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Does Colostrum Bovinum Supplementation Affect Swimming Performance in Endurance-Trained Males? A Randomized Placebo-Controlled Crossover Study. 补充牛初乳会影响耐力训练男性的游泳成绩吗?一项随机安慰剂对照交叉研究。
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-09-22 DOI: 10.3390/nu16183204
Krzysztof Durkalec-Michalski, Natalia Główka, Tomasz Podgórski, Mikołaj Szymocha, Błażej Przybylik, Krystian Wochna, Małgorzata Woźniewicz, Paulina M Nowaczyk

Background/Objectives: Colostrum Bovinum (COL) is recognized for its unique composition and potential ergogenic and immunological benefits. Unlike mature milk, COL is rich in immunoglobulins, lactoferrin, and various growth factors, making it one of the most potent natural immune stimulants. The purpose of this study was to evaluate the effects of 12-weeks of COL supplementation on swimming-specific performance (SSP) and exercise adaptations in endurance-trained male athletes. Methods: Twenty-eight male triathletes and swimmers (age: 31.1 ± 10.2 years; body mass: 81.9 ± 9.0 kg; height: 1.82 ± 0.06 m) participated in a randomized, double-blind, placebo (PLA)-controlled crossover study and received 25 g∙day-1 of COL or PLA for 12 weeks. The study assessed the effects of COL on SSP (8 × 100 m performed at various intensities) and exercise adaptations [heart rate (HR) and blood lactate concentrations ([La-])]. Four main study visits were conducted-before and after COL (COLPRE and COLPOST) and PLA (PLAPRE and PLAPOST) supplementation. Results: COL had no significant effect on SSP. Still, the total time of the SSP test was about ~3.04 s shorter after COL supplementation, and ~7.13 s longer after PLA supplementation. Neither COL nor PLA supplementation affected HR during the SSP test. Post-exercise blood [La-] was significantly reduced after both COL and PLA supplementation. The analysis of SSP results in the consecutive study visits revealed possible existence of the practice effect. Conclusions: Colostrum Bovinum and high-quality milk protein (PLA) seem to be comparably effective in evoking exercise adaptation in endurance-trained male athletes. Long-term crossover supplementation protocols in athletes must consider the impact of possible practice effect when interpreting the outcomes related to exercise performance, but not biochemical or physiological markers of exercise adaptation.

背景/目的:牛初乳(COL)因其独特的成分和潜在的生肌和免疫益处而被公认。与成熟牛奶不同,牛初乳富含免疫球蛋白、乳铁蛋白和各种生长因子,是最有效的天然免疫兴奋剂之一。本研究的目的是评估为期 12 周的 COL 补充剂对耐力训练男性运动员游泳专项成绩(SSP)和运动适应性的影响。研究方法:28 名男子铁人三项运动员和游泳运动员(年龄:31.1 ± 10.2 岁;体重:81.9 ± 9.0 千克;身高:1.82 ± 0.06 米)参加了一项随机、双盲、安慰剂(PLA)对照交叉研究,在 12 周内服用 25 克 COL 或 PLA。该研究评估了 COL 对 SSP(以不同强度进行 8 × 100 米)和运动适应性[心率(HR)和血乳酸浓度([La-])]的影响。主要进行了四次研究考察--补充 COL(COLPRE 和 COLPOST)和 PLA(PLAPRE 和 PLAPOST)之前和之后。研究结果COL对SSP没有明显影响。不过,补充 COL 后,SSP 测试的总时间缩短了约 3.04 秒,而补充 PLA 后则延长了约 7.13 秒。补充 COL 和 PLA 都不会影响 SSP 测试期间的心率。补充 COL 和 PLA 后,运动后血液[La-]明显减少。对连续研究访问中的 SSP 结果进行的分析表明,可能存在练习效应。结论牛初乳和优质牛奶蛋白(PLA)在唤起耐力训练男子运动员的运动适应性方面似乎效果相当。在解释与运动表现相关的结果时,运动员的长期交叉补充方案必须考虑到可能存在的实践效应的影响,而不是运动适应的生化或生理指标。
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引用次数: 0
Alleviation of Lipid Disorder and Liver Damage in High-Fat Diet-Induced Obese Mice by Selenium-Enriched Cardamine violifolia with Cadmium Accumulation. 富含硒的红花酢浆草能缓解高脂饮食诱发肥胖小鼠的血脂紊乱和肝损伤。
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-09-22 DOI: 10.3390/nu16183208
Junying Zhu, Qingqing Lv, Fengna Li, Ping Xu, Ziyu Han, Aolin Yang, Zhan Shi, Chao Wang, Jie Jiang, Yunfen Zhu, Xiaofei Chen, Lvhui Sun, Xin Gen Lei, Ji-Chang Zhou

