Heart Failure

Cardiovascular Clinical Consult

Adult Immunization

Hepatic Disease 

Behcet’s Disease

Rare Disorders

Pediatric Immunization

Implementing The Topcon Ocular Telehealth Platform

Weight Management

Screening

Monkeypox

Guidelines

Men's Health

Panic Disorder  

Anxiety

Eating Disorders

Depression

Substance-related Disorders

ADHD

Psychiatry 

Seasonal Allergies

Allergy

Nutrition 

Pregnancy and Birth

Women's Health

Atrial Fibrillation

Cholesterol Disorders

Cardiovascular Disease

Hypertension

Cardiology

Substance Use

Child/Adolescent

Pediatrics

Kidney Disease

Genetics

Medical Cannabis

Complimentary & Alternative Medicine

Skin Diseases

Dermatology

Thyroid Disorders 

Diabetes

Diabetes Type 2

Insulin

Endocrinology 

Oral Medicine 

Otorhinolaryngologic Diseases

Fibromyalgia

Pain

Irritable Bowel Syndrome 

Inflammatory Bowel Disease

Gastrointestinal Disorders

Geriatrics

Coronavirus

Hepatitis C

Cold, Cough, and Flu

Bacterial Conjunctivitis

Immunization

Influenza

HIV AIDS

Sexually Transmitted Diseases

Infection

Osteoporosis

Imaging 

Musculoskeletal Disorders  

Obesity

Rheumatoid Arthritis

Arthritis

Gout

Rheumatology

Technology

Colorectal Cancer

Kidney Cancer

Lung Cancer

Melanoma

Skin cancer

Prostate Cancer

Breast Cancer

Cervical Cancer

Cancer

Nephrology

Anemia

Dementia

Epilepsy

Cerebrovascular Diseases

Headache and Migraine

Parkinson Disease

Alzheimer disease

Stroke

Mental Health

Headache

Migraine

Nervous System Diseases

Sleep Disorders

Neurology

Asthma

Cystic Fibrosis

COPD

Pneumonia

Respiratory Diseases

Pulmonology

News

All News

Office Procedures

Practice Management

Media

Around the Practice

Between the Lines

ConsultantLive

Expert Interviews

Institutional Insights

Medical World News

Podcasts

Primary View

Provider Toolkits

Readout360

Conferences

Conference Coverage

Conference Listing

Resources

Image IQ

Interactive Posters

Polls

Publications

Quizzes

Subscribe

CE/CME

Advertise

Contact Us

Terms and Conditions

Privacy

Do Not Sell My Information

Patient Care Online

Facebook

LinkedIn

Clinical Focus

Allergy & Immunology

Endocrinology

Gastroenterology

Infectious Disease

Men’s Health

Pain Management

Psychiatry

Women’s Health

Business Focus

Billing and Collections

Career Planning

Coding and Documentation

Concierge Medicine

Cybersecurity

EHRs

Investing

Patient Relations

Personal Finance

Remote Patient Monitoring

Staffing

Telehealth

Value-based Care

Spotlight

Unmet Needs in Managing MDD

Interpreting Thyroid Function Tests

Using Thyroid Lab Tests

Testing & Screening to Optimize Men's Health

1rem

Clinical Topics

Topics

Articles

Adding oral vitamin D supplements to standard asthma medications can get it done.

Ease Severe Asthma Attacks With Vitamin D

The use of vitamin D decreases pain in women who have type 2 diabetes mellitus and depression, according to a recent study, and more research is in the works.

Vitamin D Lessens Pain in Women With Diabetes, Depression

, obesity medicine specialist Alina Elperin, MD, discusses preventive cardiology and obesity, including 2 cardiovascular disease risk factors to screen patients with obesity for, the top 3 cardiovascular complications seen in patients with obesity, the importance of checking a patients' current medication list, and how clinicians can start a conversation around nutrition plans with their patients. 

Dr Elperin is an internist and a Clinical Assistant Professor at the University of Chicago Pritzker School of Medicine. 

 podcast features informative conversations with health care experts, opinion leaders, and practicing physicians, about what impacts primary care medicine today. 

 to subscribe on your favorite streaming service.

Listen to our latest podcast episode for details on top CVD risk factors to screen patients with obesity for, medications to help prevent CVD, and more.

Navigating Cardiovascular Complications of Obesity: Expert Insights for Primary Care

More participants consuming either of 2 common IBS dietary regimens experienced significant and sustained symptom relief vs those given pharmacotherapy.  

Food vs Medicine for IBS: Dietary Measures First, New Study Suggests

Your daily dose of the clinical news you may have missed.

