
Skye MarshallDeakin University · Institute for Health Transformation
Skye Marshall
BNutr&Diet(Hons); PhD
About
96
Publications
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Introduction
Skye is an Associate Professor at the Institute for Health Transformation, Deakin University. She maintains several academic affiliations: Adjunct Associate Professor (QUT), Honorary Senior Research Fellow (UQ), and Assistant Professor (Bond University).
Research focus: evidence-based practice in dietetics and health services; specifically in fields of ageing, gastroenterology, oncology, and bariatrics.
Additional affiliations
Education
January 2014 - June 2016
Bond University
Field of study
January 2007 - December 2010
Publications
Publications (96)
Background
Multidisciplinary integrated models of care show promise for improving symptoms and quality of life (QoL) in adults with irritable bowel syndrome (IBS).
Aims
To describe and evaluate the characteristics of integrated models of care for IBS and identify how digital health is being used in these models of care.
Methods
Four databases wer...
Our aim was to conduct an umbrella review of evidence from meta-analyses of observational studies investigating the link between sugar-sweetened beverage consumption and human health outcomes. Using predefined evidence classification criteria, we evaluated evidence from 47 meta-analyses encompassing 22,055,269 individuals. Overall, 79% of these ana...
Background
The double burden of malnutrition and diet-related disease has been attributed to diets high in ultra-processed and discretionary foods, with increased sugars, saturated fats, and sodium, and insufficient dietary fibre. There is a limited understanding of the role of other macronutrients and micronutrients.
Objective
Determine the highe...
Background and aim: Variation in practice has been observed among the prescribed diets for inpatients with acute, uncomplicated diverticulitis. This study aimed to observe outcomes (length of stay (LOS), re-presentations, and gastrointestinal symptoms) for acute, uncomplicated diverticulitis inpatients prescribed restricted or liberalised diets dur...
Background
Very low‐calorie diet (VLCD) programs are readily available in Australia. However, there is a lack of real‐world evidence describing the characteristics related to positive outcomes.
Aims
To examine the demographic, eating, self‐efficacy and program engagement characteristics of VLCD users in Australia, and the associations between user...
Background:
Despite compositional alterations in gastrointestinal microbiota being purported to underpin some of the therapeutic effects of ginger, the effect of a standardized ginger supplement on gut microbiota has not been tested in humans.
Aims:
To determine the effect of a standardized ginger (Zingiber officinale) root powder, compared to p...
Problem
Disordered eating, such as binge, graze, and emotional eating, has been strongly linked to weight gain. Improved understanding of disordered eating by adults who elect bariatric weight loss procedures in a real‐world setting is required.
Purpose
To determine the association between the number and type of disordered eating patterns (DEPs),...
Ginger (Zingiber officinale) has been investigated for its potentially therapeutic effect on a range of chronic conditions and symptoms in humans. However, a simplified and easily understandable examination of the mechanisms behind these effects is lacking and, in turn, hinders interpretation and translation to practice, and contributes to overall...
Background
Bariatric weight-loss surgery rates are increasing internationally. Endoscopic sleeve gastroplasty (ESG) is a novel, minimally invasive endoscopic procedure thought to mimic some of the effects of a more common surgery, laparoscopic sleeve gastrectomy (LSG). Patient factors affecting procedural choice are unexplored.
Objective
This form...
Background
Treatments for Gastroesophageal Reflux Disease (GERD) symptoms include pharmaceutical, surgical, dietary, and lifestyle behaviors; however, dietary interventions lack evidence synthesis.
Research Question
What is the effect of dietary, probiotic, and nutraceutical interventions on GERD symptoms, with or without pharmaceutical therapy, i...
Background and aims
Chemotherapy-induced nausea and vomiting (CINV) is one of the most distressing cancer treatment side effects, affecting 20-70% of patients despite routine antiemetic prescription. Although dietary modifications are routinely recommended in clinical practice, there is lack of data synthesis to determine which dietary strategies f...
Health promotion campaigns have advocated for individuals to ‘eat a rainbow’ of fruits and vegetables (FV). However, the literature has only focused on individual color pigments or individual health outcomes. This umbrella review synthesized the evidence on the health effects of a variety of color-associated bioactive pigments found in FV (caroteno...
Aim:
Australian children consume 35% of energy from discretionary food and beverages which increases their risk of non-communicable diseases like type 2 diabetes. Despite this concerning statistic, broad analysis of the profile of discretionary food intake has not been fully undertaken. This study asks: what is the discretionary food and beverage...
