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Peripheral fatty acids and outcome of assisted reproduction 外周脂肪酸与辅助生殖的结果
IF 3.2 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-10-24 DOI: 10.1016/j.nut.2024.112616
Valentina De Cosmi , Sonia Cipriani , Marie-Louise Syren , Stefano Turolo , Fabio Parazzini , Marco Reschini , Martina Abodi , Walter Vegetti , Francesca Chiaffarino , Camilla Bertoni , Edgardo Somigliana , Carlo Agostoni

Objectives

The present study investigated the relationship between fatty acid levels in whole blood in women undergoing in vitro fertilization and four successive assisted reproductive technology (ART) outcomes.

Methods

A cross-sectional study was performed on data from a prospective cohort study conducted between 2014 and 2016.

Results

Participants were 238 women undergoing in vitro fertilization and participating in a study on the role of lifestyle habits and diet in ART outcomes. Blood polyunsaturated fatty acids were measured by gas chromatography. Overall, higher blood levels of monounsaturated fatty acids and oleic acid and higher ω-6/ω-3 ratio and arachidonic/docosahexaenoic acid ratio were associated with more favorable ART outcomes. By contrast, higher concentrations of long chain polyunsaturated fatty acids tended to be negatively associated with the considered outcomes.

Conclusions

Further prospective studies are needed to determine the ranges of fatty acid concentrations that are optimal for women with subfertility.
本研究调查了接受体外受精的女性全血中脂肪酸水平与四种连续辅助生殖技术(ART)结果之间的关系。结果238名接受体外受精的女性参与了一项关于生活习惯和饮食对ART结果影响的研究。通过气相色谱法测量了血液中的多不饱和脂肪酸。总体而言,血液中单不饱和脂肪酸和油酸含量越高,ω-6/ω-3 比率和花生四烯酸/二十二碳六烯酸比率越高,抗逆转录病毒疗法的效果越好。相比之下,较高浓度的长链多不饱和脂肪酸往往与所考虑的结果呈负相关。结论需要进一步开展前瞻性研究,以确定不孕症妇女的最佳脂肪酸浓度范围。
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引用次数: 0
Assessment of the adherence to perioperative nutritional care protocols in Brazilian hospitals: The PreopWeek study 评估巴西医院对围手术期营养护理方案的遵守情况:术前一周研究
IF 3.2 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-10-23 DOI: 10.1016/j.nut.2024.112611
Maria Cristina Gonzalez M.D., Ph.D. , Thiago J.M. Gonçalves M.D., Ph.D. , Valéria A. Rosenfeld M.D. , Silvana P. Orlandi R.D., Ph.D. , Pedro E. Portari-Filho M.D., Ph.D. , Antonio Carlos L. Campos M.D., Ph.D.

Objectives

The study (PreopWeek) aimed to assess the perioperative nutritional care for major surgical patients in Brazilian hospitals, focusing on adherence to emerging multimodal protocols like Enhanced Recovery After Surgery and Acceleration of Total Postoperative Recovery.

Methods

An observational cross-sectional study was conducted in Brazilian hospitals enrolled voluntarily from June 19 to June 23, 2023 (convenience sample). Data were collected through patient interviews and medical records review.

Results

Data from 219 patients up to the fifth postoperative day or postoperative discharge across 24 hospitals were analyzed. Only three hospitals (12.5%) had established institutional perioperative protocols. Most of the patients were female (60.3%) and over 60 y old (81.7%) and underwent gastrointestinal (34.7%) or orthopedic (33.3%) surgeries. General and nutritional preoperative counseling was provided to a respective 82.2% and 62.6% of the patients. Only 25.7% of the patients had preoperative fasting for up to 3 h, and 28.8% received carbohydrate-rich supplements. Immunonutrition was not received by 43.8% at any point. Although most started postoperative refeeding within 24 h (81.7%), 39.4% started with a liquid diet and 70.6% reported postoperative immobilization in the first 24 h. Notable differences were observed between hospitals with and without protocols. Hospitals with institutional protocols reported significantly more preoperative exercises and nutritional counseling and higher adherence rates for all the perioperative protocols.

