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Eating Disorders and the Internet: A Descriptive Cross-Sectional Study Monitoring The Pro Ana Phenomenon in An Italian Sample. 饮食失调和互联网:一项描述性横断面研究监测亲Ana现象在一个意大利样本。
Pub Date : 2021-04-01 DOI: 10.35248/2155-9600.21.S6.814
L. Rossi, Paola Tizzano, E. Malaspina, F. Moscano, P. Gualandi, Francesca Rossi, Valentina Francia, A. Atti, A. Parmeggiani
Background: The Internet is a significant source of information for adolescents, affecting their life and health. The online Pro Anorexia (Pro Ana) phenomenon is a growing danger. The purpose of this study is to evaluate the presence of the Pro Ana phenomenon in an Italian sample of patients affected by Eating Disorders.Methods: This study is a descriptive cross-sectional analysis that examines two different samples of patients affected by eating disorders at different points in time, in 2017 and 2020. This study was conducted by using a seven-item anonymous questionnaire specifically developed by the authors to collect data on knowledge and visitation of websites and Social Networks Sites related to "pro-ana" and "thinspiration" content. Results: More than 80% of the respondents in both samples use the Internet daily. From 2017 to 2020 we observed a rise of the phenomenon among the adolescents of our sample. In 2020 76% of the patients knew of sites emphasizing a marked thinness as an ideal of beauty, 60% knew of Pro Ana sites and 22% visited them. Conclusions: Our data confirm that in Italy too, Pro Ana is a diffused phenomenon, of which clinicians need to be consistently aware especially when treating adolescents with ED. Patients with ED mainly visit diet and nutrition sites, and it is important to acknowledge this practice in order to prevent and address ED in early adolescence. Although few subjects claim to visit Pro Ana websites, the majority is aware of these sites and therefore they are potential users. Many patients assert that they are familiar with websites promoting excessive thinness as ideal beauty, which supports the bio-psycho-social etiopathogenetic model of Anorexia Nervosa. Information sharing and prevention work are important forms of interventions for families, teachers and clinicians, who together care for adolescent patients with ED.Level of evidence: Level IV (descriptive, cross-sectional study examining case series of patients with Eating Disorders)
背景:互联网是青少年重要的信息来源,影响着他们的生活和健康。网上的“职业厌食症”(Pro Ana)现象越来越危险。本研究的目的是评估意大利饮食失调患者样本中Pro Ana现象的存在。方法:本研究采用描述性横断面分析方法,在2017年和2020年的不同时间点对两个不同的饮食失调患者样本进行了研究。本研究采用作者专门设计的七项匿名调查问卷,收集与“亲ana”和“thinspiration”内容相关的网站和社交网站的知识和访问数据。结果:两个样本中超过80%的受访者每天使用互联网。从2017年到2020年,我们观察到我们样本中的青少年中这种现象的上升。到2020年,76%的患者知道强调显瘦作为理想美的网站,60%的患者知道Pro Ana网站,22%的患者访问过这些网站。结论:我们的数据证实,在意大利,Pro Ana也是一种普遍现象,临床医生需要始终意识到这一点,特别是在治疗青少年ED时。ED患者主要访问饮食和营养网站,为了预防和解决青少年早期ED,认识到这一做法很重要。虽然很少有受试者声称访问Pro Ana网站,但大多数人都知道这些网站,因此他们是潜在用户。许多患者声称他们熟悉将过度瘦作为理想美的网站,这支持神经性厌食症的生物-心理-社会发病模型。信息共享和预防工作是家庭、教师和临床医生的重要干预形式,他们共同照顾青少年ed患者。证据水平:四级(描述性,横断面研究检查饮食失调患者的病例系列)
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引用次数: 1
Assessing US Registered Dietitians Knowledge and Perceptions of a Gluten-Free Diet: A Mixed Methods Approach 评估美国注册营养师对无麸质饮食的知识和看法:一种混合方法
Pub Date : 2021-03-03 DOI: 10.35248/2155-9600.21.S6.818
R. Brannan, Hannah Helton, E. Beverly, M. Russell
Background The practice of gluten-free diets is on the rise, evidenced by the increase in gluten-free sales from $2.8 billion in 2015 to a projected $7.6 billion in 2020. People with celiac disease and non-celiac gluten sensitivity are required to avoid gluten containing products. It is important that registered dietitians are knowledgeable about this topic due to the prevalence and popularity of the gluten-free diet by those with or without celiac disease or non-celiac gluten sensitivity. Methods A mixed methods approach using qualitative (focus group) was used to generate topics for a quantitative (survey) that assessed knowledge and perceptions of a gluten-free diet from a representative sample of 508 registered dietitians.ResultsOver 18% of respondents incorrectly identified gluten as a carbohydrate. Additionally, less than 80% of RDs correctly identified the presence or absence of gluten in semolina, spelt, kamut, and buckwheat. Regarding perceptions of a gluten-free diet, participants reported that the public is not aware of what gluten is, a gluten-free diet is not appropriate for the general public or weight loss, and the gluten-free diet is a fad when used outside of celiac disease and nonceliac gluten sensitivity.ConclusionsThere is a need for improved education of a gluten-free diet in the areas of sources of gluten, labeling, and gluten-related disorders among Registered Dietitians.
