Acknowledgements I would like to take the time to recognize every person who put countless hours and gave every ounce of effort to ensure that my project turned out with the best possible outcome. I really appreciate the guidance and direction you have given me. Be assured that you have made an impact in the development of this project and the expansion of my personal growth as an undergraduate student. First and for most Dr. Mia Barker PhD. Thank you for your detailed and organized instruction throughout this entire semester. You have reach out to all of your students regardless of your busy schedule to make sure we are confident in everything we are doing. On a personal level you have inspired me, you have helped me learn to enjoy experimenting with foods and understand the importance of never giving up trying to find a way to make a person who has a certain conditions life easier and enjoy the foods they use to love. Secondly Faith (Wilson) Bellinger for your dedication not only in assisting Dr. Mia M. Barker PhD. But also checking and completing our market order, and finding the vast and different ingredient we as a class used. Thank you to William Barker PhD for assisting the class in the statistical analysis section of our papers. Without you, we would be lost. To the best testing panel anyone could ask for: Elena, Kayla, Kelly, Kori, Megan, and Samantha. Thank you for putting up with being blind folded, and also testing my food each week, I know you all probably got sick of banana muffins and probably never want to try them again. Last but not least, Thank you to Katelin Macy for not only being my best friend, but motivation to succeed, my champion in my absence and my friend always. I will miss you next year. 1 The effect of added protein in substitute for all purpose flour in banana muffins for enhanced nutrition requirements for HIV/AIDS patients Author: Katlyn Marie Rhodes Instructor of Record: Dr. Mia M. Barker ABSTRACT The purpose of this experimental project was to see the palatability, texture and appearance of banana muffins after changing one of the key ingredients, all purpose flour, to the variables of ½ protein powder, ½ all purpose flour, and fully protein powder. This experiment was done to aid and enhance the nutrition requirements for those patients with HIV/AIDS. The experiment was judged by a panel of 6 random students in experimental foods 362 class. The panelist made many comments which consisted of sensory feelings towards the muffins. Some of the panelist felt the taste of the muffins that contained fully protein powder where sweeter and held a vanilla taste with a pleasant aroma. Others felt that the muffins where well prepared but the muffins containing protein may have been a little grittier. Overall, the results of the experiment pleasantly surprised me, leaning towards the judges favoring the fully protein muffins over the controlled muffins which consisted of fully all purpose flour ingredient. A nutrition analysis was done on all three recipes (Appendix C) to show the change in nutrition values of all the final products. 2 Table of Contents 1. Introduction…………………………………………………………...1 2. Review of Literature……………………………………………...…..2 a. Transmission and Interventions…………….……………………………….….....2 b. Diagnosis……………………………………………….……...4 c. Psychological Health………………………………………......4 d. Whey Protein……………………………………………….….5 3. Research Statement………………………………………………...…6 4. Methodology……………………………………………………….....8 a. Procedure………………………………………………….….10 b. Sensory Panel………………………………………………....12 c. Nutrient Analysis……………………………………………..12 d. Statistical Analysis……………………………………………13 5. Results……………………………………………………………….14 6. Discussion…………………………………………………………...15 a. Limitation…………………………………………………….16 b. Conclusion……………………………………………………17 7. References…………………………………………………….……..19 8. Appendices…………………………………………………………..20 a. Appendix A………………………………………………...…20 i. Original Recipe Followed by market order b. Appendix B…………………………………………………...21 i. Scorecard c. Appendix C…………………………………………………...22 i. Revised concept map d. Appendix D………………………………………………...…23 i. Nutrient Analysis e. Appendix E…………………………………………………...24 i. Statistical Analysis (Hendonic scale)……………………..24 ii. Statistical Analysis (Number of Chews)…………………..25 iii. Statistical Analysis (Moisture)……………………….