Issue 2: Topics covered: The effect of comprehensive lifestyle intervention or metformin on obesity in young women;Dietary factors influence ovarian cancer survival rates; Motivation and it relationship to weight loss; Interview: In conversation with Dr. Vimal Agarwal, Principal, Mittal College Nursing.

1. Issue 2: April, 2010
Communique
Message from the Chief Custodian The effect of comprehensive lifestyle
Your feedback sets the intervention or metformin on obesity
tone for Gyandeep. in young women
Thank you.
Abstract
Dear Gyandeep member,
We are pleased to welcome Background and aim
you all to the second issue Young women are at high risk of weight gain but few weight
of Gyandeep. Our first issue management interventions have been investigated in this group. This
was a great success, made study aimed to determine the effect of metformin on body weight, body
possible by all of you who composition, metabolic risk factors and reproductive hormone levels in
have taken up this programme with enthusiasm and overweight or obese young women compared to placebo and
commitment. Thank you. comprehensive lifestyle intervention.
The number of enrollments speaks for itself. Till date, Methods and results
we have over 700 Principals enrolled in our
203 overweight or obese young women (BMI 33.2+/−0.3 kg/m2,
programme. We look forward to having more of you
join us in the near future. age 28+/−0.3 years) were randomised to 1500 mg/day metformin
(M) plus general
We would also like to convey our appreciation on the lifestyle advice,
feedback we have received. This very positive response
placebo (P) plus
has enabled us to take on board your concerns and
general lifestyle
matters of interest to fine tune our programmme.
advice or
In fact, it was a member's feedback that influenced our comprehensive
decision to have a theme based communique’. Hence lifestyle intervention
this issue is based on a subject of marked significance
including structured
to you and the world at large: Nutrition.
diet, exercise and
A highly competitive work place and stressed out behavioural therapy
personal lives, all threaten work-life balance. Add to (L) for 12-weeks. At
this, bad and nutritionally inadequate eating habits 12-weeks, linear
and we have a nutritional disaster in the making. Thus mixed models
this feedback from one of our members to focus on
found that L group
nutrition is both timely and relevant. Please continue to
had greater weight loss (−4.2+/−0.4 kg) compared to
give us your feedback. It's invaluable.
M (−1.0+/−0.4 kg) and P groups (−0.2+/−0.3 kg) (P < 0.0001).
We would also like to direct your attention to our web Weight loss between M and P groups were not significantly different.
site: www.elsevier.co.in Attrition rate was 48% for L, 34% for M and 29% for P (P = 0.08).
Customised to suit the needs of the Indian medical Intention-to-treat analysis showed that 10% (8/79) of the subjects in P
professional, this website is user-friendly and offers group had gained weight (>3%), compared to 3% (2/65) from M
information on new releases categorized by subject group and none (0/59) from L group (P < 0.001). The L group had
and consults on a range of specializations, to name the greatest decrease in waist circumference (−5.2+/−0.7 cm) and
a few of the benefits available to you on our website. fat mass (−5.4+/−0.7 kg) compared to the other groups (P < 0.05).
We look forward to your continued feedback and No significant time-by-group effects were seen in plasma lipids, SHBG,
interaction with the Gyandeep programme. testosterone, blood pressure, serum folate, serum ferritin and serum
Yours sincerely, vitamin B12.
Conclusion: Lifestyle intervention was more effective
in reducing body weight and improving body
Ajit K Sharma composition compared to metformin among healthy,
Chief Custodian, Gyandeep overweight or obese young women.
Elsevier Health Sciences, India

2. Global Round Up: Science & Health News..
Dietary factors influence ovarian cancer survival rates
New Study Shows Relationship Between Healthy Eating and Prolonged Survival
there is a strong relationship between higher vegetable consumption alone
healthy eating and prolonged led to a survival advantage.
survival. Likewise, a statistically significant
The subjects included 351 women improvement in survival was observed
diagnosed with incident epithelial for the healthier grains. Higher
ovarian cancer who participated in a intakes of less-healthy meats were
previous case-control study. The associated with a survival time
original study collected demographic, disadvantage.
clinico-pathologic, and lifestyle- Writing in the article, Therese A.
related variables including diet. Each Dolecek, PhD, MS, “The study
subject completed a food frequency findings suggest that food patterns
questionnaire where they were asked three to five years prior to a diagnosis
to report their usual dietary intake of epithelial ovarian cancer have the
over the three to five years prior to potential to influence survival time.
St. Louis, MO, March 1, 2010 – their diagnosis. The pre-diagnosis food patterns
2009 estimates projected that in the To translate the diet estimates into a observed to afford a survival
United States alone 21,550 new meaningful way, the FFQ items were advantage after an epithelial ovarian
cases of ovarian cancer would be assigned to the major food groups cancer diagnosis reflect characteristics
diagnosed and 14,600 women would reflected in the Dietary Guidelines for commonly found in plant-based or
die of the disease. Often diagnosed low fat diets. These diets generally
Americans 2005 (DGA) including
in late stages, ovarian cancer has an contain high levels of constituents that
fruits, vegetables, grains, meats, dairy,
asymptomatic onset and a relatively would be expected to protect against
fats and oils, sweets, and alcohol.
low 5-year survival rate of about cancer and minimize ingestion of
Grains, meats, and dairy were further
45%. Consequently investigation known carcinogens found in foods.”
subdivided to “suggested” and
linked to survivorship is critical. A
“other” groups. The “suggested”
study published in the March 2010
issue of the Journal of the American subdivisions included healthier food Conclusion: The authors provide
Dietetic Association, is among the first choices, whereas the “other” new evidence that dietary factors,
to evaluate possible diet associations subdivisions contained less desirable particularly total fruit and
with ovarian cancer survival. selections. vegetable, red and processed
Researchers from the University of The authors found that higher total meat and milk intakes, may
Illinois at Chicago determined that fruit and vegetable consumption, and influence ovarian cancer survival...
Motivation and Its Relationship to Adherence to Self-monitoring and
Weight Loss in a 16-week Internet Behavioral Weight Loss Intervention
adherence to self-monitoring and increased initially and remained high
weight loss in a 16-week Internet for those who ultimately achieved a
behavioral weight-loss intervention. 5% weight loss, but declined over
Participants: Sixty-six women, ages time for participants who did not
22-65, with a body mass index (BMI) achieve a 5% weight loss.
between 25-40, and with a home Autonomous motivation at 4 weeks
computer and Internet access. was a predictor of adherence to self-
monitoring and 16-week weight loss.
Intervention: This data is from an Adherence mediated the relationship
Internet behavioral weight-loss between autonomous motivation and
program in which all participants weight loss.
received a face-to-face initial session
followed by the 16-week Internet
Conclusions and Implications
program.
These results suggest that
Abstract Analysis: Linear regression and autonomous motivation may be a
Objective: mediation analysis using the Baron promising intervention target for
To examine changes in motivation and Kenny method were conducted. promoting program procedure
and the relationship of motivation to Results: Autonomous motivation adherence and weight loss.

