Dr Tracy Schumacher
Senior Lecturer
University Newcastle Department of Rural Health
- Email:tracy.schumacher@newcastle.edu.au
- Phone:(02) 49216259
Making healthy food choices easier
Nutrition researcher Tracy Schumacher is working to help Australians across NSW adopt lifelong healthy food choices.
“The decision that's most frequently made is the easiest one - and it’s not very often that that’s also the best one. Typically our environment is not set up for our success, which is what makes it very challenging. So what I say to people is: if you want this to happen, what do we need to put in place before that's actually going to happen?”
From teacher to student
After working for ten years as a teacher across regional Australia, Tracy enjoyed her role, but didn’t feel like it was stretching her far enough.
“So I was looking around for a new job but I really didn’t know what I should do. Then one of my old Year 12 students, who had moved on to do her degree in nutrition and dietetics, gave me a call."
“She said, ‘I’ve found it! I’ve found the degree you need to do!’”
“I looked it up and thought, ‘You’re right, I will like this!’ So I quit my job and moved to Newcastle.”
Tracy got involved with UON’s research community early on in her undergraduate degree, when she started volunteering with the Healthy Dads, Healthy Kids program with Professors Phil Morgan and Robin Callister.
Healthy habits start young
Having completed her Honours degree under the supervision of Professor Clare Collins, Clare approached Tracy about the possibility of doing a PhD.
“I knew that research was a career option, and I knew that I enjoyed it a lot, so when Clare suggested a PhD, I knew that was right for me."
“A collaboration between Professors Clare Collins, Robin Callister and Associate Professor Tracy Burrows meant a project was ready to go - it just needed someone to do it.”
“So I got lucky at the right time with the right supervisors.”
Throughout her PhD, Tracy focused on knowledge translation in the field of cardiovascular disease.
“The evidence is pretty clear as to what we need to eat - but what people are actually doing is so very different. There are so many places where it all breaks down."
“Unfortunately there isn’t any one answer - there are problems right across the spectrum. But this also gives us many opportunities to make improvements.”
Tracy was interested in finding out how and where healthy eating messages are lost or misinterpreted. By conducting interviews, food surveys and intervention trials, Tracy was able to collect data around people’s eating habits and their attitudes towards food.
Although risk of cardiovascular disease tends to be only be identified once people hit their 50s and 60s, this risk is often a consequence of a lifetime’s worth of eating behaviours.
“It starts during childhood.”
“Providing children with non-nutritious foods on a regular basis is actually setting them up for a lifetime of unhealthy food habits that will be hard to break. It also lays down the early foundations of chronic disease that won’t develop for many years to come.”
“People use food to show love and respect – but at the end of the day we're not doing ourselves or our loved ones any favours when we have those special foods reserved in the cupboards that we don’t feed ourselves.”
A rural research team
As part of her current post-doctoral fellowship, Tracy is now working alongside UON researchers and local healthcare workers in Tamworth, NSW.
Tracy will be helping with the analysis of data that’s been collected as part of ongoing community health studies. These studies have been primarily led by maternal health researcher and Director of the Gomeroi gaaynggal Arts Health and Research Programs, Associate Professor Kym Rae.
The team is looking at the impact of lifestyle choices, including nutrition, of both mothers and babies. The aim is to help to improve health outcomes and particularly, to reduce the risk of chronic disease such as heart and kidney disease.
“I’ll be using my database management skills I’ve developed throughout my PhD. There is a lot of data that we need to start pulling together so we can start comparing different outcomes. Our ultimate research aim is to contribute to "close the gap" – to reduce the health inequalities in Australia for Aboriginal people.”
As well as getting on board with these existing projects, Tracy is hoping to set up some new studies, focusing on the differences in nutritional choices between rural and urban populations.
“People in rural communities don’t have the same access and range of choice in health services. I’d like to look at what can be done to make better lifestyle choices easier for people, particularly nutritional ones.”
Tracy’s move to Tamworth is one of a number of steps UON is taking to build their research capacity in rural Australia.
“Right now, rural people are under-represented in research. There is more we can do to address the issues that this population faces. Rural communities should be able to benefit from research as well as those in urban areas.”
Making healthy food choices easier
Dr Tracy Schumacher is working toward making nutritional awareness available to all.
Career Summary
Biography
Tracy is a rural researcher and works as a research academic and project manager of a Medical Research Future Fund project at the University of Newcastle Department of Rural Health. Her work focuses on the prevention of chronic diseases in rural populations.
Tracy was awarded her PhD in 2016, which investigated translational dietetic strategies for the prevention and treatment of cardiovascular disease (CVD). Before moving to take up her rural postdoctoral position, she worked as a project officer on the development of a new multi-disciplinary qualification for Aged Care workers.
Areas of research interest:
- nutrition for the prevention of CVD
- measuring dietary intakes and patterns
- prevention of chronic diseases through nutrition across the lifespan, ranging from babies to older adults
- investigations of lifestyle related issues that contribute to poorer health outcomes for people living in regional and remote areas
Qualifications
- Doctor of Philosophy, University of Newcastle
- Bachelor of Applied Science (Consumer Science), University of Newcastle
- Diploma in Education, University of Newcastle
- Bachelor of Nutrition and Dietetics, University of Newcastle
- Master of Medical Statistics, University of Newcastle
Keywords
- Cardiovascular disease
- Diet
- Dietary methodology
- Nutrition
- Nutrition translation
Fields of Research
Code | Description | Percentage |
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321099 | Nutrition and dietetics not elsewhere classified | 100 |
Professional Experience
UON Appointment
Title | Organisation / Department |
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Senior Lecturer | University of Newcastle University Newcastle Department of Rural Health Australia |
Professional appointment
Dates | Title | Organisation / Department |
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1/2/2016 - 1/1/2017 | Project Officer | Faculty of Health and Medicine, University of Newcastle Australia |
Publications
For publications that are currently unpublished or in-press, details are shown in italics.
Chapter (1 outputs)
Year | Citation | Altmetrics | Link | ||
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2018 |
Schumacher TL, Burrows T, Rollo M, Collins C, 'Pain and Nutrition', Pain in Residential Aged Care Facilities: Management Strategies, 2nd Edition, Australian Pain Society, Sydney 125-134 (2018) [B1]
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Journal article (58 outputs)
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2024 |
Kent K, Schumacher T, Kocar S, Seivwright A, Visentin D, Collins CE, Lester L, 'Increasing food insecurity severity is associated with lower diet quality', Public Health Nutrition, 27 (2024) [C1] Objective: Food insecurity may reduce diet quality, but the relationship between food insecurity severity and diet quality is under-researched. This study aimed to examine the rel... [more] Objective: Food insecurity may reduce diet quality, but the relationship between food insecurity severity and diet quality is under-researched. This study aimed to examine the relationship between diet quality and severity of household food insecurity. Design: A cross-sectional, online survey used the United States Department of Agriculture Household Food Security Six-item Short Form to classify respondents as food secure or marginally, moderately or severely food insecure. The Australian Recommended Food Score (ARFS; scored 0¿73) determined diet quality (ARFS total and sub-scale scores). Survey-weighted linear regression (adjusted for age, sex, income, education, location and household composition) was conducted. Setting: Tasmania, Australia. Participants: Community-dwelling adults (aged 18 years and over). Results: The mean ARFS total for the sample (n 804, 53 % female, 29 % aged > 65 years) was 32·4 (SD = 9·8). As the severity of household food insecurity increased, ARFS total decreased. Marginally food-insecure respondents reported a mean ARFS score three points lower than food-secure adults (B = ¿2·7; 95 % CI (¿5·11, ¿0·34); P = 0·03) and reduced by six points for moderately (B = ¿5·6; 95 % CI (¿7·26, ¿3·90); P < 0·001) and twelve points for severely food-insecure respondents (B = ¿11·5; 95 % CI (¿13·21, ¿9·78); P < 0·001). Marginally food-insecure respondents had significantly lower vegetable sub-scale scores, moderately food-insecure respondents had significantly lower sub-scale scores for all food groups except dairy and severely food-insecure respondents had significantly lower scores for all sub-scale scores. Conclusions: Poorer diet quality is evident in marginally, moderately and severely food-insecure adults. Interventions to reduce food insecurity and increase diet quality are required to prevent poorer nutrition-related health outcomes in food-insecure populations in Australia.