Conclusions

Our study demonstrates a lack of adherence to the multimodal protocols, even in hospitals with institutional protocols. Future educational programs are necessary to improve this result.
研究目的该研究(PreopWeek)旨在评估巴西医院对重大手术患者的围手术期营养护理,重点关注新出现的多模式方案(如加强术后恢复和加速术后全面恢复)的遵守情况:一项观察性横断面研究于 2023 年 6 月 19 日至 6 月 23 日在自愿注册的巴西医院进行(方便抽样)。数据通过患者访谈和病历审查收集:分析了来自 24 家医院的 219 名患者截至术后第五天或术后出院的数据。只有三家医院(12.5%)制定了机构围手术期规范。大多数患者为女性(60.3%)和 60 岁以上(81.7%),接受胃肠道手术(34.7%)或骨科手术(33.3%)。分别有 82.2% 和 62.6% 的患者在术前接受了一般咨询和营养咨询。只有 25.7% 的患者在术前禁食长达 3 小时,28.8% 的患者接受了富含碳水化合物的补充剂。43.8%的患者在任何时候都没有接受免疫营养。虽然大多数患者在术后 24 小时内开始进食(81.7%),但有 39.4% 的患者在术后 24 小时内开始进食流质饮食,70.6% 的患者在术后 24 小时内固定不动。制定了制度规范的医院报告的术前运动和营养咨询明显更多,所有围手术期规范的遵守率也更高:结论:我们的研究表明,即使在有机构协议的医院,也缺乏对多模式协议的遵守。未来有必要开展教育计划来改善这一结果。
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引用次数: 0
Plant-derived compounds as potential neuroprotective agents in Parkinson's disease 作为帕金森病潜在神经保护剂的植物提取物。
IF 3.2 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-10-23 DOI: 10.1016/j.nut.2024.112610
Chengu Niu M.D. , Yu Zou M.Sc. , Miaoxian Dong M.B.B.S. , Yingcai Niu Ph.D.

Objectives

Current Parkinson's disease (PD) medications treat symptoms; none can slow down or arrest the disease progression. Disease-modifying therapies for PD remain an urgent unmet clinical need. This review was designed to summarize recent findings regarding to the efficacy of phytochemicals in the treatment of PD and their underlying mechanisms.

Methods

A literature search was performed using PubMed databases from inception until January 2024.

Results

We first review the role of oxidative stress in PD and phytochemical-based antioxidant therapy. We then summarize recent work on neuroinflammation in the pathogenesis of PD, as well as preclinical data supporting anti-inflammatory efficacy in treating or preventing the disease. We last evaluate evidence for brain mitochondrial dysfunction in PD, together with the phytochemicals that protect mitochondrial function in preclinical model of PD. Furthermore, we discussed possible reasons for failures of preclinical-to-clinical translation for neuroprotective therapeutics.

Conclusions

There is now extensive evidence from preclinical studies that neuroprotective phytochemicals as promising candidate drugs for PD are needed to translate from the laboratory to the clinic.
目标:目前的帕金森病(PD)药物只能治疗症状,无法减缓或阻止疾病进展。帕金森病的疾病调节疗法仍是一项尚未得到满足的迫切临床需求。本综述旨在总结有关植物化学物质治疗帕金森病的疗效及其内在机制的最新发现:方法:使用 PubMed 数据库对从开始到 2024 年 1 月的文献进行了检索:我们首先回顾了氧化应激在帕金森病中的作用以及基于植物化学物质的抗氧化疗法。然后,我们总结了神经炎症在帕金森病发病机制中的最新研究成果,以及支持抗炎治疗或预防该疾病疗效的临床前数据。最后,我们评估了帕金森病脑线粒体功能障碍的证据,以及在帕金森病临床前模型中保护线粒体功能的植物化学物质。此外,我们还讨论了神经保护疗法从临床前到临床转化失败的可能原因:目前临床前研究的大量证据表明,神经保护性植物化学物质作为治疗帕金森病的有前途的候选药物,需要从实验室转化到临床。
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引用次数: 0
Association between improved dysphagia and increased trunk muscle mass in older patients with stroke undergoing convalescent rehabilitation 接受康复疗养的老年中风患者吞咽困难改善与躯干肌肉质量增加之间的关系。
IF 3.2 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-10-23 DOI: 10.1016/j.nut.2024.112609
Ryo Shiraishi R.P.T., Ph.D. , Setsuko Kato R.N. , Nami Shiraishi R.D. , Takahiro Ogawa M.D., Ph.D.

Objective

The association between dysphagia and activities of daily living in patients with stroke has been reported, but the effect of improved dysphagia on the increase in trunk muscle mass is not clear. The aim of this study was to investigate the relationship between improved dysphagia and increased trunk muscle mass in older patients with stroke.

Research Methods & Procedures

This retrospective, case-control study enrolled patients with stroke aged ≥65 years. Dysphagia was evaluated using the Kuchi-Kara Taberu (KT) Index. Patients were classified into two groups according to KT Index at discharge: improved dysphagia group (≥57 scores) and non-improved dysphagia group (<57 scores). The primary outcome of the study was Trunk Muscle Mass Index (TMI) gain from admission to discharge. Multiple regression analysis was performed to investigate the association between trunk muscle mass gain and improved dysphagia.

Results

There were 153 participants with a mean age of 79.8 ± 7.7 years, and 89 (58%) were classified in the improved dysphagia group. The TMI gain was greater in the improved dysphagia group compared to that in the nonimproved group. Multiple regression analysis showed that improved dysphagia (β: 0.776, 95% confidence interval: 0.643 to 0.909, P < 0.001) was independently associated with TMI gain.

