Publications by authors named "Sophia Torkel"

Background: The time before conception is an important opportunity to improve maternal lifestyle, and hence improve fertility and health. However, the components of effective preconception lifestyle interventions are unclear.

Objective And Rationale: This review aimed to assess the association of intervention characteristics and behaviour change techniques with the effect of lifestyle interventions on fertility, obstetric, foetal, anthropometric, and metabolic outcomes in women planning a pregnancy.

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Introduction: Cardiometabolic pregnancy complications increase future cardiometabolic disease risk. Accurate risk perception plays a central role in adopting risk-reducing lifestyle and health-related behaviors, such as healthy eating, physical activity, and weight management. This review aimed to explore high-risk pregnant and postpartum women's perception of their risk of developing cardiometabolic pregnancy complications or future cardiometabolic disease.

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Commercial foods for infants and young children are prominent on supermarket shelves in Australia, with parents commonly believing they are a healthy choice, yet evidence shows many commercial foods are nutrient-poor. The aim of this study was to examine the nature and extent of promotions for commercial infant and toddler foods in Australian supermarket catalogues. Digital catalogues from four leading Australian supermarket chains were collected and content analysed over 12 weeks from August to October 2023 (n = 60 catalogues with 2206 pages).

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Background: While there is a recognised role of lifestyle (diet and physical activity) in management of infertility, there is limited research exploring the perspectives of people with infertility in relation to lifestyle management. The aim of this study was to understand the barriers and enablers affecting uptake of lifestyle intervention in people with infertility who were using or seeking fertility treatment.

Methods: A qualitative descriptive study was performed.

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Article Synopsis
  • - Polycystic ovary syndrome (PCOS) affects 10-13% of women of reproductive age, and lifestyle changes can enhance various health outcomes; this review explores barriers and facilitators to those changes as seen by patients and healthcare professionals.
  • - The research analyzed 68 studies and found that healthcare professional education on managing PCOS through lifestyle changes is lacking, which negatively affects patient care, while a multidisciplinary approach, including dietitians, is vital for effective intervention.
  • - A focus on personalized and PCOS-specific lifestyle advice is necessary, as many people felt existing guidance was overly centered on weight loss and fertility. Overall, improving HCP training and promoting individualized care can lead to better health outcomes for individuals with
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Objective: Global public health agencies have recommended stronger regulation of food marketing to protect children's diets. This study assessed commercial foods for infants and toddlers available in Australian supermarkets for compliance with the World Health Organization (WHO) Regional Office for Europe's Nutrient and Promotion Profile Model: supporting appropriate promotion of food products for infants and young children 6-36 months in the WHO European Region (NPPM).

Design: Dietitians assessed a sample of commercial foods for infants and toddlers against the composition, labelling and promotion requirements of the NPPM.

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Background: While there is a recognized role of optimizing lifestyle (diet and physical activity) behaviours in the management of infertility, the best practice remains unknown and factors influencing the lifestyle of people with infertility are not well understood.

Objective And Rationale: This systematic review evaluated barriers and enablers to a healthy lifestyle in people with infertility, from the perspectives of people with infertility and health professionals, in order to inform optimal behavioural change strategies.

Search Methods: Ovid MEDLINE(R), PsycINFO, EMBASE, EBM Reviews, and CINAHL were searched from inception to 28 August 2023.

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Background: Preconception diet is a proposed modifiable risk factor for infertility. However, there is no official guidance for women in the preconception period as to which dietary approaches may improve fertility.

Objective And Rationale: A comprehensive synthesis of the relevant evidence is key to determine the potentially effective dietary patterns and components as well as evidence gaps, and to provide information for nutritional recommendations for couples planning a pregnancy.

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There are conflicting results on the effect of diet on fertility. This study aimed to assess the effect of different dietary patterns on fertility outcomes in populations who conceive spontaneously and those requiring assisted reproductive technology (ART). A systematic search and meta-analysis were performed for studies investigating dietary patterns or whole diets in reproductive aged women requiring ART or conceived naturally.

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Article Synopsis
  • Australian children's diets feature a high quantity of discretionary foods, especially in their lunch boxes, with packaged snacks marketed to both kids and their parents.
  • A study analyzed 135 packaged school snacks for nutritional value and marketing tactics, finding an average Health Star Rating (HSR) of just 2.2%, with 79% rated below the healthy threshold of 3.5.
  • Policy changes to restrict marketing on unhealthy foods could significantly reduce both child-directed and parent-directed marketing, aiding parents in making healthier choices and addressing children’s excessive intake of unhealthy snacks at school.
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Aims: This retrospective audit was conducted to investigate the association between outcome and protein-energy malnutrition diagnosed using Subjective Global Assessment (SGA), to evaluate the predictive validity of Subjective Global Assessment in adults admitted to intensive care.

Methods: The audit analysed the medical records of 1034 consecutive adult patients who had nutrition assessment on admission to the intensive care unit between January 2017 and July 2018. Extracted data included patient demographics, nutritional status, outcomes, and Acute Physiology and Chronic Health Evaluation II score.

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