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2023 |
Whatnall M, Clarke ED, Schumacher T, Rollo ME, Bucher T, Ashton LM, et al., 'Do sauces, condiments and seasonings contribute important amounts of nutrients to Australian dietary intakes?', JOURNAL OF HUMAN NUTRITION AND DIETETICS, 36 1101-1110 (2023) [C1]
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2023 |
Kocanda L, Schumacher TL, Plotnikoff RC, Whatnall MC, Fenwick M, Brown LJ, et al., 'Effectiveness and reporting of nutrition interventions in cardiac rehabilitation programmes: a systematic review', EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING, 22 1-12 (2023) [C1]
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2023 |
Gray NL, Stoodley I, Wood LG, Collins CE, Brown LJ, Rae KM, et al., 'Omega-3 Fatty Acids during Pregnancy in Indigenous Australian Women of the Gomeroi Gaaynggal Cohort.', Nutrients, 15 1943 (2023) [C1]
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2023 |
Schumacher TL, Alderton CA, Brown LJ, Heaney S, Alston L, Kent K, Godrich SL, 'Development of a Scoring Tool for Australian Rural Food Retail Environments', Nutrients, 15 4660-4660 [C1]
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2023 |
Gallagher R, Chow CK, Parker H, Neubeck L, Celermajer DS, Redfern J, et al., 'The effect of a game-based mobile app 'MyHeartMate' to promote lifestyle change in coronary disease patients: a randomized controlled trial.', European heart journal. Digital health, 4 33-42 (2023) [C1]
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2023 |
Herbert J, Schumacher T, Brown LJ, Collins CE, 'Developing a telehealth medical nutrition therapy (MNT) service for adults living in rural Australia at risk of cardiovascular disease: An intervention development study.', J Hum Nutr Diet, 36 1782-1794 (2023) [C1]
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2023 |
Alston L, Heaney S, Kent K, Godrich S, Kocanda L, Herbert J, et al., 'Rural nutrition and dietetics research-Future directions.', Aust J Rural Health, 31 1027-1031 (2023) [C1]
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2023 |
Herbert J, Schumacher T, Brown LJ, Clarke ED, Collins CE, 'Delivery of telehealth nutrition and physical activity interventions to adults living in rural areas: a scoping review.', Int J Behav Nutr Phys Act, 20 110 (2023) [C1]
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2023 |
Slater K, Schumacher TL, Ding KN, Taylor RM, Shrewsbury VA, Hutchesson MJ, 'Modifiable Risk Factors for Cardiovascular Disease among Women with and without a History of Hypertensive Disorders of Pregnancy.', Nutrients, 15 (2023) [C1]
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2023 |
Alston L, Nichols M, Allender S, Versace V, Brown LJ, Schumacher T, et al., 'Dietary patterns in rural and metropolitan Australia: A cross-sectional study exploring dietary patterns, inflammation and association with cardiovascular disease risk factors', BMJ Open, 13 (2023) [C1] Objectives This study sought first to empirically define dietary patterns and to apply the novel Dietary Inflammation Score (DIS) in data from rural and metropolitan populations i... [more] Objectives This study sought first to empirically define dietary patterns and to apply the novel Dietary Inflammation Score (DIS) in data from rural and metropolitan populations in Australia, and second to investigate associations with cardiovascular disease (CVD) risk factors. Design Cross-sectional study. Setting Rural and metropolitan Australia. Participants Adults over the age of 18 years living in rural or metropolitan Australia who participated in the Australian Health survey. Primary outcomes A posteriori dietary patterns for participants separated into rural and metropolitan populations using principal component analysis. Secondary outcomes: association of each dietary pattern and DIS with CVD risk factors was explored using logistic regression. Results The sample included 713 rural and 1185 metropolitan participants. The rural sample was significantly older (mean age 52.7 compared with 48.6 years) and had a higher prevalence of CVD risk factors. Two primary dietary patterns were derived from each population (four in total), and dietary patterns were different between the rural and metropolitan areas. None of the identified patterns were associated with CVD risk factors in metropolitan or rural areas, aside diet pattern 2 being strongly associated with from self-reported ischaemic heart disease (OR 13.90 95% CI 2.29 to 84.3) in rural areas. There were no significant differences between the DIS and CVD risk factors across the two populations, except for a higher DIS being associated with overweight/obesity in rural areas. Conclusion Exploration of dietary patterns between rural and metropolitan Australia shows differences between the two populations, possibly reflective of distinct cultures, socioeconomic factors, geography, food access and/or food environments in the different areas. Our study provides evidence that action targeting healthier dietary intakes needs to be tailored to rurality in the Australian context.
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2022 |
Onifade O, Kocanda L, Schumacher T, Rollo M, Rae K, Pringle KG, 'Effectiveness of interventions to optimise dietary intakes in the first 1000 d of life in Indigenous children: a systematic review', PUBLIC HEALTH NUTRITION, 25 450-463 (2022) [C1]
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2022 |
Hollis JL, Seward K, Kocanda L, Collins CE, Tully B, Brett K, et al., 'Evaluating a train-the-trainer model for scaling-up Healthy Conversation Skills training: A pre-post survey using the Theoretical Domains Framework', Patient Education and Counseling, 105 3078-3085 (2022) [C1]
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2022 |
Schumacher TL, Alston L, Wakely L, Latter R, Squires K, Heaney S, Brown LJ, 'Characterizing the Health of Older Rural Australians Attending Rural Events: Implications for Future Health Promotion Opportunities', INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 19 (2022) [C1]
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2022 |
Callaghan EM, Diamandis-Nikoletatos E, van Leeuwen PP, Higgins JB, Somerville CE, Brown LJ, Schumacher TL, 'Communication regarding the deactivation of implantable cardioverter-defibrillators: A scoping review and narrative summary of current interventions.', Patient education and counseling, 105 3431-3445 (2022) [C1]
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2022 |
Slater S, Lambkin D, Schumacher T, Williams A, Baillie J, 'Testing the effectiveness of a novel, evidence-based weight management and lifestyle modification programme in primary care: the Healthy Weight Initiative', Journal of Primary Health Care, 14 64-73 (2022) [C1] Introduction: Primary care prevention strategies that support and provide tools for general practice have the potential to slow and reverse rates of overweight and obesity. Aim: T... [more] Introduction: Primary care prevention strategies that support and provide tools for general practice have the potential to slow and reverse rates of overweight and obesity. Aim: To test the effectiveness of a novel 12-week, online, structured, evidence-based weight management and lifestyle modification programme in general practices. Methods: Between August 2018 and March 2020, participants with a body mass index (BMI) = 25 were recruited from general practices in the Hunter New England and Central Coast Primary Health Network region of Australia. Practices were randomly assigned to deliver a 'low-intensity' (LI) or 'high-intensity' (HI) variant of the programme. Practitioners were trained in programme delivery. The intervention involved weekly progress and accountability checks and scripted education sessions on evidenced-based nutrition, physical activity and lifestyle modification. The trial included follow-up evaluations at 6 and 12 months. Results: In total, 695 participants were recruited from 26 practices. At the end of the 12-week programme, participants in the HI treatment arm lost an average of 3.2 kg (s.d. 3.8) and 29% (50/172) achieved clinically significant weight loss (>5% of initial body weight). Positive results were maintained at evaluations by participants in the HI treatment arm who attended, but only 31% of participants at 6 months and 21% at 12 months were followed up. Discussion: Participant engagement and retention and practitioner workload burden are key factors in the design of weight management programmes in primary care. Many lessons can be obtained as a result of this trial, and programme adjustments have been identified to improve its delivery model.
