Rachael McLean | |
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Academic background | |
Alma mater | University of Otago , University of Otago |
Thesis | |
Doctoral advisor | Jim Mann , Sheila Williams, Janet Hoek |
Academic work | |
Institutions | University of Otago |
Rachael Mira McLean is a New Zealand public health physician and academic,and is a full professor at the University of Otago. Her research focuses on the public health consequences of nutritional and dietary choices,and includes the relationship between diet and chronic disease.
McLean completed a Master of Public Health followed by a PhD titled Sodium in New Zealand:intake,consumer perceptions,and implications for chronic disease at the University of Otago. [1] [2] McLean then joined the faculty of the Department of Preventative and Social Medicine at Otago,rising to associate professor in 2020 and full professor in 2024. [3] [4] [5] McLean is a part of the Edgar National Centre for Diabetes Research. [6] [7]
McLean's research focuses on the environmental factors that affect people's dietary choices,and the relationship between diet and chronic diseases such as heart disease and diabetes. McLean's research on the measurement of salt intake has contributed to international best practice,and national and international dietary recommendations. [8] She has called for a reduction in salt levels in food,to meet World Health Organisation targets. [9] [10] McLean was part of a research team that investigated 'traffic light' labels for salt in food,and found that such a labelling system would improve nutritional choices by New Zealand consumers. [6] She has also explored the relationship between alcohol consumption and injury. [11] McLean was part of a $2 million research programme,the Cancer Society Research Collaboration,funded by the Cancer Society. The collaboration between Otago,Massey University and Victoria University of Wellington was led by McLean,Janet Hoek,Diana Sarfati,Louise Signal,Sue Crengle,and Richard Egan,and aimed to reduce the 'incidence,impact,and inequities' of cancer in New Zealand. [12]
McLean is on the board of trustees of St Clair School. [13]
A non-communicable disease (NCD) is a disease that is not transmissible directly from one person to another. NCDs include Parkinson's disease, autoimmune diseases, strokes, heart diseases, cancers, diabetes, chronic kidney disease, osteoarthritis, osteoporosis, Alzheimer's disease, cataracts, and others. NCDs may be chronic or acute. Most are non-infectious, although there are some non-communicable infectious diseases, such as parasitic diseases in which the parasite's life cycle does not include direct host-to-host transmission.
The Dietary Approaches to Stop Hypertension or the DASH diet is a diet to control hypertension promoted by the U.S.-based National Heart, Lung, and Blood Institute, part of the National Institutes of Health (NIH), an agency of the United States Department of Health and Human Services. The DASH diet is rich in fruits, vegetables, whole grains, and low-fat dairy foods. It includes meat, fish, poultry, nuts, and beans, and is limited in sugar-sweetened foods and beverages, red meat, and added fats. In addition to its effect on blood pressure, it is designed to be a well-balanced approach to eating for the general public. DASH is recommended by the United States Department of Agriculture (USDA) as a healthy eating plan. The DASH diet is one of three healthy diets recommended in the 2015–20 U.S. Dietary Guidelines, which also include the Mediterranean diet and a vegetarian diet. The American Heart Association (AHA) considers the DASH diet "specific and well-documented across age, sex and ethnically diverse groups."
A salt substitute, also known as low-sodium salt, is a low-sodium alternative to edible salt marketed to reduce the risk of high blood pressure and cardiovascular disease associated with a high intake of sodium chloride while maintaining a similar taste.
The Dietary Guidelines for Americans (DGA) provide nutritional advice for Americans who are healthy or who are at risk for chronic disease but do not currently have chronic disease. The Guidelines are published every five years by the US Department of Agriculture, together with the US Department of Health and Human Services. Notably, the most recent ninth edition for 2020–25 includes dietary guidelines for children from birth to 23 months. In addition to the Dietary Guidelines per se, there are additional tools for assessing diet and nutrition, including the Healthy Eating Index (HEI), which can be used to assess the quality of a given selection of foods in the context of the Dietary Guidelines. Also provided are additional explanations regarding customization of the Guidelines to individual eating preferences, application of the Guidelines during pregnancy and infancy, the USDA Nutrition Evidence Systematic Review, information about the Nutrition Communicators Network and the MyPlate initiative, information from the National Academies about redesigning the process by which the Dietary Guidelines for Americans are created, and information about dietary guidelines from other nations.
