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Glycemic Indices of Multiple Oral Nutritional Supplements: A Randomized Cross-Over Study in Indian Adults 多种口服营养补充剂的血糖指数:印度成年人的随机交叉研究
Pub Date : 2023-01-01 DOI: 10.4236/fns.2023.1410060
Deepti Khanna, Jaladhi Bhatt, Jayanti Gupta, Simran Sethi, Parth Joshi, Manoj Pareek, Divya Agrawal
Background: A randomized cross-over study was conducted to assess the glycemic index (GI) of seven Oral Nutritional Supplements (ONSs). These ONSs are designed to support the nutritional requirements of different age-groups, physiological states, or health conditions among Indian adults. Methods: The study had two phases viz., phase1 (n = 18) studied two ONSs: A1 and B1 and phase 2 (n = 20) studied five ONSs: A2, B2, C2, D2 & E2. The subjects were healthy, non-diabetic adults, aged between 20 - 44 years with a mean Body Mass Index of 21.2 ± 1.52 kg/m2 (Phase 1) and 21.0 ± 1.45 kg/m2 (Phase 2). All these ONSs were compared with reference drinks (glucose). The carbohydrates in one serving of each ONS were matched to carbohydrates from 25 grams of glucose following ISO 2010 guidelines. Capillary blood was assessed for blood glucose response at baseline, 15, 30, 45, 60, 90 and 120 minutes. GI was calculated as the incremental area under the curve (iAUC) for the test drinks and expressed as a percentage of the average iAUC from glucose. Results: Phase 1 indicated that the high fiber diabetes-specific nutrition supplement A1 with higher protein (23% energy), higher fat (25% energy) and reduced carbohydrates (40% energy) had a significantly (p = 0.002) lower GI [34 (±6)] as compared to B1 [63 (±7)] (protein 19%, fat 7% and carbohydrates 60% energy) even with similar amount (22%) and type of fiber. Phase 2 reported that all test products [A2 (32 ± 5), B2 (37 ± 4), C2 (31 ± 5), D2 (31 ± 5) and E2 (55 ± 4)] had a low GI. As compared to phase 1, ONSs in phase 2 had lower fiber content (1.6% - 4.6% energy). Conclusion: The glycemic index of oral nutrition supplements is influenced not only by their fiber content, but also by the overall macronutrient composition including protein (≥17% energy), fat (≥10% - 27% energy) and carbohydrates (40% - 57.5% energy).
背景:一项随机交叉研究评估了7种口服营养补充剂(ONSs)的血糖指数(GI)。这些ONSs旨在支持印度成年人不同年龄组、生理状态或健康状况的营养需求。方法:研究分为两期,第一阶段(n = 18)研究A1、B1 2个ONSs,第二阶段(n = 20)研究A2、B2、C2、D2、E2 5个ONSs。受试者为健康的非糖尿病成年人,年龄在20 - 44岁之间,平均体重指数为21.2±1.52 kg/m2(第一阶段)和21.0±1.45 kg/m2(第二阶段)。所有这些ONSs与参考饮料(葡萄糖)进行比较。每份ONS中的碳水化合物与ISO 2010指南中25克葡萄糖中的碳水化合物相匹配。在基线、15、30、45、60、90和120分钟时评估毛细血管血的血糖反应。GI以测试饮料的增量曲线下面积(iAUC)计算,并以葡萄糖平均iAUC的百分比表示。结果:1期试验结果表明,在纤维含量(22%)和种类相似的情况下,高蛋白(23%能量)、高脂肪(25%能量)、低碳水化合物(40%能量)的高纤维糖尿病专用营养补充剂A1与蛋白质19%、脂肪7%、碳水化合物60%能量的B1相比,GI值[34(±6)]显著(p = 0.002)降低(p = 0.002)。二期报告所有试验产品[A2(32±5)、B2(37±4)、C2(31±5)、D2(31±5)、E2(55±4)]均为低GI。与第1阶段相比,第2阶段的ONSs纤维含量较低(能量为1.6% - 4.6%)。结论:口服营养补充剂的升糖指数不仅受纤维含量的影响,还受蛋白质(能量≥17%)、脂肪(能量≥10% ~ 27%)和碳水化合物(能量40% ~ 57.5%)等宏量营养素组成的影响。
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引用次数: 0
Safety Evaluations of Long-Term and Excessive Intakes of <i>Bifidobacterium longum</i> CLA8013: A Placebo-Controlled, Randomized, Double-Blind Study 长期和过量摄入<i>长双歧杆菌</i&gt的安全性评价CLA8013:一项安慰剂对照、随机、双盲研究
Pub Date : 2023-01-01 DOI: 10.4236/fns.2023.1410063
Daisuke Takami, Keisuke Okada, Yutaka Makizaki, Yoshiki Tanaka, Hiroshi Ohno, Daisuke Tsuge
Heat-killed Bifidobacterium longum CLA8013 has been demonstrated to improve the frequency of defecation, straining, and pain during defecation in human placebo-controlled, double-blind, parallel-group studies. We conducted a randomized, double-blind, placebo-controlled, parallel-group study to evaluate the safety of both long-term and excessive intakes of heat-killed B. longum CLA8013, when used as a food with functional claims. In both tests, 30 healthy volunteers were divided into two groups: an active group that ingested heat-killed B. longum CLA8013 and a placebo group. In the long-term intake safety study, participants in the active group ingested 25 billion cells/day for 12 weeks. In the excessive intake safety study, participants in the active group ingested 125 billion cells/day for 4 weeks. Physical, hematological, biochemical, and urine examinations were conducted, and adverse events were evaluated in both studies. The studies revealed no abnormalities in any of the safety tests. In conclusion, no safety-related issues were identified with long-term or excessive intake of heat-killed B. longum CLA8013.