Introduction
The menopause, or the cessation of menstruation, is a stage of the life cycle which will occur in all women. Managing perimenopausal and postmenopausal health is a key issue for all areas of healthcare, not just gynecology.
Aim
To provide recommendations for the curriculum of education programs for healthcare professionals worldwide,...
Aim:
Determine the discretionary energy intake of Indigenous Australian adolescents and its relationship with sex, body image, health, and geographical remoteness.
Methods:
Cross-sectional data from the 2012 to 2013 National Aboriginal and Torres Strait Islander Nutrition and Physical Activity Survey (n = 264, 15-17 years). Dietary data were col...
Background
Emerging evidence supports the health benefits of ginger for a range of conditions and symptoms; however, there is a lack of synthesis of literature to determine which health indications are supported by quality evidence.
Objectives
This umbrella review of systematic reviews aimed to determine the therapeutic effects and safety of any t...
Background
The laparoscopic sleeve gastrectomy (LSG) and the incisionless endoscopic sleeve gastroplasty (ESG) weight loss procedures require further investigation of their efficacy, safety and patient-centered outcomes in the Australian setting.
Methods
The aim was to examine the 6- and 12-month weight loss efficacy, safety, and weight-related qu...
The high prevalence of non-communicable disease in New Zealand (NZ) is driven in part by unhealthy diet selections, with food costs contributing to an increased risk for vulnerable population groups. This study aimed to: (i) identify the nutrient density-to-cost ratio of NZ foods; (ii) model the impact of substituting foods with a lower nutrient de...
Background
Carbohydrate quality influences major health outcomes; however, the best criteria to assess carbohydrate quality remain unknown.
Objective
The objectives were to: i) evaluate whether a diet that meets a carbohydrate ratio (simple, modified or dual ratio) is associated with higher nutrient intakes and diet quality, and ii) model the impa...
Background: European colonisation has disrupted Australian Indigenous traditional dietary patterns and hunter-gatherer traditions. Consequently, Indigenous diets are typically characterised by energy-dense, processed foods.
Aims: To investigate the predictors of discretionary energy intake (DEI) among Indigenous Australian adolescents.
Methods: D...
Background
Systematic reviews (SRs) are considered the highest level of evidence to answer research questions; however, they are time and resource intensive.
Objective
When comparing SR tasks done manually, using standard methods, versus those same SR tasks done using automated tools, (1) what is the difference in time to complete the SR task and...
Food costs are a barrier to healthier diet selections, particularly for low socioeconomic households who regularly choose processed foods containing refined grains, added sugars, and added fats. In this study, the objectives were to: (i) identify the nutrient density-to-cost ratio of Australian foods; (ii) model the impact of substituting foods wit...
Aim:
Biophenol-rich nutraceuticals may be an adjuvant treatment for Crohn's disease (CD), ulcerative colitis (UC), symptomatic uncomplicated diverticular disease (SUDD), and irritable bowel syndrome (IBS). This systematic review and meta-analysis aimed to determine the efficacy and safety of biophenol-rich nutraceutical supplementation on CD, UC,...
Dietary guidelines for many Western countries base their edible oil and fat recommendations solely on saturated fatty acid content. This study aims to demonstrate which nutritional and bioactive components make up commonly consumed edible oils and fats; and explore the health effects and strength of evidence for key nutritional and bioactive compon...
Background
and purpose: Minimal evidence regarding the safety and efficacy of complementary and alternative medicine (CAM) use during chemotherapy is accompanied with a high prevalence of use and nondisclosure to health professionals. This study aimed to explore patients’ perspectives, experiences, support needs, and sources of information regardin...
Aim:
There is limited information on the snacking behaviour of Australian adults, and the role of snacking in the diet may depend on how it is defined. This study aimed to compare the dietary snacking behaviours and associated nutritional intake and body composition in Australian adults, using an objective vs a subjective definition for snacking....
Background
To describe a-priori diet quality indices used in children and adolescents, appraise the validity and reliability of these indices, and synthesise evidence on the relationship between diet quality and physical and mental health, and growth-related outcomes.
Methods
Five electronic databases were searched until January 2019. An a-priori...
Little is known about the mineral composition of pink salt. The aim of this study was to evaluate for the first time the mineral composition of pink salt available for purchase in Australia and its implications for public health. Pink salt samples were purchased from retail outlets in two metropolitan Australian cities and one regional town. Color...
Quality of life and mental health are important outcomes of bariatric therapy. This review aimed to determine endoscopic bariatric procedures’ impact on postprocedural quality of life and mental health. Four electronic databases were systematically searched. Studies with adults > 18 years who underwent an endoscopic bariatric procedure and reported...