…...26 iv. Statistical Analysis (Objective testing, planimeter)………27 3 1. Introduction Acquired immune deficiency syndrome is defined as HIV infection along with a CD4 cell count of 200 or less, dementia, wasting syndrome, cancers, or one of the 20 other opportunistic conditions. (Stump-Escott, S. 2008) HIV/AIDs are found in all sections of the United States population, which reached 300 million people in 2006. The CDC (center for disease control) estimated that by 2004 almost 1.2 million people were living with HIV/AIDS, of which one fourth were undiagnosed. Besides being a great concern in America, AID/HIV is a worldwide problem being looked at as a very serious concern by the World AIDS conference. The lack of nutritional support and maintenance for people living in different counties that cannot obtain proper care, is making the crisis worse, the correlation between the number of people being diagnosed with it and the death rate are at a scary high. HIV (human immunodeficiency virus) was first confirmed in 1959 through a blood sample, and in 1983 researchers isolated the etiology retrovirus and gave it its name (HIV). HIV invades the T-helper cells in a person’s body, these cells are very important because they help the body fight infection. When HIV invades the body it progressively diminished the CD4+ or T helper cells and leads to the first symptoms, which include persistent fever, nights sweats, chronic fatigue, malaise, and diarrhea. (About/HIV/AIDS. (2010). 4 2. Review of Literature Transmission and Interventions HIV can be transmitted via blood, semen, vaginal fluid, breast milk, and other body fluids that contain blood. The most common way of transfer in the United States on record is through unprotected anal or vaginal intercourse with an already infected person. Individuals who already have an underlining STD are at increased risk to contract the virus due to their already lowed immune system. Transmission can occur through sharing needles and injecting contaminated blood products. A major global issue is the transmission of HIV from an infected mother to her child during birth and then breast feeding after. There are two types of HIV, HIV-1 and HIV-2, they are both transmitted the same way, but HIV-1 mutates readily and has become distributed unevenly throughout the world in different strains, subtypes, and groups, making it more dominate and popular. (Stump-Escott, S. 2008) There are many organizations working towards the recognition and help maintenance of HIV/AIDS on a global aspect. Fortunately we as Americans understand the need, have the technology, and have obtained enough literature to aid in the relationship between malnutrition and AIDS. Malnutrition is a very important factor when considering a patient with this virus, without proper compliance there are serious consequences. One of the most important factors in maintaining adequate nutrition for these patients is the relationship between protein-energy needs; this is an advanced complication of HIV disease. HIV wasting, described as involuntary weight loss of 10% 5 of baseline body weight, is a very realistic and scary thing for people with this complication. 5% weight loss has been associated with increased risk of death and significantly increased risk for other complications. (Stump-Escott, S. 2008) HIV patients have the tendency to lose weight, have a decreased lean muscle mass, decreased iron binding capacity, and decreased potassium. These symptoms are all related to lack of adequate intake, which results from anorexia due to the disease making the person less hunger, fatigued, and nauseated. HIV patients during the course of treatment may become intolerant to many things such as lactose, fat, and gluten, which is why protein plays a huge role in providing an enormous amount of their calorie needs for the day. HIV/AIDS is a cause of hypermetabolism, the body metabolizes food much faster and has a need for many more calories than a normal person of the same size and body weight, for most HIV patients there need for energy is increased by 13% and protein requirements by 10%. Improved or reversed HIV wasting can be accredited to increased consumption of protein about 1.6-1.8 g of protein per kg body weight. (Stump-Escott, S. 2008) The first nutrition goal for a HIV/AIDS patient is to maintain and preserve optimal somatic and visceral protein statues, to slow the progression of the disease and help their body maintain as much of their immune system as possible. That is why the research of protein in HIV/AIDS patients is so prevalent and any new information, studies, or experiments can make the difference. Being able to enhance any food product with more protein to increase their intake of protein for any given day is beneficial, especially given the fact that they normally have a much suppressed appetite. So having the knowledge and putting into affect making even the smallest snack or meal packed with protein I see is a number 1 priority. 