysis of the I/D polymorphism and the acid-base status. Maternal venous samples were obtained just after delivery for analysis of ACE activity and ACE genotype.The distribution of the maternal ACE genotypes was similar for preterm and term births as was maternal ACE activity. Preterm infants were more likely to be of the DD genotype than term infants (7/18 (39%) vs. 11/83 (13%), p=0.02) (adjusted p=0.04). There was no correlation between ACE activity and birth weight (r(2) 0.00, p=0.82).These findings suggest that the ACE genotype of the infant may influence the risk of preterm birth among appropriately grown fetuses.
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- 2008
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34. The influence of mode of delivery and ACE genotype on serum angiotensin converting enzyme (ACE) activity in the mother and infant at term
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Callum G. Fraser, J. Stewart Forsyth, Deirdre J. Murphy, Ramalingam Uma, and Allan D. Struthers
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Adult ,medicine.medical_specialty ,Genotype ,Cross-sectional study ,Intrauterine growth restriction ,Peptidyl-Dipeptidase A ,Pregnancy ,Internal medicine ,Placenta ,medicine ,Humans ,Univariate analysis ,Labor, Obstetric ,Polymorphism, Genetic ,biology ,Cesarean Section ,Obstetrics ,business.industry ,Infant, Newborn ,Obstetrics and Gynecology ,Angiotensin-converting enzyme ,Fetal Blood ,medicine.disease ,Cross-Sectional Studies ,medicine.anatomical_structure ,Endocrinology ,Reproductive Medicine ,biology.protein ,Gestation ,Female ,Acidosis ,business - Abstract
Angiotensin converting enzyme (ACE) and its genotype have been shown to play a role in the pathophysiology of pregnancy complications such as pre-eclampsia and intrauterine growth restriction and possibly in adult onset chronic diseases. The physiological changes of ACE and the influence of its genotype during the intrapartum period are not well known. Hence the aim of this study was to assess serum ACE activity and its genotype in mothers and infants at term in relation to labour and mode of delivery.A cross sectional study of 99 women who laboured and 27 women who delivered by elective caesarean section after 36 completed weeks gestation with uncomplicated pregnancies. Venous cord bloods were obtained immediately after delivery of the placenta for serum ACE activity, ACE genotype and acid-base status. Maternal venous samples were obtained just after delivery for analysis of ACE activity and ACE genotype. Univariate analyses were performed using parametric tests for normally distributed data and nonparametric tests for the data that were not normally distributed. A multiple regression model was developed to adjust for potential confounding factors.The umbilical venous ACE activity was similar for infants delivered following labour compared to those delivered by elective caesarean section, 47.2 U/L (35-64) versus 40.1 U/L (31-60) (adjusted p=0.21). Maternal ACE activities were 28.9 U/L (22-35) and 32.1 U/L (22-40) respectively (adjusted p=0.17). The ACE activity in infants was higher than that of mothers 46 U/L versus 22 U/L, respectively (p= or0.001). Neither the mode of delivery nor the presence of suspected fetal compromise influenced maternal or infant ACE activity. There was no influence of the infants' genotype on ACE activity in relation to mode of delivery. The DD genotype was associated with higher ACE activity in mothers (p=0.001) but not in infants (p=0.56).This study shows that intrapartum events do not affect ACE activity. These results will enhance our ability to investigate the role of ACE and its genotype in abnormal fetal growth and in subsequent adult onset chronic disease.
