Publications by authors named "Catherine Knight-Agarwal"

Background: Gestational diabetes mellitus (GDM), a type of blood glucose intolerance or hyperglycemia that occurs during pregnancy, is a common condition increasing in prevalence both globally and in Australia. Mobile health apps have been shown to be a useful resource for women with type 1 diabetes and could successfully contribute to GDM management by facilitating healthy behaviors.

Objective: This study aimed to seek the perspectives of health care consumers (HCCs) and health professionals (HPs) regarding the development of a smartphone app for women living with GDM.

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Objectives: Symptoms related to the menstrual cycle impact the participation, perceived performance, and quality of life of the individual. Yet, the way these symptoms are experienced has not been synthesised, missing the opportunity to reconcile our understanding of best avenues for support.

Design: This systematic review and meta-aggregation focused on female athletes' experiences and perceptions of cycle-related symptomatology.

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The burdensome nature of managing type 1 diabetes (T1D) can influence psychological well-being and reduce quality of life (QoL). This pilot study aims to develop and validate a new questionnaire identifying factors impacting the QoL of Australian adults with T1D. Questionnaire development included literature review, pre-testing, semi-structured interviews, expert evaluation, and pilot testing.

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Background/objectives: Metabolic syndrome (Mets) risk is influenced by both parents' preconception lifestyle, yet most interventions target individuals rather than couples. True couples-based interventions that engage both partners equally remain rare. This study aimed to assess the feasibility and adherence of a 10-week lifestyle intervention delivered to heterosexual couples in the preconception period.

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Introduction: Menstrual cycle-related symptoms (MCS) affect female athletes' wellbeing, quality of life, sports participation, and performance. Hormonal contraceptives (HCs) moderate hormone activity, but do not necessarily alleviate MCS. Recent research indicates no significant effect of the MC or HC cycle on measurable performance, yet perceived effects on performance and wellbeing remain noticeable.

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: Worldwide, appropriate weight maintenance is one of the most important elements of human health, and this is especially true for pregnancy. Gestational weight gain below or above the recommended range is associated with numerous adverse outcomes. In addition, it may induce epigenetic changes leading to an increased risk of developing future chronic disease, such as obesity and type 2 diabetes, in both the woman and her offspring.

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Problem: Poor nutrition during the antenatal period can contribute to adverse health outcomes for both mother and baby.

Background: Despite the importance of nutrition during pregnancy, there is limited research exploring the attitudes and experiences pregnant women possess towards nutrition care, particularly within the Australian context. Existing literature has indicated that pregnant women lack knowledge of and are not adhering to pregnancy related nutrition recommendations.

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Article Synopsis
  • * A systematic review analyzed 17 studies to assess the effectiveness of these diets on HbA1c levels (a measure of blood sugar control) but found inconclusive quantitative results, highlighting a gap in reliable dietary recommendations for T1D management.
  • * Qualitative findings revealed four key themes affecting diet adherence: motivation, perceived health benefits, challenges faced, and the limited knowledge about these diets among participants, indicating
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Picky eating is a common appetitive trait reported among children and adolescents and may have detrimental effects on their weight, vegetable, and fruit intake, impacting health status. However, an updated systematic review of the literature and summary of effect estimates is required. This study aims to explore the association between picky eating with weight, vegetable and fruit intake, vegetable-only intake, and fruit-only intake.

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Background: Higher education institutions offer in-country learning abroad programs to provide healthcare students with the opportunity to gain the intercultural and global competencies they need to work in a globally interconnected world. During the Covid-19 pandemic, institutions offered virtual learning abroad programs as an alternative to the in-country programs, however, little is known about whether they provide comparable benefits to students.

Objectives: The purpose of this study was to investigate, and identify, the benefits gained by higher education healthcare students through their participation in a virtual learning abroad program.

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Background: Maternal nutrition impacts fetal growth and development. The Food Standards Australia New Zealand (FSANZ) guidelines recommend pregnant women consume 2-3 servings (224-336 g) of fish/seafood per week to support intake of long chain omega 3 fatty acids, given adequate consumption supports numerous health benefits including reduced risk of preterm and early preterm birth. Evidence indicates that pregnant women purposely lower their fish/seafood intake, largely due to fears of methylmercury exposure.

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Beneficial changes in microbiota observed in individuals with a major depressive disorder (MDD) may be initiated with a low fermentable oligosaccharide, disaccharide, monosaccharide, and polyol (FODMAP) elimination diet. Academic Search Ultimate, APA PsychINFO, Cochrane Library, MEDLINE, Scopus and Web of Science were searched for original research documenting differences in microbiota in MDD or changes with a low FODMAP diet in adults (age 18 years +). Studies with fecal microbiota, 16 s RNA sequencing and QIIME pipelines were included.