无麸质饮食的实践正在增加,无麸质销售额从2015年的28亿美元增加到2020年预计的76亿美元就是证据。患有乳糜泻和非乳糜泻谷蛋白敏感的人需要避免含有谷蛋白的产品。注册营养师了解这个话题是很重要的因为无谷蛋白饮食在有或没有乳糜泻或非乳糜泻谷蛋白敏感的人群中很流行。方法采用定性(焦点小组)的混合方法为定量(调查)产生主题,评估508名注册营养师的代表性样本对无麸质饮食的知识和看法。结果超过18%的受访者错误地将麸质识别为碳水化合物。此外,不到80%的rd正确识别出小麦粉、斯佩尔特小麦、卡姆特小麦和荞麦中是否存在麸质。关于对无谷蛋白饮食的看法,参与者报告说,公众不知道谷蛋白是什么,无谷蛋白饮食不适合普通公众或减肥,无谷蛋白饮食在乳糜泻和非乳糜泻麸质敏感人群之外是一种时尚。结论:在注册营养师中,有必要在麸质来源、标签和麸质相关疾病方面加强无麸质饮食的教育。
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引用次数: 0
Metabolic Disorder Perturb Renal Homeostasis 代谢紊乱扰乱肾脏稳态
Pub Date : 2021-02-26 DOI: 10.26420/AUSTINJNUTRIFOODSCI.2021.1151
I. Sharma, Y. Liao, X. Zheng, Kanwar Ys
Obesity related nephropathy disorders have increased ten-folds in recent years. One of the consequences of obesity is an increased Glomerular Filtration Rate (GFR) that leads to an enlargement of the renal glomerulus, i.e., glomerulomegaly. This heightened hyper-filtration in the setting of type 2 diabetes irreparably damages the kidney and leads to the progression of an End Stage Renal Disease (ESRD). Patients suffering from type 2 diabetes have progressive proteinuria, and eventually one third of them develop Chronic Kidney Disease (CKD) and ESRD. For ameliorating the progression of CKD inhibitors of Renin Angiotensin Aldosterone System (RAAS) seemed to be effective, but for short-term basis only. Long term and stable treatment strategies like weight loss via restricted or hypo-caloric diet or bariatric surgery have yielded more promising results in terms of proteinuria and maintenance of GFR. Body Mass Index (BMI) is considered as a traditional marker for obesity onset, but apparently, it is not a reliable indicator, and thus there is a need for more precise evaluation of regional fat distribution and amount of muscle mass. With respect to the pathogenesis, recent investigations have suggested perturbation in fatty acid and cholesterol metabolism as the critical mediators in ectopic renal lipid accumulation, inflammation, increased generation of ROS, RAAS activation and consequential tubulo-interstitial fibrosis. This review summarizes the renewed approaches for obesity assessment and evaluation of the pathogenesis of CKD, altered renal hemodynamics and potential therapeutic targets.