Conclusion

Improved dysphagia was independently associated with trunk muscle mass gain, suggesting that improved dysphagia is important for trunk muscle mass gain in patients with stroke.
目的:吞咽困难与脑卒中患者日常生活活动之间的关系已有报道,但吞咽困难改善对躯干肌肉质量增加的影响尚不明确。本研究旨在探讨老年中风患者吞咽困难改善与躯干肌肉质量增加之间的关系:这项回顾性病例对照研究招募了年龄≥65 岁的中风患者。采用 Kuchi-Kara Taberu(KT)指数对吞咽困难进行评估。根据出院时的 KT 指数将患者分为两组:吞咽困难改善组(≥57 分)和吞咽困难未改善组(结果:共有 153 名参与者,平均年龄为 79.8 ± 7.7 岁,其中 89 人(58%)被归入吞咽困难改善组。与未改善吞咽困难组相比,改善吞咽困难组的 TMI 增益更大。多元回归分析表明,吞咽困难改善(β:0.776,95% 置信区间:0.643 至 0.909,P <0.001)与 TMI 增益独立相关:结论:吞咽困难的改善与躯干肌肉质量的增加独立相关,这表明吞咽困难的改善对脑卒中患者躯干肌肉质量的增加非常重要。
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引用次数: 0
Preventing Progression of Renal Disease: A New Method for Monitoring Body Fat Percentage in Predialysis Chronic Kidney Disease Patients 预防肾病恶化:监测透析前慢性肾病患者体脂百分比的新方法。
IF 3.2 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-10-19 DOI: 10.1016/j.nut.2024.112605
María del Rocío Jiménez-Mérida R.N., M.Sc., Ph.D. , José Manuel Alcaide-Leyva R.N., M.Sc., Ph.D. , Miguel Lopez-Lucena R.N. , Silvia Portero de la Cruz R.N., M.Sc., Ph.D. , Rafael Molina-Luque R.N., M.Sc., Ph.D. , Pablo Martínez-Angulo R.N., M.Sc., Ph.D.

Background and Aims

Chronic kidney disease (CKD) is a progressive condition affecting metabolic pathways and physiological mechanisms. In Spain, CKD prevalence has risen, increasing patients requiring renal replacement therapy (RRT). Managing nutritional status in advanced CKD (ACKD) patients is crucial as it influences disease progression and quality of life. This study aims to describe the nutritional status of predialysis patients at University Hospital Reina Sofia, Cordoba, Spain, and develop a quick and easy model for estimating body fat percentage without bioimpedance.

Methods and Results

This cross-sectional study, conducted from February to May 2023, involved 106 patients from the ACKD consultation at the University Hospital Reina Sofia. Inclusion criteria were stage 3 or 4 CKD patients who consented to participate. Data included demographic and anthropometric variables, with body composition assessed using a Tanita BC-545N bioimpedance analyzer.
The sample included 32 females (30.5%) and 73 males (69.5%), with an average BMI of 30.31 (SD 5.48). Significant findings were higher body fat percentage in women (37.82%) than men (27.86%; P < 0.001) and notable differences in waist circumference and waist-to-hip ratio between sexes. Multiple linear regression showed waist circumference, height, and sex as significant predictors of body fat percentage, with an intraclass correlation coefficient of 0.71 (95% CI = 0.59–0.79).