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2022 |
Payne E, Palmer G, Rollo M, Ryan K, Harrison S, Collins C, et al., 'Rural healthcare delivery and maternal and infant outcomes for diabetes in pregnancy: A systematic review', NUTRITION & DIETETICS, 79 48-58 (2022) [C1]
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2021 |
Kocanda L, Fisher K, Brown LJ, May J, Rollo ME, Collins CE, et al., 'Informing telehealth service delivery for cardiovascular disease management: exploring the perceptions of rural health professionals', AUSTRALIAN HEALTH REVIEW, 45 241-246 (2021) [C1]
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2021 |
Brown LJ, Urquhart L, Squires K, Crowley E, Heaney S, Kocanda L, Schumacher T, 'Starting from scratch: Developing and sustaining a rural research team lessons from a nutrition and dietetics case study', AUSTRALIAN JOURNAL OF RURAL HEALTH, 29 729-741 (2021) [C1]
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2021 |
Hollis JL, Kocanda L, Seward K, Collins C, Tully B, Hunter M, et al., 'The impact of Healthy Conversation Skills training on health professionals barriers to having behaviour change conversations: a pre-post survey using the Theoretical Domains Framework', BMC Health Services Research, 21 (2021) [C1] Background: Changing people¿s behaviour by giving advice and instruction, as traditionally provided in healthcare consultations, is usually ineffective. Healthy Conversation Skill... [more] Background: Changing people¿s behaviour by giving advice and instruction, as traditionally provided in healthcare consultations, is usually ineffective. Healthy Conversation Skills (HCS) training enhances health professionals¿ communication skills and ability to empower and motivate people in health behaviour change. Guided by the Theoretical Domains Framework (TDF), this¿study examined the impact of HCS training on health professional barriers to conducting behaviour change conversations in both clinical and non-clinical settings. Secondary aims were to i) identify health professionals¿ barriers to having behaviour change conversations, and explore the ii) effect of HCS training on health professionals¿ competence and attitudes to adopting HCS, iii) feasibility, acceptability and appropriateness of using HCS in their clinical and non-clinical roles, and iv) acceptability and quality of HCS training. Methods: HCS training was conducted in October-November 2019 and February 2020. Pre-training (T1), post-training (T2) and follow-up (T3; 6-10 weeks post-training) surveys collected data on demographics and changes in competence, confidence, importance and usefulness (10-point Likert scale, where 10 = highest score) of conducting behaviour change conversations. Validated items assessing barriers to having these conversations were based on eight TDF domains. Post-training acceptability and quality of training was assessed. Data were summarised using descriptive statistics, and differences between TDF domain scores at the specific time points were analysed using Wilcoxon matched-pairs signed-rank tests. Results: Sixty-four participants consented to complete surveys (97% women; 16% identified as Aboriginal), with 37 employed in clinical settings and 27 in non-clinical settings. The training improved scores for the TDF domains of skills (T1: median (interquartile range) = 4.7(3.3-5.3); T3 = 5.7(5.3-6.0), p < 0.01), belief about capabilities (T1 = 4.7(3.3-6.0); T3 = 5.7(5.0-6.0), p <¿0.01), and goals (T1 = 4.3(3.7-5.0); T3 = 4.7(4.3-5.3), p < 0.01) at follow-up. Competence in using ¿open discovery questions¿ increased post-training (T1 = 25% of responses; T2 = 96% of responses; T3 = 87% of responses, p < 0.001), as did participants¿ confidence for having behaviour change conversations (T1 = 6.0(4.7-7.6); T2 = 8.1(7.1-8.8), p <¿0.001), including an increased confidence in having behaviour change conversations with Aboriginal clients (T1 = 5.0(2.7-6.3); T2 = 7.6(6.4-8.3), p <¿0.001). Conclusions: Provision of additional support strategies to address intentions; memory, attention and decision processes; and behavioural regulation may enhance adoption and maintenance of HCS in routine practice. Wider implementation of HCS training could be an effective strategy to building capacity and support health professionals to use a person-centred, opportunistic approach to health behaviour change.
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2021 |
Clarke ED, Rollo ME, Collins CE, Wood L, Callister R, Schumacher T, Haslam RL, 'Changes in vegetable and fruit intakes and effects on anthropometric outcomes in males and females', Nutrition and Dietetics, 78 192-201 (2021) [C1] Aim: To investigate associations between changes in vegetable and fruit (V&F) intakes and anthropometric indices (weight, BMI, % body fat, waist circumference), including diff... [more] Aim: To investigate associations between changes in vegetable and fruit (V&F) intakes and anthropometric indices (weight, BMI, % body fat, waist circumference), including differences by sex, during a dietary weight-loss intervention. Methods: Adults (18-45 years) with overweight/obesity (BMI 25-35 kg/m2) entered a 10-week pre-post study, receiving individualised consults with an Accredited Practising Dietitian targeting increased V&F intakes. Dietary intake was assessed using 24-hour recalls and food frequency questionnaires. Linear mixed models were used to examine how much of the changes in anthropometric indices were explained by changes in V&F intakes. Sex differences were assessed by Wilcoxon rank sum tests. Results: Of the 43 participants enrolled, 34 completed the study (53% female). Significant differences in energy intake and anthropometric indices were observed between males and females at baseline. After 10 weeks, females significantly reduced their weight (-2.9%, P <.01), BMI (-0.82 kg/m2, P <.01), waist circumference (-1.70 cm, P <.01), energy intake (-824 kJ/day, P =.01) and improved diet quality (-14.0% energy-dense, nutrient-poor foods, P <.01). Males significantly reduced weight (-2.5%, P =.04), BMI (-0.76 kg/m2, P =.03), waist circumference (-2.40 cm, P =.02), energy intake (-2875 kJ/day, P <.01), increased fruit intake (+0.89 serves/day, P =.02) and improved diet quality (-6% energy-dense, nutrient-poor foods, P <.01). Compared to the other sex, greater reductions were observed in energy intake in males and energy-dense, nutrient-poor foods in females. Linear mixed models identified that changes in V&F intakes did not explain the variation in anthropometric measures. Conclusion: Future interventions may benefit from trialling sex tailored messages to enhance effects on anthropometric changes.
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2021 |
Lee YQ, Lumbers ER, Schumacher TL, Collins CE, Rae KM, Pringle KG, 'Maternal diet influences fetal growth but not fetal kidney volume in an australian indigenous pregnancy cohort', Nutrients, 13 1-18 (2021) [C1] Suboptimal nutrition during pregnancy is recognised as a significant modifiable determinant in the development of chronic disease in offspring in later life. The current study aim... [more] Suboptimal nutrition during pregnancy is recognised as a significant modifiable determinant in the development of chronic disease in offspring in later life. The current study aimed: (i) to assess the dietary intakes of pregnant Indigenous Australian women against national recommendations and (ii) to investigate the associations between maternal nutrition during pregnancy and the growth of the offspring, including kidney development in late gestation in the Gomeroi gaaynggal cohort (n = 103). Maternal dietary intake in the third trimester was assessed using the Australian Eating Survey Food Frequency Questionnaire. Estimated fetal weight (EFW) and kidney size were obtained by ultrasound. Birth weight was retrieved from hospital birth records. Of the five key nutrients for optimal reproductive health (folate, iron, calcium, zinc and fibre), the nutrients with the highest percentage of pregnant women achieving the nutrient reference values (NRVs) were zinc (75.7%) and folate (57.3%), whereas iron was the lowest. Only four people achieved all NRVs (folate, iron, calcium, zinc and fibre) important in pregnancy. Sodium and saturated fat intake exceeded recommended levels and diet quality was low, with a median score of 28 out of 73 points. After adjusting for smoking and pre-pregnancy body mass index, only maternal intake of retinol equivalents and the proportion of energy from nutrient-dense or energy-dense, nutrient-poor (EDNP) foods were associated with fetal growth. EFW decreased by 0.13 g and birth weight decreased by 0.24 g for every µg increase in maternal dietary retinol intake. Interestingly, EFW, but not actual birth weight, was positively associated with percentage energy from nutrient dense foods and negatively associated with percentage energy from EDNP foods. Dietary supplement usage was associated with increased birthweight, most significantly iron and folate supplementation. Current dietary intakes of pregnant Australian women from this cohort do not align with national guidelines. Furthermore, current findings show that maternal retinol intake and diet composition during pregnancy can influence fetal growth, but not fetal kidney growth in late gestation. Strategies that aim to support and optimise nutrient intakes of Indigenous pregnant women are urgently needed. Future studies with long-term follow-up of the children in the current cohort to assess renal damage and blood pressure are imperative.