6 Diagnosis The importance of early diagnosis cannot be over emphasized; early detection can lead to earlier intervention medically and nutritionally, leading to a longer and healthier life. Diagnosing HIV can be done using blood, saliva, or swabbing cells from the inside of the mouth. A person is also diagnosed with AIDS when their CD4 count falls below 200 cells per cubic millimeter of blood, the level at which the immune system can no longer protect a person from the AIDS-defining illnesses and infections. (About/HIV/AIDS. (2010) Psychological Health Patients suffering from HIV/AIDS do not only have suffering from the disease, but many psychological problems will and can develop. It is very hard to empathized with a person who has this condition, because unless you are truly going through it, you do not know the impact it has on one’s life, ranging from the person wanting to learn and obtain knowledge of their newly diagnosed disease to understanding every correlated illness they could potentially end up getting if they do not take their newly prescribed drugs. Along with these new drugs that they are taking the potential side effects they can have while taking them, foods that they once loved they will hate, foods that they could never stomach before they must learn to eat and force themselves to eat when they are not hungry. This is why it is very important to sympathize with the patient and slowly help them understand, what is going on with their bodies and the need for nutrition support. It is also recommended that nutritionist work very closely with psychologist when working 7 with of this stature. To help with the patients psychological needs and help them become better adjusted, we should consider; their flexibility to change, possible food and drug interaction, there never ending change of medicine regimens, presence of other diseases that might make it hard for them to eat, and most importantly changing the quality of their food along with the quantity. If I can incorporate a mass amount of protein into a small snack or meal, I am helping significantly with their psychological barriers to food intake (United States Department of Health and Human Service. (2009)) Whey Protein There are many questions that are asked concerning protein products, and when I was choosing the right protein powder for my experiment I did plenty of research to make sure I chose the best product for my experiment, so that I could have the most optimal positive feedback. In my studies I found that whey protein has the highest value in providing branched-chain amino acids which are crucial to building and maintaining muscle tissue. Whey protein provides the body with the necessary building blocks to produce amino acids that are used for building muscle tissue. Both hormonal and cellular responses seem to be greatly enhanced with supplementation of whey protein. There are numerous studies that point to the benefits whey protein has on the body's immune system. Whey protein also plays a role as an antioxidant which also helps support a health immune system. All of these things combined make the perfect protein supplement for a person with increased protein needs due to HIV/AIDS or any other hypermetabolic disease. (Muscle and Strength. (2010).) 8 3. Research Statement The purpose of this experiment was to try substituting whey protein for all purpose flour in order to achieve acceptable and palatable tastes, textures, aromas, and appearance of banana muffins. In place of all purpose flour as being the control; ½ cup whey protein powder and ½ cup all purpose flour was tried as Variable 1, followed by Variable 2 using 1 cup whey protein powder, to try to replicate similar qualities between the banana muffins. Research Questions 1. Was there a difference in preference between 1 cup all purpose flour and ½ cup whey protein powder, ½ cup all purpose flour? 2. Was there a difference in preference between 1 cup all purpose flour and 1 cup whey protein powder? 3. Was there a difference in texture between 1 cup all purpose flour and ½ cup whey protein powder, ½ cup all purpose flour? 4. Was there a difference in texture between1 cup all purpose flour and 1 cup whey protein powder? 5. Was there a difference in moistness between 1 cup all purpose flour and ½ cup whey protein powder, ½ cup all purpose flour? 6. Was there a difference in moistness between 1 cup all purpose flour and 1 cup whey protein powder? 7. Was there a difference in volume when measured by the planimeter between 1 cup all purpose flour and ½ cup whey protein powder, ½ cup all purpose flour? 9 8. Was there a difference in volume when measured by the planimeter between 1 cup all purpose flour and 1 cup whey protein powder? 