The aims of this study were to: (1) determine whether replacement of cow’s milk protein with soy resolves Chronic Functional Constipation (CFC); and (2) investigate the effects of cow’s milk β casein A1 and cow’s milk β casein A2 on CFC. Children diagnosed with CFC were recruited to one of two crossover trials: Trial 1 compared the effects of cow’s milk and soy milk; Trial 2 compared the effects of cow’s milk β casein A1 and cow’s milk β casein A2. Resolution of constipation was defined as greater than eight bowel motions during a two week intervention. Thirteen children (18 to 144 months) participated in Trial 1 (6 boys, 7 girls). Nine participants who completed the soy epoch all experienced resolution (p < 0.05). Thirty-nine children (21 to 144 months) participated in Trial 2 (25 boys, 14 girls). Resolution of constipation was highest during the washout epoch, 81%; followed by cow’s milk β casein A2, 79%; and cow’s milk β casein A1, 57%; however, the proportions did not differ statistically. The results of Trial 1 demonstrate an association between CFC and cow’s milk consumption but Trial 2 failed to show an effect from type of casein. Some other component in cow’s milk common to both A1 and A2 milk may be causing a problem in these susceptible children.
Student dietitians are often very interested in developing skills in the assessment and management of clients with eating disorders. This may be difficult; clients often decline student participation in their care due to the sensitive nature of their condition. Nourishing Networks, a self-directed health professional learning program, was developed to enhance clinician knowledge and management skills for individuals with disordered eating and assist with the formation of local networks of support. This program was adapted and piloted for dietetic students attending placement at the University of Newcastle Department of Rural Health Tamworth. The aim of the program was to enhance the students', knowledge and skills in the management of eating disorders. Students were offered the opportunity to participate in the 10 week program. Results showed all students furthered their knowledge, skills and attitudes towards eating disorders and were better able to determine appropriate treatment plans. This program allowed students to gain tools for working with clients that they would not otherwise be exposed to in their undergraduate degree and associated placements. Future plans include the presentation of an Eating Disorder Interprofessional Learning Module for nursing, medical and allied health students and subsequently offering this 10 week program to these students.