Conclusion

Accurately assessing body composition in CKD patients is crucial as traditional measures like BMI may not capture health risks effectively. The developed model offers a practical alternative to bioimpedance for estimating body fat percentage, potentially improving CKD management and patient outcomes. Further validation in diverse populations and integration with lifestyle interventions is needed.
背景和目的:慢性肾脏病(CKD)是一种影响代谢途径和生理机制的渐进性疾病。在西班牙,慢性肾脏病的发病率有所上升,需要接受肾脏替代治疗(RRT)的患者也随之增加。晚期慢性肾脏病(ACKD)患者的营养状况影响着疾病的进展和生活质量,因此对其营养状况的管理至关重要。本研究旨在描述西班牙科尔多瓦索菲亚王后大学医院透析前患者的营养状况,并开发一种无需生物阻抗即可估算体脂百分比的快速简便模型:这项横断面研究于 2023 年 2 月至 5 月进行,涉及索菲亚雷娜大学医院 ACKD 诊所的 106 名患者。纳入标准为同意参与的 3 期或 4 期 CKD 患者。数据包括人口统计学和人体测量变量,并使用Tanita BC-545N生物阻抗分析仪评估身体成分。样本包括 32 名女性(30.5%)和 73 名男性(69.5%),平均体重指数为 30.31(标清 5.48)。显著的发现是女性的体脂率(37.82%)高于男性(27.86%;P < 0.001),而且男女之间的腰围和腰臀比也有明显差异。多元线性回归结果显示,腰围、身高和性别是体脂率的重要预测因素,类内相关系数为 0.71 (95% CI = 0.59-0.79):结论:准确评估 CKD 患者的身体成分至关重要,因为 BMI 等传统测量方法可能无法有效捕捉健康风险。所开发的模型为估算体脂百分比提供了生物阻抗的实用替代方法,有可能改善 CKD 管理和患者预后。还需要在不同人群中进一步验证,并与生活方式干预相结合。
{"title":"Preventing Progression of Renal Disease: A New Method for Monitoring Body Fat Percentage in Predialysis Chronic Kidney Disease Patients","authors":"María del Rocío Jiménez-Mérida R.N., M.Sc., Ph.D. ,&nbsp;José Manuel Alcaide-Leyva R.N., M.Sc., Ph.D. ,&nbsp;Miguel Lopez-Lucena R.N. ,&nbsp;Silvia Portero de la Cruz R.N., M.Sc., Ph.D. ,&nbsp;Rafael Molina-Luque R.N., M.Sc., Ph.D. ,&nbsp;Pablo Martínez-Angulo R.N., M.Sc., Ph.D.","doi":"10.1016/j.nut.2024.112605","DOIUrl":"10.1016/j.nut.2024.112605","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Chronic kidney disease (CKD) is a progressive condition affecting metabolic pathways and physiological mechanisms. In Spain, CKD prevalence has risen, increasing patients requiring renal replacement therapy (RRT). Managing nutritional status in advanced CKD (ACKD) patients is crucial as it influences disease progression and quality of life. This study aims to describe the nutritional status of predialysis patients at University Hospital Reina Sofia, Cordoba, Spain, and develop a quick and easy model for estimating body fat percentage without bioimpedance.</div></div><div><h3>Methods and Results</h3><div>This cross-sectional study, conducted from February to May 2023, involved 106 patients from the ACKD consultation at the University Hospital Reina Sofia. Inclusion criteria were stage 3 or 4 CKD patients who consented to participate. Data included demographic and anthropometric variables, with body composition assessed using a Tanita BC-545N bioimpedance analyzer.</div><div>The sample included 32 females (30.5%) and 73 males (69.5%), with an average BMI of 30.31 (SD 5.48). Significant findings were higher body fat percentage in women (37.82%) than men (27.86%; <em>P</em> &lt; 0.001) and notable differences in waist circumference and waist-to-hip ratio between sexes. Multiple linear regression showed waist circumference, height, and sex as significant predictors of body fat percentage, with an intraclass correlation coefficient of 0.71 (95% CI = 0.59–0.79).</div></div><div><h3>Conclusion</h3><div>Accurately assessing body composition in CKD patients is crucial as traditional measures like BMI may not capture health risks effectively. The developed model offers a practical alternative to bioimpedance for estimating body fat percentage, potentially improving CKD management and patient outcomes. Further validation in diverse populations and integration with lifestyle interventions is needed.</div></div>","PeriodicalId":19482,"journal":{"name":"Nutrition","volume":"130 ","pages":"Article 112605"},"PeriodicalIF":3.2,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142643952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lactiplantibacillus plantarum TCCC11824 exerts hypolipidemic and anti-obesity effects through regulation of NF-κB-HMGCR pathway and gut microbiota in mice and clinical patients 植物乳杆菌TCCC11824通过调节小鼠和临床患者的NF-κB-HMGCR通路和肠道菌群发挥降血脂和抗肥胖作用
IF 3.2 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-10-18 DOI: 10.1016/j.nut.2024.112598
Xiaomin Feng , Haijie Hu , Feiliang Zhong , Ying Hou , Xiujuan Li , Qi Qin , Yang Yang , Xuegang Luo