10 4. Methodology My first step in designing this experiment was choosing a disease, that I felt comfortable and willing to put time and effort into learning about. I wanted a disease that challenged me, was something different that not a lot of people would think to do, and most importantly to pick a disease that I would retain and take with me for life valuable information about the subject. HIV/AIDS is a newly seen disease only being around for a few decades now, but scientific research and hard working physicians, doctors, and scientist are quickly formulating important information regarding this life threatening disease. Although there are no cures, we, the world, are coming together to fund many projects and theories that could help cure this disease for good. I decided that I would love to be a part of something so big, even if it is just experimenting with different ingredients to find the best food supplement for people suffering from this disease. After careful consideration and review of literature, I decided that I would choose banana muffins as my recipe, for a few reasons. First, because this can be tolerate by many HIV/AIDS patients, it is a baked good, it is very moist so it is easy to swallow and chew. Next, because bananas are very high in potassium which is also a nutrient that HIV/AIDS patients seem to lack significantly, by using bananas in this recipe I could potentially be fulfilling another nutrient deficiency these people normally seem to have. Lastly, because muffins are baked with flour, which is the primary dry ingredient, so I could easily substitute some form of protein powder in to enhance their protein intake with just one small snack. My decision was made; I decided to use ½ cup whey protein, ½ cup all purpose flour as my variable 1, and then I used 1 full cup whey protein powder as my 11 variable 2. Finally, I assigned randomized numbers to each variable and my control (as shown below in the chart). (Appendix A). Ingredient Randomized Number Control: 1 c all purpose flour 147 Variable 1: ½ c whey protein powder 258 ½ cup all purpose flour Variable 2: 1 c whey protein powder 369 Following this I had to choose independent and dependent variables to be measured. Since my main concern was with the differences in taste between the 3 experiments, I chose to use a Hendonic scale as one of my measures. I also decided that the texture was important to look at because with the disease I was using, it is important that the patient be able to chew and swallow with easy, so I used number of chews test. The last sensory panel test I choice to use was, the moistness test having my panel grade the muffins from 1= extremely moist through 4= tough as a rock. For the objective test I used the planimeter to measure the volume of my products. I felt that this was important to understand the difference in sizes between the muffins, because the smaller area the muffin the better for the patients with HIV/AIDS. My plan for this project is shown below (Appendix C) in my updated concept map. The results of my subjective and objective tests will be explained in further detail in the additional sections. 12 Procedure After picking out my recipe for banana muffins, I had to figure out a schedule to follow for each lab that would allow me enough time to make sure I incorporated each crucial step of the process. In order for the nutritional analysis to be correct for each product, we as a class had to measure out and weigh all ingredients in grams using an electronic scale. I found that pre weighing was essential for time management. The night before the lab I would pre weigh all of my dry ingredients this included; granulated sugar, baking soda, baking powder, salt, the control of all purpose flour, and the whey protein powder, I then separated all ingredients into three bags, which were marked as control, variable 1 and variable 2. During my lab time the first thing I would do was clean my lab station and wash my hands. I followed that my pre heating my oven to 350 degrees F. Then I gathered all my wet ingredients which included; 3 eggs, butter, and 6 bananas. I then collected three mixing bowls, 3 muffin sheets, and 3 measuring cups. I then weighed out the bananas once the electronic scale read 240 g which was approximately two bananas, I proceeded to mash them. I repeated the weighing and mashing part three times. I then separated the bananas into 3 mixing bowls and melted the butter using a microwave for 1 minute. After the butter was melted and this step was repeated three times, I poured each cup of butter into one mixing bowel that held the bananas, and finished mixing the wet ingredients by adding one egg to each mixing bowl. I then proceeded to add the dry ingredients into their separate mixing bowl with the wet ingredients. After the mixtures were complete I would add each one to a greased muffin pan (one at a time). In the oven I had to make sure that the mixture that contained 1 cup flour was on a middle rake, and 13 the two that held the whey protein powder, were near the bottom. This is due to the fact that protein structure has a tendency to emulsify and brown faster, I did not want any prejudgments from my sensory panel so I attempted to keep the muffins looking as closely the same as possible. I found my putting the muffins that contained protein on the bottom shelf this eliminated a lot of the burnt look. After putting the muffins on the appropriate shelf I would set the timer for 25 minutes, checking on them periodically. I did this for every lab period. Although for the preliminary trial I found out different problems that