近年来,与肥胖相关的肾病增加了10倍。肥胖的后果之一是肾小球滤过率(GFR)增加,导致肾小球增大,即肾小球肿大。在2型糖尿病患者中,这种升高的超滤会对肾脏造成不可修复的损害,并导致终末期肾病(ESRD)的进展。2型糖尿病患者有进行性蛋白尿,最终三分之一的患者发展为慢性肾脏疾病(CKD)和ESRD。为了改善CKD的进展,肾素血管紧张素醛固酮系统抑制剂(RAAS)似乎是有效的,但只是短期的基础。长期稳定的治疗策略,如通过限制或低热量饮食或减肥手术减肥,在蛋白尿和维持GFR方面产生了更有希望的结果。体重指数(Body Mass Index, BMI)被认为是肥胖发病的传统标志,但显然,它不是一个可靠的指标,因此需要更精确地评估区域脂肪分布和肌肉量。关于发病机制,最近的研究表明,脂肪酸和胆固醇代谢的紊乱是异位肾脂质积累、炎症、ROS生成增加、RAAS激活和随之而来的小管间质纤维化的关键介质。本文综述了肥胖评估和CKD发病机制、肾脏血流动力学改变和潜在治疗靶点的新方法。
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引用次数: 0
Nutritional Assessment in Children with Allergy to Cow's Milk Protein 对牛奶蛋白过敏儿童的营养评估
Pub Date : 2021-01-01 DOI: 10.35248/2155-9600.21.11.801
Marília Porto Oliveira Nunes, A. Lustosa, Hildênia B Ribeiro, Júlio César Chaves Nunes Filho, M. Guedes
Objective: To relate the nutritional status of children allergic to cow's milk protein to the factors that interfere in the nutritional deficit. Methodology: It is a descriptive cross-sectional and quantitative approach carried out in the outpatient clinic for food allergy of a Children’s Hospital in Ceara, whose sampling is non-probabilistic sample of convenience and includes children up to 48 months of age. The variables of interest were: sex, age, age at diagnosis, duration of exclusive breastfeeding, use of infant formula, weight and stature. The data collection was carried out from March to June 2015 through anthropometric measurements (weight and height) and the application of a semi-structured questionnaire. The statistical analysis related and associated all the variables, obtaining as a result significant p<0.05. Results: The study included 342 children with a mean age of 7.50 months (± 6.51), being 53.50% boys and 46.50% girls. The average weight of the population was 8.03 kg (± 3.85), height was 67.68 cm (± 9.66) and BMI was 17.22 Kg/m2 (± 8.87). The average time for diagnosis of allergy to cow's milk protein was 8.98 months (± 7.90) and the average time of exclusive breastfeeding was 2.58 months (± 2.16). Conclusions: It was found that there was adequacy of weight and height in most children. However, some factors may have positively influenced the results as: age at which the allergy was diagnosed, age at which there was introduction of formulas, duration of breastfeeding and participation in the program of cow's milk protein allergy.
目的:探讨牛奶蛋白过敏儿童营养状况与影响营养缺乏的因素之间的关系。方法:采用描述性横断面和定量方法,在塞阿勒儿童医院的食物过敏门诊进行,其抽样为方便的非概率抽样,包括48个月以下的儿童。感兴趣的变量是:性别、年龄、诊断时的年龄、纯母乳喂养的持续时间、婴儿配方奶粉的使用、体重和身材。数据收集于2015年3月至6月,通过人体测量(体重和身高)和半结构化问卷的应用进行。对各变量进行相关分析,p<0.05。结果:本组患儿342例,平均年龄7.50月龄(±6.51),男童占53.50%,女童占46.50%。人口平均体重8.03 kg(±3.85),身高67.68 cm(±9.66),BMI 17.22 kg /m2(±8.87)。诊断为牛奶蛋白过敏的平均时间为8.98个月(±7.90),纯母乳喂养的平均时间为2.58个月(±2.16)。结论:绝大多数儿童体重、身高均属正常。然而,一些因素可能会对结果产生积极影响,如:诊断过敏的年龄、引入配方奶粉的年龄、母乳喂养的持续时间和参与牛奶蛋白过敏计划。
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引用次数: 0
A Review of Nutritional Facts, Production, Availability and FutureAspects of Coconut Palm Sugar 椰子棕榈糖的营养成分、生产、利用及发展趋势
Pub Date : 2021-01-01 DOI: 10.35248/2155-9600.21.11.793
Muhammad Tuseef Asghar, Y. Yusof, M. Mokhtar, Mohammad Effendy Yaacob, H. Ghazali, Lee Sin Chang
Coconut palm (Cocos Nucifera L.) sugar with its low GI value and micro and macro nutrition contents is focused in developed countries as a natural alternative to unhealthy cane sugar and more beneficial for farmers as compared with copra production and cane sugar production. Coconut palm sugar (CPS) is available in the forms of syrup, blocks and granular sugar. Granular CPS can be a better substitute for regular sugar as it would be convenient and healthy to use. CPS is important therapeutically as it is an antioxidant, antidiabetic, renal treatment, menstrual disorder treatment, and treatment for deficiencies of hemoglobin and vitamins. CPS production is less than demand due to lack of advanced production technologies. Coconut sap contains 12-15% sugar and very susceptible to spontaneous fermentation and converted to alcohol. It is necessary to utilize or process the sap as soon as possible. Traditional production is unhygienic, laborious and time-consuming keeps many coconut farmers away from CPS production even production of CPS can earn more economic benefits for local farmers. It can be produced traditionally by evaporation of coconut sap at 115oC to 120oC for 3 to 5 hours. Advanced techniques like vacuum drying, freeze drying, and spray drying etc. can also be used for hygienic but small in quantity and more costly production of CPS. Dry granulation may be a low-cost technique for mass production of granular CPS. It can be best stored at moisture content less than 2-4%.