Background/objectives: As a hyperaccumulator of selenium (Se), Cardamine violifolia (Cv) and its peptide extract could ameliorate the negative effects of a high-fat diet (HFD). However, the effects of the coaccumulation of cadmium (Cd) in Se-enriched Cv (Cv2) and the potential confounding effect on the roles of enriched Se remain unknown. We aimed to investigate whether Cv2 could alleviate HFD-induced lipid disorder and liver damage.

Methods: Three groups of 31-week-old female mice were fed for 41 weeks (n = 10-12) with a control Cv-supplemented diet (Cv1D, 0.15 mg Se/kg, 30 µg Cd/kg, and 10% fat calories), a control Cv-supplemented HFD (Cv1HFD, 45% fat calories), and a Cv2-supplemented HFD (Cv2HFD, 1.5 mg Se/kg, 0.29 mg Cd/kg, and 45% fat calories). Liver and serum were collected to determine the element concentrations, markers of liver injury and lipid disorder, and mRNA and/or protein expression of lipid metabolism factors, heavy metal detoxification factors, and selenoproteins.

Results: Both Cv1HFD and Cv2HFD induced obesity, and Cv2HFD downregulated Selenoi and upregulated Dio3 compared with Cv1D. When comparing Cv2HFD against Cv1HFD, Cv2 increased the liver Se and Cd, the protein abundance of Selenoh, and the mRNA abundance of 10 selenoproteins; reduced the serum TG, TC, and AST; reduced the liver TG, lipid droplets, malondialdehyde, and mRNA abundance of Mtf1 and Mt2; and differentially regulated the mRNA levels of lipid metabolism factors.

Conclusions: Cv2 alleviated HFD-induced lipid dysregulation and liver damage, which was probably associated with its unique Se speciation. However, further research is needed to explore the interaction of plant-coenriched Se and Cd and its effects on health.

背景/目的:作为一种硒(Se)的高积累体,红豆杉(Cv)及其肽提取物可以改善高脂饮食(HFD)的负面影响。然而,富硒 Cv(Cv2)中镉(Cd)的共累积效应及其对富硒作用的潜在混杂效应仍然未知。我们的目的是研究 Cv2 是否能缓解高密度脂蛋白胆固醇诱导的血脂紊乱和肝损伤:方法:三组 31 周大的雌性小鼠连续 41 周(n = 10-12)饲喂对照组 Cv 补充饮食(Cv1D,0.15 mg Se/kg,30 µg Cd/kg,10% 脂肪热量)、对照组 Cv 补充高密度脂蛋白饮食(Cv1HFD,45% 脂肪热量)和 Cv2 补充高密度脂蛋白饮食(Cv2HFD,1.5 mg Se/kg,0.29 mg Cd/kg,45% 脂肪热量)。收集肝脏和血清以确定元素浓度、肝损伤和脂质紊乱的标志物,以及脂质代谢因子、重金属解毒因子和硒蛋白的 mRNA 和/或蛋白质表达:结果:Cv1HFD和Cv2HFD都会诱发肥胖,与Cv1D相比,Cv2HFD下调了Selenoi,上调了Dio3。Cv2HFD与Cv1HFD相比,Cv2增加了肝脏Se和Cd、Selenoh蛋白丰度以及10种硒蛋白的mRNA丰度;降低了血清TG、TC和AST;减少了肝脏TG、脂滴、丙二醛以及Mtf1和Mt2的mRNA丰度;并对脂质代谢因子的mRNA水平进行了差异调控:结论:Cv2能缓解高氟酸诱导的脂质失调和肝损伤,这可能与其独特的Se分型有关。然而,还需要进一步研究植物富集的硒和镉的相互作用及其对健康的影响。
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引用次数: 0
Baked Egg Oral Immunotherapy: Current State in Pediatric Age. 烤鸡蛋口服免疫疗法:儿科治疗现状。
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-09-22 DOI: 10.3390/nu16183203
Simone Foti Randazzese, Lucia Caminiti, Mariarosaria La Rocca, Cristina Italia, Fabio Toscano, Francesca Galletta, Giuseppe Crisafulli, Sara Manti