I would have to overcome. First I realized that the protein muffins cooked faster than the regular muffins, so I needed to check on them more often. I discussed this with Dr. Barker and she discussed with me lowering the temperature or lowering the time the muffins needed to be in the oven, due to the protein ingredient in them, she told me whatever change I made remember to record that data for future reference, which I did do. By the first real lab, I realized that the protein muffins not only needed to be on the lowest shelf, but they also only needed to be in the oven for 20 minutes, at this time they were completely cooked through. Secondly I noticed that the protein muffin batter would expand more in the muffin sheet, sometimes overflowing creating a mess in the oven, so by the first real trial, I knew I had to put less protein banana muffin mix into the muffin baking sheet. I had to keep very close eye on the protein muffins; I could not just set a timer and let them cook, at times I found that I needed to switch the muffins into an oven that was pre heated for a decreased amount of heat, never any lower than 325 degrees F, to reduce the fast changing brown color of the muffins. 14 While the muffins were cooking, I would prepare for my sensory testing by marking six individual plates with the numbers that correlated for muffin. After the plates where ready for the panel, I would start to clean my lab space. Sensory Panel My sensory panel was chosen randomly by Faith (Wilson) Bellinger in order to rid of bias. It was a mixture of six random females found in my experimental foods lab. These girls would be judging my products based on three subjective variables: preference, texture, and moistness of the three products. The same six students judged my products each week for four consecutive weeks. Each student received a paper plate split into three sections with each different type of banana muffin and a sensory card with the different subjective variables and their rating scale (Appendix B). The sensory card’s design was based off the ones described in the book “Foods Experimental Perspective”, by Margaret Mcwilliams. Since one of my subjective measures was not appearance, I thought it would be a smart idea to blind fold the students, so that they could not psychologically judge the product before tasting it. Some of the panel did not like this, but they kindly respected the fact I found it important to the results of my experiment, and they fully understood why I was asking of them to do this. The same randomized numbers were placed on the paper plate each week so the panelist could not figure out which were the control and variables. The muffins were judged upon a number scale ranging from 1-5 with different descriptive words describing their preference, texture, and moisture content of the products. 15 Nutrient Analysis A nutrient analysis of each recipe was done on an excel spread sheet using the USDA’s National Nutrient Database and the nutrition facts from the Whey Protein Label (Appendix D). As I was hoping the protein and potassium content increased significantly between the control and variable 2, these were very important keys to the success of the experiment. The total lipid and calories stayed around the same amount as the control recipe. Surprisingly the carbohydrate content actually went down a significant amount from the control all the way through variable 2. Statistical Analysis For each characteristic for each recipe the data from the 3 replications was averaged. For each characteristic an ANOVA with repeated measures was run and where appropriate post hoc analyses was done using correlated sample t-tests were done. 16 5. Results Banana Muffins were made each week with one control and two variables, adding a protein supplement instead of all purpose flour, which ultimately changed the protein content of the final experimental products. The sensory evaluations were calculated each week and statistically analyzed into the means of each category of each week tests. I used the program SPSS which stands for (statistical package for the social Sciences), to enter in all of my data that I received from the sensory panel, and also I entered my own objective testing that I did on the products. I learned how to work this program thanks to Dr. William Barker PhD. For my sensory evaluation 2 was my normal range for the hendonic scale, which showed that most panelist liked the products, I found this finding to be greatly important. For the most part none of my numbers were way off the scale but some were surprising. The average number of chews, to measure the texture of the product provided me with the finding that it normally took 8 chews to swallow the control muffin, and 10 chews to swallow both Variable muffins, with this finding I can conclude that the protein in the muffins, might change the texture slightly and make it a little