椰子树(Cocos Nucifera L.)糖具有低GI值和微观和宏观营养成分,在发达国家被视为不健康蔗糖的天然替代品,与椰子和蔗糖生产相比,椰子树糖对农民更有益。椰子棕榈糖(CPS)以糖浆、块状糖和颗粒糖的形式存在。粒状CPS可以作为普通糖的更好替代品,因为它使用方便且健康。CPS在治疗上很重要,因为它是一种抗氧化剂,抗糖尿病,肾脏治疗,月经紊乱治疗,以及治疗血红蛋白和维生素缺乏。由于缺乏先进的生产技术,CPS的产量低于需求。椰子汁含有12-15%的糖,很容易自发发酵转化为酒精。有必要尽快利用或处理树液。传统的生产方式不卫生、费力、耗时,使得很多椰子农远离CPS的生产,即使CPS的生产可以为当地农民带来更多的经济效益。传统的生产方法是将椰汁在115摄氏度到120摄氏度的温度下蒸发3到5个小时。真空干燥、冷冻干燥、喷雾干燥等先进技术也可用于生产卫生但数量少且成本较高的CPS。干造粒可能是大批量生产颗粒CPS的一种低成本技术。在水分含量小于2-4%的条件下贮藏效果最好。
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引用次数: 2
Diet Content of Non-saturated Fatty Acids Decreases Plasma Adiponectin in Patientswith Metabolic Syndrome 饮食中不饱和脂肪酸含量降低代谢综合征患者血浆脂联素
Pub Date : 2021-01-01 DOI: 10.35248/2155-9600.21.S6.817
J. A. Suárez-Cuenca, Diana Elisa Díaz-Jiménez, J. Pineda-Juárez, Alondra Gissel Mendoza Mota, Ofelia Dinora Valencia-Aldana, Said Núñez-Angeles, Eduardo Vera-Gómez, Alej, ro Hernández-Patricio, Mónica Escamilla-Tilch, Pavel Loeza-Magaña, J. Lara-Vargas, R. Vaca, J. Martínez, Ángel Alfonso Garduño-Pérez, Beatriz Barranco-Fragoso, J. Montoya-Ramírez, María AngélicaDíaz-Ar, Roberto Carlos Chaparro-Hernández, Alberto Melchor-López, S. García, J. Gutiérrez-Salinas, P. Mondragón‐Terán
Introduction: The metabolic syndrome (MS) has been related to the unbalance between pro and anti-inflammatory cytokines; where adiponectin, an anti-inflammatory adipokine, is considered to play a key metabolic role. The consumption of certain micronutrients has been claimed to modify pro and anti-inflammatory cytokines. Aim: To explore whether dietary micronutrients are related with plasma adiponectin in patients with MS. Methods: Cross-sectional analysis. Quartiles of dietary bioactive compounds were compared according to values of plasma adiponectin. Interquartile variation (IQV) and correlation analyses were performed. Results: There was a significant IQV of dietary unsaturated fatty acids (between 50%-66% of change, p25 vs p75, p<0.05), particularly for trans-fatty acids, poly-unsaturated fatty acids, mono-unsaturated fatty acids and ω-6 fatty acids, in relation to plasma adiponectin; as well as a negative correlation (rho=-0.53, -0.37, -0.29 and -0.34, respectively; p<0.05). Conclusion: Dietary amounts of unsaturated fatty acids inversely related to plasma adiponectin in patients with MS.