Hen's egg allergy is one of the most common food allergies in the Western world, with an increase in recent years. It affects about 9.5% of the pediatric population, and the onset most often occurs before the first year of life. The occurrence of spontaneous oral tolerance acquisition varies among studies, but it is generally high by school age. Nowadays, allergen immunotherapy may represent the only therapeutic strategy able to modify the natural history of hen's egg allergy. Specifically, many children with hen's egg allergy may tolerate baked eggs. Food processing, specifically high temperatures, alters the allergenicity of hen's egg proteins by causing conformational changes in allergen epitopes, which makes them less allergenic. This review aims to discuss the scientific evidence in the field of baked egg oral immunotherapy in hen's egg-allergic children, with a meticulous examination of the pertinent literature surrounding the subject matter.

母鸡蛋过敏是西方世界最常见的食物过敏之一,近年来发病率有所上升。约有 9.5%的儿童患有这种过敏症,多在一岁前发病。自发性口服耐受的发生率因研究而异,但一般在学龄前发生率较高。目前,过敏原免疫疗法可能是唯一能够改变鸡蛋过敏自然史的治疗策略。具体来说,许多对鸡蛋过敏的儿童可以耐受烤鸡蛋。食品加工,特别是高温,会改变鸡蛋蛋白的过敏性,使过敏原表位发生构象变化,从而降低其过敏性。本综述旨在讨论烤鸡蛋口服免疫疗法在对鸡蛋过敏的儿童中的科学证据,并对围绕该主题的相关文献进行了细致的研究。
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引用次数: 0
Correlation between Vegetable and Fruit Intake and Cognitive Function in Older Adults: A Cross-Sectional Study in Chongqing, China. 老年人蔬菜和水果摄入量与认知功能之间的相关性:中国重庆的一项横断面研究。
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-09-21 DOI: 10.3390/nu16183193
Yingjiao Deng, Jiaxin Deng, Ke Jiang, Ya Shi, Ziling Feng, Rongxin Wu, Ailin Zhou, Zumin Shi, Yong Zhao

Objective: To explore the correlation between different types of vegetable and fruit intake and cognitive function among the older adults in Chongqing, China, and to provide a scientific basis for developing efficient lifestyle interventions for the prevention of Mild Cognitive Impairment (MCI).

Method: Approximately 728 older adults in urban and rural areas of Chongqing were surveyed using face-to-face questionnaires. Cognitive function was assessed with the Montreal Cognitive Assessment-Basic (MoCA-B) scale, and the vegetable and fruit intake groups were investigated with the Simple Food Frequency Counting Survey Scale. Binary logistic regression was used to explore the effect of the vegetable and fruit intake group on cognitive function. Subgroup analysis was used to demonstrate the robustness of the results.

Result: Of the 728 participants in the study, 36.40% were likely to have MCI, which is higher than the national average for this condition. After adjusting for confounders, compared to the Q1 group, fruit and root vegetable intake was a protective factor for MCI, showing a dose-response relationship (p < 0.05). Only lower intake (Q2) of total vegetables, medium intake (Q2, Q3) of solanaceous vegetables, and medium-high intake (Q2, Q4) of fungi and algae was protective against MCI, whereas the leafy vegetables showed no relation to MCI. Apart from this, participants who were older, female, unmarried, non-smoking, and engaged in physical labor, and who had an average monthly income of less than 3000 RMB were more likely to suffer from cognitive impairment.

Conclusion: This suggested that the fruit-intake groups and some vegetable-intake groups showed a protective effect on cognitive function, and might behave differently depending on their different intake and demographic characteristics. A sensible, healthy diet can help prevent MCI.