- Published
- 2007
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35. Arachidonic acid and infant formulas
- Author
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Stewart Forsyth
- Subjects
medicine.medical_specialty ,Arachidonic Acid ,Docosahexaenoic Acids ,Milk, Human ,Infant ,Child Nutrition Sciences ,Biology ,Infant Formula ,Nutrition Policy ,Europe ,chemistry.chemical_compound ,Endocrinology ,chemistry ,Internal medicine ,Pediatrics, Perinatology and Child Health ,medicine ,Humans ,Arachidonic acid ,Randomized Controlled Trials as Topic - Published
- 2015
36. Synthesis and biological evaluation of anthranilamide-based non-peptide mimetics of ω-conotoxin GVIA
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Stewart Forsyth, Peter J. Duggan, Richard J. Lewis, Nicholas E. Shepherd, Christina I. Schroeder, Jonathan B. Baell, and Y. Phei Lok
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Voltage-dependent calcium channel ,ω conotoxin gvia ,Stereochemistry ,Chemistry ,Organic Chemistry ,Rat brain ,Omega-Conotoxins ,Biochemistry ,Non peptide ,chemistry.chemical_compound ,Drug Discovery ,Benzamide ,Biological evaluation - Abstract
Non-peptide mimetics based on an anthranilamide 'scaffold' possessing fragments that mimic Lys2, Tyr13 and Arg17 in omega-conotoxin GVIA have been prepared. Compounds were assayed for binding to the voltage-gated calcium channels Ca(v)2.2 ('N-type') and Ca(v)2.1 'P/Q-type') in rat brain. The primary synthetic target, 2-(6-amino-hexanoylamino)-5-(3-guanidino-propoxy)-N-[4-(4-hydroxyphenoxy)phenyll -benzamide (2a), exhibited low mu M binding to Ca(v)2.2 and was more than 30-fold selective for Ca(v)2.2 over Cav2. 1. Crown Copyright (c) 2006 Published by Elsevier Ltd. All rights reserved.
- Published
- 2006
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37. Dye-sensitized nanocrystalline solar cells incorporating ethylmethylimidazolium-based ionic liquid electrolytes
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Douglas R. MacFarlane, Stuart Robert Batten, Leone Spiccia, Maria Forsyth, Qing Dai, Yi-Bing Cheng, Stewart Forsyth, and David Brian Menzies
- Subjects
chemistry.chemical_classification ,Thiocyanate ,General Chemical Engineering ,Energy conversion efficiency ,Inorganic chemistry ,Salt (chemistry) ,General Chemistry ,Electrolyte ,chemistry.chemical_compound ,Dye-sensitized solar cell ,Light intensity ,chemistry ,Ionic liquid ,Dicyanamide - Abstract
High-performance dye-sensitized solar cells incorporating electrochemically stable non-volatile electrolytes are especially desirable devices. In particular, ionic liquid systems based on ethylmethylimidazolium dicyanamide seem to be promising for this purpose. These have triggered our interest in the properties of further ethylmethylimidazolium-based ionic liquids with anions which are close relatives of dicyanamide. In this study, the effect of three different anions, tricyanomethanide, dicyanamide and thiocyanate, on the performance of dye-sensitized solar cells have been investigated. Both the short circuit photocurrent and conversion efficiency are increased with decreasing viscosity of the ionic liquids under comparable conditions. A conversion efficiency of 2.1% at 30% light intensity was observed for the cell containing the tricyanomethanide salt, which has lowest viscosity among the three ionic liquids, while efficiencies of 0.7% and 1.7% at the same light intensity were observed in the case of dicyanamide and thiocyanate salts, respectively, as an electrolyte. To cite this article: Q. Dai et al., C. R. Chimie 9 (2006).
- Published
- 2006
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38. One-Pot Multistep Synthetic Strategies for the Production of Fenpropimorph Using an Ionic Liquid Solvent
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Christopher Hardacre, H. Q. Nimal Gunaratne, Stewart Forsyth, David Rooney, and and Angela McKeown
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Fenpropimorph ,Organic Chemistry ,chemistry.chemical_element ,Reductive amination ,Catalysis ,Solvent ,chemistry.chemical_compound ,chemistry ,Heck reaction ,Ionic liquid ,Organic chemistry ,Aldol condensation ,Physical and Theoretical Chemistry ,Palladium - Abstract
The one-pot synthesis of the fungicide fenpropimorph has been achieved using two different synthetic strategies in an ionic liquid. The first pathway consists of a Heck coupling followed by reductive amination; the second pathway consists of an aldol condensation followed by hydrogenation/reductive amination. Homogeneous and heterogeneous palladium catalysts have been utilised in the ionic liquid to provide a catalyst/solvent system that is suitable for recycling and process optimisation.
