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The Broucek Mission Researcher: Allison Broucek

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The Broucek MissionResearcher: Allison Broucek

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Purpose• Inspiration: Relevance and passion• Background: Curiosity about plant based diets• Journal of Human Nutrition and Dietetics• Influence of self-selected vegetarian diets on blood

lipids• Journal of Nutrition and Metabolism• Effects of vegetarianism on elderly

• Importance: American based diseases and conditions• Correlations?• Dietary intervention?

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Study Program• 30 Subjects• 22 Females/8 Males• 21 to 68

• Recruitment• Trine faculty/staff• Local residents

• 8 Week Study• Experimental: Lacto-Ovo Vegetarian Diet – Cutting plan

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HypothesesNull Hypothesis – H0There is no difference between the experimental subjects who followedthe Lacto - Ovo Vegetarian diet and the control subjects who made no change.

Alternative HypothesisThere is a significant change within the experimental group compared to the control group when testing: Insert testing category.

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Methods• Interest Meetings/Emails/Flyers• Random recruitment and placement

• Informed Consent/Photo Consent• Pre Assessment Questionnaire• Health, drug, socioeconomic history, daily lifestyle, food frequency, etc.

• Pre and Post Testing• Weight/height/BMI/body fat percentage• Blood pressure/RHR• Cholesterol profiles/glucose

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Methods• Dietary Recalls• Control: Written servings• Experimental: MyFitnessPal

• Weekly Meetings and Topics• Ex. Costs Differences between Healthy Foods and Convenience Foods/Grocery Shopping

• Communication• Control: Via email• Experimental: Email, phone, in person

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Methods• Food Demonstrations• Mexican/Italian/Nordic/Japanese

• Weekly Updates:• MyFitnessPal group• Personal updates via email/phone/in person

• Resource Packets• Alternative protein options• User friendly vegetarian meals• Major food groups and healthy options• Beginner vegetarian cookbook

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Statistical AnalysisE Pre Sys E Post Sys E Pre Dia E Post Dia

139 120 85 72E Pre RHR E Post RHR E Pre LBS E Post LBS

70 58 133.4 132E Pre BMI E Post BMI E Pre BF % E Post BF %

24 23.8 38.1 37.4E Pre TC E Post TC E Pre HDL E Post HDL

165 160 66 59E Pre LDL E Post LDL E Pre TRG E Post TRG

61 73 187 137E Pre n-hdl E Post n-hdl E Pre tc/hdl E Post tc/hdl

98 101 2.5 2.7E Pre GLU E Post GLU

115 79

Experimental Subject # 1

Pre/Post Test Data

Differences between pre and post test Two Sample T-Test P Value < 0.05

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Significant Findings• Weight Loss: P =

0.0.0011933C LBS Diff E LBS Diff t-Test: Two-Sample Assuming Unequal Variances

-1 1.4-0.2 2   C LBS Diff E LBS Diff5.4 3.2 Mean 0.393333333 5.560.2 2.2 Variance 14.44352381 21.20114286-3 4 Observations 15 15

2.2 2.4 Hypothesized Mean Difference 0 0.8 6.6 df 27 6.4 13.6 t Stat -3.35165103 6.8 3.6 P(T<=t) one-tail 0.001193397 0 4.4 t Critical one-tail 1.703288446

-2.2 5 P(T<=t) two-tail 0.002386795 1 4 t Critical two-tail 2.051830516

-7.1 17Weight (Pounds)-4 3.2

0.6 10.8

Resting Heart Rate: P = 0.004611201 C RHR Diff

E RHR Diff t-Test: Two-Sample Assuming Unequal Variances

8 12 -4 -7   C RHR Diff  E RHR Diff -2 1 Mean -3.666666667 6.2

-30 -2 Variance 115.6666667 68.88571429 7 1 Observations 15 15 -4 7 Hypothesized Mean Difference 0 3 5 df 26 0 2 t Stat -2.812912737

-25 21 P(T<=t) one-tail 0.004611201 -7 12 t Critical one-tail 1.70561792 -2 0 P(T<=t) two-tail 0.009222402 -4 1 t Critical two-tail 2.055529439 2 13

Resting Heart Rate 7 5 -4 22

Body Mass Index: P = 0.001509476

C BMI Diff

E BMI Diff t-Test: Two-Sample Assuming Unequal Variances

0 0.2 0 0.3    C BMI Diff  E BMI Diff 

0.9 0.6 Mean 0.1 0.886666667 0 0.3 Variance 0.35 0.524095238

-0.1 0.6 Observations 15 15 0.3 0.3 Hypothesized Mean Difference 0 0.2 1.1 df 27

1.1 2 t Stat -

3.258794695 0.9 0.5 P(T<=t) one-tail 0.001509476 0.1 0.7 t Critical one-tail 1.703288446 -0.3 0.7 P(T<=t) two-tail 0.003018953 0.1 0.8 t Critical two-tail 2.051830516 -1.2 2.7