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2021 |
Beringer M, Schumacher T, Keogh L, Sutherland K, Knox P, Herden J, et al., 'Nutritional adequacy and the role of supplements in the diets of Indigenous Australian women during pregnancy', MIDWIFERY, 93 (2021) [C1]
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2021 |
Mallett LJ, Premkumar V, Brown LJ, May J, Rollo ME, Schumacher TL, 'Total water intake by kilogram of body weight: Analysis of the Australian 2011 to 2013 National Nutrition and Physical Activity Survey', NUTRITION & DIETETICS, 78 496-505 (2021) [C1]
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2021 |
Kocanda L, Schumacher TL, Kerr J, May J, Rollo ME, Neubeck L, Brown LJ, 'Current Nutrition Practice in Cardiac Rehabilitation Programs', JOURNAL OF CARDIOPULMONARY REHABILITATION AND PREVENTION, 41 E32-E38 (2021) [C1]
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2021 |
Onifade OM, Pringle KG, Rollo ME, Collins CE, Schumacher T, Rae KM, 'Dietary intake of Indigenous Australian infants and young children in the Gomeroi gaaynggal cohort', Nutrition and Dietetics, 78 386-396 (2021) [C1] Aim: The nutritional quality of foods consumed by infants and young children to complement breastfeeding or formula feeding influences growth and development. The aim of this stud... [more] Aim: The nutritional quality of foods consumed by infants and young children to complement breastfeeding or formula feeding influences growth and development. The aim of this study was to identify the dietary intake of Indigenous infants and young children in the Gomeroi gaaynggal cohort, and evaluate the nutritional adequacy of their intake compared with Australian recommendations. Methods: Dietary intake was assessed using diet recalls at approximately 9-, 12- and 24-month visits. Nutrient values of foods were obtained from AUSNUT 2011-13 and nutrient intake compared to the Australian Nutrient Reference Values. Foods were categorised into food groups and intakes compared to the Australian Guide to Healthy Eating. Results: A total of 206 infants and young children were included in the study. Of these, 95 individual children had dietary data collected between 7.6 and 24.7¿months. Infant formula and breastfeeding rates were highest among infants (70% and 20%, respectively). Cow's milk intake was highest among young children (75%). Infants and young children in the cohort met most macro- and micronutrient intake recommendations. Few young children met recommendation for iron (42%), no infant met recommendation for omega-3 fatty acids and almost all exceeded recommendation for sodium. Most young children met daily dairy and fruit recommendations although intake of discretionary foods was high. Conclusions: This study found that diets of Indigenous infants and young children met most key nutrient reference targets. Potential target areas that require dietary optimisation have been identified and will be the focus of community-led strategies in adequate infant nutrition promotion.
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2021 |
Pullen R, Kent K, Sharman MJ, Schumacher TL, Brown LJ, 'A Comparison of Diet Quality in a Sample of Rural and Urban Australian Adults', NUTRIENTS, 13 (2021) [C1]
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2021 |
Kocanda L, Brain K, Frawley J, Schumacher TL, May J, Rollo ME, Brown LJ, 'The Effectiveness of Randomized Controlled Trials to Improve Dietary Intake in the Context of Cardiovascular Disease Prevention and Management in Rural Communities: A Systematic Review', Journal of the Academy of Nutrition and Dietetics, 121 2046-2070.e1 (2021) [C1] Background: Dietary intake is an important modifiable risk factor for cardiovascular disease. However, to our knowledge, there are no systematic reviews of nutrition interventions... [more] Background: Dietary intake is an important modifiable risk factor for cardiovascular disease. However, to our knowledge, there are no systematic reviews of nutrition interventions in the context of cardiovascular disease prevention and management within rural communities. This is important to investigate, given the unique geographic, social, and contextual factors associated with rurality. Objective: Our primary objective was to systematically assess evidence on the effectiveness of randomized controlled trials to improve dietary intake in the context of cardiovascular disease prevention and management in rural communities. Methods: Nine electronic databases were searched from inception to June 2020, including MEDLINE, The Cochrane Library, Embase, Emcare, PsycINFO, Scopus, Rural and Remote Health, CINAHL, and AMED. Randomized controlled trials that reported results of interventions with adult, rural populations and measured change in dietary intake compared to usual care, alternative intervention, or no intervention controls were included. Included randomized controlled trials were also assessed according to the TIDieR (Template for Intervention Description and Reporting) checklist and RE-AIM (reach, effectiveness, adoption, implementation, maintenance) framework. Results: Thirteen articles reporting results of randomized controlled trials were identified. Included articles reported a range of nutrition interventions and measured 18 dietary intake outcomes. Most studies (n = 10) demonstrated effectiveness in altering at least 1 dietary intake outcome, including fruit and/or vegetable (n = 9), fiber (n = 2), Dietary Risk Assessment score (n = 2), energy, dairy, carotene, vitamin C and sodium (all n = 1). However, there was wide variation in the reporting of intervention components (according to the TIDieR checklist) and impact (according to RE-AIM framework), resulting in difficulty interpreting the ¿real-world¿ implications of these results. Conclusions: Through this systematic review, we found limited evidence of improvement in dietary intakes due to nutrition interventions in the context of cardiovascular disease prevention and management in rural communities. Fruit and/or vegetable intakes were the most frequently reported dietary intake outcomes, and most likely to be improved across the included studies. Included studies were generally not well reported, which may hinder replication by clinicians and consolidation of the evidence base by other researchers. Given the substantial burden of cardiovascular disease experienced by those living in rural areas of developed countries, additional high-quality nutrition research that acknowledges the complexities of rural health is required.
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2020 |
Schumacher TL, Frawley J, Pringle KG, Keogh L, Sutherland K, Herden J, et al., 'Contraception usage and the desired number of offspring of Indigenous women from the Gomeroi lands', Australian Journal of Rural Health, 28 360-365 (2020) [C1] Objectives: To describe the current contraception usage patterns from a cohort of Australian Indigenous women, including their ideal family size and spacing between children. Desi... [more] Objectives: To describe the current contraception usage patterns from a cohort of Australian Indigenous women, including their ideal family size and spacing between children. Design: Cross-sectional analysis of data (2012-2019). Setting: Data are from a longitudinal study, the Gomeroi gaaynggal (babies from Gomeroi lands) program, based in rural and remote Gomeroi lands in New South Wales. Participants: Women carrying an Indigenous baby who enrolled during pregnancy were eligible for the study. The mother and child are then followed for up to 10¿years. Main outcome measures: Contraception usage in the postnatal period was recorded, as well as whether they were sexually active, whether they wanted more children and their preferred spacing between children. Medical, social and demographic information was also collected. These measures were self-reported via an online tool (Survey Monkey®) at their first visit to the study following the birth of their child. Results: Ninety-nine women were included in the analysis. Most women reported that they were sexually active at the time they were questioned about their contraceptive usage. The most popular contraception choices were condoms, the oral contraceptive pill and implant rods. Those answering that they did not want more children had a median of three children already. Those who wanted more children had a median of one child. The majority of the women stated that 2-3¿years between babies was ideal. Conclusion: The sampled women had clear beliefs about their ideal family size, in which contraceptive usage played an important part.
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2020 |
Payne E, Brown LJ, Crowley E, Rollo M, Schumacher TL, 'Exploring core food accessibility in Tamworth, NSW, Australia', Informatics for Health and Social Care, 45 428-443 (2020) [C1] Introduction: A lack of core food accessibility negatively affects diet quality, potentially increasing the prevalence of health risk factors such as obesity. The purpose of this ... [more] Introduction: A lack of core food accessibility negatively affects diet quality, potentially increasing the prevalence of health risk factors such as obesity. The purpose of this study was to investigate core food access in an Australian regional center through the use of data visualization techniques. Methods: Supermarkets were used as a proxy for core food accessibility and were identified and mapped by town region with a combination of Google Maps and Stata/IC 15.1 software. A statistical analysis comparing the demographics of each town region was also completed using Stata. Results: The maps generated suggest that there may be a disparity in core food accessibility between town regions. The analysis of demographics demonstrated that one town region had a greater proportion of disadvantaged residents, with statistically significant variation between regions. Conclusion: Data visualization and analysis may be a useful tool for clinicians to communicate accessibility information experienced by local residents. This need not be limited to food accessibility and extended to health services.