代谢综合征(MS)与促炎性细胞因子和抗炎性细胞因子失衡有关;脂联素,一种抗炎脂肪因子,被认为在代谢中起着关键作用。某些微量营养素的摄入被认为可以改变促炎性和抗炎性细胞因子。目的:探讨多发性硬化症患者膳食微量营养素与血浆脂联素的关系。根据血浆脂联素值比较膳食生物活性化合物的四分位数。进行四分位数变异(IQV)和相关分析。结果:饲料中不饱和脂肪酸的IQV变化显著(50% ~ 66%,p25 vs p75, p<0.05),特别是反式脂肪酸、多不饱和脂肪酸、单不饱和脂肪酸和ω-6脂肪酸对血浆脂联素的影响显著;以及负相关(rho分别=-0.53,-0.37,-0.29和-0.34;p < 0.05)。结论:MS患者饮食中不饱和脂肪酸含量与血浆脂联素呈负相关。
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引用次数: 0
Industrial Trans-Fatty Acid Intake Associated with Coronary Heart Disease Risk-A Review 工业反式脂肪酸摄入与冠心病风险相关——综述
Pub Date : 2021-01-01 DOI: 10.35248/2155-9600.21.11.806
Firdaus Ma, M. Sunita
1 J Nutr Food Sci, Vol. 11 Iss. 5 No: 806 found naturally (ruminants trans-fatty acid) in meat and dairy products and artificially (industrial trans-fatty acid) in vegetable oils through partial hydrogenation [3-5]. Partially hydrogenated vegetable oils (PHVOs) are the primary source of industrially produced trans fatty acids (iTFAs), which are also considered a major health concern when it comes to CHD risk [6,7]. TFAs were once called a healthier replacement for saturated fatty acids (SFAs) when the adverse effects of SFAs, including increased blood cholesterol and CVD risk became known. This fat has been used in the food industry since the 1960’s due to its functional properties such as plasticity, emulsion stability, and low cost, which make them a key component in commercially produced processed food items such as margarine, vegetable shortenings, bakery products, and other snacks and fast food [8-10]. Industrial Trans-Fatty Acid Intake Associated with Coronary Heart Disease Risk: A Review Firdaus MA, Mishra Sunita * Department of Food & Nutrition, Babasaheb Bhimrao Ambedkar University, Lucknow, Uttar Pradesh, India
1《营养学与食品科学》,Vol. 11 Iss. 5 No . 806,在肉类和乳制品中发现了天然(反刍动物反式脂肪酸),在植物油中通过部分氢化发现了人工(工业反式脂肪酸)[3-5]。部分氢化植物油(PHVOs)是工业生产的反式脂肪酸(iTFAs)的主要来源,当涉及冠心病风险时,它也被认为是一个主要的健康问题[6,7]。当饱和脂肪酸(SFAs)的副作用,包括增加血液胆固醇和心血管疾病风险被发现时,tfa曾被认为是饱和脂肪酸(SFAs)的更健康替代品。自20世纪60年代以来,由于其可塑性、乳化稳定性和低成本等功能特性,这种脂肪已被用于食品工业,这使其成为商业生产的加工食品(如人造黄油、蔬菜起酥油、烘焙产品和其他零食和快餐)的关键成分[8-10]。工业反式脂肪酸摄入与冠心病风险相关:综述Firdaus MA, Mishra Sunita *, Babasaheb Bhimrao Ambedkar大学食品与营养系,勒克瑙,北方邦,印度
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引用次数: 2
Beneficial Effects of the Intake of Chocolate-covered Almonds on BowelMovement and Skin Conditions 巧克力杏仁对肠道运动和皮肤状况的有益影响
Pub Date : 2021-01-01 DOI: 10.35248/2155-9600.21.11.788
Yukari Kato, M. Natsume, Kyoko Ito, Aiko Nakano, K. Ozawa, Masayuki Sato, TaketoYamaji, Hiroyoshi Inoue
Background: It has been reported that chocolates and almonds have a wide variety of health benefits. Chocolatecovered almonds (almond chocolates) are popular chocolate confectioneries in Japan. However, their health benefits have not yet been explored to date. To clarify their health benefits, we investigated the beneficial effects of the intake of almond chocolates on bowel movement and skin conditions. Methods: This single-blinded (investigator-blinded) parallel-group comparison study was conducted on women with a tendency toward constipation and subjective symptoms of dry skin. The study included 36 participants who consumed eight pieces (approximately 30 g) of almond chocolates daily in the treatment (intake) group and 35 participants in the control (no intake) group. Bowel movement and skin conditions of these individuals were evaluated based on the records in their diaries and the stratum corneum water content measured before intervention (baseline values) and 4 and 8 weeks after intervention, respectively. In addition, questionnaire surveys about subjective symptoms were administered and an evaluation was conducted based on the obtained responses. Results: The results showed that the intake of almond chocolates significantly improved the respondents’ (participants’) bowel movements (i.e., stool frequency and amount), and the surveys showed improvement in their gastrointestinal and skin conditions. In addition, stratified analysis of individuals with severely dry skin symptoms revealed that intake of almond chocolates significantly improved the stratum corneum water content 8 weeks after the intervention compared with baseline levels (before intervention).