- Published
- 2005
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39. Utilisation of ionic liquid solvents for the synthesis of Lily-of-the-Valley fragrance {β-Lilial®; 3-(4-t-butylphenyl)-2-methylpropanal}
- Author
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H. Q. Nimal Gunaratne, Stewart Forsyth, Angela McKeown, Kenneth R. Seddon, Christopher Hardacre, and David Rooney
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Chemistry ,Process Chemistry and Technology ,chemistry.chemical_element ,Ionic bonding ,Homogeneous catalysis ,Heterogeneous catalysis ,Catalysis ,chemistry.chemical_compound ,Heck reaction ,Ionic liquid ,Organic chemistry ,Physical and Theoretical Chemistry ,Lilial ,Palladium - Abstract
The Heck arylation of 2-methylprop-2-en-1-ol in ionic liquids and organic solvents is reported using a range of homogeneous and heterogeneous palladium catalysts. Higher activity is observed in the ionic liquid media compared with N-methylpyrrolidinone and under solventless conditions. The ionic liquid-catalyst system may be recycled easily with little loss in activity, although significant palladium leaching from the heterogeneous catalyst was observed. In the case of trans-bis(2,3-dihydro-3-methylbenzothiazole-2-ylidene)diiodopalladium(II) reported to be highly active for this transformation, significant induction periods were observed indicating that nanoparticles may be responsible for the catalysis. Using the ionic liquid Heck reaction, a recyclable synthesis for the fragrance β-Lilial® has been developed.
- Published
- 2005
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40. Synthesis of 3-(4-tert-butylphenyl)-2-propen-1-one, a precursor to Lilial®, via an aldol condensation in an ionic liquid
- Author
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H. Q. Nimal Gunaratne, Angela McKeown, Paul Nicholas Davey, Christopher Hardacre, Kenneth R. Seddon, Stewart Forsyth, S. E. Jane McMath, and David Rooney
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chemistry.chemical_classification ,Base (chemistry) ,organic chemicals ,Condensation ,Pollution ,Catalysis ,chemistry.chemical_compound ,chemistry ,Ionic liquid ,polycyclic compounds ,Environmental Chemistry ,Organic chemistry ,Aldol condensation ,Piperidine ,Selectivity ,Lilial - Abstract
An efficient synthesis of a precursor to Lilial®, based on an aldol condensation in an ionic liquid, is described, utilising piperidine as the base catalyst. The yields obtained with this methodology are significantly increased in comparison with those reported in organic solvents to date. In the ionic liquid, the self-aldol condensation of propanal is suppressed and leads to an increased selectivity with respect to the cross-aldol condensation product without the need to use an excess of 4-tert-butylbenzaldehyde to obtain high selectivities.
- Published
- 2005
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41. What influences the timing of the introduction of solid food to infants?