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2020 |
Slater K, Rollo ME, Szewczyk Z, Ashton L, Schumacher T, Collins C, 'Do the Dietary Intakes of Pregnant Women Attending Public Hospital Antenatal Clinics Align with Australian Guide to Healthy Eating Recommendations?', Nutrients, 12 (2020) [C1]
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2020 |
Latter R, Brown LJ, Rae KM, Rollo ME, Schumacher TL, 'The role of socio-economic status and energy-density in Australian women of child-bearing age', Journal of Human Nutrition and Dietetics, 33 718-728 (2020) [C1] Introduction: An optimal diet is imperative in preparing women for pregnancy and this may be influenced by socio-economic status (SES). This research aims to investigate the role ... [more] Introduction: An optimal diet is imperative in preparing women for pregnancy and this may be influenced by socio-economic status (SES). This research aims to investigate the role of SES on the dietary energy density (ED) in Australian women of preconception age. Methods: A secondary analysis of the Australian National Nutrition and Physical Activity Survey 2011¿12 for females aged 18¿39¿years (n¿=¿1617) was conducted. Dietary intake was assessed by 24-hr recalls and dietary ED by dietary energy per weight (kJ.g-1). ED was further categorised as ED of foods and beverages separately. SES was assessed by three variables: Socio-Economic Indexes for Areas (SEIFA), developed by the Australian Bureau of Statistics; income decile; and level of education. Linear mixed model regressions were used to identify associations between ED and SES. Results: The median ED for food, beverages and combined food and beverages was 9.38¿kJ g-1, 1.02 kJ g-1 and 7.11¿kJ g-1, respectively. No significant variation was explained by SES variables when analysing combined ED in the adjusted model or ED from foods. Income decile reduced ED of beverages, although with little effect (coefficient: -0.04, P¿=¿0.002). Significant confounders included inactivity, which increased ED in both combined ED and ED foods (coefficient: 0.51, P¿=¿0.001 and coefficient: 0.78, P¿<¿0.001). Conclusions: SES explained little variation in dietary ED in women of childbearing age. A large proportion of women had high energy-dense diets regardless of their SES. These findings suggest that a large proportion of women, who may become pregnant, have diets that exceed the international recommendations for dietary energy density.
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2020 |
Hutchesson M, Taylor R, Shrewsbury V, Vincze L, Campbell L, Callister R, et al., 'Be Healthe for Your Heart: A Pilot Randomized Controlled Trial Evaluating a Web-Based Behavioral Intervention to Improve the Cardiovascular Health of Women with a History of Preeclampsia', International Journal of Environmental Research and Public Health, 17 1-17 (2020) [C1]
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2019 |
Ashton L, Williams R, Wood L, Schumacher T, Burrows T, Rollo M, et al., 'The comparative validity of a brief diet screening tool for adults: The Fruit And Vegetable VAriety index (FAVVA)', Clinical Nutrition ESPEN, 29 189-197 (2019) [C1] Background & aims: A brief assessment tool on frequency and variety of fruit and vegetable intake could provide a cost-effective and sustainable approach to improving diet. Th... [more] Background & aims: A brief assessment tool on frequency and variety of fruit and vegetable intake could provide a cost-effective and sustainable approach to improving diet. The primary aim was to evaluate the comparative validity of a brief index of Fruit And Vegetable VAriety (FAVVA) relative to food and nutrient intakes derived from a comprehensive food frequency questionnaire (FFQ). The secondary aim was to evaluate the FAVVA index in relation to fasting plasma carotenoid concentrations. Methods: Dietary intakes and fasting plasma carotenoid concentrations of 99 overweight and obese adults (49.5% female; 44.6 ± 9.9 years) were assessed at baseline and 3-months. Food and nutrient intakes were assessed using the Australian Eating Survey (AES) FFQ. The FAVVA index was derived from a sub-set of 35 AES questions related to fruit and vegetable intake frequency and variety. Associations were assessed using Spearman's correlation coefficients and linear regression analysis, and agreement using weighted kappa (K w ). Results: Total FAVVA score demonstrated moderate to strong, significant (all p < 0.01) correlations with total daily intakes of vegetables (r = 0.75), vitamin C (r = 0.71), fruit (r = 0.66), vitamin A (r = 0.49), fibre (r = 0.49), potassium (r = 0.46), magnesium (r = 0.39), iron (r = 0.26), riboflavin (r = 0.24), calcium (r = 0.23), zinc (r = 0.20) and niacin equivalent (r = 0.20). These associations remained significant in the adjusted regression analyses and agreement testing. Total FAVVA was significantly correlated with plasma carotenoid concentrations (µg/dL) of a¿carotene (r = 0.22, p < 0.01), ß¿carotene (r = 0.26, p < 0.001), ß¿cryptoxanthin (r = 0.22, p < 0.01) and total carotenoids (r = 0.18, p < 0.05). The associations with a¿carotene (ß = 0.09, p < 0.001), ß¿carotene (ß = 0.42, p < 0.05) and total plasma carotenoids (ß = 0.85, p < 0.05) remained significant in the adjusted regression analyses and for agreement testing. Conclusions: FAVVA is suitable as a brief tool to rank frequency and variety of fruit and vegetable intake.
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2019 |
Taylor RM, Haslam RL, Burrows TL, Duncanson KR, Ashton LM, Rollo ME, et al., 'Issues in Measuring and Interpreting Diet and Its Contribution to Obesity', CURRENT OBESITY REPORTS, 8 53-65 (2019) [C1]
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2019 |
Mawa R, Nabasirye CK, Mulira J, Nakidde C, Kalyango F, Wakida DMAA, et al., 'Socio-Economic Status and Exclusive Breastfeeding Among Infants in a Ugandan Cross-Sectional Study', Journal of Food and Nutrition Sciences, 7 16-24 (2019) [C1]
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2019 |
Mah BL, Pringle KG, Weatherall L, Keogh L, Schumacher T, Eades S, et al., 'Pregnancy stress, healthy pregnancy and birth outcomes - The need for early preventative approaches in pregnant Australian Indigenous women: A prospective longitudinal cohort study', Journal of Developmental Origins of Health and Disease, 10 31-38 (2019) [C1] Adverse pregnancy outcomes including prematurity and low birth weight (LBW) have been associated with life-long chronic disease risk for the infant. Stress during pregnancy increa... [more] Adverse pregnancy outcomes including prematurity and low birth weight (LBW) have been associated with life-long chronic disease risk for the infant. Stress during pregnancy increases the risk of adverse pregnancy outcomes. Many studies have reported the incidence of adverse pregnancy outcomes in Indigenous populations and a smaller number of studies have measured rates of stress and depression in these populations. This study sought to examine the potential association between stress during pregnancy and the rate of adverse pregnancy outcomes in Australian Indigenous women residing in rural and remote communities in New South Wales. This study found a higher rate of post-traumatic stress disorder, depression and anxiety symptoms during pregnancy than the general population. There was also a higher incidence of prematurity and LBW deliveries. Unfortunately, missing post-traumatic stress disorder and depressive symptomatology data impeded the examination of associations of interest. This was largely due to the highly sensitive nature of the issues under investigation, and the need to ensure adequate levels of trust between Indigenous women and research staff before disclosure and recording of sensitive research data. We were unable to demonstrate a significant association between the level of stress and the incidence of adverse pregnancy outcomes at this stage. We recommend this longitudinal study continue until complete data sets are available. Future research in this area should ensure prioritization of building trust in participants and overestimating sample size to ensure no undue pressure is placed upon an already stressed participant.
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2018 |
Schumacher TL, Weatherall L, Keogh L, Sutherland K, Collins C, Pringle K, Rae K, 'Characterizing gestational weight gain in a cohort of Indigenous Australian women', MIDWIFERY, 60 13-19 (2018) [C1]
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2018 |
Lee YQ, Collins CE, Gordon A, Rae KM, Pringle KG, 'Disparities exist between the dietary intake of Indigenous Australian women during pregnancy and the Australian dietary guidelines: the Gomeroi gaaynggal study', Journal of Human Nutrition and Dietetics, 31 473-485 (2018) [C1] Background: Little is known about the adequacy of nutrient intakes and the overall diet quality of Indigenous Australian pregnant women. The aim of this cross-sectional study was ... [more] Background: Little is known about the adequacy of nutrient intakes and the overall diet quality of Indigenous Australian pregnant women. The aim of this cross-sectional study was to assess nutrient sufficiency and diet quality, as measured using the Australian Recommended Food Score (ARFS), in pregnant women from the Gomeroi gaaynggal cohort (n = 58). Methods: Maternal dietary intake during pregnancy was assessed using the Australian Eating Survey Food Frequency Questionnaire, which was self-administered in the third trimester. Diet quality was determined using the ARFS. Food group servings and nutrient intakes were compared to the Australian Guide to Health Eating (AGHE) and Australian Nutrient Reference Values (NRVs). The current analysis examined the adequacy of usual intakes from food sources only, excluding supplements. Results: None of the women met all AGHE daily food group serving recommendations. The highest alignment rates were for dairy (33%), meat/alternatives (31%) and vegetables (29.3%). Almost 93% of participants exceeded the recommended intake of energy-dense, nutrient-poor foods and percentage energy from saturated fat was high (15%). Of the five key nutrients for optimal reproductive health (folate, iron, calcium, zinc and fibre), the nutrients with the highest percentage of pregnant women achieving the NRVs were zinc (77.6%) and folate (68.9%), whereas iron was the lowest. Only one person achieved all NRVs (folate, iron, calcium, zinc and fibre) important in pregnancy. The median ARFS was 28 points (maximum of 73). Conclusions: Although the small cohort limits the generalisability of the findings of the present study, the data obtained indicate that the diets of these Indigenous pregnant women are inadequate. Therefore, strategies aiming to optimise nutrient intakes of Indigenous pregnant women are needed urgently.