在人类安慰剂对照、双盲、平行组研究中,热杀长双歧杆菌CLA8013已被证明可以改善排便频率、排便时紧张和疼痛。我们进行了一项随机、双盲、安慰剂对照、平行组研究,以评估长期和过量摄入热杀B. longum CLA8013作为具有功能声明的食品时的安全性。在这两项测试中,30名健康志愿者被分为两组:一组服用热致死长芽胞杆菌CLA8013的活跃组和一组安慰剂组。在长期摄入安全性研究中,活性组参与者连续12周每天摄入250亿个细胞。在过量摄入安全性研究中,活性组参与者连续4周每天摄入1250亿个细胞。进行了物理、血液学、生化和尿液检查,并对两项研究中的不良事件进行了评估。研究显示在任何安全测试中都没有异常。综上所述,没有发现长期或过量摄入热杀长白弧菌CLA8013的安全相关问题。
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引用次数: 0
Factors Related to the Reading Nutritional Labels by Consumers 消费者阅读营养标签的相关因素
Pub Date : 2023-01-01 DOI: 10.4236/fns.2023.1410062
Ellen Rodrigues dos Santos, José Eduardo Corrente, Rachel Santos Bueno Carvalho, Giovana Fumes-Ghantous
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引用次数: 0
Assessment of the Aflatoxin Content of Maize Flours Produced in the Commune of Ouagadougou, Burkina Faso 布基纳法索瓦加杜古公社生产的玉米粉中黄曲霉毒素含量的评估
Pub Date : 2023-01-01 DOI: 10.4236/fns.2023.1410057
Adama Sawadogo, Raoul Bazié, Hama Cissé, Latifatou Helbi, Cheikna Zongo, Aly Savadogo
Aflatoxins are toxic metabolites present in various foods, especially when production and conservation do not respect good hygiene practices (GHP). In Ouagadougou, maize flour is produced and sold in different structures by actors who do not always respect GHP. Thus, it is necessary to regularly control the quality of these flours. So, this is carried out with the aim to assess the aflatoxin content of maize flours produced in the municipality of Ouagadougou. For this, twenty-eight (28) samples were collected from households, markets and supermarkets in the city of Ouagadougou. Thus, LC/MS/MS analysis was used to assess the aflatoxin content of the samples. The results obtained reveal the presence of total aflatoxins (AFT) in 78.57% of samples analyzed with levels ranging from 0.89 to 64.25 μg/kg. The prevalence of different types of aflatoxins were 57.14% for aflatoxin B1 (AFB1), 46.43% for aflatoxin B2 (AFB2), 42.86% for aflatoxin G1 (AFG1) and 4.6% for aflatoxin G2 (AFG2). The results also show that 80% and 60% of market samples, 70% and 30% of household samples and 37.5% and 25% of supermarket samples do not comply with European Commission standards for AFT and AFB1 respectively. For all the samples, 60.71% and 42.86% of the samples are compliant according to the limits established by the European Commission (EC) respectively for AFB1 and AFT. Regarding the results obtained, producers and processors must be supervised and trained in GHP for the production of better-quality flours.
黄曲霉毒素是存在于各种食品中的有毒代谢物,特别是在生产和保存不遵守良好卫生规范(GHP)的情况下。在瓦加杜古,玉米粉的生产和销售以不同的方式进行,而这些行为者并不总是遵守GHP。因此,有必要定期控制这些面粉的质量。因此,开展这项研究的目的是评估瓦加杜古市生产的玉米粉中的黄曲霉毒素含量。为此,从瓦加杜古市的家庭、市场和超市中收集了28个样本。因此,采用LC/MS/MS分析方法对样品中的黄曲霉毒素含量进行测定。结果显示,78.57%的样品中存在总黄曲霉毒素(AFT),含量范围为0.89 ~ 64.25 μg/kg。黄曲霉毒素B1 (AFB1)阳性率为57.14%,B2 (AFB2)阳性率为46.43%,G1 (AFG1)阳性率为42.86%,G2 (AFG2)阳性率为4.6%。结果还表明,80%和60%的市场样本、70%和30%的家庭样本以及37.5%和25%的超市样本分别不符合欧盟委员会对AFT和AFB1的标准。所有样品中,60.71%和42.86%的样品分别符合欧盟委员会(EC)对AFB1和AFT的限值。根据所得结果,生产商和加工商必须接受GHP的监督和培训,以生产出质量更好的面粉。
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引用次数: 0
Serum Omega-6/Omega-3 Ratio and Risk Markers for Cardiovascular Disease in an Industrial Population of Delhi. 德里工业人群血清Omega-6/Omega-3比率和心血管疾病风险标志物
Pub Date : 2013-09-01 DOI: 10.4236/fns.2013.49A1015
Ruby Gupta, Ramakrishnan Lakshmy, Ransi Ann Abraham, Kolli Srinath Reddy, Panniyammakal Jeemon, Dorairaj Prabhakaran