目的探讨重庆市老年人不同种类蔬菜和水果摄入量与认知功能之间的相关性,为制定有效的生活方式干预措施预防轻度认知功能障碍(MCI)提供科学依据:方法:采用面对面问卷调查的方式,对重庆市城乡约 728 名老年人进行了调查。认知功能采用蒙特利尔认知评估基础量表(MoCA-B)进行评估,蔬菜和水果摄入量组采用简单食物频率计数调查量表进行调查。二元逻辑回归用于探讨蔬菜和水果摄入量组对认知功能的影响。为了证明结果的稳健性,还进行了分组分析:在 728 名参与者中,36.40% 的人可能患有 MCI,高于全国的平均水平。在对混杂因素进行调整后,与 Q1 组相比,水果和根茎类蔬菜的摄入量是 MCI 的保护因素,呈现剂量-反应关系(p < 0.05)。只有总蔬菜的低摄入量(Q2)、茄果类蔬菜的中等摄入量(Q2、Q3)以及真菌和藻类的中等高摄入量(Q2、Q4)对 MCI 有保护作用,而叶菜类蔬菜与 MCI 没有关系。此外,年龄较大、女性、未婚、不吸烟、从事体力劳动、平均月收入低于 3000 元人民币的参与者更容易出现认知障碍:这表明,水果摄入量组和部分蔬菜摄入量组对认知功能有保护作用,不同的摄入量和人口特征可能有不同的表现。合理、健康的饮食有助于预防 MCI。
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引用次数: 0
A New Strategy for Dietary Nutrition to Improve Intestinal Homeostasis in Diarrheal Irritable Bowel Syndrome: A Perspective on Intestinal Flora and Intestinal Epithelial Interaction. 改善腹泻性肠易激综合征肠道平衡的膳食营养新策略:肠道菌群和肠道上皮细胞相互作用透视。
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-09-21 DOI: 10.3390/nu16183192
Xinyu Wu, Yilong Cao, Yixiang Liu, Jie Zheng

Background and objectives: Although a reasonable diet is essential for promoting human health, precise nutritional regulation presents a challenge for different physiological conditions. Irritable Bowel Syndrome (IBS) is characterized by recurrent abdominal pain and abnormal bowel habits, and diarrheal IBS (IBS-D) is the most common, seriously affecting patients' quality of life. Therefore, the implementation of precise nutritional interventions for IBS-D has become an urgent challenge in the fields of nutrition and food science. IBS-D intestinal homeostatic imbalance involves intestinal flora disorganization and impaired intestinal epithelial barrier function. A familiar interaction is evident between intestinal flora and intestinal epithelial cells (IECs), which together maintain intestinal homeostasis and health. Dietary patterns, such as the Mediterranean diet, have been shown to regulate gut flora, which in turn improves the body's health by influencing the immune system, the hormonal system, and other metabolic pathways.

Methods: This review summarized the relationship between intestinal flora, IECs, and IBS-D. It analyzed the mechanism behind IBS-D intestinal homeostatic imbalance by examining the interactions between intestinal flora and IECs, and proposed a precise dietary nutrient intervention strategy.

Results and conclusion: This increases the understanding of the IBS-D-targeted regulation pathways and provides guidance for designing related nutritional intervention strategies.

背景和目的:虽然合理膳食对促进人体健康至关重要,但精确的营养调节对不同的生理状况提出了挑战。肠易激综合征(IBS)以反复腹痛和排便习惯异常为特征,其中腹泻型肠易激综合征(IBS-D)最为常见,严重影响患者的生活质量。因此,对 IBS-D 实施精确的营养干预已成为营养学和食品科学领域亟待解决的难题。IBS-D 肠道平衡失调包括肠道菌群失调和肠道上皮屏障功能受损。肠道菌群和肠道上皮细胞(IECs)之间存在着明显的相互作用,它们共同维持着肠道的平衡和健康。地中海饮食等膳食模式已被证明可以调节肠道菌群,进而通过影响免疫系统、激素系统和其他代谢途径来改善人体健康:本综述总结了肠道菌群、IECs 和 IBS-D 之间的关系。方法:本综述总结了肠道菌群、IECs 和 IBS-D 的关系,通过研究肠道菌群和 IECs 之间的相互作用,分析了 IBS-D 肠道平衡失调的机制,并提出了精确的膳食营养干预策略:结果与结论:这增加了对IBS-D靶向调节途径的了解,为设计相关营养干预策略提供了指导。
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引用次数: 0
Exploring Total Immunoglobulin A's Impact on Non-Biopsy Diagnosis of Celiac Disease: Implications for Diagnostic Accuracy. 探讨总免疫球蛋白 A 对非活检诊断乳糜泻的影响:对诊断准确性的影响。
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-09-21 DOI: 10.3390/nu16183195
Alberto Raiteri, Alessandro Granito, Dante Pio Pallotta, Alice Giamperoli, Agnese Pratelli, Giovanni Monaco, Chiara Faggiano, Francesco Tovoli

Objective: In the current debate surrounding the biopsy-free diagnosis of CeD, it is crucial to identify factors influencing the accuracy of results. This study investigated the impact of total IgA on the non-invasive diagnosis of celiac disease (CeD).