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Annie S. Anderson, Stewart Forsyth, Fiona L. R. Williams, Charles du V. Florey, Elizabeth M. Alder, and Patricia van der Velde
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Adult ,Male ,medicine.medical_specialty ,Pediatrics ,Time Factors ,Adolescent ,Decision Making ,Mothers ,Medicine (miscellaneous) ,Weaning ,medicine ,Animals ,Humans ,Family ,Prospective Studies ,Prospective cohort study ,Receipt ,Nutrition and Dietetics ,business.industry ,Infant ,Infant Formula ,Breast Feeding ,Milk ,Health promotion ,Socioeconomic Factors ,Solid food ,Family medicine ,Female ,Infant Food ,Educational interventions ,business ,Breast feeding ,Psychosocial ,Maternal grandmother - Abstract
The aim of the present study was to assess the factors which may influence the timing of the introduction of solid food to infants. The design was a prospective cohort study by interview and postal questionnaire. Primiparous women (n 541) aged between 16 and 40 years were approached in the Forth Park Maternity Hospital, Fife, Scotland. Of these, 526 women agreed to participate and seventy-eight were used as subjects in the pilot study. At 12 weeks we interviewed 338 women of the study sample. The postal questionnaire was returned by 286 of 448 volunteers. At 12 weeks 133 of 338 mothers said that they had introduced solids. Those that said that they had introduced solids early (>12 weeks) were compared with those who had introduced solids late (
- Published
- 2004
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42. The Walker Project: a longitudinal study of 48 000 children born 1952-1966 (aged 36-50 years in 2002) and their families
- Author
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Stephen Greene, Patrick F. W. Chien, Neil F. McEwan, Thomas M. MacDonald, Iain K. Crombie, Andrew D. Morris, J. Stewart Forsyth, Gillian Libby, and Anne Smith
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Adult ,Male ,Parents ,Longitudinal study ,Databases, Factual ,Epidemiology ,Secondary care ,Humans ,Medicine ,Longitudinal Studies ,Registries ,Birth Rate ,Pregnancy ,business.industry ,Data Collection ,Middle Aged ,medicine.disease ,Scotland ,Social Class ,British birth cohort studies ,Pediatrics, Perinatology and Child Health ,Cohort ,Female ,Medical Record Linkage ,Three generations ,Birth records ,business ,Birth cohort ,Demography - Abstract
Summary The Walker cohort is a database of over 48 000 birth records that has recently become available. It contains meticulously recorded details of pregnancy, labour, birth and care before discharge for babies born in hospital in Dundee, Scotland between 1952 and 1966. These babies accounted for 75% of all births in Dundee at this time. Over 34 000 (73%) of these subjects can be identified and this presents the opportunity to link this birth information with a large number of current health-outcome databases covering both primary and secondary care. Further, it allows linkage of records across siblings and over two and, in future, three generations. The number of birth records available and linkage to current databases make this a unique birth cohort with huge potential for the investigation of the fetal origins of adult disease.
- Published
- 2004
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43. Impaired Microvascular Function in Normal Children: Effects of Adiposity and Poor Glucose Handling
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Andrew D. Morris, Faisel Khan, J. Stewart Forsyth, Stephen Greene, Jill J. F. Belch, and Fiona Green
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Blood Glucose ,Male ,Nitroprusside ,medicine.medical_specialty ,Adolescent ,Endothelium ,Physiology ,Vasodilator Agents ,Vasodilation ,chemistry.chemical_compound ,Insulin resistance ,Risk Factors ,Internal medicine ,Laser-Doppler Flowmetry ,Humans ,Medicine ,SNP ,Child ,Skin ,Sex Characteristics ,Anthropometry ,Triglyceride ,business.industry ,Cholesterol ,Microcirculation ,Original Articles ,Iontophoresis ,medicine.disease ,Acetylcholine ,medicine.anatomical_structure ,Endocrinology ,Adipose Tissue ,chemistry ,Normal children ,Body Composition ,Female ,Sodium nitroprusside ,business ,medicine.drug - Abstract
Clustering of cardiovascular risk factors is thought to occur early in life. The endothelium is an important regulator of microvascular function. We investigated the relationship between microvascular function and cardiovascular risk factors in 145 normal, healthy children aged 11–14 years. Skin microvascular responses, measured using laser Doppler imaging, to iontophoresis of acetylcholine (ACh) and sodium nitroprusside (SNP), were negatively correlated with percentage body fat (r = −0.20, P < 0.05 and r = −0.18, P < 0.05, respectively). Subjects were stratified into quintiles based on 2-h, post-feeding glucose levels. Subjects in the upper glucose quintile (range 7.4–11.4 mmol l−1) showed significantly lower vasodilatation to both ACh (P < 0.005) and SNP (P < 0.02) than those in the lower quintile (range 3.9–4.9 mmol l−1). Waist-to-hip ratio and the fasting insulin resistance index were significantly greater in subjects in the upper quintile than those in the lower quintile (P < 0.001 and P < 0.05, respectively). Additionally, in subjects in the upper glucose quintile, fasting triglyceride correlated with fasting insulin (r = 0.59, P < 0.001) and with the fasting insulin resistance index (r = 0.49, P < 0.009), and plasma levels of cholesterol and 2-h glucose were also correlated (r = 0.40, P < 0.05). In a cross-section of normal children, microvascular function was negatively associated with adiposity. Additionally, in a subgroup of subjects, there was a clustering of high post-feeding glucose, impaired microvascular function, increased insulin resistance and higher central fat distribution. These findings suggest that risk factors for adult cardiovascular disease begin to cluster in normal children, which might have important consequences for development of atherosclerosis later in life.