High omega-6/omega-3 ratio intake promotes development of many chronic diseases. Secondary prevention studies though have demonstrated a decline in progression of many such diseases after reducing the intake, specific biochemical indices of cardiovascular disease risk markers have not been evaluated. We have evaluated the circulating levels of omega-6/omega-3 ratio and its effect on cardiovascular risk markers in India. Present study was conducted in industrial setting where employees were randomly selected. Data on their demographic characteristics were collected using pre-tested questionnaire. Fasting blood samples were collected from all the participants. Serum was separated and stored at -80°C till the time of analysis. Lipids were estimated using standard kits. Fatty acids in serum were estimated by Gas chromatography. The identified Omega-3 fatty acid included were 18:3 (Alpha-linolenic acid), 20:5 (Eicosapentenoic acid) & 22:6 (Docosahexenoic acid). Among omega-6 included were 18:2 (linoleic acid), 18:3 (gamma-linolenic acid) & 20:4 (Arachidonic acid). Complete data was available for 176 participants (89% males and 11% females) with mean age of 47.23 ± 6.00 years. The bmi of the participants was 24.88 ± 3.43 Kg/m2 and waist circumference was 91.50 ± 9.56 cm. The median of omega-6/omega-3 ratio in the study population was 36.69 (range: 6.21 - 183.69). The levels of total cholesterol, triglycerides, ldl-cholesterol and cholesterol/hdl ratio and apo B correlated significantly with omega-6/3 ratio. There was no correlation observed with hsCRP and LDL-particle size. A direct relationship of omega-6/omega-3 ratio with dyslipidemia was observed in our study.