3. In conversation with... Recommended Reading
done after taking the students'
feedback. We conduct seminars
and conferences on important
subjects and also ensure that
students participate in quizzes,
presentations and role-plays. In
subjects like psychology, role-
play is extremely helpful as it
Dr. Vimal Agarwal, Principal,
makes for interactive learning.
Mittal College of Nursing, Q: What do you find is your biggest
Williams Basic Nutrition
Mittal Hospital & Research Centre, challenge as a Principal? And and Diet Therapy, 13th Ed.
Pushkar Road, Ajmer, Rajasthan what would be your most -Staci Nix
Rs. 750.00
Q: What is the vision statement of important goals?
your college? And how does it fit A: Towards the end of each
in with your personal educational academic year, the potential of
philosophy? each and every student is
A: Mittal College of Nursing is a brought to surface. This is done
premier institute of nursing to deal with the weaker students
education where we will develop and help them come at par with
an in-service education centre their classmates. We do this by
and also offer specialized short interactive teaching sessions.
term courses and PG courses, all
We conduct seminars, conferences
under one roof. Having a
on important subjects and also
hospital for a college of nursing Diet Management, 3rd Ed.
ensure that students participate in -Rekha Sharma
students is a boon. Practice
quiz, presentations and role-play. Rs. 195.00
maketh perfect is the theme. And In subjects like psychology, role-play
I believe that if the goal is clear, is extremely helpful as it makes for
we can achieve them. interactive learning.
Q: What do you see as the over-
riding role of a Principal in Q: Are there any recent articles,
helping students develop books, people or conferences
academic, personal and ethical
that have impacted your
values?
professional life?
A: Strict discipline is to be enforced
A: I have been conducting
among the students and teachers
workshops for burns and geriatric
and the head of the department
nursing for the last two years as it
has to be a role model. However,
is in demand. This is a national Handbook of Clinical
the principals also have to deal Nutrition, 4th Ed.
workshop assisted by Canadian -Douglas C. Heimburger &
with the students. So, we arrange
and International Geratolo Jamy D. Ard
a counseling session, wherein we Rs. 425.00
Association of India.
assess each student's potential,
so that we can invest extra time Q: What was the biggest
and effort for the weaker accomplishment/failure which
students. Also, we make each you would consider a stepping
senior student responsible for stone in your career?
looking after one student from A: My biggest accomplishment is
their junior batch, so that room that I could successfully complete
for ragging doesn't exist. my Ph D in 2½ years at the
Q: What are the important methods Rajasthan University while I was
and inputs that can help teachers on duty at the Govt. College of
impart excellence in education to Nursing in the year 1988.
their students? Q: Who is/are your role model(s)? Nutrition Essentials
and Diet Therapy, 11th Ed.
A: Every new teacher is asked to A: My Principal, Dr. T.H.A Khan of -Peckenpaugh
take a demo class. Recruitment is Govt. College of Nursing, $ 59.95

4. Hyderabad – A.P She was then
. at PGMER, Chandigarh and as with them in their language.
principal of the college. senior lecturer at SNDT Women's By motivating them, we help
Q: What are your plans for the University and L T College of them tremendously and they
college in the next 5 - 10 years? Nursing. Thereafter I served as overcome all impediments.
senior lecturer and Principal at Q: Would you consider yourself a
A: We are going to start the PG Govt. College of Nursing Jaipur,
Programme. This college will be mentor and friend or do you
Rajasthan. Further on, I was believe in keeping a certain
conducting short term courses for appointed Dean of Nursing at
nurses in collaboration with distance between yourself and
Vinayaka Mission's Annapurna your students?
T.N.A.I and I.N.C. College of Nursing, Salem and
Q: Could you tell us a little bit about later as Principal in Christian A: I do keep a distance but they
yourself? Your academic College, Neyoor (Tamil Nadu). are most welcome to talk to me.
highlights? Your personal At times I am a mentor yet other
I believe in creating and
philosophy vis-à-vis educating times, I am their friend.
nurturing a relationship with all
the young? our students. Young students
A: I graduated from the College of enter college with a lot of Gyandeep enjoys a wide network.
nursing, Osmania University at aspirations and it is our duty to If Gyandeep can help I would like
Hyderabad, in 1965. I did my help them realize their goals. to develop a developmental
master's in Nursing from R A K, Many of them have language Programme for teachers for the
Delhi. I have worked as lecturer problems, so we communicate whole country.
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