Continuing Medical Education

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 July 31, 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:Painter RC, de Rooij SR, Bossuyt PM, et al. Early onset of coronary artery disease after prenatal exposure to the Dutch famine. Am J Clin Nutr 2006;84:322–7.

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

CME exam

1. Which of the following adult diseases have been described in offspring of women exposed to famine in pregnancy during WWII in Holland?

1. Obesity.
   
2. Type 2 diabetes (risk of).
   
3. Cardiovascular disease.
   
4. All of the above.
   
5. None of the above.
   

2. According to the study reported in this month’s Journal, during which of the following trimesters of pregnancy was exposure to famine most likely to increase the risk of adult disease?

1. First.
   
2. Second.
   
3. Third.
   
4. Equal effects in all 3 trimesters.
   

3. Which of the following mechanisms may explain the increased incidence of cardiovascular disease in the offspring of mothers exposed to famine during pregnancy?

1. Famine in utero may result in maternal compensation by overfeeding of offspring during early childhood.
   
2. Famine in utero may result in abnormal appetite control during life.
   
3. Abnormal embryonic development induced by undernutrition may result in premature subsequent senescence of organs such as the liver and kidney.
   
4. None of the above.
   

4. Which of the following statements is (are) true regarding studies of the effects of maternal dietary deprivation on subsequent adult nutrition?

1. At least one other study of adult offspring found no significant effects.
   
2. Mechanisms have been studied in animal models.
   
3. The physiologic mechanisms remain speculative.
   
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:

Early onset of coronary artery disease after prenatal exposure to the Dutch famine

Rebecca C Painter, Susanne R de Rooij, Patrick M Bossuyt, Timothy A Simmers, Clive Osmond, David J Barker, Otto P Bleker, and Tessa J Roseboom
AJCN 2006 84: 322-327. [Full Text]