高omega-6/omega-3比例的摄入促进了许多慢性疾病的发展。二级预防研究虽然表明减少摄入后许多此类疾病的进展有所下降,但尚未对心血管疾病危险标志物的具体生化指标进行评估。我们评估了印度血液中omega-6/omega-3比值的水平及其对心血管危险指标的影响。本研究是在工业环境中进行的,员工是随机选择的。采用预测问卷收集人口统计学特征数据。采集了所有参与者的空腹血样。分离血清,-80℃保存至分析时间。使用标准试剂盒估计脂质。用气相色谱法测定血清中脂肪酸含量。所鉴定的Omega-3脂肪酸分别为18:3 (α -亚麻酸)、20:5(二十碳五烯酸)和22:6(二十二碳六烯酸)。omega-6中含有18:2(亚油酸),18:3(-亚麻酸)和20:4(花生四烯酸)。176名参与者(男性89%,女性11%)的完整资料,平均年龄47.23±6.00岁。参与者的bmi为24.88±3.43 Kg/m2,腰围为91.50±9.56 cm。研究人群中omega-6/omega-3比值的中位数为36.69(范围:6.21 - 183.69)。总胆固醇、甘油三酯、低密度脂蛋白胆固醇、胆固醇/高密度脂蛋白比值和载脂蛋白B水平与ω -6/3比值显著相关。与hsCRP和ldl颗粒大小无相关性。我们的研究发现omega-6/omega-3比值与血脂异常有直接关系。
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引用次数: 18
Nutritional Quality and Health Benefits of Vegetables: A Review 蔬菜的营养品质与健康益处
Pub Date : 2012-10-12 DOI: 10.4236/FNS.2012.310179
João Silva Dias
Vegetables are considered essential for well-balanced diets since they supply vitamins, minerals, dietary fiber, and phytochemicals. Each vegetable group contains an unique combination and amount of these phytonutriceuticals, which distinguishes them from other groups and vegetables whithin their own group. In the daily diet vegetables have been strongly associated with improvement of gastrointestinal health, good vision, and reduced risk of heart disease, stroke, chronic diseases such as diabetes, and some forms of cancer. Some phytochemicals of vegetables are strong antioxidants and are thought to reduce the risk of chronic disease by protecting against free radical damage, by modifying metabolic activation and detoxification of carcinogens, or even by influencing processes that alter the course of tumor cells. All the vegetables may offer protection to humans against chronic diseases. Nutrition is both a quantity and a quality issue, and vegetables in all their many forms ensure an adequate intake of most vitamins and nutrients, dietary fibers, and phytochemicals which can bring a much-needed measure of balance back to diets contributing to solve many of these nutrition problems. The promotion of healthy vegetable products has coincided with a surging consumer interested in the healthy functionality of food. Because each vegetable contains a unique combination of phytonutriceuticals, a great diversity of vegetables should be eaten to ensure that individual’s diet includes a combination of phytonutriceuticals and to get all the health benefits. This article make a review and discusses the nutritional quality and health benefits of the major groups of vegetables. More interdisciplinary work is required that involves nutritional and food scientists as well as others from biomedical fields to ascertain the thrue function of specific phytonutriceuticals.
蔬菜被认为是均衡饮食必不可少的,因为它们提供维生素、矿物质、膳食纤维和植物化学物质。每一种蔬菜都含有一种独特的植物营养素的组合和数量,这使它们与其他种类的蔬菜和它们自己种类的蔬菜区别开来。在日常饮食中,蔬菜与改善胃肠道健康、良好视力、降低患心脏病、中风、糖尿病等慢性疾病和某些癌症的风险密切相关。蔬菜中的一些植物化学物质是强抗氧化剂,被认为可以通过防止自由基损伤,通过改变致癌物质的代谢激活和解毒,甚至通过影响改变肿瘤细胞进程的过程来降低患慢性疾病的风险。所有的蔬菜都可以保护人类免受慢性疾病的侵害。营养既是数量问题也是质量问题,各种形式的蔬菜确保了大多数维生素和营养素、膳食纤维和植物化学物质的充足摄入,这些物质可以为饮食带来急需的平衡,有助于解决许多营养问题。健康蔬菜产品的推广恰逢消费者对食品健康功能的兴趣激增。因为每一种蔬菜都含有独特的植物营养素组合,所以应该吃各种各样的蔬菜,以确保个人的饮食包括植物营养素组合,并获得所有的健康益处。本文对主要蔬菜种类的营养品质和健康益处进行了综述和讨论。需要更多的跨学科工作,包括营养和食品科学家以及生物医学领域的其他人,以确定特定植物营养素的真正功能。
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引用次数: 9
Developing a heme iron database for meats according to meat type, cooking method and doneness level. 根据肉类种类、烹饪方法和熟度级别,开发肉类血红素铁数据库。
Pub Date : 2012-07-01 DOI: 10.4236/fns.2012.37120
Amanda J Cross, James M Harnly, Leah M Ferrucci, Adam Risch, Susan T Mayne, Rashmi Sinha

