Health Professional Advisors Conference Call

March 26, 2013

Today’s Agenda

I. Welcome & Agenda Overview

II. Introductions

III. ENC 2013 Programs

IV. Research News

V. HPA Program Updates

VI. Discussion Topics

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ENC Team

Anna Shlachter, MS, RDProgram Manager, Nutrition, Research & Communications

Don Layman, PhDResearch Director

Mitch Kanter, PhDExecutive Director

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Introductions: 2013 HPA Panel

Neva Cochran, MS, RD, LD

Dixie Harms, DNP, ARNP, FNP-C, BC-ADM, FAANP

Kathleen M. Zelman, MPH, RD, LD

Chris Barry, MMSc, PA-C

Serena Ball, MS, RD

Karen Buch, RD

Amy Campbell, MS, RD, CDE

Mary Donkersloot, RDDave Ellis, RD, CSCS

Araceli Vazquez, MS, RDJason Karp, PhD

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2013 Programs

ENC is a credible source of nutrition and health science information and the acknowledged leader in research and

education related to eggs

ENC Mission

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Alliances and Partnerships• Joslin Diabetes Center• American Nurse Practitioner

Foundation• Mediterranean Alliance• Healthy Plate Program

‒ Produce for Better Health Foundation/Fruits and Veggies More Matters

• MyPlate Health Professional Working Group

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Nutrition Close-Up• Next Issue: April 2013• Content:

— Heather Leidy, PhD: Latest research on satiety— Jason Karp, PhD: Nutrition needs for running performance— Dixie Harms DNP: Cholesterol, recap of AANP conference

presentation

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Health Professional Presentations

• American College of Sports Medicine Health & Fitness Summit (March 12-15)‒ Protein: The Key to Fitness, Performance and Weight

Management ‒ Presented by Don Layman, PhD‒ Nearly 500 fitness professional attendees at two presentations;

reached more than half of all attendees

• Webinar partnership with Advance for NPs and PAs (April)‒ Dietary Patterns for Cardiometabolic Health: Unscrambling the

Guidance‒ David Katz, MD, MPH, FACPM, FACP

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Health Professional Presentations Cont’d

• American Academy of Physician Assistants Conference Breakfast (May)‒ Speaker/Topic TBD

• American Academy of Nurse Practitioners (June)— Sarcopenia: Latest Updates in Nutrition and Metabolism

Research and Practical Applications for Patient Care— Doug Paddon-Jones, PHD and Barbara Resnick, PhD, RN,

CRNP, FAAN, FAANP

• Weight Management Cross-DPG Breakfast at FNCE (October)‒ Also inviting members from Diabetes Care & Education,

Women’s Health and Healthy Aging‒ Speaker/Topic TBD

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Upcoming:• Kathleen Zelman, MPH, RD, LD – South Carolina Dietetic

Association• Mary Donkersloot, RD – Physician’s Lunch in LA

Past Presentations:• Neva Cochran, MS, RD, LD – Mississippi Dietetic

Association• Mary Donkersloot, RD – Pacific Egg and Poultry Association• Dixie Harms, DNP, ARNP, FNP-C, BC-ADM, FAANP –

American Association of Nurse Practitioners

HPA Opportunistic Presentations

Group 2013 Dates/Locations

American College of Sports Medicine Health and Fitness Summit

Tuesday, March 12th-Friday, March 15th Las Vegas, NV

Collegiate & Professional Sports Dietitians Association

Monday, May 20th-Thursday, May 23rd St Louis, MO

American Academy of Physician Assistants Saturday, May 25th-Thursday, May 30th

Washington, DC

American Academy of Nurse Practitioners Wednesday, June 19th-Sunday, June 23rdLas Vegas, NV

Academy of Nutrition and Dietetics Saturday, October 19th-Tuesday, October 22nd Houston TX

