Jasna Twynstra

Dr. Jasna Twynstra


Research Focus & Metrics

Academic Career Length

15Years (2012-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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24 April 2025 in Nutrients
Verified
Journal Article
Open access
Jamie SeabrookJamie Seabrook
Jamie Seabrook
AAAbolfazl Avan
Abolfazl Avan
COColleen O’cOnnor
Colleen O’cOnnor
HPHarry Prapavessis
Harry Prapavessis
LNLindsay S Nagamatsu
Lindsay S Nagamatsu
VHVladimir Hachinski
Vladimir Hachinski
Diet has a profound impact on brain health, particularly in middle-aged and older adults, who are at increased risk of cognitive decline and neurodegenerative diseases. Various dietary patterns, including the Mediterranean diet (MedDiet), Dietary Approaches to Stop Hypertension (DASH), and Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diets, have been linked to improved cognitive function. While the relative effectiveness of these diets on brain health is generally supported by evidence, variability in study results suggests that further research is needed to fully understand their effects across diverse populations. The objective of this descriptive narrative review is to examine the role of dietary patterns in supporting brain health in aging populations and to propose practical dietary strategies for promoting cognitive well-being. A comprehensive review of the existing literature was conducted on PubMed in October 2024, with no restrictions on language, publication date (1966–2024), or geographic location. A total of 18 articles were included in this review, covering the years 2013–2023. Studies assessing the impact of the MedDiet, DASH, MIND, and Western diets on cognitive function in middle-aged and older adults were prioritized. The research findings were synthesized to identify common and unique recommendations across these dietary patterns. The MedDiet consistently showed beneficial effects on cognitive health, including improved memory, processing speed, and long-term protection against neurodegenerative conditions. The DASH and MIND diets demonstrated potential benefits, particularly for specific cognitive domains, but the results were more mixed and inconclusive. In contrast, adherence to a Western diet was associated with negative cognitive outcomes, including cognitive decline and smaller brain volumes. These findings underscore the importance of adopting healthy dietary patterns as a modifiable lifestyle factor to support cognitive aging and inform future public health strategies and clinical guidelines.

1 September 2012 in Microvascular Research
Verified
Journal Article
Closed access
JTJasna Twynstra
Jasna Twynstra
PMPhilip J. Medeiros
Philip J. Medeiros
JLJames C. Lacefield
James C. Lacefield
DJDwayne N. Jackson
Dwayne N. Jackson
JSJ. Kevin Shoemaker
J. Kevin Shoemaker

24 April 2026 in Healthcare
Verified
Journal Article
Open access
PDF file
LALujayn Altahan
Lujayn Altahan
JTJasna Twynstra
Jasna Twynstra
Jamie SeabrookJamie Seabrook
Jamie Seabrook
MMMichelle F. Mottola
Michelle F. Mottola
Objectives: The objectives of this review are to explore the effects of various nutrition and exercise lifestyle interventions on pregnancy outcomes in individuals with, or at risk of, gestational diabetes mellitus (GDM), as well as to examine whether interventions that are culturally and/or religiously sensitive influence clinical and behavioural outcomes. Methods: This study was conducted as a narrative review. PRISMA was used solely as a reporting guide to enhance transparency in the search and study selection process. PubMed/MEDLINE, CINAHL, and Scopus were searched for studies published up to November 2025. Intervention-based studies evaluating nutrition, physical activity, or combined lifestyle interventions targeting either GDM incidence, insulin use, or glycemic outcomes were included. Forty-three studies met eligibility criteria. Study designs consisted primarily of randomized controlled trials (RCTs) with one case–control and one quasi-experimental design trial. Results: Combined lifestyle interventions generally showed the most consistent improvements in glycemic control; however, findings were not uniform across all studies, and reporting on insulin outcomes was limited. The Mediterranean, low-glycemic index (LGI) and DASH diets, along with supervised, prenatal exercise programs with low–moderate intensity, delivered at least three times per week, were effective in managing GDM. Regarding culturally or religiously sensitive interventions, only one study was identified. Conclusions: Lifestyle interventions may improve glycemic outcomes in GDM; however, further high-quality research is needed, particularly studies incorporating culturally and religiously sensitive approaches and improved reporting of insulin-related outcomes.