Aim
In Australian adults, this study seeks to describe the experiences and factors associated with the perceived outcomes of using a very low calorie diet (VLCD) program for ≥4 weeks.
Methods
A mixed method study using the method perspective was conducted to analyse individual semi‐structured interviews conducted via videoconference and cross‐sect...
Aim:
Current literature regarding the prevalence and consequences of poor dietary intake and risk of malnutrition in older adults is limited to wealthier regions including the United States, Europe and Australasia. With a rapidly ageing population in India, this prospective observational study aimed to evaluate hospital food intake and malnutritio...
BACKGROUND
Systematic reviews (SRs) are considered the highest level of evidence to answer research questions; however, they are time and resource intensive.
OBJECTIVE
When comparing SR tasks done manually, using standard methods, versus those same SR tasks done using automated tools, (1) what is the difference in time to complete the SR task and...
Background:
Observational data have established a link between the consumption of whole grains and reduced risk of cardiovascular disease (CVD); however, there is a need to review interventional research.
Objective:
Our aim was to determine whether interventions providing whole grain or whole pseudo-grain for dietary consumption improved CVD-rel...
Background:
Despite increasing incidence of CKD, no evidence-based lifestyle recommendations for CKD primary prevention apparently exist.
Methods:
To evaluate the consistency of evidence associating modifiable lifestyle factors and CKD incidence, we searched MEDLINE, Embase, CINAHL, and references from eligible studies from database inception th...
Introduction
Globally, 985 million women are aged 50 and over, leading to increasing concerns about chronic conditions such as cardiovascular disease, osteoporosis, dementia, and cognitive decline, which can adversely affect quality of life and independent living.
Aim
To evaluate the evidence from observational studies and randomized trials on the...
There is evidence from both in vitro and animal models that the consumption of edible mushrooms has beneficial effects on health. It is unclear whether similar effects exist in humans and which bioactive compounds are present. This review synthesises the evidence on the world's most commonly consumed mushroom, Agaricus bisporus to (i) examine its e...
Background:
During childhood and adolescence leading behavioural risk factors for the development of cardiometabolic diseases include poor diet quality and sedentary lifestyle. The aim of this study was to determine the feasibility and effect of a real-world group-based multidisciplinary intervention on cardiorespiratory fitness, diet quality and...
This systematic review and meta‐analysis of intervention studies aims to evaluate the effect of preoperative and/or post‐operative support for adults who elect bariatric surgery delivered by a multidisciplinary team (MDT) on post‐operative body composition, mental health, co‐morbidities, quality of life, and side effects. Six electronic databases w...
Dietary fibre and probiotics may play a role in the management of diverticular disease. This systematic review synthesises the evidence on the effects of dietary fibre modifications, with or without the use of probiotics, on the incidence in older adults of asymptomatic (AS) or symptomatic uncomplicated diverticular disease (SUDD), as well as on ga...
Background:
Ginger has been proposed as an adjuvant treatment for chemotherapy-induced nausea and vomiting.
Objective:
The aim of this systematic review with meta-analyses is to evaluate, in adult cancer patients receiving chemotherapy, the effects of ginger supplementation dose and duration on the incidence, duration, and severity of chemothera...
In response to some studies showing an association between menopausal hormone therapy (MHT) and risk of cancer and cardiovascular events, there has been increasing interest in nonhormonal- and nonmedication-based approaches to managing menopausal symptoms and optimising post-reproductive health. The aim is to maintain and promote good quality of li...
Context:
Saffron (Crocus sativus L.) has gained interest as a potential treatment in psychiatry.
Objective:
This systematic review and meta-analysis sought to investigate the effect of saffron supplementation, as both an adjunctive therapy and monotherapy, on symptoms of depression and anxiety in clinical and general populations compared with ph...
Background: Malnutrition negatively impacts hospitalised patients and the healthcare system. Objectives: 1) report point-prevalence of hospital malnutrition from 2012 to 2019; and 2) determine if there was an association between nutrition status and health-related outcomes. Design: Point-prevalence of malnutrition was determined by three (2012, 201...
BACKGROUND
Interventions to improve the nutritional status of older adults and the integration of formal and family care systems are critical research areas to improve the independence and health of ageing communities; and are particularly relevant in the rehabilitation setting.
OBJECTIVE
In malnourished older adults, does the FREER intervention d...
Background:
Interventions to improve the nutritional status of older adults and the integration of formal and family care systems are critical research areas to improve the independence and health of aging communities and are particularly relevant in the rehabilitation setting.
