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American Journal of Clinical Nutrition, Vol. 84, No. 4, 952-953, October 2006
© 2006 American Society for Nutrition

CONTINUING MEDICAL EDUCATION

Continuing Medical Education

Objectives

After evaluating an article designated for Continuing Medical Education (CME) in the American Journal of Clinical Nutrition (AJCN), participants in the American Society for Nutrition (ASN) CME program should be able to show that their knowledge of clinical nutrition has increased. Participants should also be able to evaluate whether the clinical information provided in the CME-designated article is relevant to the provision of patient care.

Accreditation and credits

The ASN is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The ASN designates each CME program for 1 hour of category 1 credit toward the American Medical Association (AMA) Physician’s Recognition Award. Each physician should claim only those hours of credit that he or she actually spent on the education program.

Instructions

Each issue of the AJCN will usually include at least 2 articles designated for CME credit. After reading the CME-designated article, select the best answer to each exam question listed below and complete the evaluation. To receive CME credit, you should return the exam and evaluation pages along with the CME Participant Response Form by September 30, 2007. Please fax the pages to the ASN at 301-634-7351 or mail them to the following address: American Society for Nutrition, CME Program, 9650 Rockville Pike, Bethesda, MD 20814. Note that all responses must be prepaid. Answers to the questions will be mailed to all participants, and certificates of credit will be sent to participants who successfully complete each exam. Please be sure to make a photocopy of the exam for your records before submitting it to the ASN.

Article: Hare-Bruun H, Flint A, Heitmann BL. Glycemic index and glycemic load in relation to changes in body weight, body fat distribution, and body composition in adult Danes. Am J Clin Nutr 2006;84:871–9.

Article: Pereira M. Weighing in on glycemic index and body weight. Am J Clin Nutr 2006;84:677–9 (editorial).

One hour of category 1 credit will be issued for successful completion of this entire exam.

CME exam

1. Which of the following statements is correct regarding definitions of glycemic index (GI), glycemic load (GL), or both?

  1. GI refers to the rise in blood sugar after the intake of 50 g of a given food, and GL refers to the amount of simple sugars in the daily diet.
  2. GI is defined by the rise in blood sugar after the intake of 50 g of a given food multiplied by the rise induced by 50 g glucose or white bread.
  3. GL is the GI multiplied by total carbohydrate, regardless of source.
  4. GI is defined as the rise in blood sugar after intake of 50 g of a given food divided by the rise in blood sugar induced by 50 g glucose or white bread.

2. Which of the following conclusions can be drawn from the Danish study?

  1. The GI predicted an increase in body weight, body fat, and waist circumference in sedentary women but not in active women or sedentary men.
  2. The GL predicted an increase in body weight in men, regardless of activity.
  3. Both GI and GL predicted an increase in body weight in women but not in men.
  4. None of the above.

3. What is a plausible reason that a high-GI diet may lead to weight gain?

  1. The metabolism of carbohydrates with a high GI may spare the use of storage fat for energy.
  2. Consumption of a high-GI diet often includes highly processed low-fiber foods.
  3. Neither of the above.
  4. Both of the above.

4. According to the accompanying editorial by Pereira, what is a limiting factor to the conclusions of this study?

  1. The study had a short (6-y) follow-up time.
  2. The Danish diet may not reflect the diets on which the GI is based.
  3. The final population size was too small for definitive conclusions.
  4. All of the above.
  5. None of the above.

CME exam evaluation

1. Were the CME program objectives successfully met?

  1. Yes
  2. No
  3. Partially (please explain)

2. Did you find this article and its CME questions relevant to your practice?

  1. Yes
  2. No
  3. Partially (please explain)

3. Will completion of this CME exam affect the way that you treat your patients?

  1. Yes (please explain)
  2. No

4. Was the information presented in this article objective, balanced, and free of commercial bias?

  1. Yes
  2. No

Comments


Related articles in AJCN:

Glycemic index and glycemic load in relation to changes in body weight, body fat distribution, and body composition in adult Danes
Helle Hare-Bruun, Anne Flint, and Berit L Heitmann
AJCN 2006 84: 871-879. [Abstract] [Full Text]  




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