Body Mass Index -0.7 0.7 0.2 1.8

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Significant Findings• Glucose: P = 0.044912216

C GLU Diff E GLU

Diff t-Test: Two-Sample Assuming Unequal Variances 50 36 0 18    C GLU Diff  E GLU Diff 

32 22 Mean -1.933333333 11 -34 10 Variance 449.352381 363.2857143 -15 -5 Observations 15 15 6 5 Hypothesized Mean Difference 0

-23 -4 df 28 5 33 t Stat -1.757144638 4 -24 P(T<=t) one-tail 0.044912216

-12 1 t Critical one-tail 1.701130934 -6 -2 P(T<=t) two-tail 0.089824432 0 15 t Critical two-tail 2.048407142 -8 4

Glucose -4 4 -24 52

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ConclusionHypotheses H3, H4, H6, H13: Reject H0

Hypotheses H1, H2, H5, H7. H8. H9, H10, H11, H12:Failure to reject H0

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Discussion• What causes cholesterol?• Client constructed needs• Individual significant findings

“Cholesterol is not considered a nutrient of concern for overconsumption“ ~Dietary Guidelines Advisory Committee 2014

“Estimate of only 20 percent of a person’s blood cholesterol levels actually come from their diet”~Dr. Steven Nissen/Cleveland Clinic

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Reflection• Control: No dietary recalls• Psychological effect

• Further research• Causes of cholesterol• A1c Plasma Glucose• Longer duration of time

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Acknowledgements• Julia D. Just, RD.

• 8 Week dietary plan• Kent Stucky and Deborah McHenry (Trine University)

• Donations for The Broucek Mission• John White (Cameron Hospital)

• Alere Cholestech LDX Analyzer• Amy Oberlin (Angola Herald Republican)

• Newspaper article• Krista Miller (Steuben County YMCA CEO)

• Interest Meetings • Karen Heldt and Lori Miedema

• Alere Test Cassettes• Dr. Rudy A. Kachmann, MD

• Support and Motivation • Bon Appetit

• Food Demonstrations• Susan Anspaugh, Catherine Swick

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The Broucek Mission• "To inspire and encourage others, no matter what

age, background, or health history, to make a change, in order to improve the health and overall quality of their life. "

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Works Cited1 Adebawo, 0., Salau, B., Ezima, E., Oyefuga, 0.,Ajani,E.,ldowu,G.,& … Osilesi,0.(2006). Fruits and vegetables moderate lipid cardiovascular risk factor in hypertensive patients. Lipids In Health & Disease, 514-4.

2 Appleby, P. P.,Roddam, A. A.,Allen, N. N.,& Key, T. T. (2007). Comparative fracture risk in Vegetarians and nonvegetarians in EPIC-Oxford. European Journal Of Clinical Nutrition, 61(12), 1400-1406.

3 Bli.iher, M., Hentschel, B., Rassoul, F., & Richter, V. (2001). INFLUENCE OF DIETARY INTAKE AND PHYSICAL ACTIV ITY ON ANNUAL RHYTHM OF HUMAN BLOOD CHOLESTEROL CONCENTRATI ONS. Chronobiology International: The Journal Of Biological & Medical Rhythm Research, 18(3), 541.

4 Boancă, M. M., Colosi, H. A., & Crăciun, E. C. (2014). The impact of the lacto-ovo vegetarian diet on the erythrocyte superoxide dismutase activity: a study in the Romanian population. European Journal Of Clinical Nutrition, 68(2), 184-188

5 Chen,C. W.,Lin, Y. L., Lin,T. K.,Lin, C. T.,Chen, B. C.,& Lin, C. L. (2008). Total Cardiovascular risk profile of Taiwanese vegetarians. European Journal Of Clinical Nutrition,62(1), 138-144.

6 Chiang,J.,Lin,Y., Chen,C., Ouyang, C., Wu,Y .,Chi,Y.,& ...Yang,W. (2013). Reduced Risk for Metabolic Syndrome and Insulin Resistance Associated with Ovo-Lacto Vegetarian Behavior in Female Buddhists: A Case-Control Study. Plos ONE, 8(8),1-8.