5 August 2024 in Journal of Midwifery & Women's Health
Verified
Journal Article
Open access
JBJordyn Butler
Jordyn Butler
YSYvana Sawaya
Yvana Sawaya
JSJamie A. Seabrook
Jamie A. Seabrook
JMJanet Madill
Janet Madill
JTJasna Twynstra
Jasna Twynstra
Introduction: Midwives are primary prenatal care providers well‐positioned to offer nutrition advice to pregnant individuals; however, no Canadian study has assessed midwives’ experience with nutrition education. The objective of this study was to investigate Canadian midwives’ experiences with nutrition in their practice, their level of nutrition education, and their recommendations on select nutrition topics.Methods: This cross‐sectional study used an anonymous online survey consisting of 4 sections: demographics, opinions on the importance of nutrition, nutrition recommendations for pregnancy, and nutrition topics that midwives would like more information on. Responses were recorded using Likert‐type scales, multiple choice, or open‐ended questions. Eligible participants, registered Canadian midwives, were recruited through advertisements in e‐newsletters via national and provincial midwifery associations, social media posts, and emails to midwifery clinics. An independent samples t test compared differences in means for continuous outcomes, the χ2 test compared categorical variables, and the Mann‐Whitney U test compared ordinal variables. A P < .05 was considered statistically significant.Results: In total, 161 midwives completed the online survey. Most midwives (92.5%) indicated that nutrition for pregnancy was important, and 83.2% believed their role in providing nutrition information to pregnant women was important. Almost two‐thirds (63.8%) of midwives received nutrition education. Comfort levels were highest (median = 4) when providing nutrition advice on healthy eating, weight gain, Listeria, anemia, heartburn, safe food handling, nutrition for breastfeeding, and weight gain for women with obesity. Almost all the midwives (99.4%) had provided nutrition information to pregnant women, and 85.2% of their recommendations aligned with Canadian guidelines and literature.Discussion: Canadian midwives valued the importance of nutrition during pregnancy and their role in providing nutrition information to pregnant women. The level of comfort in advising on nutrition ranged from uncomfortable to very comfortable depending on the topic, and most (85.2%) of their advice aligned with Canadian guidelines and relevant literature.

7 July 2026 in Nutrients
Verified
Journal Article
Open access
PDF file
RARawan Alfares
Rawan Alfares
JTJasna Twynstra
Jasna Twynstra
JGJason Andrew Gilliland
Jason Andrew Gilliland
Jamie SeabrookJamie Seabrook
Jamie Seabrook
Background/Objectives: Diet quality among university students is influenced by multiple behavioural and lifestyle factors, yet limited research has examined how cannabis use relates to overall diet quality within this population. This study examined the association between cannabis use and diet quality among university students and assessed whether this relationship was explained by behavioural, contextual, and psychological factors. Methods: A cross-sectional online survey was distributed to all registered students at a large Canadian university in January 2026. Diet quality was assessed using the Canadian Food Intake Screener (CFIS), and past 30-day cannabis use was examined as the primary exposure. Hierarchical multiple linear regression models were conducted sequentially, adjusting for demographic characteristics, health behaviours, mental health variables, living arrangements, meal skipping, and other substance use. Results: Among 1581 survey respondents, 1467 participants were included in the fully adjusted regression analyses. Past 30-day cannabis use was reported by 33.7% of participants. In demographic-adjusted analyses, cannabis use was associated with lower diet quality scores (B = −0.81, p < 0.01). This association remained statistically significant following adjustment for health behaviours, mental health variables, and living arrangements. However, after adjustment for meal skipping, the association between cannabis use and diet quality was attenuated and no longer statistically significant (B = −0.44, p = 0.09). Meal skipping emerged as one of the strongest behavioural correlates of lower diet quality. Additional adjustment for other substance use did not materially alter findings. Conclusions: Cannabis use was initially associated with lower diet quality among university students; however, this association was attenuated after accounting for broader behavioural factors, particularly meal skipping. Given the cross-sectional design, these findings do not establish whether cannabis use influences dietary behaviours or whether meal skipping represents a pathway linking cannabis use and diet quality. These findings highlight the importance of considering diet quality within a broader behavioural framework and suggest that eating patterns represent an important correlate of diet quality among university students.