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2018 |
James C, James D, Nie V, Schumacher TL, Guest M, Tessier J, et al., 'Musculoskeletal discomfort and use of computers in the university environment', APPLIED ERGONOMICS, 69 128-135 (2018) [C1]
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2017 |
Schumacher TL, Oldmeadow C, Clausen D, Weatherall L, Keogh L, Pringle KG, Rae KM, 'Reference Intervals for Non-Fasting CVD Lipids and Inflammation Markers in Pregnant Indigenous Australian Women.', Healthcare, 5 1-11 (2017) [C1]
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2017 |
van der Bend D, Bucher T, Schumacher TL, Collins K, de Vlieger N, Rollo M, et al., 'Trends in Food and Beverage Portion Sizes in Australian Children; a Time-Series Analysis Comparing 2007 and 2011-2012 National Data', Children, 4 1-9 (2017) [C1]
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2017 |
Ashton L, Williams R, Wood L, Schumacher T, Burrows T, Rollo M, et al., 'Comparison of Australian recommended food score (ARFS) and plasma carotenoid concentrations: A validation study in adults', Nutrients, 9 (2017) [C1]
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2017 |
Williams RL, Rollo ME, Schumacher T, Collins CE, 'Diet quality scores of australian adults who have completed the healthy eating quiz', Nutrients, 9 (2017) [C1]
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2017 |
Schumacher TL, Burrows TL, Neubeck L, Redfern J, Callister R, Collins CE, 'How dietary evidence for the prevention and treatment of CVD is translated into practice in those with or at high risk of CVD: A systematic review', Public Health Nutrition, 20 30-45 (2017) [C1] Objective: CVD is a leading cause of mortality and morbidity, and nutrition is an important lifestyle factor. The aim of the present systematic review was to synthesise the litera... [more] Objective: CVD is a leading cause of mortality and morbidity, and nutrition is an important lifestyle factor. The aim of the present systematic review was to synthesise the literature relating to knowledge translation (KT) of dietary evidence for the prevention and treatment of CVD into practice in populations with or at high risk of CVD. Design: A systematic search of six electronic databases (CINAHL, Cochrane, EMBASE, MEDLINE, PsycINFO and Scopus) was performed. Studies were included if a nutrition or dietary KT was demonstrated to occur with a relevant separate measureable outcome. Quality was assessed using a tool adapted from two quality checklists. Subjects: Population with or at high risk of CVD or clinicians likely to treat this population. Results: A total of 4420 titles and abstracts were screened for inclusion, with 354 full texts retrieved to assess inclusion. Forty-three articles were included in the review, relating to thirty-five separate studies. No studies specifically stated their aim to be KT. Thirty-one studies were in patient or high-risk populations and four targeted health professionals. Few studies stated a theory on which the intervention was based (n 10) and provision of instruction was the most common behaviour change strategy used (n 26). Conclusions: KT in nutrition and dietary studies has been inferred, not stated, with few details provided regarding how dietary knowledge is translated to the end user. This presents challenges for implementation by clinicians and policy and decision makers. Consequently a need exists to improve the quality of publications in this area.
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2016 |
Schumacher TL, Burrows TL, Rollo ME, Wood LG, Callister R, Collins CE, 'Comparison of fatty acid intakes assessed by a cardiovascular-specific food frequency questionnaire with red blood cell membrane fatty acids in hyperlipidaemic Australian adults: A validation study', European Journal of Clinical Nutrition, 70 1433-1438 (2016) [C1] Background/Objectives:Limited dietary intake tools have been validated specifically for hyperlipidaemic adults. The Australian Eating Survey (AES) Food Frequency Questionnaire (FF... [more] Background/Objectives:Limited dietary intake tools have been validated specifically for hyperlipidaemic adults. The Australian Eating Survey (AES) Food Frequency Questionnaire (FFQ) was adapted to include foods with cardio-protective properties (CVD-AES). The aims were to estimate dietary fatty acid (FA) intakes derived from the CVD-AES and AES and compare them with red blood cell (RBC) membrane FA content.Subjects/Methods:Dietary intake was measured using the semi-quantitative 120-item AES and 177-item CVD-AES. Nutrient intakes were calculated using AUSNUT 2011-2013. Fasting RBC membrane FAs were assessed using gas chromatography. Extent of agreement between intakes estimated by AES or CVD-AES and RBC membrane composition (% of total FAs) for linoleic acid (LA), alpha-linolenic acid (ALA), eicosapentanoic acid (EPA), docosapentaenoic acid (DPA) and docosahexaenoic acid (DHA) were assessed using Spearman's correlation coefficients, adjusted linear regressions and Kappa statistics.Results:Data from 39 participants (72% female, 59.3±11.1 years) indicate stronger positive correlations between RBC membrane FAs and CVD-AES dietary estimates compared with the AES. Significant (P<0.05) moderate-strong correlations were found between CVD-AES FAs and FA proportions in RBC membranes for EPA (r=0.62), DHA (r=0.53) and DPA (r=0.42), with a moderate correlation for LA (r=0.39) and no correlation with ALA. Significant moderate correlations were found with the AES for DHA (r=0.39), but not for LA, ALA, EPA or DPA.Conclusions:The CVD-AES provides a more accurate estimate of long chain FA intakes in hyperlipidaemic adults, compared with AES estimates. This indicates that a CVD-specific FFQ should be used when evaluating FA intakes in this population.
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2016 |
Schumacher TL, Burrows TL, Rollo ME, Spratt NJ, Callister R, Collins CE, 'Effectiveness of a Brief Dietetic Intervention for Hyperlipidaemic Adults Using Individually-Tailored Dietary Feedback', HEALTHCARE, 4 (2016) [C1]
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2016 |
Schumacher TL, Burrows TL, Thompson DI, Callister R, Spratt NJ, Collins CE, 'The Role of Family in a Dietary Risk Reduction Intervention for Cardiovascular Disease.', Healthcare (Basel), 4 (2016) [C1]
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2015 |
Schumacher TL, Burrows TL, Thompson DI, Spratt NJ, Callister R, Collins CE, 'Feasibility of Recruiting Families into a Heart Disease Prevention Program Based on Dietary Patterns.', Nutrients, 7 7042-7057 (2015) [C1]
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2014 |
Collins CE, Dewar DL, Schumacher TL, Finn T, Morgan PJ, Lubans DR, '12 Month changes in dietary intake of adolescent girls attending schools in low-income communities following the NEAT Girls cluster randomized controlled trial', APPETITE, 73 147-155 (2014) [C1]
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2014 |
Schumacher TL, Dewar DL, Lubans DR, Morgan PJ, Watson J, Guest M, et al., 'Dietary patterns of adolescent girls attending schools in low-income communities highlight low consumption of core foods', Nutrition and Dietetics, 71 127-134 (2014) [C1] Aim: Overweight and obesity prevalence is high among adolescent girls of low socioeconomic position and this increases their risk of cardiovascular disease and metabolic disorders... [more] Aim: Overweight and obesity prevalence is high among adolescent girls of low socioeconomic position and this increases their risk of cardiovascular disease and metabolic disorders in adulthood. The aim of this present study was to describe the dietary patterns of adolescent girls in terms of the relative contribution of core food groups to overall diet and by weight status category. Methods: Year 8 female students were recruited from schools in low-income communities. Weight status (i.e. underweight, healthy weight, overweight, obese) was determined using age- and sex-adjusted body mass index (BMI; z score). Dietary intakes were assessed using a validated semi-quantitative food frequency questionnaire. Individual foods were collated into core food group or energy-dense, nutrient-poor categories in line with the Australian Guide to Healthy Eating (AGHE) and the percentage contribution to total energy intake calculated. Results: Participants (n = 332) were (mean ± SD) 13.7 ± 0.4 years old with BMI z score 0.63 ± 1.22. Few girls met AGHE core food group recommendations for daily serves; meat and substitutes 69.3%, vegetables 28.6%, fruit 23.8%, dairy 15.7% and breads/cereals 5.7%. Total percentage energy derived from energy-dense, nutrient-poor foods was 46.6% (37.2-54.6%) (median (interquartile range)), with takeaways 9.8% (7.0-13.6%), confectionery 7.0% (4.1-10.9%) and packaged snacks 6.8% (4.0-10.7%), with no significant differences by weight status. Conclusions: Core food intakes are poor with excessive consumption of energy-dense, nutrient-poor foods in these adolescent girls. Nutrition education programs targeting this population are needed to address this imbalance. Strategies could include substitution of unhealthy snacks for core food items and greater inclusion of core foods within main meals. © 2013 Dietitians Association of Australia.