more grittier or tougher to chew. Ultimately though this finding was not ridiculously high, so I was not that concerned with this finding, also the fact that different people have different mouth positioning and strength of their teeth, by comparing the entire panel the data could become a little skewed with its findings. Lastly I found that moisture content was about the same for all three muffin recipes, averaging around the 2 range, which was the exact finding I was hoping for. This told me that the panel thought the muffins where soft, easy to chew, and easy to swallow, but not so soft that it 17 dissolved in their mouth. The results of the experiment showed great except of these muffins as a potential product. This was exactly what I was looking for and was so happy in the end with all of the results. 6. Discussion The purpose of this experiment was to find a recipe that would be appealing and palatable for a patient suffering from HIV/AIDs to help enhance their need for protein, while keeping in mind their lack of interest in food. To analysis the enhanced protein and potassium content for banana muffins, from incorporating ½ cup whey protein powder, ½ cup all purpose flour, and 1 cup whey protein powder, compared to just 1 cup of all purpose flour. The addition of the Whey Protein powder was intended for people with HIV/AIDS to be able to know they can add protein to their favorite snacks or meals to be able to obtain the added 1.6-1.8 g protein per kg body weight they need to have in their diet, to promote maintenance of somatic and visceral protein stores or too reverse HIV wasting. From the beginning I felt that this was definitely worth a shot to try to incorporate a protein substitute into a baked good, for patients with increased needs for protein, like HIV/AIDS patients. I had some doubts that it might turn out gritty or to bulky for a person to really enjoy and want to eat. Overall my expectations fell short of the outcomes, which is a good thing I feel. Everyone seemed to really enjoy the protein muffins; it added an extra sweet vanilla taste that everyone seemed to really enjoy. The panelist all seemed to agree that the protein muffins where just as moist if not more moist than the control muffins that where made with 1 cup all purpose flour. From the 18 statistical analysis I found that both variables got 1-3 on the hendonic scale, which to me was an expectable ranking. Limitations In my preliminary trials I made small adjustments before proceeding to week 1. During the trial week, I made sure that I filled up the muffin pans equally for each recipe. I then set the timer for 25 minutes like the recipe for banana muffins told me to do. I also preheat the temperature for 325 degrees F. I proceeded to put the muffins in the oven and not really watch them until about 10 minutes before they were done, but by that time it was a little too late. The Variable 2, 1 cup Whey protein powder muffins started to explode over the top of the muffin baking sheet, and they also looked very brown. That is when I talked to Dr. Barker, and we brainstormed the reasoning behind this and what I would do for week 1 to change these minor problems. I decided that for my first problem of Variable 2 muffins spilling over the top, I would just make sure during week 1 I did not fill them as high as I would fill the muffin baking sheets for the control recipe. This actually did solve this problem that I had with them spilling over the top. My second limitation was figuring out how I could decrease the emulsifying process that the protein molecules where contributing too. I decided that for the first week, I would play it by ear, and watch Variable 2 muffins very carefully, and when they got to the point of looking overly brown, I would stop the timer so that the next week I would have a better knowledge of how long they really need to stay in the oven. By the second week I knew they only needed to stay in the oven between 18-20 minutes. I also 19 learned that it was better if they sat on the lowest level of the oven; this helped slow down the browning effect. Ultimately I felt that my limitations where very minor and easy to correct. So I did not let the trial week hinder or diminish my confidence I had for my experiment. In future research and trials, I would love to see what else I could cook with added Whey protein powder. I would also like to experiment with different flavored proteins to see if this has any effect with the emulsifying procedure, or if it would change the taste of the product even more. Next time I would also make sure that on my sensory card I included a place for appearance because I feel as an experiment gets more detailed, changes would have to be made for appearance, even if the product tastes delicious it has to look it too, ultimately just for psychological comfort and reassurance. Conclusion Overall the acceptability of the Banana