Associations between dietary patterns, socio-demographic factors and anthropometric measurements in adult New Zealanders: an analysis of data from the 2008/09 New Zealand Adult Nutrition Survey.

PURPOSE: To investigate associations between dietary patterns, socio-demographic factors and anthropometric measurements in adult New Zealanders. METHODS: Dietary patterns were identified using factor analysis in adults 15 years plus (n = 4657) using 24-h diet recall data from the 2008/09 New Zealand Adult Nutrition Survey. Multivariate regression was used to investigate associations between dietary patterns and age, gender and ethnicity. After controlling for demographic factors, associations between dietary patterns and food insecurity, deprivation, education, and smoking were investigated. Associations between dietary patterns and body mass index and waist circumference were examined adjusting for demographic factors, smoking and energy intake. RESULTS: Two dietary patterns were identified. 'Healthy' was characterised by breakfast cereal, low fat milk, soy and rice milk, soup and stock, yoghurt, bananas, apples, other fruit and tea, and low intakes of pies and pastries, potato chips, white bread, takeaway foods, soft drinks, beer and wine. 'Traditional' was characterised by beef, starchy vegetables, green vegetables, carrots, tomatoes, savoury sauces, regular milk, cream, sugar, tea and coffee, and was low in takeaway foods. The 'healthy' pattern was positively associated with age, female gender, New Zealand European or other ethnicity, and a secondary school qualification, and inversely associated with smoking, food insecurity, area deprivation, BMI and waist circumference. The 'traditional' pattern was positively associated with age, male gender, smoking, food insecurity and inversely associated with a secondary school qualification. CONCLUSIONS: A 'Healthy' dietary pattern was associated with higher socio-economic status and reduced adiposity, while the 'traditional' pattern was associated with lower socio-economic status.

A challenge to the cross-cultural validity of the SF-36 health survey: factor structure in Maori, Pacific and New Zealand European ethnic groups.

This paper reports on a principal component factor analysis of the SF-36 health status questionnaire in the three major ethnic groups in New Zealand (New Zealand Europeans, Maori and Pacific). The SF-36 is hypothesised to have a two-dimensional structure with distinct (weakly correlated) mental and physical health components, and support for this structural model has generally been found cross-nationally. However, in Maori and Pacific models of health mental and physical dimensions are not generally seen as separable, or independently functioning. This raises the possibility that the questionnaire's hypothesised structural model would not be supported among Maori and Pacific ethnic groups. This study evaluated that possibility. The results of the analysis showed a similar factor structure among New Zealand Europeans, and younger Maori (<45 years) to that reported by Ware et al. for Western European countries. Among Pacific people and older Maori (45 years and over), however, the factor structure did not clearly differentiate physical and mental health components. Implications are discussed both specific to the SF-36 (and in particular the use of principal component summary scores), and more generally for the cross-cultural validity of self-reported health status measures.

SF-36 health survey reliability, validity and norms for New Zealand.

OBJECTIVE: To assess the acceptability, reliability and validity of the SF-36 health survey in the New Zealand population and provide key population norms. METHOD: The SF-36 questionnaire was part of the 1996/97 New Zealand health survey, a cross-sectional, nationally representative survey of 7,862 adults (15 years and over). RESULTS: Overall, in the New Zealand population the questionnaire performed as well as or better than in other national surveys, but there was variability in data completeness across subgroups, and responses were skewed towards the healthy end of the scales. Males scored higher than females on almost all scales; increasing age was associated with decreasing scores (with the exception of the mental health scale); and New Zealand Europeans tended to report better health than the other ethnic groups. CONCLUSIONS: Satisfactory psychometric performance was demonstrated for the SF-36 in the New Zealand population, but researchers need to find ways of increasing data completeness in population groups shown here to have lower completion rates. The questionnaire may be better at discriminating patient rather than population subgroups. The SF-36 normative data confirm in kind, if not in degree, population subgroup disparities in health status observed using objective measures. IMPLICATIONS: Overall, the SF-36 questionnaire appears to be a valid and reliable measure of health-related quality of life for the New Zealand population. However, this paper highlights issues for researchers using the SF-36, such as the skewed nature of responses obstained in a population sample.

Use of breath hydrogen testing to detect experimentally induced disaccharide malabsorption in healthy adult dogs.

OBJECTIVE: To develop a noninvasive method to detect disaccharide malabsorption in dogs by measuring hydrogen concentration ([H2]) in exhaled breath before and after experimentally induced disaccharide malabsorption. ANIMALS: 8 healthy mixed-breed dogs. PROCEDURE: [H2] was measured every 30 minutes for 8 hours after administration of disaccharide solutions (lactose, 0.5 g/kg of body weight; lactose, 1.0 g/kg; sucrose, 2.0 g/kg; maltose, 1.5 g/kg; and lactose [0.5 g/kg] and sucrose [2.0 g/kg]) to determine reference ranges of [H2] for each solution, which were compared with [H2] in dogs with experimentally induced disaccharide malabsorption. To induce disaccharide malabsorption, dogs were given a mild overdose of lactose (1.5 g/kg) or a disaccharidase inhibitor. In the latter experiment, acarbose (10 mg/kg, PO) was given with the combination of lactose (0.5 g/kg) and sucrose (2 g/kg), and with maltose (1.5 g/kg). RESULTS: Overdosing with lactose resulted in [H2] persistently outside the reference range for lactose in 5 of 8 dogs. Acarbose administration resulted in [H2] persistently outside the reference range in 7 of 8 dogs that received a combination of sucrose and lactose but did not consistently affect [H2] after administration of maltose. CONCLUSIONS: Disaccharide malabsorption resulted in [H2] outside the reference ranges in most of the adult dogs studied, suggesting that the technique may be useful in detecting naturally occurring disaccharidase deficiency.