Methods: We retrospectively assessed total IgA titers' influence on the diagnostic accuracy of different tTG-IgA thresholds compared to the upper reference value (UNL).

Results: Of 165 included patients, tTG-IgA values at 10× UNL and 6× UNL showed specificity of 82.6% and 73.9% and sensitivity of 49.3% and 69.0%, respectively, in predicting intestinal villous atrophy (Marsh 3). In 130 patients, total IgA levels were known at baseline. These patients were divided into three tertiles according to total IgA, i.e., patients with lower, intermediate, or higher total IgA within the population. For patients with total IgA ≥ 245 mg/dL, using a tTG-IgA cutoff of 6× UNL instead of 10× UNL resulted in decreased specificity from 71.4% to 42.8% and increased sensitivity from 67.6% to 81.1%. For patients with total IgA < 174 mg/dL and between 174 mg/dL and 245 mg/dL, using a tTG-IgA cutoff of 6× UNL instead of 10× UNL maintained specificity (75.0% and 85.7%, respectively) with increased sensitivity (from 46.2% to 64.1% and from 36.1% to 52.8%, respectively).

Conclusions: In conclusion, total IgA influences the diagnostic accuracy of a predetermined tTG-IgA cutoff. Greater consideration should be given to total IgA, beyond its deficiency, in evaluating the applicability and accuracy of non-invasive CeD diagnosis.

目的:在当前围绕无活检诊断乳糜泻的争论中,确定影响结果准确性的因素至关重要。本研究调查了总 IgA 对乳糜泻(CeD)无创诊断的影响:我们回顾性地评估了总 IgA 滴度对不同 tTG-IgA 阈值与参考上限值 (UNL) 的诊断准确性的影响:在纳入的 165 例患者中,10 倍 UNL 和 6 倍 UNL 的 tTG-IgA 值在预测肠绒毛萎缩方面的特异性分别为 82.6% 和 73.9%,敏感性分别为 49.3% 和 69.0%(Marsh 3)。130 名患者的总 IgA 水平在基线时是已知的。根据总 IgA 水平,这些患者被分为三个等级,即人群中总 IgA 水平较低、中等或较高的患者。对于总 IgA ≥ 245 mg/dL 的患者,使用 6×UNL 而不是 10×UNL 的 tTG-IgA 临界值会使特异性从 71.4% 下降到 42.8%,灵敏度从 67.6% 提高到 81.1%。对于总 IgA 小于 174 mg/dL 和介于 174 mg/dL 与 245 mg/dL 之间的患者,使用 6×UNL 而不是 10×UNL 的 tTG-IgA 临界值可保持特异性(分别为 75.0% 和 85.7%),同时提高敏感性(分别从 46.2% 提高到 64.1%,从 36.1% 提高到 52.8%):总之,总 IgA 会影响预先确定的 tTG-IgA 临界值的诊断准确性。在评估非侵入性 CeD 诊断的适用性和准确性时,应更多地考虑总 IgA,而不是其缺乏性。
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引用次数: 0
Daily Adequate Intake of Fruit and Vegetables and All-Cause, Cardiovascular Disease, and Cancer Mortalities in Malaysian Population: A Retrospective Cohort Study. 马来西亚人口每日水果和蔬菜充足摄入量与全因、心血管疾病和癌症死亡率:一项回顾性队列研究。
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-09-21 DOI: 10.3390/nu16183200
Lay Kim Tan, Nabilah Hanis Zainuddin, Najjah Tohar, Ridwan Sanaudi, Yong Kang Cheah, Mohd Azahadi Omar, Chee Cheong Kee

Background/objective: We investigated the relationship between daily adequate FV intake and risk of all-cause, cardiovascular disease (CVD), and cancer mortalities among Malaysian adults.

Methods: Data from a total of 18,211 Malaysian adults aged 18 years and above whom participated in the National Health and Morbidity Survey 2011 were analyzed. The participants were followed up for approximately 11 years, and mortality data were ascertained through record linkages with the death registry from the Malaysian National Registration Department. Multiple Cox regression was applied to assess the association between daily adequate FV intake and risk of all-cause, CVD, and cancer mortalities, adjusting for sociodemographic, lifestyle, and health conditions.