A strong association exists between the high-fat diet (HFD) and the incidence of obesity, hyperlipidemia and cardiovascular disease, affecting an increasing number of individuals. More and more research has shown that probiotics and gut microbiota play important roles in dietary absorption, metabolism, and general health of the host. This aim of this study was to evaluate the therapeutic effects and the underlying mechanisms of Lactiplantibacillus plantarum TCCC11824 (CGMCC 8198) on hyperlipidemia and obesity in mice and humans. First, there was a dose-dependent improvement in HFD-induced hyperlipidemia and obesity in mice that had been treated with L. plantarum TCCC11824 for 5 wk, thus restoring the balance of the gut microbiota. Furthermore, it showed that cell lysate of L. plantarum TCCC11824 could directly exhibit protective effects on the hepatocyte steatosis induced by oleic acid, and regulate the expression of HMGCR by inhibiting the NF-κB pathway. Importantly, L.plantarum TCCC11824 ameliorated the expression of indicators of hyperlipidemia and inhibited the synthesis of SCFAs (short-chain fatty acids), as shown by blood and fecal tests in hyperlipidemic patients. In summary, L. plantarum TCCC11824 exerts anti-hyperlipidemic and anti-obesity effects through the regulation of HMGCR via NF-κB and modulating gut microbiota, indicating its potential as a dietary supplement for the treatment of hyperlipidemia and obesity.
高脂肪饮食(HFD)与肥胖、高脂血症和心血管疾病的发病率之间存在着密切的联系,影响到越来越多的个体。越来越多的研究表明,益生菌和肠道菌群在宿主的饮食吸收、代谢和整体健康中起着重要作用。本研究旨在探讨植物乳杆菌TCCC11824 (CGMCC 8198)对小鼠和人类高脂血症和肥胖症的治疗作用及其机制。首先,在用植物乳杆菌TCCC11824治疗5周的小鼠中,hfd诱导的高脂血症和肥胖症出现了剂量依赖性改善,从而恢复了肠道微生物群的平衡。进一步说明植物乳杆菌TCCC11824细胞裂解液可直接对油酸诱导的肝细胞脂肪变性发挥保护作用,并通过抑制NF-κB通路调节HMGCR的表达。重要的是,植物l.c artarum TCCC11824改善了高脂血症患者血液和粪便检测中高脂血症指标的表达,抑制短链脂肪酸(SCFAs)的合成。综上所述,L. plantarum TCCC11824通过NF-κB调控HMGCR及调节肠道菌群发挥抗高脂血症和抗肥胖作用,具有作为治疗高脂血症和肥胖症的膳食补充剂的潜力。
{"title":"Lactiplantibacillus plantarum TCCC11824 exerts hypolipidemic and anti-obesity effects through regulation of NF-κB-HMGCR pathway and gut microbiota in mice and clinical patients","authors":"Xiaomin Feng ,&nbsp;Haijie Hu ,&nbsp;Feiliang Zhong ,&nbsp;Ying Hou ,&nbsp;Xiujuan Li ,&nbsp;Qi Qin ,&nbsp;Yang Yang ,&nbsp;Xuegang Luo","doi":"10.1016/j.nut.2024.112598","DOIUrl":"10.1016/j.nut.2024.112598","url":null,"abstract":"<div><div>A strong association exists between the high-fat diet (HFD) and the incidence of obesity, hyperlipidemia and cardiovascular disease, affecting an increasing number of individuals. More and more research has shown that probiotics and gut microbiota play important roles in dietary absorption, metabolism, and general health of the host. This aim of this study was to evaluate the therapeutic effects and the underlying mechanisms of <em>Lactiplantibacillus plantarum</em> TCCC11824 (CGMCC 8198) on hyperlipidemia and obesity in mice and humans. First, there was a dose-dependent improvement in HFD-induced hyperlipidemia and obesity in mice that had been treated with <em>L. plantarum</em> TCCC11824 for 5 wk, thus restoring the balance of the gut microbiota. Furthermore, it showed that cell lysate of <em>L. plantarum</em> TCCC11824 could directly exhibit protective effects on the hepatocyte steatosis induced by oleic acid, and regulate the expression of HMGCR by inhibiting the NF-κB pathway. Importantly, <em>L.plantarum</em> TCCC11824 ameliorated the expression of indicators of hyperlipidemia and inhibited the synthesis of SCFAs (short-chain fatty acids), as shown by blood and fecal tests in hyperlipidemic patients. In summary, <em>L. plantarum</em> TCCC11824 exerts anti-hyperlipidemic and anti-obesity effects through the regulation of HMGCR via NF-κB and modulating gut microbiota, indicating its potential as a dietary supplement for the treatment of hyperlipidemia and obesity.</div></div>","PeriodicalId":19482,"journal":{"name":"Nutrition","volume":"130 ","pages":"Article 112598"},"PeriodicalIF":3.2,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142748270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Food insecurity among students in Open Distance and e-Learning in South Africa 南非远程开放教育和电子学习学生的粮食不安全问题。
IF 3.2 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-10-18 DOI: 10.1016/j.nut.2024.112606
Angelo Fynn DLitt et Phil (Psychology)