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- 2003
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44. Use of Ionic Liquids as Electrolytes in Electromechanical Actuator Systems Based on Inherently Conducting Polymers
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Stewart Forsyth, Maria Forsyth, Douglas R. MacFarlane, Gordon G. Wallace, Geoffrey M. Spinks, Deizhi Zhou, and Jie Ding
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Conductive polymer ,Materials science ,General Chemical Engineering ,General Chemistry ,Aqueous electrolyte ,Electrolyte ,Electrochemistry ,Electromechanical actuator ,chemistry.chemical_compound ,Synthetic fiber ,Chemical engineering ,chemistry ,Ionic liquid ,Polymer chemistry ,Materials Chemistry ,Actuator - Abstract
The use of ionic liquids (ILs) as electrolytes for electromechanical actuators based on polypyrroles (PPy's) is described. The composition of the electrolytes has a significant effect on the electrochemical properties of the PPy actuator and subsequently on actuator performance, improving cycle life and strain generated. The actuator performance in ionic liquid electrolytes is significantly better than that in traditional organic and aqueous electrolytes.
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- 2003
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45. 3-Methylpiperidinium ionic liquids
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Geetha Srinivasan, Keith Whiston, Kenneth R. Seddon, Alberto V. Puga, Mark Nieuwenhuyzen, Tayeb Belhocine, H. Q. Nimal Gunaratne, Peter Nockemann, and Stewart Forsyth
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chemistry.chemical_classification ,Tetraphenylborate ,Inorganic chemistry ,General Physics and Astronomy ,Ether ,Crystal structure ,Ion ,chemistry.chemical_compound ,chemistry ,Bromide ,Ionic liquid ,QUIMICA ANALITICA ,Ionic conductivity ,Physical chemistry ,Physical and Theoretical Chemistry ,Alkyl - Abstract
[EN] A wide range of room temperature ionic liquids based on the 3-methylpiperdinium cation core were produced from 3-methylpiperidine, which is a derivative of DYTEKs (R) A amine. First, reaction with 1-bromoalkanes or 1-bromoalkoxyalkanes generated the corresponding tertiary amines (Rm beta pip, R = alkyl or alkoxyalkyl); further quaternisation reactions with the appropriate methylating agents yielded the quaternary [Rmm(beta)pip]X salts (X-= I-, [CF3CO2]-or [OTf](-); Tf = -SO2CF3), and [Rmm(beta)pip][NTf2] were prepared by anion metathesis from the corresponding iodides. All [NTf2]-salts are liquids at room temperature. [Rmm(beta)pip]X (X-= I-, [CF3CO2]-or [OTf](-)) are low-melting solids when R = alkyl, but room temperature liquids upon introduction of ether functionalities on R. Neither of the 3-methylpiperdinium ionic liquids showed any signs of crystallisation, even well below 0 degrees C. Some related non-C-substituted piperidinium and pyrrolidinium analogues were prepared and studied for comparison. Crystal structures of 1-hexyl-1,3-dimethylpiperidinium tetraphenylborate, 1-butyl-3-methylpiperidinium bromide, 1-(2-methoxyethyl)1- methylpiperidinium chloride and 1-(2-methoxyethyl)-1-methylpyrrolidinium bromide are reported. Extensive structural and physical data are collected and compared to literature data, with special emphasis on the systematic study of the cation ring size and/or asymmetry effects on density, viscosity and ionic conductivity, allowing general trends to be outlined. Cyclic voltammetry shows that 3-methylpiperidinium ionic liquids, similarly to azepanium, piperidinium or pyrrolidinium counterparts, are extremely electrochemically stable; the portfolio of useful alternatives for safe and high-performing electrolytes is thus greatly extended., We would like to acknowledge the EPSRC NCS in Southampton for the single crystal X-ray diffraction data collection and INVISTA Intermediates for funding.
