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A comparative assessment of proximate and elemental composition six weedy grasses for their potential use as fodder 六种杂草的基本成分和元素成分的比较评估及其用作饲料的潜力
4区 医学 Q4 Agricultural and Biological Sciences Pub Date : 2018-04-03 DOI: 10.23751/PN.V20I1-S.6343
R. Khan, M. Khan, Hadayat Ullah, A. Basit, A. Razzaq, Mushtaq Ahmad, M. Zafar, Ömer Kılıç, F. A. Özdemir
In the current study six weedy grasses samples; Alopecurus myosuroides, Brachiaria ramosa, Chrysopogon aucheri, Phalaris minor, Pennisetum orientale and Stipa capensis were collected and evaluated for their potential use as fodder. These species were analyzed for their proximate and mineral composition in three phenological stages. A total of ten elements (Ca, Na, Si, S, Cu, K, Al, Mg, Cl and Fe) that are vital for proper development, health and to produce milk, were detected in varied contents from species to species and phenological stages. Minerals content were mostly detected maximum at reproductive and post-reproductive stages. All six species were also a good and valuable source of nutrients (NDFs, ADFs, ADLs, cellulose and hemicellulose). All species had low moisture and high dry matter contents. Ash contents were high in pre-reproductive stages. Stipa capensis has highest nitrogen (57.96%) contents in pre-reproductive stage in all studied grasses. All the assessed species in the light of current findings (minerals and proximate composition) shows that they are a good potential source of fodder for cattles and will be very helpful to fulfill the current crisis of fodder.
在目前的研究中,有六个杂草样本;采集并评价了拟肌阿洛佩克龙、雷莫沙Brachiaria ramosa、aucheri Chrysopogon、Phalaris minor、Pennisetum orientale和Stipa capensis作为饲料的潜在用途。在三个酚学阶段对这些物种的亲缘关系和矿物组成进行了分析。共检测到10种元素(Ca、Na、Si、S、Cu、K、Al、Mg、Cl和Fe),这些元素对正常发育、健康和产奶至关重要,其含量因物种和酚期而异。矿物含量大多在生殖和生殖后阶段检测到最大值。所有六个物种也是良好且有价值的营养物质来源(NDF、ADFs、ADLs、纤维素和半纤维素)。所有物种都具有低水分和高干物质含量。生殖前期灰分含量较高。山针茅繁殖前期含氮量最高,达57.96%。根据目前的发现(矿物和接近成分),所有评估的物种都表明,它们是一个很好的潜在饲料来源,将非常有助于应对当前的饲料危机。
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引用次数: 11
Effects of an exercise program with or without a diet on physical fitness in obese boys: a three-year follow-up 有或无饮食的锻炼计划对肥胖男孩体质的影响:一项为期三年的随访
4区 医学 Q4 Agricultural and Biological Sciences Pub Date : 2018-03-29 DOI: 10.23751/PN.V20I1.5836
A. García-Hermoso, J. Saavedra, Y. Escalante, Ana M. Domínguez, J. Castro‐Piñero
Childhood obesity is a global epidemic, and understanding the relationship between physical fitness and various forms of intervention in obese children is essential to implementing effective exercise programs. The objective of the present study was to conduct a long-term follow-up (three years) of how an exercise program with or without diet affects the physical fitness components of obese boys. The participants were 18 boys, ages between 8 and 11, divided into two groups according to the program they followed. The exercise group (E group) followed a physical exercise program (three 90-minute sessions per week), and the exercise plus diet group (E+D group) this physical exercise program plus a low calorie diet. Physical fitness was assessed by the European physical fitness test battery including flamingo balance, plate tapping, sit-and-reach, handgrip strength, standing broad jump, sit-ups, bent-arm hang, 10×5-metre shuttle run, and 20-metre endurance shuttle run. Kruskal-Wallis test was applied to reveal overall intergroup differences (E and E+D group), and measurements showing significant differences were further analysed for differences between individual groups by the Mann-Whitney U-test. In both groups, changes were observed in various physical fitness parameters, especially limb speed, agility, aerobic fitness, and muscular strength in absolute and relative terms (which improved in more than one evaluation). Differences between the two programs were observed only in the short term. It was found that long-term longitudinal interventions based on exercise programs with or without diet produce improvements in obese children’s physical fitness.