Objective

Food insecurity is a widely studied phenomenon; however, studies documenting food insecurity among Open Distance and e-Learning students are sadly lacking. This paper aim of this paper is to study the prevalence of food insecurity among Open Distance and e-Learning students in South Africa. The purpose is to test the common assumption that Open Distance and e-Learning students do not struggle with food insecurity as they are typically living at home or employed.

Method

The method used in this paper was an online anonymous version of the Food Insecurity Experience Scale and was administered through Qualtrics.

Results

Only 27.9% (n = 2084) of respondents were food secure and mildly food insecure (score of 1 to 4), while those who were moderately food insecure constituted 16.7% (n = 1250) of the sample (score of 5 to 6) and those with severe food insecurity constituted 55% (n = 4130). The dependent variable was not normally distributed and therefore nonparametric measures were used to test for differences in groups, namely, the Kruskal–Wallis and the Mann–Whitney U tests.

Conclusion

The results show that African students are more likely to experience food insecurity compared to their counterparts, while there were no substantive differences in gender. Members of the LGBTQI community were also shown to be at higher risk of food insecurity. Those whose primary income was either grants or income from an informal business were at higher risk of food insecurity than those who worked full time. The findings of this study underscore the pervasive nature of food insecurity among students in South African Open, Distance and e-Learning education
目的:粮食不安全是一个被广泛研究的现象;然而,令人遗憾的是,缺乏对远程开放教育和电子学习学生中粮食不安全现象的研究记录。本文旨在研究南非远程开放教育和电子学习学生中普遍存在的粮食不安全问题。本文的目的是检验一个普遍的假设,即开放远程教育和网络教育的学生一般都住在家里或有工作,因此不会面临粮食不安全的问题:本文采用的方法是通过 Qualtrics 进行在线匿名版 "食物不安全体验量表 "的测试:只有 27.9% 的受访者(n = 2084)有粮食保障和轻度粮食不安全(1 至 4 分),而中度粮食不安全的受访者占样本的 16.7%(n = 1250)(5 至 6 分),严重粮食不安全的受访者占 55%(n = 4130)。因变量不呈正态分布,因此采用了非参数检验方法,即 Kruskal-Wallis 检验和 Mann-Whitney U 检验来检验组间差异:结果表明,与非洲裔学生相比,非洲裔学生更有可能遭遇粮食不安全问题,而性别方面则没有实质性差异。男女同性恋、双性恋、变性者和跨性别者群体成员的粮食不安全风险也更高。与全职工作的人相比,主要收入为补助金或非正规企业收入的人面临粮食不安全的风险更高。这项研究的结果凸显了南非开放教育、远程教育和电子学习教育中学生普遍存在的粮食不安全问题。
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引用次数: 0
Parent–child microbiota relationships involved in childhood obesity: A CORALS ancillary study 与儿童肥胖有关的亲子微生物群关系:CORALS 辅助研究
IF 3.2 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-10-18 DOI: 10.1016/j.nut.2024.112603
Begoña de Cuevillas Ph.D. , Jose I. Riezu-Boj Ph.D. , Fermín I. Milagro Ph.D. , Sergio Galera Alquegui Ms.C. , Nancy Babio Ph.D. , Belén Pastor-Villaescusa Ph.D. , Mercedes Gil-Campos M.D., Ph.D. , Rosaura Leis M.D., Ph.D. , Pilar De Miguel-Etayo Ph.D. , Luis A. Moreno M.D., Ph.D. , Jordi Salas-Salvadó M.D., Ph.D. , J. Alfredo Martínez M.D., Ph.D. , Santiago Navas-Carretero Ph.D.

Objectives

Childhood obesity continues to rise worldwide. Family gut microorganisms may be associated with childhood obesity. The aim of the study was to analyze bacterial similarities in fecal microbiota composition between parent–offspring pairs as linked to body weight.

Methods

A total of 146 father/mother and offspring pairs were categorized into four groups according to the weight status of the parent–child pair as follows: group 1, parent and child with normal weight; group 2, parent and child with overweight/obesity; group 3, parent with normal weight and child with overweight/obesity; group 4, parent with overweight/obesity and child with normal weight. Anthropometric measurements and lifestyle assessments were performed in all participants. Microbiota characteristics were determined by 16S ribosomal RNA gene sequencing. Logistic regression models were performed to determine whether the abundance of any bacteria was able to predict childhood obesity. Moreover, receiver operating characteristic curves were fitted to define the relative diagnostic strength of bacterial taxa for the correct identification of childhood obesity.

Results

The absence/abundance of Catenibacterium mitsuokai, Prevotella stercorea, Desulfovibrio piger, Massiliprevotella massiliensis, and Phascolarctobacterium succinatutens was involved in body weight family associations. A positive relationship between P. succinatutens richness from parents and M. massiliensis from children was observed with regard to body weight status (odds ratio, 1.14, P = 0.013).

Conclusions

This study describes five potential gut bacteria that may be putatively involved in family weight status relationships and appear to be useful for predicting obesity.
目标:全球儿童肥胖率持续上升。家庭肠道微生物可能与儿童肥胖有关。本研究旨在分析亲子间粪便微生物群组成的细菌相似性与体重的关系:方法:根据亲子对的体重状况将146对父子/母子分为以下四组:第一组,体重正常的父子/母子;第二组,超重/肥胖的父子/母子;第三组,体重正常的父子/母子;第四组,超重/肥胖的父子/母子。对所有参与者进行了人体测量和生活方式评估。微生物群特征通过 16S 核糖体 RNA 基因测序确定。通过逻辑回归模型确定任何细菌的丰度是否能够预测儿童肥胖。此外,还对接收者操作特征曲线进行了拟合,以确定细菌类群在正确识别儿童肥胖症方面的相对诊断强度:结果:三臼海卡氏菌(Catenibacterium mitsuokai)、星形普雷沃特氏菌(Prevotella stercorea)、皮格脱硫弧菌(Desulfovibrio piger)、马西里普雷沃特氏菌(Massiliprevotella massiliensis)和琥珀酸法氏杆菌(Phascolarctobacterium succinatutens)的缺失/丰富程度与体重家族相关。在体重状况方面,观察到来自父母的富含琥珀酸杆菌与来自儿童的富含马西利氏菌之间存在正相关关系(几率比,1.14,P = 0.013):本研究描述了五种潜在的肠道细菌,这些细菌可能与家庭体重状况关系有关,似乎有助于预测肥胖。
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引用次数: 0
Dietary quality, perceived health, and psychological status as key risk factors for newly developed metabolic dysfunction–associated steatotic liver disease in a longitudinal study 在一项纵向研究中,饮食质量、健康感知和心理状态是新发代谢功能障碍相关性脂肪肝的关键风险因素。
IF 3.2 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-10-18 DOI: 10.1016/j.nut.2024.112604
Xuangao Wu Ph.D. , Ting Zhang Ph.D. , Sunmin Park Ph.D.