Objective:
The primary outcome aimed to determine if the FREER (Fami...
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DESCRIPTION
In June 2017 a full day multidisciplinary Master Class on Cancer Cachexia, was held at Bond University on the Gold Coast. This event included presentations on the latest research, novel models of care, knowledge translation and implementation science, and panel discussions from local and internati...
Background:
protein-energy malnutrition is a major health concern in home-dwelling older adults, particularly in the context of an ageing population. Therefore, a systematic review and meta-analysis was undertaken to determine the prevalence of malnutrition among older adults living independently in the community according to geographical region,...
Background and objectives:
Vitamin D plays an important role in bone and muscle function, and cell prolifera-tion. The impact of chemotherapy and associated behavioural changes such as fatigue and sun avoidance on vit-amin D (25(OH) D) is unknown. This study aims to evaluate variations in serum vitamin D during chemotherapy and the predictive valu...
Aim
There is significant recent interest in the role of ginger root (Zingiber officinale) as an adjuvant therapy for chemotherapy‐induced nausea. The supplemental prophylactic intervention for chemotherapy‐induced nausea and emesis (SPICE) trial aims to assess the efficacy by reduced incidence and severity of chemotherapy‐induced nausea and vomitin...
Gingerol and shogaol compounds in ginger likely interact with multiple components of the CINV pathway. Previous systematic reviews (Marx et. al. 2013 and Lee & Oh 2013) found no consistent effect of ginger as an adjuvant therapy. Research aim: To update previous systematic reviews which evaluate the efficacy of ginger supplementation in prevention...
Protein-energy malnutrition is a major health concern in homedwelling
older adults, particularly in the context of population ageing.
Therefore, a systematic review and meta-analysis was undertaken to
examine the international prevalence of malnutrition in older adults living
independently in the community; including examination of geographical
reg...
The polyphenol fraction of extra-virgin olive oil may be partly responsible for its cardioprotective effects. The aim of this systematic review and meta-analysis was to evaluate the effect of high versus low polyphenol olive oil on cardiovascular disease (CVD) risk factors in clinical trials. In accordance with PRISMA guidelines, CINAHL, PubMed, Em...
Context:
The aim of this systematic review was to evaluate clinical trial data regarding the effect of resveratrol supplementation on cognitive performance and mood in populations that are healthy and in the clinical setting.
Data sources:
Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a systema...
Telehealth offers a feasible method to provide nutrition support to malnourished older adults. This systematic review and meta-analysis aims to determine the efficacy of telehealth methods in delivering malnutrition-related interventions to community-dwelling older adults. Studies in any language were searched in five electronic databases from ince...
In practice, nutrition recommendations vary widely for inpatient and discharge management of acute, uncomplicated diverticulitis. This systematic review aims to review the evidence and develop recommendations for dietary fibre modifications, either alone or alongside probiotics or antibiotics, versus any comparator in adults in any setting with or...
Background:
observational studies have shown that nutritional strategies to manage malnutrition may be cost-effective in aged care; but more robust economic data is needed to support and encourage translation to practice. Therefore, the aim of this systematic review is to compare the cost-effectiveness of implementing nutrition interventions targe...
End-stage kidney disease is a strong risk factor for cardiovascular-specific mortality. Polyphenol-rich interventions may attenuate cardiovascular disease risk factors; however, this has not been systematically evaluated in the hemodialysis population. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines,...
Due to a lack of evidence regarding the dietary management of acute uncomplicated diverticulitis, practice varies for discharge nutrition recommendations, and may include modified dietary fibre diets, fibre supplementation, and/or probiotic supplementation.
Therefore, this systematic review aims to review the evidence and develop recommendations...
Background: Accurate diagnosis is a key step in managing the protein-energy malnutrition. This review seeks to determine the criterion (concurrent and predictive) validity and reliability of nutrition assessment tools in making a diagnosis of protein-energy malnutrition in the general older adult community.
Methods: A systematic literature review w...
Despite the belief that dietary fibre prevents diverticulosis and diverticulitis (diverticular disease), little evidence exists examining this relationship.
Therefore, there are no evidence-based dietary management guidelines for the prevention of diverticulosis and progression to acute diverticulitis.
A systematic review of the literature was un...
Background:
Carnitine deficiency has been implicated as a potential pathway for cancer-related fatigue that could be treated with carnitine supplementation. The aim of this systematic literature review and meta-analysis was to evaluate the literature regarding the use of supplemental carnitine as a treatment for cancer-related fatigue.
Methods:...