Results: During the follow-up period, we observed a total of 1809 all-cause, 374 CVD, and 216 cancer mortalities. No significant association between daily adequate FV intake with all-cause mortality (adjusted hazard ratio (aHR): 1.01, 95% confidence interval (CI: 0.79-1.31), CVD mortality (aHR: 0.91, 95% CI: 0.57-1.47), and cancer mortality (aHR: 1.27, 95% CI: 0.74-2.17) were observed, even after excluding deaths that occurred in the first two years of observation.

Conclusions: Further investigation on the type of FV intake and its preparation method with risk of mortality will provide a holistic insight into the causal relationship between FV intake and mortality.

背景/目的我们调查了马来西亚成年人每天摄入足量FV与全因、心血管疾病(CVD)和癌症死亡风险之间的关系:我们分析了参加 2011 年全国健康与发病率调查的 18,211 名 18 岁及以上马来西亚成年人的数据。对参与者进行了约11年的随访,并通过与马来西亚国家登记局死亡登记处的记录链接确定了死亡率数据。在对社会人口学、生活方式和健康状况进行调整后,采用多元 Cox 回归评估了每日充足 FV 摄入量与全因、心血管疾病和癌症死亡风险之间的关系:在随访期间,我们共观察到 1809 例全因死亡、374 例心血管疾病死亡和 216 例癌症死亡。即使剔除了观察期头两年的死亡病例,我们也没有观察到每天摄入足量 FV 与全因死亡率(调整后危险比(aHR):1.01,95% 置信区间(CI):0.79-1.31)、心血管疾病死亡率(aHR:0.91,95% 置信区间(CI):0.57-1.47)和癌症死亡率(aHR:1.27,95% 置信区间(CI):0.74-2.17)之间存在明显关联:进一步调查无水乙醇摄入的类型及其制备方法与死亡风险的关系,将有助于全面了解无水乙醇摄入与死亡率之间的因果关系。
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引用次数: 0
Correlation between the Quantity and Type of Dietary Fiber with the Activity in Mexican Patients with Ulcerative Colitis (UC). 膳食纤维的数量和类型与墨西哥溃疡性结肠炎 (UC) 患者活动之间的相关性。
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-09-21 DOI: 10.3390/nu16183198
Sophia Eugenia Martínez-Vázquez, José Miguel Corral-Ceballos, Jesús K Yamamoto-Furusho

Background/Objective: Ingestion of dietary fiber can influence in the remission of patients with ulcerative colitis (UC). There are no current recommendations for fiber intake in UC; therefore, we evaluate the association between dietary fiber and the activity of the disease. Methods: Ours is a cross-sectional study in patients with a confirmed diagnosis of UC to whom a 24 h recall was applied; this allowed for the estimation and classification of type of dietary fiber. The patients were divided into two groups: (1) remission and (2) active UC. We analyzed the quantity and type of fiber with the grades of disease activity through Spearman correlation and logistic regression. Results: A total of 152 patients were included; it was found that those with clinically active UC consumed less total fiber (p = 0.016) and insoluble fiber (p = 0.018). Meanwhile, in endoscopic grade, the difference was for insoluble fiber (p = 0.038). Insoluble fiber had an inversely significant correlation with fecal calprotectin levels (r = -0.204; p = 0.018). Logistic regression showed that less than 11 g of insoluble fiber was a risk factor for clinical activity (OR = 2.37; 95% CI 1.107-5.019; p = 0.026). Conclusions: Consumption below the current recommendation of total and insoluble dietary fiber is associated with clinical activity of UC.

背景/目的:摄入膳食纤维会影响溃疡性结肠炎(UC)患者病情的缓解。目前还没有关于溃疡性结肠炎患者纤维摄入量的建议;因此,我们对膳食纤维与疾病活动之间的关系进行了评估。研究方法我们对确诊为 UC 的患者进行了一项横断面研究,对他们进行了 24 小时回忆,以便对膳食纤维的种类进行估计和分类。患者被分为两组:(1) 缓解期和(2) 活动期。我们通过斯皮尔曼相关性和逻辑回归分析了纤维的数量和类型与疾病活动程度的关系。结果共纳入了 152 名患者;结果发现,临床活动性 UC 患者摄入的总纤维(p = 0.016)和不溶性纤维(p = 0.018)较少。同时,在内镜分级中,不溶性纤维的差异为(p = 0.038)。不溶性纤维与粪便钙蛋白水平成反比(r = -0.204;p = 0.018)。逻辑回归显示,不溶性纤维少于 11 克是临床活动的风险因素(OR = 2.37;95% CI 1.107-5.019;p = 0.026)。结论总膳食纤维和不溶性膳食纤维摄入量低于当前推荐值与 UC 的临床活动有关。
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引用次数: 0
The Impact of Social Media and Socio-Cultural Attitudes toward Body Image on the Risk of Orthorexia among Female Football Players of Different Nationalities. 社交媒体和社会文化对身体形象的态度对不同国籍女足运动员罹患厌食症风险的影响。
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-09-21 DOI: 10.3390/nu16183199
Wiktoria Staśkiewicz-Bartecka, Kommi Kalpana, Samet Aktaş, Gulshan Lal Khanna, Grzegorz Zydek, Marek Kardas, Małgorzata Magdalena Michalczyk