A low sodium diet is a diet that includes no more than 1,500 to 2,400 mg of sodium per day.
Salt consumption has been extensively studied for its role in human physiology and impact on human health. Chronic, high intake of dietary salt consumption is associated with hypertension and cardiovascular disease, in addition to other adverse health outcomes. Major health and scientific organizations, such as the World Health Organization, US Centers for Disease Control and Prevention, and American Heart Association, have established high salt consumption as a major risk factor for cardiovascular diseases and stroke.
The health effects of salt are the conditions associated with the consumption of either too much or too little salt. Salt is a mineral composed primarily of sodium chloride (NaCl) and is used in food for both preservation and flavor. Sodium ions are needed in small quantities by most living things, as are chloride ions. Salt is involved in regulating the water content of the body. The sodium ion itself is used for electrical signaling in the nervous system.
Salim Yusuf is an Indian-born Canadian physician, the Marion W. Burke Chair in Cardiovascular Disease at McMaster University Medical School. He is a cardiologist and epidemiologist. Yusuf has criticized the Dietary Guidelines for Americans and disputes the scientific consensus on dietary sodium and saturated fat intake.
Sir Joel Ivor Mann, generally known as Jim Mann, is a New Zealand nutritionist and endocrinologist. He is professor in human nutrition and medicine at the University of Otago and consultant physician (endocrinology) at Dunedin Hospital. He has researched the role of lipids and carbohydrates in coronary heart disease, diabetes, and obesity, as well as the relationship between obesity and cancer. He was knighted in the 2022 New Year Honours.
Cheryl Ann Marie Anderson is an American epidemiologist. Anderson is a professor at and founding Dean of the University of California San Diego Herbert Wertheim School of Public Health and Human Longevity Science. Anderson's research focus is on nutrition and chronic disease prevention in under-served human populations.
Janet Anne Hoek is a New Zealand academic, she was promoted to full professor at Massey University in 2003 and was appointed full professor at the University of Otago.
A renal diet is a diet aimed at keeping levels of fluids, electrolytes, and minerals balanced in the body in individuals with chronic kidney disease or who are on dialysis. Dietary changes may include the restriction of fluid intake, protein, and electrolytes including sodium, phosphorus, and potassium. Calories may also be supplemented if the individual is losing weight undesirably.
Sheila A. Skeaff is a Canadian-born New Zealand nutritionist and full professor at the University of Otago. Her research focusses on food literacy, sustainable diets and iodine deficiency.
Rachel C. Brown is a New Zealand scientist, professor and deputy head of the Department of Human Nutrition at the University of Otago.
Lisa Anne Te Morenga is a New Zealand Maori academic, and she is a full professor at the Research Centre for Hauora and Health at Massey University. Her research focuses on nutrition and Māori health, especially in relation to dietary interventions to prevent metabolic disease.
Christine Dumont Thomson is a New Zealand nutritionist and academic, and is professor emerita at the University of Otago. Before her retirement in 2010 she researched iodine and selenium dietary deficiencies.
Rosalina Richards is a Samoan New Zealand behavioural psychologist, and is a full professor at the University of Otago, specialising in Pacific public health.
Natalie June Hughes, also known as Natalie Medlicott and Natalie Hughes-Medlicott, is a New Zealand pharmaceutical scientist, and is a full professor at the University of Otago.
Louise Nadine Signal is a New Zealand academic, and is a full professor at the University of Otago, specialising in researching public health policy and promotion, inequities in healthcare, and environmental determinants of health.
Anne-Louise M. Heath is a New Zealand academic, and is a full professor at the University of Otago, specialising in baby and infant nutrition, including baby-led weaning and iron deficiency.