Daily Dose: Vegan Diet Linked to Better Cardiovascular Health

Twins randomly assigned to a plant-based diet had significant decreases in LDL-C concentration, fasting insulin levels, and body weight. 

Vegan Diet Linked to Better Cardiovascular Health in New Study of Identical Twins

Individuals assessed for GDM whose time above target level was greater than 10% by CGM measure had a 63% increased risk of poor newborn outcomes.  

Maternal Time Above Target Glucose Range as Measured by CGM Linked to Adverse Neonatal Outcomes 

A daily dose of clinical news on Patient Care you may have missed. 

Daily Dose: AAP's 12 Tips to Prep Children for Back-to-School Season

SuperWIN, the Supermarket and Web-based Intervention Targeting Nutrition clicnial trial, found that dietary and nutrition counseling provided  to primary care patients in the aisles of local supermarkets improves overall quality of food choices, measured here as improvement in participants' DASH (Dietary Approaches to Stop Hypertension) score. 

The model, which could eventually be scaled to meet diverse community needs,  is essential to investigate given that the 75% of Americans across socioeconimc strata live with poor dietary quality, according to coprincipal investigator cardiologist Dylan Steen, MD, MS, director of clinical trials and population health research at the University of Cincinnati Heart, Lung & Vascular Institute. The problem, he added during an interview with Patient Care Online, is "rampant" and drives an overwhelming amount of global morbidity and mortality.     

The study, a collaboration with Kroger supermarkets, tapped the expertise of Kroger store-based dietitians who reviewed individual participant's food purchase data and provided guided tours of store aisles while providing nutrition education. Some participants also recieved initiation to online grocery shopping apps designed to build nutritional awareness. 

Dr Steen describes the population, the intervention, and the promising results in this short video. 

 is adjunct associate professor, director of clinical trials and population heatlth research at the University of Cincinnati Heart, Lung & Vascular Institute, University of Cincinnati College of Medicine.

The following transcript has been lightly edited for clarity and style. 

 I'm Grace Halsey, senior editor of patient care online. And I'm speaking today with cardiologist Dr Dylan Steen about findings from a first of its kind study that he just led called the Supermarket and Web-based Intervention Targeting Nutrition, or SuperWIN, study. He just presented the results at the American College of Cardiology 2022 Scientific Sessions. 

. Thank you so much. And I'm lucky to be here. I have  wonderful co-principal investigator named Dr. Sarah Couch who is a nutrition expert and then a whole team of other co-investigators with specialties in different areas. And our Cincinnati Children's Hospital is also involved along with UC, so a wonderful team, but I'm happy to represent them

SUPERWin was a start. Would you tell us about the study?

. We worked with the Kroger Company. For those of you who may not know, Kroger is the nation's largest supermarket chain, with over 2200 retail spaces, and then over 225 retail clinics. 

was poor dietary intake, 1) because Kroger has a full food inventory and 2) because 75% of Americans have what is classified as poor dietary quality. It is rampant whether you're high or low socioeconomic status, there's a huge prevalence of poor dietary intake. We designed was a randomized controlled trial, because we wanted to really understand causality of these new and novel interventions that we were going to study. Did they work? How well did they work? How long did the effects last, etc. So it was sort of low hanging fruit--the obvious first thing to go after.

We brought participants who were members of UC Health at the University of Cincinnati Health primary care network. We invited them to participate in this trial. The participants were all adults. They had to shop at one of our Kroger's market locations. We have a variety here in Ohio and Kentucky. Participants had at least one cardiovascular risk factor eg, obesity, hypertension, high cholesterol. They had to be the primary shopper or meal planner in the household. They were not however, online shoppers before they came into the study. These are people who like to go into the store. And then they had to be willing to follow the DASH diet dash. I'm talking to a primary care community. You all know this well, but it's one of the most evidence-based diets and very similar to the Mediterranean diet. But we have a very hard time getting the public to adhere to it in even a modest amount.

 One arm was the Control group and they received a  medical nutrition therapy (MNT) visit, so, standard of care. Now we enhanced it to our standard of care which was much better than what is delivered in traditional medical settings and most of that is because of the store infrastructure and the different things we had in this study.

Coprincipal investigator Steen highlights the first-of-its kind study and the findings—local in-store dietitian counseling/feedback, nutrition education, and online shopping savvy improve food choices, health metrics.   

SuperWIN Trial of Retail-based Dietary Interventions Wins on Many Levels: Dylan Steen, MD, Explains

Nutrition

Latest News

More News