muffins with added protein powder instead of all purpose flour was high. Each week, I felt more and more confident in my choice with picking the disease of HIV/AIDS, along with the control, variable 1 and variable 2 choices. I always received pleasant feedback from the panelist, which was soli judged on taste senses because they where blind-folded for testing. Appearance played no role in psychological prejudgment of the product, which I felt was very important because the Variable 2 group of muffins did sometimes seem to look very brown, but they tasted just as good, this was an important point in my experiment. While the cause of HIV/AIDs is known, there is still no cure, researchers are working very hard to figure out methods to overcome this damaging and deadly disease, 20 but for now it is know that proper nutrition and increase protein consumption will help the patient live a fuller, longer, and happier life. The ability to construct a proper diet plan for a patient with HIV/AIDS gives them a step in the right direction to controlling the breakdown of their lean muscle mass, which is vital for preventing further complications due to their lack of a strong immune system. By trying to work with the patient and incorporating whey protein or any protein supplement into a normal meal or snack they can tolerate is taking a huge step forward in helping these patients gain control of their life and eating habits again. 21 7. References About/HIV/AIDS. (2010). Symptoms, prevention, and diagnosis of HIV/AIDS. Retrieved from http://aids.about.com/od/hiv101/u/Basics.htm All Recipes. (2010).Banana Muffin Recipe. Retrieved from http://allrecipes.com/Recipe/Banana Muffin /Detail.aspx Livestrong. (2008). Body Fortress Super Advanced Whey protein powder (vanilla). Retrieved from http://www.livestrong.com/thedailyplate/nutritioncalories/food/body-fortress/super-advanced-whey-protein-powder-vanilla/ McWilliams, M. (2008). Foods experimental prospective. Upper Saddle River, NJ: Pearson Prentice House. Muscle and Strength. (2010). Whey Protein information and product list. Retrieved from http://www.muscleandstrength.com/supplements/ingredients/whey-protein.html Stump-Escott, S (2008). Krause’s food and nutrition therapy. Westline Industrial Drive, MO: Saunders Elsevier Health and Science Department. United States Department of Agriculture, Agricultural Research Services. (n.d.). Usda national nutrient database for standard reference Retrieved from http://www.nal.usda.gov/fnic/foodcomp/search/ United States Department of Health and Human Service. (2009). Women and HIV/AIDS. Emotional Health. Retrieved from http://www.womenshealth.gov/hiv/livingwith/depression.cfm 22 Appendix A Original Recipe Followed by market order Banana Muffins Original Recipe: Serves 6: 1/3 cup butter, softened 1 Egg 2 bananas ¼ cup granulated sugar ½ tsp baking soda ½ tsp baking powder ½ tsp salt 1 cup flour Mash up the bananas and add the sugar, egg, and melted butter. Mix up the dry ingredients and add the banana mixture to it. Mix everything together. Scoop out mixture into greased muffin tray. This recipe makes 6 muffins, cook for 25 minutes. Ingredients Bananas Granulated sugar Egg Cup butter Baking soda Baking powder Salt Flour Amounts 2 1/4 cup 1 1/3 cup 1/2 tsp 1/2 tsp 1/2 tsp 6.15 oz Variable V1: Vanilla Whey Protein V2: Vanilla Whey Protein In Grams 240 g 50.25 g 50 g 73.7 g 2.0 g 1.9 g 2.5 g 116 g Trial Week 1 6 6 4.5 oz 4.5 oz 3 3 8 oz 8 oz 1.5 tsp 1.5 tsp 1.5 tsp 1.5 tsp 1.5 tsp 1.5 tsp 6.15 oz 6.15 oz In Amounts Grams 1/2 cup 49.5 g 1 cup 99 g Trial 1/2 cup 1 cup Week 2 6 4.5 oz 3 8 oz 1.5 tsp 1.5 tsp 1.5 tsp 6.15 oz Week 3 6 4.5 oz 3 8 oz 1.5 tsp 1.5 tsp 1.5 tsp 6.15 oz Purchase Amount 24 1 lb. 2oz 1 dozen 2 lb 2 TBSP 2 TBSP 2 TBSP 1 lb. 9 oz Week 1 1/2 cup 1 cup Week 2 1/2 cup 1 cup Week 3 1/2 cup 1 cup 23 6 cups Appendix B Scorecard HENDONIC SCALE: Flavor of muffin Instruction: Put the number located on each muffin, under the facial expression you felt after tasting it. Judge_______________ _____________Date______________ Food Item_______________________ Liked extremely extremely Liked slightly neither/nor Disliked slightly Disliked NUMBER OF CHEWS TEST: this measures toughness Instruction: Take a bite size of each sample, count how many chews it takes before you have to swallow, chew in the same spot in the mouth each time. Muffin Number: 147 369 258 Number of chews : Moistness *only put one number for each sample group Sample 147 369 258 1=extremely moist falls apart in mouth 2=somewhat moist, it only takes a few chews 3=somewhat tough, but still could chew 4=tough as a rock, cannot chew it into pieces 24 25 Appendix C Revised Concept Map HIV Ingredients 2 bananas ¼ cup white sugar 1 egg 1/3 melted butter ½ teaspoon baking soda ½ teaspoon baking powder ½ teaspoon salt 1 cup flour AFFECTS: intake of calories and protein to maintain a lean body mass. Meats Dairy Baked