背景:据报道,巧克力和杏仁对健康有多种益处。巧克力杏仁(杏仁巧克力)是日本流行的巧克力糖果。然而,迄今为止,它们对健康的益处尚未得到探索。为了阐明它们对健康的益处,我们调查了摄入杏仁巧克力对肠道运动和皮肤状况的有益影响。方法:对有便秘倾向和皮肤干燥主观症状的女性进行单盲(研究者双盲)平行组比较研究。这项研究包括36名参与者,他们每天吃8块(大约30克)杏仁巧克力作为治疗组(摄入组)和35名对照组(不摄入组)。根据他们的日记记录和干预前测量的角质层含水量(基线值)以及干预后4周和8周对这些人的肠道运动和皮肤状况进行评估。此外,还对患者的主观症状进行问卷调查,并根据调查结果进行评价。结果:结果显示,杏仁巧克力的摄入显著改善了受访者(参与者)的排便(即大便频率和数量),调查显示他们的胃肠道和皮肤状况有所改善。此外,对有严重皮肤干燥症状的个体进行的分层分析显示,与干预前的基线水平相比,摄入杏仁巧克力可显著改善干预后8周的角质层含水量。
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引用次数: 0
Iron Supplementation among Children Aged 6 to 59 months in Afghanistan: AReport of Afghanistan Demographic and Health Survey (AfDHS) 2015 阿富汗6至59个月儿童补铁:2015年阿富汗人口与健康调查报告
Pub Date : 2021-01-01 DOI: 10.35248/2155-9600.21.11.805
A. M. Barekzai, Beheshta Baraki
Objective: Iron deficiency (ID) remains a global nutrition problem resulting in a prevalence rate of 30%-60% anemia in young children of low income countries. Low cost iron supplements are efficient for prevention and treatment of iron deficiency anemia (IDA). The present study aimed to evaluate iron supplementation in children under the age of five in Afghanistan. Methods: This study is a part of the Afghanistan Demographic and Health Survey (AfDHS) implemented by the Central Statistics Organization (CSO) and the Ministry of Public Health. AfDHS followed a stratified two stage sampling design for 34 provinces of Afghanistan. In the first stage, 950 clusters selected, and in the second stage, a fixed number of 27 households per cluster including 25,741 households selected for the study, of which 24,395 successfully interviewed, yielding a response rate of 98%. Results: About 30% of the children under age of two years old in Afghanistan consumed iron rich foods in the 24 hours before the interview. Non breastfeeding children were more likely to consume foods rich in iron comparing breastfeeding children. Only 6% of children 6-59 months received iron supplements in the seven days prior to the survey. Higher education of mother and better economic status related to more intakes of iron rich foods and iron supplements in children. Iron intake from food or supplements was higher in urban districts comparing rural areas. Conclusion: Although IDA is very common in developing countries like Afghanistan, the importance of iron supplementation is still neglected. Health policy makers should keep focusing on iron malnutrition and improve parents’ knowledge on choosing iron rich foods and iron supplementation.