儿童肥胖是一种全球性流行病,了解肥胖儿童的身体素质和各种形式的干预之间的关系对于实施有效的锻炼计划至关重要。本研究的目的是对有或无饮食的锻炼计划如何影响肥胖男孩的体能成分进行长期随访(三年)。参与者是18名男孩,年龄在8岁到11岁之间,根据他们遵循的程序分为两组。运动组(E组)遵循体育锻炼计划(每周三次90分钟),运动加饮食组(E+D组)遵循这种体育锻炼计划加低热量饮食。身体素质通过欧洲身体素质测试组进行评估,包括火烈鸟平衡、平板敲击、坐姿和伸展、握力、站立跳远、仰卧起坐、屈臂悬挂、10×5米穿梭跑和20米耐力穿梭跑。应用Kruskal-Wallis检验来揭示总体组间差异(E组和E+D组),并通过Mann-Whitney U型检验进一步分析显示显著差异的测量结果,以确定各组之间的差异。在两组中,观察到各种身体素质参数的变化,特别是肢体速度、灵活性、有氧健身和肌肉力量的绝对值和相对值(在一次以上的评估中有所改善)。这两个项目之间的差异只是在短期内观察到的。研究发现,基于有或无饮食的锻炼计划的长期纵向干预可以改善肥胖儿童的身体素质。
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引用次数: 0
Cell culture developing and the imaging of total protein product changing with SDS-PAGE in Saccharomyces cerevisiae 酿酒酵母细胞培养发育及总蛋白产物变化的SDS-PAGE成像
4区 医学 Q4 Agricultural and Biological Sciences Pub Date : 2018-03-29 DOI: 10.23751/PN.V20I1.6581
A. Aslan
Five groups were created in this work. i: Control group, ii: H2O2 group, iii: H2O2 +  %10 Mulberry Juice (MBJ) group, iv: H2O2 +  %15 MBJ, v: H2O2 + %25 MBJ group. After sterilization, H2O2 and fruit juice were inserted different concentration to Saccharomyces cerevisiae (S. cerevisiae) cultures and the cultures were developed at 30°C for 1h, 3h, 5h and 24 hours (overnight). S. cerevisiae cell growth was computed by spectrophotometer, total protein alteration was analysed by SDS-PAGE electrophoresis and reckoned with bradford method. our studies results indicated that; cell developing increased in MBJ groups in proportion to the positive control (H2O2) group at different growing times (1, 3, 5 and 24 hours) (p<0,05). As a result MBJ has a preservative role for reduce the oxidative damage and expanded cell developing and encourage protein synthesis in S. cerevisiae.
在这项工作中创建了五个小组。i: 对照组,Ⅱ:H2O2组,Ⅲ:H2O2+%10桑椹汁(MBJ)组,iv:H2O2+%15MBJ,v:H2O2+%25MBJ组。灭菌后,将不同浓度的H2O2和果汁插入酿酒酵母(S.cerevisiae)培养物中,并在30°C下培养1小时、3小时、5小时和24小时(过夜)。用分光光度计计算酿酒酵母细胞生长,SDS-PAGE电泳分析总蛋白变化,bradford法计算。研究结果表明:;在不同的生长时间(1、3、5和24小时),MBJ组的细胞发育与阳性对照(H2O2)组成比例增加(p<0.05)。因此,MBJ在减少氧化损伤和扩大细胞发育以及促进酿酒酵母蛋白质合成方面具有防腐作用。
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引用次数: 7
Protective effects of camel milk and vitamin E against monosodium glutamate induced biochemical and testicular dysfunctions 骆驼奶和维生素E对味精引起的生化和睾丸功能障碍的保护作用
4区 医学 Q4 Agricultural and Biological Sciences Pub Date : 2018-03-29 DOI: 10.23751/PN.V20I1.5870
Hanan El-sawy, M. Soliman, S. El-Shazly, H. Ali
Objective: The current study was outlined to examine the protective effects of camel milk (CM) against the deleterious effects induced by monosodium glutamate (MSG). Methods: MSG was administered either alone or in combination with camel milk or vitamin E for 4 weeks. Serum and testicular tissues were examined using semiquantitative RT-PCR analysis. Results: CM normalized the decrease in serum levels of testosterone, luteinizing hormone (LH), sperm profiles and testicular antioxidant activities that were decreased by MSG. At the molecular levels, MSG down-regulated the mRNA expression of steroidogenesis related genes and receptors of androgen, LH and follicle stimulating hormone. MSG induced testicular apoptosis. All altered genes were normalized and upregulated in presence of CM when compared to the effect of Vit. E. Conclusions: The usage of camel milk as a therapy against MSG used in food industry is very indicative and protective.