Background: Animal studies have demonstrated that iron may be related to carcinogenesis, and human studies found that heme iron can increase the formation of N-nitroso compounds, which are known carcinogens.

Objectives: One of the postulated mechanisms linking red meat intake to cancer risk involves iron. Epidemiologic studies attempt to investigate the association between heme iron intake and cancer by applying a standard factor to total iron from meat. However, laboratory studies suggest that heme iron levels in meat vary according to cooking method and doneness level. We measured heme iron in meats cooked by different cooking methods to a range of doneness levels to use in conjunction with a food frequency questionnaire to estimate heme iron intake.

Methods: Composite meat samples were made to represent each meat type, cooking method and doneness level. Heme iron was measured using atomic absorption spectrometry and inductively coupled plasma-atomic emission spectrometry.

Results: Steak and hamburgers contained the highest levels of heme iron, pork and chicken thigh meat had slightly lower levels, and chicken breast meat had the lowest.

Conclusions: Although heme iron levels varied, there was no clear effect of cooking method or doneness level. We outline the methods used to create a heme iron database to be used in conjunction with food frequency questionnaires to estimate heme iron intake in relation to disease outcome.

背景:动物研究表明,铁可能与致癌有关,而人体研究发现,血红素铁能增加 N-亚硝基化合物的形成,而这些化合物是已知的致癌物质:红肉摄入量与癌症风险之间的假定机制之一涉及铁。流行病学研究试图通过对来自肉类的总铁采用一个标准系数来调查血红素铁摄入量与癌症之间的关系。然而,实验室研究表明,肉类中的血红素铁含量会随着烹饪方法和熟度的不同而变化。我们测量了不同烹饪方法烹制的不同熟度肉类中的血红素铁含量,并结合食物频率调查问卷来估算血红素铁的摄入量:方法:制作代表每种肉类、烹饪方法和熟度的复合肉样。采用原子吸收光谱法和电感耦合等离子体原子发射光谱法测量血红素铁:结果:牛排和汉堡包的血红素铁含量最高,猪肉和鸡腿肉的血红素铁含量略低,鸡胸肉的血红素铁含量最低:结论:虽然血红素铁的含量各不相同,但烹饪方法或熟度水平没有明显的影响。我们概述了创建血红素铁数据库的方法,该数据库将与食物频率调查问卷结合使用,以估算与疾病结果相关的血红素铁摄入量。
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引用次数: 0
Maternal Body Composition and Its Relationship to Infant Breast Milk Intake in Rural Pakistan. 巴基斯坦农村产妇身体成分及其与婴儿母乳摄入量的关系
Pub Date : 2011-11-01 DOI: 10.4236/fns.2011.29127
Nafeesa Nazlee, Rakhshanda Bilal, Zahid Latif, Les Bluck

Some women in rural Pakistan are chronically undernourished, and consequently underweight. Concerns have been expressed that the degree of undernourishment might be sufficiently severe to affect lactation performance. We have obtained data on maternal body composition and infant breast milk intake using stable isotope methods in a group of thirty three mother and infant pairs at approximately six months of age. The maternal body mass index ranged from 16.6 to 29.1 kg·m(-2). In this population we found that exclusive breast-feeding tended to be associated with lower maternal body fat, and that there was no evidence for compromised lactational performance due to malnourishment. Finally we note that when our data is combined with that from other studies there may be a generalised negative correlation between breast milk intake and maternal body fat.

巴基斯坦农村的一些妇女长期营养不良,因此体重过轻。有人担心,营养不良的程度可能严重到影响泌乳性能。我们使用稳定同位素方法获得了一组33对大约6个月大的母亲和婴儿的身体成分和婴儿母乳摄入量的数据。产妇体重指数为16.6 ~ 29.1 kg·m(-2)。在这个人群中,我们发现纯母乳喂养往往与较低的母体体脂有关,并且没有证据表明营养不良会影响泌乳性能。最后,我们注意到,当我们的数据与其他研究的数据相结合时,母乳摄入量与母亲体脂之间可能存在普遍的负相关。
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引用次数: 14
期刊
Food and Nutrition Sciences
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