Background/objectives: Orthorexia Nervosa (ON) is an emerging behavioral pattern characterized by an obsessive focus on healthy eating. Despite its prevalence, ON lacks formal diagnostic criteria in major classification systems like the DSM-5 and the ICD-10. This study aims to investigate the impact of socio-cultural attitudes towards body image and the role of social media on the risk of ON among female football players from Poland, Turkey, and India. This study hypothesizes that socio-cultural pressures and media usage significantly influence the risk of developing ON, particularly in cultures more exposed to Western beauty ideals.

Methods: The study was conducted from May to August 2024, employing the Computer-Assisted Web Interview method. A total of 142 female football players aged 16-36 from Poland, Turkey, and India participated. Data were collected using a structured questionnaire that included demographic information and health metrics, the Socio-Cultural Attitudes Towards Appearance Questionnaire, and the Duesseldorf Orthorexia Scale. Statistical analyses included an ANOVA, the Kruskal-Wallis test, the chi-square test, and Pearson's correlation coefficient.

Results: The study found that nearly half of the participants were at risk of or presented with ON, with the highest prevalence being among Indian athletes. Statistically significant relationships were observed between the risk of ON and factors such as age, dietary exclusions, social media usage, and sources of nutritional information. However, no significant correlation was found between socio-cultural attitudes and the risk of ON, suggesting that other factors may play a more critical role.

Conclusions: While socio-cultural pressures and media use are contributing factors to the risk of ON, psychological factors and individual behaviors appear to be equally, if not more, significant. This study highlights the importance of targeted educational programs and psychological support for young athletes, with a focus on promoting healthy dietary practices and positive body image perceptions across varying cultural contexts. Additionally, the results suggest the need for further research into the specific psychological and behavioral mechanisms underlying ON.

背景/目的:神经性厌食症(ON)是一种新出现的行为模式,其特点是强迫性地关注健康饮食。尽管 "傲慢性厌食症 "很普遍,但在 DSM-5 和 ICD-10 等主要分类系统中却没有正式的诊断标准。本研究旨在调查社会文化对身体形象的态度以及社交媒体的作用对波兰、土耳其和印度女足运动员患 ON 风险的影响。本研究假设,社会文化压力和媒体使用会显著影响ON的发病风险,尤其是在更多接触西方审美理想的文化中:研究于 2024 年 5 月至 8 月进行,采用计算机辅助网络访谈法。共有来自波兰、土耳其和印度的 142 名年龄在 16-36 岁之间的女足球运动员参与了这项研究。数据收集采用了结构化问卷,其中包括人口统计学信息和健康指标、社会文化外貌态度问卷和杜塞尔多夫矫正性厌食量表。统计分析包括方差分析、Kruskal-Wallis 检验、卡方检验和皮尔逊相关系数:研究发现,近一半的参与者有可能或表现出 ON,其中印度运动员的发病率最高。研究发现,ON 风险与年龄、饮食禁忌、社交媒体使用和营养信息来源等因素之间存在统计学意义上的重要关系。然而,在社会文化态度与ON风险之间没有发现明显的相关性,这表明其他因素可能起着更为关键的作用:结论:虽然社会文化压力和媒体使用是导致胰腺癌风险的因素,但心理因素和个人行为似乎同样重要,甚至更为重要。这项研究强调了为年轻运动员提供有针对性的教育计划和心理支持的重要性,重点是在不同的文化背景下推广健康的饮食习惯和积极的身体形象观念。此外,研究结果还表明,有必要进一步研究ON的具体心理和行为机制。
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引用次数: 0
Exploring the Impact of Folic Acid Supplementation and Vitamin B12 Deficiency on Maternal and Fetal Outcomes in Pregnant Women with Celiac Disease. 探索叶酸补充和维生素 B12 缺乏对乳糜泻孕妇的母体和胎儿结局的影响。
IF 4.8 2区 医学 Q1 NUTRITION & DIETETICS Pub Date : 2024-09-21 DOI: 10.3390/nu16183194
Lily Lev, Katherine Petersen, Joseph L Roberts, Kevin Kupferer, Steven Werder