Goods Banana Muffins Functional Ingredient Flour Control 1 cup flour Variable 1 ½ cup flour, ½ cup protein Variable 2 1 c protein Objective test planimeter Subjective tests Mouth feel -moistness Texture Hedonic test 26 Appendix D Nutrient Analysis Banana Muffins (ORIGINAL) energy Ingredients Bananas Granulated Sugar Egg Butter Baking Soda Baking Powder Salt Flour TOTALS Metric Units (g) 240 50.25 50 73.7 2 1.9 2.5 116 kcal 214 194 72 528 0 1 0 422 1431 protein g 2.62 0 6.29 0.63 0 0 0 11.98 21.52 total lipid g 0.79 0 4.97 59.78 0 0 0 1.14 66.68 carbohydrate K g mg 859 1 67 18 0 0 0 124 1069 54.82 50.24 0.39 0.04 0 0.46 0 88.52 194.47 Banana Muffins (Variable 1: 1/2c Flour, 1/2c Whey Protein) Ingredients Bananas Granulated Sugar Egg Butter Baking Soda Baking Powder Salt Flour Whey Protein TOTALS Energy kcal 214 194 72 528 0 1 0 211 165 1385 Protein g 2.62 0 6.29 0.63 0 0 0 5.99 39 54.53 Total Lipid g 0.79 0 4.97 59.78 0 0 0 0.57 3 69.11 Carbohydrate g 54.82 50.24 0.39 0.04 0 0.46 0 44.26 3 153.21 total lipid g 0.79 0 4.97 59.78 0 0 0 6 71.54 carbohydrate g 54.82 50.24 0.39 0.04 0 0.46 0 6 111.95 K mg 859 1 67 18 0 0 0 62 199.5 1206.5 Banana Muffins (Variable 2:1 cup Whey Protein) Ingredients Bananas Granulated Sugar Egg Butter Baking Soda Baking Powder Salt Whey Protein TOTALS energy kcal 214 194 72 528 0 1 0 330 1339 protein g 2.62 0 6.29 0.63 0 0 0 78 87.54 K mg 859 1 67 18 0 0 0 399 1344 27 Appendix E Statistical Analysis Hendonic Scale: Descriptive Statistics Mean Std. Deviation N Con_M1 2.00 .516 6 V1_M1 1.83 .408 6 V2_M1 2.44 .981 6 Tests of Within-Subjects Effects Measure:MEASURE_1 Type III Sum of Source C_V1_V2 Error(C_V1_V2) Squares df Mean Square F Sphericity Assumed 1.198 2 .599 .964 .414 Greenhouse-Geisser 1.198 1.357 .883 .964 .391 Huynh-Feldt 1.198 1.686 .710 .964 .404 Lower-bound 1.198 1.000 1.198 .964 .371 Sphericity Assumed 6.210 10 .621 Greenhouse-Geisser 6.210 6.784 .915 Huynh-Feldt 6.210 8.429 .737 Lower-bound 6.210 5.000 1.242 Paired Samples Test Paired Differences 95% Confidence Interval of the Difference Mean Pair Con_M1 1 2 Std. Error Deviation Mean Sig. (2Lower .167 .624 .255 -.488 -.444 1.311 .535 -.611 1.272 .519 Upper t .821 df tailed) .655 5 .542 -1.820 .931 -.830 5 .444 -1.946 .724 .292 V2_M1 Pair V1_M1 3 Std. V1_M1 Pair Con_M1 - V2_M1 Sig. - 5 1.177 28 Texture: Descriptive Statistics Mean Con_M2 Std. Deviation N 8.94 2.342 6 V1_M2 10.50 3.965 6 V2_M2 10.89 3.752 6 Tests of Within-Subjects Effects Measure:MEASURE_1 Type III Sum of Source C_V1_V2 Error(C_V1_V2) Squares df Mean Square F Sig. Sphericity Assumed 12.703 2 6.352 1.462 .277 Greenhouse-Geisser 12.703 1.681 7.558 1.462 .280 Huynh-Feldt 12.703 2.000 6.352 1.462 .277 Lower-bound 12.703 1.000 12.703 1.462 .281 Sphericity Assumed 43.444 10 4.344 Greenhouse-Geisser 43.444 8.404 5.170 Huynh-Feldt 43.444 10.000 4.344 Lower-bound 43.444 5.000 8.689 Paired Samples Test Paired Differences 95% Confidence Interval of the Difference Mean Pair Con_M2 - 1 V1_M2 Pair Con_M2 - 2 V2_M2 Pair V1_M2 - 3 V2_M2 Std. Std. Error Deviation Mean Sig. (2Lower Upper t df tailed) -1.556 3.132 1.278 -4.842 1.731 -1.217 5 .278 -1.944 2.235 .913 -4.290 .401 -2.131 5 .086 -.389 3.356 1.370 -3.911 3.133 -.284 5 .788 29 Moisture: Descriptive Statistics Mean Std. Deviation N Con_M3 1.56 .272 6 V1_M3 2.22 .455 6 V2_M3 2.11 .807 6 Tests of Within-Subjects Effects Measure:MEASURE_1 Type III Sum of Source C_V1_V2 Error(C_V1_V2) Squares df Mean Square F Sig. Sphericity Assumed 1.531 2 .765 2.696 .116 Greenhouse-Geisser 1.531 1.451 1.055 2.696 .139 Huynh-Feldt 1.531 1.889 .810 2.696 .120 Lower-bound 1.531 1.000 1.531 2.696 .162 Sphericity Assumed 2.840 10 .284 Greenhouse-Geisser 2.840 7.253 .391 Huynh-Feldt 2.840 9.444 .301 Lower-bound 2.840 5.000 .568 Paired Samples Test Paired Differences 95% Confidence Interval of the Difference Mean Pair Con_M3 - 1 V1_M3 Pair Con_M3 - 2 V2_M3 Pair V1_M3 - 3 V2_M3 Std. Std. Error Deviation Mean Sig. (2Lower Upper t df tailed) -.667 .471 .192 -1.161 -.172 -3.464 5 .018 -.556 .886 .362 -1.485 .374 -1.536 5 .185 .111 .834 .341 -.765 .987 .326 5 .758 30 Objective Testing: Planimeter Descriptive Statistics Mean Std. Deviation N Con_M_O 723.67 . 1 V1_M_O 711.00 . 1 V2_M_O 923.33 . 1 Tests of Within-Subjects Effects Measure:MEASURE_1 Type III Sum of Source Squares C_v1_v2 Error(C_v1_v2) df Mean Square F Sig. Sphericity Assumed 28370.880 2 14185.440 . . Greenhouse-Geisser 28370.880 . . . . Huynh-Feldt 28370.880 . . . . Lower-bound 28370.880 1.000 28370.880 . . Sphericity Assumed .000 0 . Greenhouse-Geisser .000 . . Huynh-Feldt .000 . . Lower-bound .000 .000 . Paired Samples Statistics Mean Pair 1 Pair 2 Pair 3 N Std. Deviation Std. Error Mean Con_M_O 723.67 1a . . V1_M_O 711.00 1a . . Con_M_O 723.67 1a . . V2_M_O 923.33 1a . . V1_M_O 711.00 1a . . V2_M_O 923.33 1a . . a. The correlation and t cannot be computed because the sum of case weights is less than or equal to 1. 31 32