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Background: Higher education learning abroad programs provide many benefits to healthcare students. However, inadequate preparation prior to their international travel, and misdirected motivations for their participation, can jeopardise the benefits and increase the risks. While it is pivotal to objectively evaluate pre-departure student preparation and the impact the programs have on students, existing assessment questionnaires fail to inform these aspects.

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Objective: Pregnancy is often described as a pivotal life stage for women, where regular contact with health professionals may play an important role in lifestyle awareness. This study explored the knowledge, practices, and beliefs of health professionals and pregnant women regarding physical activity and weight management during the antenatal period.

Methods: A qualitative study was undertaken in southeastern Australia using individual interviews.

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Background And Aims: Metabolic Syndrome (MetS), is a major risk factor for non-communicable diseases including type 2 diabetes mellitus, cardiovascular disease, and cancer. Although MetS risk is transferred via the epigenome from both biological parents, periconceptional lifestyle interventions are generally directed towards mothers. There is a need for interventions to reflect the shared nature of epigenetic MetS risk between both biological parents.

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Objective: To examine if there is an association between a low-carbohydrate diet (LCD), glycemic control, and quality of life (QoL) in Australian adults with type 1 diabetes.

Methods: This single-group, pre-post, mixed methods (quantitative and qualitative) study was conducted in an outpatient tertiary hospital. Eligible participants were those aged ≥18 years, with type 1 diabetes for ≥1 year, and using multiple daily insulin injections.

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This systematic literature review examined whole food or whole diet interventions to treat depression. The inclusion criteria encompassed adults, depression, a recognized depression scale and a whole food or diet intervention. APA PsychINFO, CINAHL, the Cochrance Central Register of Controlled Trails, MEDLINE and Scopus were searched for original research addressing diet as a treatment for depression in adult populations.

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Objective: To explore the views of women who attended a specialist antenatal nutrition clinic that was specifically developed and piloted for pregnant women with a BMI ≥ 40 kg/m.

Design: A phenomenological approach, using individual interviews, was employed. Discussions were audio recorded, transcribed verbatim and scrutinised using Interpretive Phenomenological Analysis.

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Background: The prevalence of gestational diabetes mellitus in Australia has been rising in line with the increased incidence of maternal overweight and obesity. Women with gestational diabetes mellitus, high body mass index or both are at an elevated risk of birthing a large for gestational age infant. The aim was to explore the relationship between country of birth, maternal body mass index with large for gestational age, and gestational diabetes mellitus.

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Background: Despite the increasing prevalence of Type 2 Diabetes Mellitus (T2DM) in the Kingdom of Tonga, little is known of non-communicable disease experiences among adults living in this location. This investigation aimed to explore the barriers and enablers to healthy lifestyle in a group of men and women living with T2DM residing in this Pacific Island nation.

Methods: This qualitative study consisted of three semi-structured focus groups (n = 16), conducted at the only Tongan Public Hospital located at Nuku'alofa, capital of Tonga (north coast of the island of Tongatapu).

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Background: Globally, the prevalence of type 1 diabetes mellitus (T1DM) is rising. In 2020, a total of 124,652 Australians had T1DM. Maintaining optimal glycemic control (hemoglobin A ≤7.

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Background: To assess the type of infant nutrition at initiation of first feed in association with increasing maternal pre-pregnancy Body Mass Index in an Australian obstetric population.

Methods: A retrospective cohort study from 2008 to 2013 was undertaken. Body Mass Index was available for 12,347 women categorised into groups according to: underweight (≤18 kg/m); normal weight (19-24 kg/m); overweight (25-29 kg/m); obese class I (30-34 kg/m); obese class II (35-39/kg) and obese class III (40+ kg/m).

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Purpose: This study aimed to assess the relationship between early-pregnancy Body Mass Index (BMI), perinatal depression risk and maternal vitamin D status.

Patients And Methods: A retrospective cohort study from 2013 to 2017 was undertaken involving 16,528 birth events in the Australian Capital Territory. Multivariate binary logistic regression was conducted using the forced entry method.

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Background: The prevalence of high body mass index is increasing amongst women of child bearing age. High maternal body mass index has ramifications for both mother and baby including increased health risks from gestational diabetes mellitus, caesarean section and stillbirth. Despite the increasing prevalence of high maternal body mass index little is known of the experiences of these women regarding nutrition information access and use during the antenatal period.

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