10 Chiu, T.T., Huang, H., Chiu, Y., Pan, W., Kao, H., Chiu, J. C., & ... Lin, C. (2014). Taiwanese Vegetarians and Omnivores: Dietary Composition, Prevalence of Diabetes and IFG. Plos ONE, 9(2), 1-7.

11 Davidson, Samuel T., Mr. "USA TODAY: Latest World and US News." USA Today. Gannett, 9 Jan. 2015. Web. 10 Apr. 2015.

12 Deriemaeker, P., Aerenhouts, D., Ridder, D., Hebbelinck, M., & Clarys, P. (2011). Health aspects, nutrition and physical characteristics in matched samples ofinstitutionalized vegetarian and non-vegetarian elderly (> 65yrs). Nutrition & Metabolism, 8(1), 37-44.

13 Gorczyca, D., Pasciak, M., Szponar, B., Gamian, A., & Jankowski, A. (2011). An impact of the diet on serum fatty acid and lipid profiles in Polish vegetarian children and children with allergy. European Journal Of Clinical Nutrition, 65(2), 191-195.

14 Likura, M., Yi,S., lchimura, Y.,Hori,A.,Izumi,S.,Sugiyama, H.,& ... Kobayashi,N. (2013). Effect of lifestyle on Asthma Control in Japanese Patients: Importance of Periodical Exercise and Raw Vegetable Diet. Plos ONE, 8(7), 1.

15 Kahan, S., & Cheskin, L. J. (2014). Review: Vegetarian diets reduce systolic and diastolic blood pressure more than omnivorous diets. ACP Journal Club, 161(1),1.

16 Koebnick, C. C., Leitzmann,R. R.,Garcia, A. L., Heins, U. A.,Heuer, T.T., Golf, S. S., & ... Leitzmann, C. C. (2005). Long-term effect of a plant-based diet on magnesium status During pregnancy .European Journal Of Clinical Nutrition, 59(2), 219-225.

17 Mishra, S., Xu, J., Agarwal, U., Gonzales, J., Levin, S., & Barnard, N. (2013). A multicenter Randomized Controlled trial of a plant-based nutrition program to reduce body weight and cardiovascular risk in the corporate setting: the GEICO study. European Journal of Clinical Nutrition, 67(7), 718-724.

18 Monohan, Macy M., Ms. "2015 Dietary Guidelines Advisory Committee." Dietary Guidelines for Americans Committee. DGAC, 15 Dec. 2014. Web. 9 Apr. 2015.

19 Norin, K., Gustafsson, J., Johansson, G., Ottava, L., & Midtvedt, T. {1998). Effects of Lacto-Vegetarian Diet on some Microflora Associated Characteristics: A Long Term Study. Microbial Ecology in Health & Disease, 10(2), 79-84.

20 Phillips, F. F. {2005). Vegetarian nutrition. Nutrition Bulletin, 30(2), 132-167.

21 Robinson, F. F., Hackett, A. F., Billington, D. D., & Stratton, G.G. {2002). Changing from a mixed to self-selected vegetarian diet - influence on blood lipids.

Journal Of Human Nutrition & Dietetics,15(5), 323-329.

22 Salehi, M., Moradi-Lakeh, M., Salehi, M., Nojomi, M., & Kolahdooz, F. {2013). Meat, fish, and Esophageal cancer risk: a systematic review and dose-response meta-analysis. Nutrition Reviews, 71(5), 257- 267

23 Swayer, Johnathon S., Mr. "TIME." Time. Time, 3 Feb. 2015. Web. 10 Apr. 2015.

24 Tetens, I., Bendtsen, K. M., Henriksen, M., Ersb0II, A. K., & Milman, N. {2007).The impact of a meat-versus a vegetable-based diet on iron status in women of childbearing age with small iron stores. European Journal Of Nutrition, 46(8), 439-445.

25 Thane, C. W., & Bates, C. J. (2000). Dietary intakes and nutrient status of vegetarian preschool children from a British national survey. Journal Of Human Nutrition & Dietetics, 13(3), 149- 162.

26 Watt, K. 0. Garnham, A. P.,& Snow, R. J. (2004). Skeletal Muscle Total Creatine Content and Creatine Transporter Gene Expression in Vegetarians Prior to and Following Creatine Supplementation. International Journal Of Sport Nutrition & Exercise Metabolism, 14(5), 517-531.

27 Zhang,Z.,Wang,J., Chen,S.,Wei,Z.,Li, Z.,Zhao, S.,& Lu,W. (2014). Comparison of Vegetarian Diets and Omnivorous Diets on Plasma Level of HDL-c: A Meta-Analysis. Plos ONE, 9(3), 1-7.

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