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Prebiotics as a method to decrease bodyweight in overweight and obese children
Background: Obesity is a universal issue that needs to be addressed from multiple angles as it has far reaching implications on an individual’s health and on the U.S. healthcare system. The gut microbiome may be an important link to bodyweight. Prebiotics are essentially the food source of healthy gut bacteria. This literature review examines how prebiotics affect bodyweight in overweight and obese children.
Methods: An exhaustive search of available medical literature was performed using MEDLINE-Ovid, CINAHL-EBSCO Host, and Web of Science. Keywords included: inulin-type fructan, prebiotic, obesity, overweight, body weight, and children. Studies were assessed for quality using GRADE.
Results: Eighty-two articles were assessed for relevancy to the clinical question. Two studies were found both of which were randomized controlled trials. In 1 of the studies, body weight z-scores significantly decreased in the prebiotic group. However, the low quality of the studies necessitates further studies with larger sample sizes.
Conclusion: Prebiotics should not be the sole therapy to decrease body weight in overweight and obese children but could augment other healthy lifestyle changes.
Keywords: Inulin-type fructan, prebiotic, obesity, overweight, body weight, and childre
Generational Differences in the Workplace: A Meta-Analysis
Many popular press articles claim that differences among generations impact key organizational outcomes in the workplace. However, there is little consensus among researchers on whether these differences actual exist. Thus, a meta-analysis was conducted to quantitatively assess the research on generational differences on several work-related outcomes. Electronic databases and journals were searched from primary studies assessing generational differences in the workplace on job satisfaction, organizational commitment, and work centrality, in addition to other inclusion/exclusion criteria. Data from 19 primary studies were collected using a coding manual in order to obtain study descriptors as well as effect size (ES) information. Initial ES adjustments include correcting for small sample bias and computing the inverse variance weight. Additionally, the ES distribution was assessed for outliers, and a homogeneity analysis was conducted using the Q statistic. A random effects model was used when testing for the significant of the average effect when comparing each generational cohort on either job satisfaction, organizational commitment, or work centrality. Mean differences for job satisfaction ranged from .08 to .14, but only one comparison (Boomers vs. Millennials) was significant. Next, mean difference for organizational commitment ranged from .03 to .10, however the results for each comparison were not significant. Lastly, mean differences for work centrality ranged from .11 to .33, though the results for each comparison were found to be not significant. The pattern of results indicates that the relationship between generational membership and work outcomes are moderate to small, and findings suggests that meaningful differences might not exists on work outcomes examined in this study
Applying an Ecological Perspective to Physical Activity Participation in Older Adults
Remaining physically active as we age contributes not only to sustained independence but to decreased risk for many chronic diseases. Several fields of study have looked into factors that promote, or present barriers to, physical activity in older adults. Some of these factors include environment, health literacy, and self-efficacy, along with their intersections with race and socioeconomic status. Life experience, life course, and intrinsic body confidence have been mentioned in the scientific literature as factors that have gone under explored. This presentation presents a discussion of current observations in the literature regarding the impacts of these under explored variables, their intersections with well-examined variables, and avenues for future study
Sick Days - English
This one page handout offers tips on what to do when you are sick and you have diabetes. (English
Food Label - English
Illustrated food label for diabetics to explain how to identify total carbohydrates
Blood Glucose Log 4x/Day with Carbs, Snacks and Insulin - English
A log for a patient to record 4 times/day his/her blood glucose levels, carbohydrates and snacks consumed and their insulin amounts