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2014 |
Schumacher T, Burrows T, Cliff D, Jones R, Okely A, Baur L, et al., 'Dietary Intake Is Related to Multifactor Cardiovascular Risk Score in Obese Boys', Healthcare, 2 282-298 (2014) [C1]
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Show 55 more journal articles |
Conference (25 outputs)
Year | Citation | Altmetrics | Link | ||||
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2023 |
Parker HM, Gallagher R, Schumacher TL, 'Diet quality in patients eligible for cardiac rehabilitation: the effects of a novel smartphone app 'MyHeartMate'', PROCEEDINGS OF THE NUTRITION SOCIETY (2023)
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2023 |
Schumacher T, Brown L, Kocanda L, May J, 'Challenges in recruiting rural populations the road less travelled?', Canberra, ACT (2023)
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2023 | Kocanda L, Schumacher T, 'What s New in Cardiovascular Nutrition, and Tips to Help it Stick', Lavender Bay, NSW (2023) | ||||||
2015 |
Collins CE, Schumacher T, Burrows T, Spratt N, Callister R, 'Effectiveness of a nutrition knowledge translation intervention in the dietary management of hyperlipidaemia', 4th Annual NHMRC Symposium on Research Translation jointly with CIPHER, Sydney, NSW (2015) [E3]
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2015 |
Schumacher TL, Burrows TL, Rollo ME, Callister R, Collins CE, 'Initiating and measuring appropriate dietary changes in cardiovascular populations', 23rd Annual Conference for Cardiovascular Health and Rehabilitation Association of NSW and ACT, Sydney, NSW (2015) [E3]
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2015 |
Schumacher TL, Burrows TL, Callister R, Spratt NJ, Thompson DI, Collins CE, '"I know what I am supposed to eat but " What families thing about eating the right food for heart health', 2nd Australian Society for Medical Research Satellite Scientific Meeting, Newcastle, NSW (2015) [E3]
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2015 |
Schumacher TL, Burrows TL, Rollo ME, Spratt NJ, Callister R, Collins CE, 'Effectiveness of a dietary intervention to reduce cardiovascular risk factors in a hyperlipidaemic population', Australian Cardiac Rehabilitation Association 25th Annual Scientific Meeting, Melbourne, Vic (2015) [E3]
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2012 |
Collins CE, Schumacher R, Dewar DL, Lubans DR, Finn TL, Morgan PJ, et al., 'Dietary patterns of adolescent girls attending schools in low-income communities highlight inadequate consumption of core food groups', Obesity Research & Clinical Practice, Auckland, New Zealand (2012) [E3]
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Show 22 more conferences |
Other (1 outputs)
Year | Citation | Altmetrics | Link |
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2017 | Backholer K, Candy S, Farahnaky A, Garvey J, Lewis J, Malek L, et al., 'Re-thinking food and nutrition science: The food environment. Discussion paper', : Australian Academy of Science (2017) |
Thesis / Dissertation (1 outputs)
Year | Citation | Altmetrics | Link | ||
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2022 |
Kocanda L, Optimising Nutrition for the Prevention of Cardiovascular Disease Through Knowledge Translation with Rural Communities, The University of Newcastle (2022)
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Grants and Funding
Summary
Number of grants | 12 |
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Total funding | $1,335,151 |
Click on a grant title below to expand the full details for that specific grant.
20211 grants / $21,895
An investigation into the association between myocardial infarctions and takeaway food availability in the New England region of the Hunter New England Central Coast Primary Health Network$21,895
Funding body: Hunter New England and Central Coast Primary Health Network (HNECC)
Funding body | Hunter New England and Central Coast Primary Health Network (HNECC) |
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Project Team | Doctor Tracy Schumacher, Associate Professor Leanne Brown, Professor Jennifer May, Ms Annabelle Williams |
Scheme | Research Grant |
Role | Lead |
Funding Start | 2021 |
Funding Finish | 2022 |
GNo | G2100858 |
Type Of Funding | C3200 – Aust Not-for Profit |
Category | 3200 |
UON | Y |
20201 grants / $1,062,564
Addressing the evidence gap on medical nutrition therapy for primary and secondary prevention of cardiovascular disease in regional and rural communities$1,062,564
Funding body: Department of Health and Aged Care
Funding body | Department of Health and Aged Care |
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Project Team | Professor Clare Collins, Professor John Attia, Professor Jennifer May, Professor Andrew Boyle, Doctor Tracy Schumacher, Doctor Megan Rollo, Professor Christine Jorm, John Baillie, Doctor Shanthi Ramanathan |
Scheme | MRFF - Primary Health Care |
Role | Investigator |
Funding Start | 2020 |
Funding Finish | 2024 |
GNo | G2000064 |
Type Of Funding | C1300 - Aust Competitive - Medical Research Future Fund |
Category | 1300 |
UON | Y |
20193 grants / $18,400
FHEAM Visiting Fellow Grant$8,400
Funding body: Faculty of Health and Medicine, University of Newcastle
Funding body | Faculty of Health and Medicine, University of Newcastle |
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Project Team | Dr Wendy Lawrence, Dr Tracy Schumacher, Jenna Hollis |
Scheme | Visiting Fellows Scheme |
Role | Investigator |
Funding Start | 2019 |
Funding Finish | 2019 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
Health Conversation Skills research and teaching program - New Course Initiative Funding$5,000
Funding body: Faculty of Health and Medicine, University of Newcastle
Funding body | Faculty of Health and Medicine, University of Newcastle |
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Project Team | Lesley MacDonald-Wicks, Jenna Hollis, Tracy Schumacher, Clare Collins |
Scheme | Faculty Grant |
Role | Investigator |
Funding Start | 2019 |
Funding Finish | 2019 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
Healthy conversation skills - teaching and research project $5,000
Funding body: Centre for Teaching and Learning, The University of Newcastle
Funding body | Centre for Teaching and Learning, The University of Newcastle |
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Project Team | Lesley MacDonald-Wicks, Jenna Hollis, Tracy Schumacher, Clare Collins |
Scheme | Teaching Innovation Investment Scheme |
Role | Investigator |
Funding Start | 2019 |
Funding Finish | 2019 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
20182 grants / $28,500
Consequences of the in utero environment on kidney function for infants in the Gomeroi gaaynggal cohort$22,500
Funding body: Hunter Medical Research Institute
Funding body | Hunter Medical Research Institute |
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Project Team | Associate Professor Kym Rae, Doctor Tracy Schumacher, Professor Kirsty Pringle |
Scheme | Project Grant |
Role | Investigator |
Funding Start | 2018 |
Funding Finish | 2019 |
GNo | G1900055 |
Type Of Funding | C3300 – Aust Philanthropy |
Category | 3300 |
UON | Y |
2018 Research Visiting Fellow Grant$6,000
Funding body: Faculty of Health and Medicine, University of Newcastle
Funding body | Faculty of Health and Medicine, University of Newcastle |
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Project Team | Dr Tracy Schumacher, Professor Shane Norris |
Scheme | Visiting Fellows Scheme |
Role | Lead |
Funding Start | 2018 |
Funding Finish | 2018 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
20173 grants / $48,792
Evidence check on dietary patterns and cardiovascular disease outcomes$26,000
Funding body: The Sax Institute
Funding body | The Sax Institute |
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Project Team | Professor Clare Collins, Doctor Megan Rollo, Professor Tracy Burrows, Doctor Tracy Schumacher, Associate Professor Lesley MacDonald-Wicks, Doctor Amanda Patterson |
Scheme | Project Grant |
Role | Investigator |
Funding Start | 2017 |
Funding Finish | 2017 |