Objectives

This study investigated biomarkers in individuals with newly developed metabolic dysfunction–associated steatotic liver disease (ND-MASLD) and examined the interplay between genetic predisposition and environmental factors using a machine learning approach in a large longitudinal study.

Methods

Participants were classified into four groups based on metabolic dysfunction–associated steatotic liver disease (MASLD) status between the first and second measurements with an approximate 5-y gap. A model was developed to identify early-stage biomarkers of ND-MASLD (n = 1603). Nutrient intake, dietary patterns, genetic variants, and psychosocial factors were compared among the no MASLD (n = 60 081), recovered MASLD (n = 3181), persistent MASLD (n = 670), and ND-MASLD (n = 1603) groups. Their association with ND-MASLD was also predicted using a machine learning approach.

Results

The model incorporating ND-MASLD status, age, sex, dietary inflammatory index, and metabolic syndrome (MetS), especially low high-density lipoprotein cholesterol and hypertriglyceridemia, at the second measurement demonstrated an optimal fit. High carbohydrate intake with a high glycemic index was associated with elevated ND-MADSLD risk. Fatty liver index was lower in persistent MASLD followed by ND-MASLD, recovered MASLD, and no MASLD. Participants in the ND-MASLD group had lower vitamin D and total isoflavonoid intake and a lower modified healthy eating index, indicating unhealthy diets. The XGBoost and deep neural network models identified age, sex, MetS components, dietary antioxidants, self-rated health, psychological well-being indexes, and serum liver enzyme levels at the second measurement as significant predictors of ND-MASLD. However, polygenic risk scores were not included.