Reproducibility of breath hydrogen concentration measurements in dogs after change of diet.

OBJECTIVE: To assess reproducibility of breath hydrogen (H2) concentration measurements in dogs on 3 consecutive days after introduction of a new diet. ANIMALS: 10 healthy colony-source dogs. Procedure Dogs were fed a commercial pet food for a minimum of 10 days before introduction of a high-carbohydrate commercial diet. Expired breath samples were collected at baseline and every 90 minutes for 18 hours on the first 3 days after introduction of the new diet. The area under the curve (AUC) for breath H2 concentration versus time on days 1, 2, and 3 were compared by use of repeated-measures ANOVA. RESULTS: The (AUC) did not differ significantly among test days 1, 2, and 3. CONCLUSIONS: Expired breath H2 concentration in dogs indicated good reproducibility during the first 3 days after introduction of a new diet. CLINICAL RELEVANCE: It is not necessary to provide a period for adaptation to a test diet prior to performing breath H2 tests in dogs.

Endoscopy of the gastroduodenal mucosa after carprofen, meloxicam and ketoprofen administration in dogs.

Endoscopy was undertaken to examine the gastroduodenal mucosa of 24 healthy dogs after seven days and again after 28 days of oral non-steroidal anti-inflammatory drug (NSAID) administration. The dogs were divided into four groups. One group received ketoprofen (1 mg/kg every 24 hours), one group carprofen (2 mg/kg every 12 hours for seven days followed by 2 mg/kg every 24 hours), a third group meloxicam suspension (0.2 mg/kg every 24 hours), and the last group gelatin (one capsule every 24 hours). Serum biochemical and complete blood count parameters did not change significantly after NSAID administration. Gastroduodenal lesions were observed in 17 dogs, but in all cases these were mild to moderate. The dogs receiving gelatin or carprofen showed the fewest and the least severe lesions, although there was no statistically significant difference between the three test drugs and the control group (P < or = 0.05). None of the dogs showed any clinical signs related to the gastrointestinal lesions.

Effect of five percent dehydration on breath hydrogen concentrations in dogs.

OBJECTIVE: To determine the effect of mild dehydration (5%) on expired breath H2 concentrations in dogs. ANIMALS: 10 healthy, colony-source dogs. PROCEDURE: Expired breath samples were collected at baseline, and every 90 minutes for 18 hours after ingestion of a test meal (commercial dog food and kibbled wheat) in fully hydrated dogs and in the same dogs when they had lost 5% of their body weight after food and water deprivation. The areas under the breath H2 concentration versus time curves (AUC) for the dehydrated and nondehydrated states were compared, using a two-stage, balanced, crossover, repeated measures technique. The number of breath samples considered to be contaminated by flatus were compared by use of a one-sided sign test. RESULTS: Expired breath H2 concentration of dogs during the dehydration test period was significantly (P < 0.02) greater than that during the nondehydration test period. In addition, flatulence was significantly (P < 0.033) more frequent in dogs during the dehydration period. CONCLUSIONS: Dehydrated dogs have greater expired breath H2 concentration and produce more flatus after ingestion of a carbohydrate-containing meal. Considered together, these findings suggest that dehydration results in an increase in the net amount of H2 produced in the gastrointestinal tract. CLINICAL RELEVANCE: Care should be taken to assess the hydration status, and to correct hydration deficits of dogs prior to breath H2 testing.

A comparison of ego identity status transition pathways and change rates across five identity domains.

The present retrospective study was designed to explore the question of whether or not ego identity status transition pathways and change rates differ significantly across domains of identity development from adolescence through middle adulthood. A sample of 100 middle- and upper-middle-class New Zealand adults from forty to sixty-three years of age were interviewed regarding the development of values in the areas of vocation, religion, politics, and gender roles, and relationships using an adaptation of the Marcia Ego Identity Status Interview. Raters later assigned an identity status for each year of chronological age for each participant. Preliminary analyses indicated that subgroups of the larger sample differed significantly in terms of identity status transition patterns. Within each of the eight subgroups examined, there were statistically significant differences in transition pathways and change rates across the five identity domains. These findings suggest the importance of examining separate identity domains and controlling for demographic variables in future studies of adult identity development. Results are discussed in terms of Grotevant's process model of identity formation.

Separation-individuation and ego identity status in late adolescence: A two-year longitudinal study.

This study was undertaken to clarify developmental relationships between intrapsychic object relations structure and ego identity status during late adolescence; one purpose was to examine the possible predictive relationship between initial attachment style and later identity status. A total of 76 subjects (41 females and 35 males) who had been given the Marcia Ego Identity Status Interview and the Hansburg Separation Anxiety Test (SAT) as first-year university students in 1984 were reassessed two years later. Fitted log linear models indicated strong links between attachment style and identity status in 1986, and between identity status in 1984 and 1986; only an indirect connection existed between attachment style in 1984 and 1986 as measured by the SAT. When 1984 and 1986 identity status were known, it was possible to predict 1986 attachment style without knowing 1984 attachment style; 1984 attachment style alone was unable to predict later identity status accurately.