Background: Celiac disease is a chronic small intestinal immune-mediated enteropathy precipitated by exposure to dietary gluten, affecting approximately 1% of the global population and two million Americans. An increasing number of studies have identified a link between celiac disease and adverse maternal and fetal outcomes during pregnancy and after birth. Additionally, both celiac disease and pregnancy are associated with an increased risk for nutrient deficiencies, specifically vitamin B12 and folate. Methods: This review examines the current literature related to the folate trap and vitamin B12 deficiency in patients with celiac disease and pregnant women independently and provides rationale for future research to explore the relationship between the folate-to-12 ratio in pregnant women with celiac disease. Results: Deficiencies in vitamin B12 are linked with several negative maternal and fetal health outcomes including pre-eclampsia, gestational diabetes, spontaneous abortion/miscarriage, preterm birth, neural tube defects, intrauterine growth restriction, and low gestational age and birthweight. Conclusions: Folic acid supplementation is widely recommended during pregnancy, but complementary vitamin B12 supplementation is not standard. Physicians should consider celiac disease screening during pregnancy as well as vitamin B12 supplementation.

背景:乳糜泻是一种因接触饮食中的麸质而引发的慢性小肠免疫介导型肠病,全球约有 1%的人口和 200 万美国人患有该病。越来越多的研究发现,乳糜泻与孕期和产后对母体和胎儿的不良影响有关。此外,乳糜泻和妊娠都会增加营养素缺乏的风险,特别是维生素 B12 和叶酸。方法:本综述研究了与乳糜泻患者和孕妇叶酸陷阱和维生素 B12 缺乏有关的现有文献,并为今后探索乳糜泻孕妇叶酸与 12 比率之间关系的研究提供了理论依据。研究结果维生素 B12 缺乏与多种不良的孕产妇和胎儿健康结果有关,包括先兆子痫、妊娠糖尿病、自然流产/流产、早产、神经管缺陷、宫内生长受限、低胎龄和出生体重。结论孕期补充叶酸被广泛推荐,但补充维生素 B12 并非标准。医生应考虑在孕期进行乳糜泻筛查并补充维生素 B12。
{"title":"Exploring the Impact of Folic Acid Supplementation and Vitamin B12 Deficiency on Maternal and Fetal Outcomes in Pregnant Women with Celiac Disease.","authors":"Lily Lev, Katherine Petersen, Joseph L Roberts, Kevin Kupferer, Steven Werder","doi":"10.3390/nu16183194","DOIUrl":"https://doi.org/10.3390/nu16183194","url":null,"abstract":"<p><p><b>Background:</b> Celiac disease is a chronic small intestinal immune-mediated enteropathy precipitated by exposure to dietary gluten, affecting approximately 1% of the global population and two million Americans. An increasing number of studies have identified a link between celiac disease and adverse maternal and fetal outcomes during pregnancy and after birth. Additionally, both celiac disease and pregnancy are associated with an increased risk for nutrient deficiencies, specifically vitamin B12 and folate. <b>Methods:</b> This review examines the current literature related to the folate trap and vitamin B12 deficiency in patients with celiac disease and pregnant women independently and provides rationale for future research to explore the relationship between the folate-to-12 ratio in pregnant women with celiac disease. <b>Results:</b> Deficiencies in vitamin B12 are linked with several negative maternal and fetal health outcomes including pre-eclampsia, gestational diabetes, spontaneous abortion/miscarriage, preterm birth, neural tube defects, intrauterine growth restriction, and low gestational age and birthweight. <b>Conclusions:</b> Folic acid supplementation is widely recommended during pregnancy, but complementary vitamin B12 supplementation is not standard. Physicians should consider celiac disease screening during pregnancy as well as vitamin B12 supplementation.</p>","PeriodicalId":19486,"journal":{"name":"Nutrients","volume":null,"pages":null},"PeriodicalIF":4.8,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11435006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142351240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Nutrients
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