GNo | G1700018 |
Type Of Funding | C3200 – Aust Not-for Profit |
Category | 3200 |
UON | Y |
UON 2017 Research Equipment Grant$15,000
Funding body: University of Newcastle
Funding body | University of Newcastle |
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Project Team | Doctor Tracy Schumacher |
Scheme | Researcher Equipment Grants |
Role | Lead |
Funding Start | 2017 |
Funding Finish | 2017 |
GNo | G1701147 |
Type Of Funding | Internal |
Category | INTE |
UON | Y |
Feasibility and engagement strategies for a cardiovascular disease prevention program targeting a high need, low health literacy rural community.$7,792
Funding body: University of Newcastle
Funding body | University of Newcastle |
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Project Team | Doctor Tracy Schumacher, Associate Professor Leanne Brown, Professor Jennifer May, Professor Clare Collins, Professor Andrew Boyle |
Scheme | Linkage Pilot Research Grant |
Role | Lead |
Funding Start | 2017 |
Funding Finish | 2018 |
GNo | G1701268 |
Type Of Funding | Internal |
Category | INTE |
UON | Y |
20161 grants / $130,000
Development of an aged care tertiary pathway program$130,000
Funding body: NSW Department of Education
Funding body | NSW Department of Education |
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Project Team | Associate Professor Chris Kewley, Conjoint Professor Judith Scott, Doctor Tracy Schumacher |
Scheme | Research Project |
Role | Investigator |
Funding Start | 2016 |
Funding Finish | 2016 |
GNo | G1600366 |
Type Of Funding | C2300 – Aust StateTerritoryLocal – Own Purpose |
Category | 2300 |
UON | Y |
20141 grants / $25,000
Validation of a Food Frequency Questionnaire to detect changes in diet-related cardiovascular disease risk$25,000
Funding body: Hunter Medical Research Institute
Funding body | Hunter Medical Research Institute |
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Project Team | Professor Clare Collins, Emeritus Professor Robin Callister, Professor Tracy Burrows, Professor Lisa Wood, Doctor Tracy Schumacher |
Scheme | Cardiovascular Grant |
Role | Investigator |
Funding Start | 2014 |
Funding Finish | 2014 |
GNo | G1301346 |
Type Of Funding | Grant - Aust Non Government |
Category | 3AFG |
UON | Y |
Research Supervision
Number of supervisions
Current Supervision
Commenced | Level of Study | Research Title | Program | Supervisor Type |
---|---|---|---|---|
2020 | PhD | Is a Personalised Medical Nutrition Therapy (MNT) Program Aimed at Primary and Secondary CVD Prevention, with and without Additional Telehealth Support from a Dietitian, Feasible, Acceptable and Cost-Effective in Lowering CVD Risk Over 12 Months, within Regional and Rural Primary Health Care Settings? | PhD (Nutrition & Dietetics), College of Health, Medicine and Wellbeing, The University of Newcastle | Co-Supervisor |
Past Supervision
Year | Level of Study | Research Title | Program | Supervisor Type |
---|---|---|---|---|
2023 | PhD | Early Childhood Nutrition and Growth in an Indigenous Australian Population | PhD (Paediatric & Child Hlth), College of Health, Medicine and Wellbeing, The University of Newcastle | Co-Supervisor |
2023 | Honours | Non-alcoholic beverages consumption in women from the Australian Longitudinal Study of Women’s Health | Nutrition & Dietetics, College of Health, Medicine and Wellbeing, University of Newcastle | Co-Supervisor |
2023 | Honours | Understanding the use of community involvement in rural food environment interventions/changes | Nutrition & Dietetics, College of Health, Medicine and Wellbeing, University of Newcastle | Co-Supervisor |
2022 | Honours | Fruit and vegetable intake-can we measure intake through spectrophotometry? | Nutrition & Dietetics, College of Health, Medicine & Wellbeing - The University of Newcastle | Co-Supervisor |
2022 | Honours | Do athletes eat to optimise their competitive aspirations? | Nutrition & Dietetics, College of Health, Medicine & Wellbeing - The University of Newcastle | Co-Supervisor |
2022 | Honours | Omega 3 fatty acids in preeclampsia | Nutrition & Dietetics, College of Health, Medicine & Wellbeing - The University of Newcastle | Principal Supervisor |
2022 | Honours | Nutrition care needs of patients attending cardiac rehabilitation in the Hunter New England Health District | Nutrition & Dietetics, College of Health, Medicine & Wellbeing - The University of Newcastle | Co-Supervisor |
2022 | PhD | Optimising Nutrition for the Prevention of Cardiovascular Disease Through Knowledge Translation with Rural Communities | PhD (Medicine), College of Health, Medicine and Wellbeing, The University of Newcastle | Co-Supervisor |
2021 | Honours | Effectiveness of Healthy Conversation Skills Training delivery to undergraduate allied health professional students to support health behaviour change in practice. A pre-post evaluation survey. | Nutrition & Dietetics, College of Health, Medicine and Wellbeing, University of Newcastle | Co-Supervisor |
2020 | Honours | Modifiable risk factors for cardiovascular disease among women with and without a history of hypertensive disorders of pregnancy | Nutrition & Dietetics, Faculty of Health and Medicine, University of Newcastle | Co-Supervisor |
2020 | Honours | What do junior athletes eat and is it good enough? | Nutrition & Dietetics, Faculty of Health and Medicine, The University of Newcastle | Co-Supervisor |
2019 | Honours | Diet quality and adequacy of macronutrient intake of Australian adolescent athletes from a variety of sports | Nutrition & Dietetics, Faculty of Health and Medicine, University of Newcastle | Co-Supervisor |
2018 | Honours | Portion size, energy density and nutritional adequacy of dietary intake in Indigenous women during pregnancy | Nutrition & Dietetics, Faculty of Health and Medicine, University of Newcastle | Co-Supervisor |
2018 | Honours | The role of socioeconomic status on nutrient intakes, energy density and portion size in Australian women of child-bearing age | Nutrition & Dietetics, Faculty of Health and Medicine, University of Newcastle | Principal Supervisor |
2018 | Honours | An investigation into the relationship between skin colour analysis and self-reported fruit and vegetable intake in people attending rural events in Australia | Nutrition & Dietetics, Faculty of Health and Medicine, University of Newcastle | Co-Supervisor |
2018 | Honours | Exploring core food access in Tamworth, NSW | Nutrition & Dietetics, Faculty of Health and Medicine, University of Newcastle | Principal Supervisor |
2017 | Honours | The relationship between dietary energy density and weight status in Australian adults | Nutrition & Dietetics, College of Health, Medicine and Wellbeing, University of Newcastle | Co-Supervisor |
News
News • 10 Mar 2022
Nutrition on menu to create healthy rural hearts
The NSW New England region has one of the highest rates of heart disease in the state.
News • 19 May 2020
Unique Women in STEMM scholarship program supports Early Career Researchers
In a first for an Australian university to help redress some of the systemic biases female academics face, the University of Newcastle has awarded fully-funded PhD candidate scholarships to six Women in STEMM Early Career Researchers.
News • 6 Jan 2014
Study targets high cholesterol
A nutrition research program called 'Love your Food, Love Your Heart, Love Your Family', which helped improve the diets of families with a history of heart disease or stroke, is now set to focus on individuals with high cholesterol levels.
News • 15 Oct 2013
Love Your Heart
University of Newcastle researchers are helping families with a history of cardiovascular disease to become 'heart smart' in a bid to lower their risk factors for heart attack or stroke.
Dr Tracy Schumacher
Positions
Senior Lecturer
University Newcastle Department of Rural Health
College of Health, Medicine and Wellbeing
Senior Lecturer
School of Health Sciences
College of Health, Medicine and Wellbeing
Contact Details
tracy.schumacher@newcastle.edu.au | |
Phone | (02) 49216259 |
Link |
Office
Building | Department of Rural Health, Tamworth |
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Location | Tamworth , |