Conclusions

Early-stage biomarkers of ND-MASLD were closely linked to MetS incidence. Dietary quality, perceived health status, and psychological stress emerged as potential targets for MASLD prevention strategies, with lifestyle modifications potentially overriding genetic predispositions. The results indicate that preventive strategies about lifestyle modification should be developed for MASLD.
研究目的本研究调查了新发代谢功能障碍相关性脂肪性肝病(ND-MASLD)患者的生物标志物,并在一项大型纵向研究中使用机器学习方法研究了遗传易感性与环境因素之间的相互作用:根据第一次和第二次测量之间的代谢功能障碍相关性脂肪性肝病(MASLD)状况,将参与者分为四组,间隔时间约为5年。建立了一个模型来确定ND-MASLD的早期生物标志物(n = 1603)。在无MASLD组(n = 60 081)、MASLD恢复组(n = 3181)、MASLD持续组(n = 670)和ND-MASLD组(n = 1603)之间比较了营养摄入、饮食模式、遗传变异和社会心理因素。他们与ND-MASLD的关联也通过机器学习方法进行了预测:结果:结合 ND-MASLD 状态、年龄、性别、膳食炎症指数和代谢综合征(MetS),尤其是第二次测量时的低高密度脂蛋白胆固醇和高甘油三酯血症的模型显示出最佳拟合效果。高血糖指数的高碳水化合物摄入量与 ND-MADSLD 风险升高有关。脂肪肝指数在持续性MASLD中较低,其次是ND-MASLD、恢复期MASLD和无MASLD。ND-MASLD组的参与者维生素D和总异黄酮摄入量较低,改良健康饮食指数较低,表明饮食不健康。XGBoost和深度神经网络模型发现,年龄、性别、MetS成分、膳食抗氧化剂、自评健康、心理健康指数以及第二次测量时的血清肝酶水平是ND-MASLD的重要预测因素。结论:ND-MASLD的早期生物标志物对其预测具有重要意义:结论:ND-MASLD的早期生物标志物与MetS发病率密切相关。膳食质量、健康状况感知和心理压力成为MASLD预防策略的潜在目标,生活方式的改变有可能超越遗传倾向。研究结果表明,应针对MASLD制定有关改变生活方式的预防策略。
{"title":"Dietary quality, perceived health, and psychological status as key risk factors for newly developed metabolic dysfunction–associated steatotic liver disease in a longitudinal study","authors":"Xuangao Wu Ph.D. ,&nbsp;Ting Zhang Ph.D. ,&nbsp;Sunmin Park Ph.D.","doi":"10.1016/j.nut.2024.112604","DOIUrl":"10.1016/j.nut.2024.112604","url":null,"abstract":"<div><h3>Objectives</h3><div>This study investigated biomarkers in individuals with newly developed metabolic dysfunction–associated steatotic liver disease (ND-MASLD) and examined the interplay between genetic predisposition and environmental factors using a machine learning approach in a large longitudinal study.</div></div><div><h3>Methods</h3><div>Participants were classified into four groups based on metabolic dysfunction–associated steatotic liver disease (MASLD) status between the first and second measurements with an approximate 5-y gap. A model was developed to identify early-stage biomarkers of ND-MASLD (<em>n</em> = 1603). Nutrient intake, dietary patterns, genetic variants, and psychosocial factors were compared among the no MASLD (<em>n</em> = 60 081), recovered MASLD (<em>n</em> = 3181), persistent MASLD (<em>n</em> = 670), and ND-MASLD (<em>n</em> = 1603) groups. Their association with ND-MASLD was also predicted using a machine learning approach.</div></div><div><h3>Results</h3><div>The model incorporating ND-MASLD status, age, sex, dietary inflammatory index, and metabolic syndrome (MetS), especially low high-density lipoprotein cholesterol and hypertriglyceridemia, at the second measurement demonstrated an optimal fit. High carbohydrate intake with a high glycemic index was associated with elevated ND-MADSLD risk. Fatty liver index was lower in persistent MASLD followed by ND-MASLD, recovered MASLD, and no MASLD. Participants in the ND-MASLD group had lower vitamin D and total isoflavonoid intake and a lower modified healthy eating index, indicating unhealthy diets. The XGBoost and deep neural network models identified age, sex, MetS components, dietary antioxidants, self-rated health, psychological well-being indexes, and serum liver enzyme levels at the second measurement as significant predictors of ND-MASLD. However, polygenic risk scores were not included.</div></div><div><h3>Conclusions</h3><div>Early-stage biomarkers of ND-MASLD were closely linked to MetS incidence. Dietary quality, perceived health status, and psychological stress emerged as potential targets for MASLD prevention strategies, with lifestyle modifications potentially overriding genetic predispositions. The results indicate that preventive strategies about lifestyle modification should be developed for MASLD.</div></div>","PeriodicalId":19482,"journal":{"name":"Nutrition","volume":"130 ","pages":"Article 112604"},"PeriodicalIF":3.2,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142643945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the effect of different diet types on ageing and age-related diseases 探索不同饮食类型对衰老和老年相关疾病的影响。
IF 3.2 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-10-10 DOI: 10.1016/j.nut.2024.112596
Emmanuel O. Mensah MSc , Emmanuel K. Danyo MSc , Richard V. Asase MSc
In recent times, there has been growing interest in understanding the factors contributing to prolonged and healthy lifespans observed in specific populations, tribes, or countries. Factors such as environmental and dietary play significant roles in shaping the ageing process and are often the focus of inquiries seeking to unravel the secrets behind longevity. Among these factors, diet emerges as a primary determinant, capable of either promoting or mitigating the onset of age-related diseases that impact the ageing trajectory. This review examines the impact of various diet types on ageing and age-related conditions, including cardiovascular disease, cancer, neurodegenerative disorders, and metabolic syndrome. Different dietary patterns, such as the Mediterranean diet, the Japanese diet, vegetarian and vegan diets, as well as low-carbohydrate and ketogenic diets, are evaluated for their potential effects on longevity and health span. Each diet type is characterized by distinct nutritional profiles, emphasizing specific food groups, macronutrient compositions, and bioactive components, which may exert diverse effects on ageing processes and disease risk. Additionally, dietary factors such as calorie restriction, intermittent fasting, and dietary supplementation are explored for their potential anti-ageing and disease-modifying effects. Understanding the influence of various diet types on ageing and age-related diseases can inform personalized dietary recommendations and lifestyle interventions aimed at promoting healthy aging and mitigating age-associated morbidities.
近来,人们对了解特定人群、部落或国家健康长寿的因素越来越感兴趣。环境和饮食等因素在老龄化过程中起着重要作用,通常也是探寻长寿秘密的重点。在这些因素中,饮食是一个主要的决定因素,能够促进或减轻影响老龄化轨迹的老年相关疾病的发生。这篇综述探讨了各种饮食对衰老和老年相关疾病的影响,包括心血管疾病、癌症、神经退行性疾病和代谢综合征。本文评估了地中海饮食、日本饮食、素食和纯素饮食以及低碳水化合物和生酮饮食等不同饮食模式对长寿和健康寿命的潜在影响。每种膳食都有不同的营养特征,强调特定的食物组别、宏量营养素组成和生物活性成分,可能对衰老过程和疾病风险产生不同的影响。此外,还探讨了卡路里限制、间歇性禁食和膳食补充剂等膳食因素的潜在抗衰老和疾病调节作用。了解各种饮食类型对老龄化和老年相关疾病的影响,可为旨在促进健康老龄化和减轻老年相关疾病的个性化饮食建议和生活方式干预提供依据。
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Nutrition
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