- Published
- 2015
46. Ionic liquids based on imidazolium, ammonium and pyrrolidinium salts of the dicyanamide anion
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Glen B. Deacon, Douglas R. MacFarlane, Stewart Forsyth, and Jake J Golding
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chemistry.chemical_compound ,chemistry ,Inorganic chemistry ,Ionic liquid ,Melting point ,Environmental Chemistry ,Ammonium ,Pollution ,Dicyanamide ,Glass forming ,Ion - Abstract
New families of salts, based on quaternary ammonium, 1-methyl-3-alkylimidazolium or N-methyl-N-alkylpyrrolidinium organic cations together with the dicyanamide (dca, N(CN)2−) anion are reported. The salts are low melting compounds, all those reported are liquid at room temperature, for example 1-methyl-3-ethylimidazolium dicyanamide (mp −21 °C) and N-methyl-N-ethylpyrrolidinium dicyanamide (mp −10 °C). Some of the salts exhibit multiple crystalline phases below their melting points. Above their melting points they are stable to at least 200 °C. Many of the salts were found to be glass forming when cooled rapidly to −100 °C. The room-temperature liquids exhibit very low viscosities, for example ethylmethylimidazolium dicyanamide: η = 21 cP at ambient temperature (25 °C).
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- 2002
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47. Geochemical evidence for atmospheric pollution derived from prehistoric copper mining at Copa Hill, Cwmystwyth, mid-Wales, UK
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Simon Timberlake, John Grattan, Peter W. Abrahams, D. Hayes, Tim Mighall, and Stewart Forsyth
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Pollution ,Environmental Engineering ,Peat ,media_common.quotation_subject ,Geochemistry ,Open-pit mining ,Mineralogy ,chemistry.chemical_element ,Mining ,law.invention ,Prehistory ,Soil ,law ,Bronze Age ,Environmental Chemistry ,Carbon Radioisotopes ,Radiocarbon dating ,Waste Management and Disposal ,History, Ancient ,media_common ,Air Pollutants ,Wales ,business.industry ,Geology ,Copper ,chemistry ,Radiometric dating ,business ,Environmental Monitoring - Abstract
This paper presents geochemical data from a blanket peat located close to a Bronze Age copper mine on the northern slopes of the Ystwyth valley, Ceredigion, mid-Wales, UK. The research objective was to explore the possibility that the peat contained a geochemical record of the pollution generateD by mining activity. Four peat monoliths were extracted from the blanket peat to reconstruct the pollution history of the prehistoric mine. Three different geochemical measurement techniques were employed and four copper profiles have been reconstructed, two of which are radiocarbon-dated. The radiocarbon dates at one profile located close to the mine confirm that copper enrichment occurs in the peat during the known period of prehistoric mining. Similar enrichment of copper concentrations is shown in one adjacent profile and a profile within 30 m away. In contrast, copper was not enriched in the other radiocarbon-dated monolith, collected approximately 1.35 km to the north of the mine. Whilst other possible explanations to explain the copper concentrations are discussed, it is argued that the high copper concentrations represent evidence of localised atmospheric pollution caused by Bronze Age copper mining in the British Isles. The results of this study suggest that copper may be immobile in blanket peat and such deposits can usefully be used to reconstruct atmospheric pollution histories in former copper mining areas.