ENC 2013 Exhibit Schedule

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EggNutritionCenter.org

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Research News

2013 2014

Apr Jul OctJan Apr Jul OctJan

2015

Apr Jul OctJan

ENC Funded Research:Projected Completion Dates

CampbellProt n Ex on musclefat and inflammationDec 2013

EvansEggs, prot n Ex Post-menopauseOct 2013

GowerEgg breakfast andmetabolic flexibilityJan 2014

JohnsonEggs and cognitivefunction in agingApril 2014

KanaleyEggs glycemicControl in T2DApr 2013

KralEggs v cerealsatiety in childrenDec 2013

VolekCarb v SFA onBiomarkers of CVDMay 2013

FernandezEgg effects on postpran glucose in diabetes Dec 2013

ZeiselEgg Ingest Incre Plasma TMAO Activates LDL OxidationJune 2013

Feng/WilkeEgg cholesterol limits statin \toxicityJune 2013

WangProdu of food grade egg lecithin using “green techn”Aug 2013

McKay 2egg/d cognitive fxn older adult Apr 2014

Bonnema (F)Satiety of pro/fiberL combo egg whole grain on appetite/intakeDec 2014

SchalinskeT2D, Vascular Dz Eggs Mar 2014

Baum Egg bkfst energy, intake, glycemic rsp childrenOct 2014

McCroryEgg Intake w/ w/o fiber neural activity appetite glycemic/lipemic cntrlMay 2015

Mott (F)Egg Consumption on Adolescent health over 10 yr cntrlDec 2015

LeidyEffects of incr protein at brfst alone or combo w/ lunch, in adolescent April 2014

Wolfe/FerrandoPro Int Distribut Pro Metab/Skeletal Musc Mar 2015

JohnsonChol Meta-analysisDec 2013

Wei (F)Health educationFor egg use in lowIncome womenJul 2014 KEY: Active Pending

Jacques- Cholesterol Meta-analysis Dec 2013

Klein Exercise Training/type 2 DM high pro/low cho or ADA/AHAJan 2015

Nicklas Unscrambling the Research Egg, Healthy Lifestyle and Health Outcomes

KernBreakfast eggs and Exon b comp and cholesterol

2013 2014

JulJan JulJan

2015

JulJan

ENC Funded Research(*Potential* Publication Completed Projects)

Kanarek Acute and prolonged effects of eggs on cognition

NicolosiEffect 2-eggs/d on prog of dry AMD in older individuals also Cholesterol; results

Kholsa The role of eggs in long-term weight control and their impact on cardiovascular disease risk in young adults

Leidy The beneficial effects of a protein-rich breakfast on appetite control and cognition in overweight and obese adolescents

Katz Effects of Egg Ingestion on Endothelial Function in Adults with CAD

Layman The Importance of High Quality Protein at Breakfast

West/Caudill The Influence of Choline Intake on Lipids

Dhurandhar Is the increased satiety after egg breakfast due to superior quality of egg proteins?

Garlick Eggs Enhance Protein Quality at Breakfast to Optimize Protein Turnover and Energy Status of Skeletal Muscle

Allen Assessment of vitamin B12 bioavailability from eggs

Key:Cholesterol/CVDProtein/SatietyNutrient Density

Moore Effects of animal and plant proteins and their foods sources on selected cardiometabolic risks factors in adults

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Research Preview: Experimental Biology

Mini-Symposia• Effects of egg ingestion on endothelial function in adults with

coronary artery disease: a randomized, controlled, crossover trial

‒ D.L. Katz, Y. Ma, Y. Kavak and V. Njike (Yale Univ. Prevent. Res. Ctr.)

• Daily addition of a protein-rich breakfast for long-term improvements in energy intake regulation and body weight management in overweight and obese ‘breakfast skipping’ young people.

‒ H.J. Leidy, H.A. Hoertel, S.M. Douglas and R.S. Shafer (Univ. of Missouri-Columbia)

• The effect of eggs on satiety in children and adolescents. ‒ A. Liu, R.S. Puyau, H. Han, W.D. Johnson, F.L. Greenway and N.V.

Dhurandhar (Pennington Biomed. Res. Ctr.)