目的:缺铁仍然是一个全球性的营养问题,导致低收入国家幼儿贫血患病率为30%-60%。低成本的铁补充剂对预防和治疗缺铁性贫血(IDA)是有效的。本研究旨在评估阿富汗五岁以下儿童的补铁情况。方法:本研究是阿富汗人口与健康调查(AfDHS)的一部分,由中央统计组织(CSO)和公共卫生部实施。AfDHS对阿富汗34个省采用分层两阶段抽样设计。在第一阶段,选择了950个聚类,在第二阶段,每个聚类有固定数量的27户,其中25,741户被选中进行研究,其中24,395户成功访谈,回复率为98%。结果:阿富汗约30%的2岁以下儿童在访谈前24小时内食用了富含铁的食物。与母乳喂养的孩子相比,非母乳喂养的孩子更有可能摄入富含铁的食物。只有6%的6-59个月大的儿童在调查前7天内服用了铁补充剂。母亲的高等教育程度和较好的经济状况与儿童摄入更多富含铁的食物和铁补充剂有关。与农村地区相比,城市地区从食物或补充剂中摄入的铁含量更高。结论:虽然IDA在阿富汗等发展中国家非常普遍,但补铁的重要性仍然被忽视。卫生政策制定者应继续关注铁营养不良,并提高家长选择富含铁的食物和补充铁的知识。
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引用次数: 1
Value Chain Analysis of Usipa (Engraulicypris sardella) of Lake Malawi 马拉维湖乌斯帕(Engraulicypris sardella)价值链分析
Pub Date : 2021-01-01 DOI: 10.35248/2155-9600.21.11.790
Robert Bob Tsutsu, W. Singini
Usipa (Engraulicypris sardella) has been classified as social important species from Lake Malawi but not economically important and has thus improved food and nutrition security and livelihoods of the local communities. A study was carried to analyse the value chain of Usipa (Engraulicypris sardella) of Lake Malawi for improving economic, social and environment performance and sustainable management of natural resources. The study objectives were: to map out Usipa value chain actors and to measure performance of Usipa (Engraulicypris sardella) value chain of Lake Malawi. The study was conducted at Mwawa beach, M’baluku, Mwawa and Mangochi markets in Mangochi district. The study adopted design for all of the objectives as research was in the form of a survey. The type of sampling was simple random sampling and sample size was 39. Data was collected by conducting interviews with fishers, wholesalers and retailers through questionnaires. Four actors were identified through mapping out value chain. On gross income fishers get USD 23.04, whole salers get USD 36.64 and retailers get USD 17.66. Gross margin fishers get 21.55%, wholesalers get 33.68% and retailer gets 44.90%. In value added fishers USD 4.28, wholesalers USD 3.38 and retailers USD 5.53. In terms of value share fishers get 32.44%, wholesalers 25.64% and retailers 41.92%. Fishers and retailers were dominated with males while wholesalers were dominated with females. Wholesalers and retailers of Usipa had high level of education while fishers had low level of education. Fishers and wholesalers highly dependence on forestry product compared to retailers. Usipa (Engraulicypris sardella) value chain on short run is profitable, social unbalance and does not promote green sustainability, sanitation and hygiene. DoF and stakeholders should participate in sustainable management of natural resources, implementation of solar tent dryer and enhanced marketing facility for fresh fish and promotes women entrepreneurship for improving Usipa (Engraulicypris sardella) value chain.
乌斯帕(Engraulicypris sardella)已被列为马拉维湖的重要社会物种,但在经济上不重要,因此改善了当地社区的粮食和营养安全和生计。开展了一项研究,以分析马拉维湖的Usipa (Engraulicypris sardella)价值链,以改善经济、社会和环境绩效以及自然资源的可持续管理。本研究的目的是:绘制出马拉维湖Usipa (Engraulicypris sardella)价值链的参与者,并衡量其绩效。这项研究是在Mangochi区的Mwawa海滩、M 'baluku、Mwawa和Mangochi市场进行的。该研究采用了所有目标的设计,因为研究是以调查的形式进行的。抽样方式为简单随机抽样,样本量为39。通过问卷调查对渔民、批发商和零售商进行访谈,收集数据。通过绘制价值链,确定了四个参与者。按总收入计算,渔民获得23.04美元,批发商获得36.64美元,零售商获得17.66美元。毛利率:渔民21.55%,批发商33.68%,零售商44.90%。在附加值方面,渔民4.28美元,批发商3.38美元,零售商5.53美元。就价值份额而言,渔民占32.44%,批发商占25.64%,零售商占41.92%。渔民和零售商以男性为主,而批发商以女性为主。Usipa的批发商和零售商受教育程度较高,而渔民受教育程度较低。与零售商相比,渔民和批发商对林产品的依赖程度较高。Usipa (Engraulicypris sardella)价值链短期内盈利,社会不平衡,不促进绿色可持续性,环境卫生和个人卫生。DoF和利益相关者应参与自然资源的可持续管理,实施太阳能帐篷烘干机和加强鲜鱼的营销设施,并促进妇女创业,以改善Usipa (Engraulicypris sardella)价值链。
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引用次数: 1
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Journal of Nutrition and Food Sciences
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