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- 2002
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48. Methanesulfonate and p-toluenesulfonate salts of the N-methyl-N-alkylpyrrolidinium and quaternary ammonium cations: novel low cost ionic liquids
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Maria Forsyth, Jake J Golding, Douglas R. MacFarlane, Glen B. Deacon, and Stewart Forsyth
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chemistry.chemical_compound ,Sulfonate ,chemistry ,Amide ,Inorganic chemistry ,Ionic liquid ,Melting point ,Environmental Chemistry ,Ammonium ,Plastic crystal ,Electrochemistry ,Pollution ,Electrochemical potential - Abstract
The preparation and characterization of a series of novel salts, based on the N-methyl-N-alkylpyrrolidinium or quaternary ammonium organic cations coupled with sulfonate type anions, namely the mesylate (CH3SO3−) and tosylate (CH3C6H4SO3−) anions are reported. These salts are analogues of the previously described organic cation bis(trifluoromethanesulfonyl)amide (TFSA) salts that form useful ionic liquids of interest in “Green” synthesis. Several of the salts are liquid below 50 °C, e.g. tributylhexylammonium tosylate and ethylmethylpyrrolidinium mesylate and one is liquid at and below room temperature (tributylhexylammonium mesylate). These new salts have a cost advantage over salts of the TFSA−, PF6− and CF3SO3− anions. Electrochemical and thermal properties have been investigated. The salts are stable to beyond 100 °C and exhibit electrochemical potential windows of at least ±2 V vs. Ag/Ag+. Some of the salts exhibit multiple crystalline phases below their melting points, potentially indicative of plastic crystal behaviour, whilst others showed more simple solid–liquid behaviour. Many of the salts were found to be glass forming.
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- 2002
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49. N-methyl-N-alkylpyrrolidinium tetrafluoroborate salts: ionic solvents and solid electrolytes
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Jake J Golding, Douglas R. MacFarlane, Stewart Forsyth, and Maria Forsyth
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chemistry.chemical_classification ,Tetrafluoroborate ,General Chemical Engineering ,Inorganic chemistry ,Ionic bonding ,Salt (chemistry) ,Electrolyte ,chemistry.chemical_compound ,chemistry ,Ionic liquid ,Electrochemistry ,Melting point ,Fast ion conductor ,Plastic crystal - Abstract
A series of N-methyl-N-alkylpyrrolidinium tetrafluoroborate salts were synthesised. The spectroscopic, physical and electrochemical characteristics of this family of salts have been investigated with respect to potential usage as ionic solvents and electrolytes. The lowest melting point among the family is 64°C for the N-methyl-N-propylpyrrolidinium tetrafluoroborate (P13BF4). This is sufficiently low to enable this salt to be useful as an ionic liquid in chemical synthesis involving reactions above 70°C. Most of the compounds exhibit one or more solid–solid transitions below the melting point, this behaviour is thought to indicate the existence of plastic crystal phases.
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- 2001
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50. [Untitled]
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Stewart Forsyth, Jonathan B. Baell, Raymond S. Norton, Roger J. Mulder, and Robert W. Gable
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Voltage-dependent calcium channel ,ω conotoxin gvia ,Peptidomimetic ,Stereochemistry ,Chemistry ,Drug Discovery ,Rational design ,Physical and Theoretical Chemistry ,N-type calcium channel ,Pharmacophore ,Type (model theory) ,Ion channel ,Computer Science Applications - Abstract
Our interest lies in the rational design and synthesis of type-III mimetics of protein and polypeptide structure and function. Our approach involves interactive design of conformationally defined molecular scaffolds that project certain functional groups in a way that mimics the projection of important binding residues as determined in the parent structure. These design principles are discussed and applied to the structurally defined polypeptide, ω-conotoxin GVIA, which blocks voltage-gated, neuronal N-type calcium channels. These ion channels represent therapeutic targets for the development of new analgesics that can treat chronic pain. It is shown how a discontinuous, 3-residue pharmacophore of GVIA can be mimicked by different molecular scaffolds. It is illustrated how such 1st generation leads must necessarily be weak and that optimisability must therefore be built-in during the design process.
- Published
- 2001
- Full Text
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