Research Preview: Experimental Biology

Posters• Differing effects of statistical approaches to assess the relationship between

egg consumption patterns and adiposity using data from 2001-2008 NHANES. ‒ T.A. Nicklas, C.E. O’neil and V.L Fulgoni III (Baylor Col. of Med., LSU Ag Ctr. and Nutr.

Impact LLC)• Profiles from assessment of amount, source, and cost of egg consumption by

low-income women inform nutrition education intervention planning. ‒ C.H. Wei and B. Lohse (Penn State)

• The consumption of 12 eggs per week for 1 year significantly raises serum zeaxanthin levels with slight changes in macular pigment optical density and glare recovery in patients with early age-related macular degeneration.

‒ H. Aljohi, E. Kotyla and T.A. Wilson (Univ. of Massachusetts)• Increases in plasma lutein and zeaxanthin by egg intake is associated with

the formation of larger HDL particles in participants with metabolic syndrome.

‒ C.N. Blesso, C.J. Andersen, B. Bolling and M.L. Fernandez (Wake Forest Univ. and Univ. of Connecticut)

Breaking Protein Research

Beneficial effects of a higher-protein breakfast on the appetitive, hormonal, and neural signals controlling energy intake regulation in overweight/obese “breakfast-skipping” late-adolescent girls.

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Heather Leidy, PhDAssistant ProfessorNutrition & Exercise PhysiologyUniversity of Missouri

A) Perceived Hunger

B) Perceived Fullness

A) Perceived Desire to Eat

B) Prospective Food Consumption

A) Hunger-stimulating Hormone Ghrelin

B) Satiety-stimulating Hormone PYY

A) Activation BS > NP and HP Breakfast B) Activation NP > HP

Brain regions displaying differential activation prior to dinner in response to food vs. non-food stimuli

Brain Regions

Talairach Coordinates

tCluster extent

(voxels)X Y Z

Breakfast Skipping > Both Breakfast Meals

a) Amygdala -28 -5 -18 3.39 15

b) Hippocampus -31 -11 -12 3.95 25

c) Middle Frontal Gyrus -25 -8 42 3.71 30

Normal Protein > High Protein Breakfast

d) Hippocampus -19 -17 -18 2.91 10

e) Parahippocampus -28 -17 -30 3.47 140

HPA Program Updates

HPA Survey FeedbackMain findings:

• Majority of HPAs felt compensation to be fair for current workload

ENC Response: Raised compensation for 2013 term

• Many HPAs found the quarterly activity report cumbersome

ENC Response: Include time for personal introductions/updates on calls; communicate more frequently through Google Groups

• Majority of HPAs liked the concept of using Google Groups for updates

ENC Response: Continue using Google Groups

• Many supported ENC’s development of tools/resources and funding research; would like more meal plans, one-page fact sheets and egg images

ENC Response: Develop new HPA Resource Center to house resources, including an image bank and starter presentations

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HPA Google Group• Two ways to use:

1. Email enc-health-professional-advisors@googlegroups.com

2. Log into Google Group online and create “New Topic” – sends email to all HPAs

Great use of Google

Group!

• Feel free to share:— Articles— Research— Resources/PDFs— Conference info— Professional updates

• Reach out to Sam with any questions or issues

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Coming Soon: HPA Resource Center

• Password-protected portal on ENC.org

• Go-to resources for HPAs in one place— Past HPA call decks— Fellow HPA presentations— Fact sheets— Latest materials— Key messages

• Will include new starter presentations that you can pull from and build upon for any presentations

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Discussion

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Thoughts

Comments

Feedback

How can ENC be more effective in reaching your colleagues?

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Topics of

Interest

Relevant

Practice

Areas

Needed

Resources

Preferred

Formats

What would you like to see the HPA program do in 2013?

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Topics to

Address

New Tools

Award Progra

ms

Research

Do you envision an opportunity for ENC at any meetings you’re

attending in 2013?

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Presentati

onsNetworkin

g

Partnerships

Questions

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