目的:研究骆驼乳对味精(MSG)的保护作用。方法:MSG单独给药或与骆驼奶或维生素E联合给药4周。使用半定量RT-PCR分析检测血清和睾丸组织。结果:CM使MSG降低的血清睾酮、黄体生成素(LH)、精子特征和睾丸抗氧化活性的降低正常化。在分子水平上,MSG下调类固醇生成相关基因和雄激素、LH和促卵泡激素受体的mRNA表达。MSG诱导睾丸细胞凋亡。与Vit的作用相比,在CM存在的情况下,所有改变的基因都被标准化并上调。E.结论:使用骆驼奶作为食品工业中使用的MSG的治疗方法是非常有指示性和保护性的。
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引用次数: 13
The effects of catechins on related risk factors with Type 2 diabetes: a review 儿茶素对2型糖尿病相关危险因素的影响:综述
4区 医学 Q4 Agricultural and Biological Sciences Pub Date : 2018-03-29 DOI: 10.23751/PN.V20I1.6228
Meysam Alipour, R. Malihi, S. Hosseini, A. Abbasnezhad, A. Ghavami, Hedayat Allah Shahmohammadi, M. Ghanavati
Insulin resistance in patients with diabetes mellitus causes complications such as cardiovascular and renal diseases. Studies have shown that catechins can be effective in controlling hyperglycemia and preventing the complications of diabetes by improving insulin sensitivity and reducing the risk factors for Type 2 Diabetes Mellitus such as oxidative stress, dyslipidemia and obesity. The aim of the present study is a review of the studies conducted in the field of the effect of catechins on the improvement of the risk factors associated with Type 2 Diabetes Mellitus. This review study was conducted by searching in the databases of Science Direct, Scopus, PubMed and using the keywords, such as catechins, green tea, insulin resistance, diabetes mellitus, hyperglycemia, obesity, dyslipidemia and oxidative stress. In this study, articles published between the years 2000-2016, were used. The results of the review of the studies showed that the catechins and food containing them can improve hyperglycemia, oxidative stress, dyslipidemia and obesity in patients with Type 2 Diabetes Mellitus.
糖尿病患者的胰岛素抵抗会导致心血管和肾脏疾病等并发症。研究表明,儿茶素可以通过提高胰岛素敏感性和减少氧化应激、血脂异常和肥胖等2型糖尿病的危险因素,有效控制高血糖和预防糖尿病并发症。本研究的目的是回顾儿茶素对改善2型糖尿病相关危险因素的影响领域的研究。这项综述研究是通过在Science Direct、Scopus、PubMed的数据库中搜索并使用关键词进行的,如儿茶素、绿茶、胰岛素抵抗、糖尿病、高血糖、肥胖、血脂异常和氧化应激。在这项研究中,使用了2000-2016年间发表的文章。综述研究结果表明,儿茶素及其食品可改善2型糖尿病患者的高血糖、氧化应激、血脂异常和肥胖。
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引用次数: 32
The effects of glucose and fructose on body weight and some biochemical parameters in rats 葡萄糖和果糖对大鼠体重及一些生化指标的影响
4区 医学 Q4 Agricultural and Biological Sciences Pub Date : 2018-03-29 DOI: 10.23751/PN.V20I1.5956
Esra Köseler, G. Kiziltan, P. Türker, Mendane Saka, M. Ok, D. Bacanli, T. Aydos, N. Bayraktar, H. Ozdemir
Objective: Dietary fructose from added sugar as high fructose corn syrup may causes major risks in obesity, hyperlipidemia, cardiovascular diseases, hyperuricemia and fatty liver. The aim of this study was to investigate and compare the effects of high fructose and high glucose intake on body weight and some biochemical parameters in rats. Subject and methods: The study was conducted on adult, 32 Wistar albino male rats (300-350 g weeks) which fed with standard laboratory chow. In each group, 8 rats was selected randomly and which was be composed four groups. The rats in each group,  in addition to standard meal, different amount of glucose and fructose containing solutions (10% and 30% glucose-fed group, 10% and 30% fructose-fed group) was given by oral gavage for 6 weeks. At baseline and after 6 weeks total cholesterol, VLDL-cholesterol, triglycerides, uric acid, AST and ALT as biochemical parameters and liver histopathological examination of rats were determined. Body weight of the rats was evaluated every week. Results:The 30% fructose group caused higher AST levels according to 10% glucose group, 30% glucose group and 10% fructose group. At the end of 6 weeks, the mean body weight in the fructose-fed groups was higher than the glucose-fed groups (p>0.05). No statistically significant difference between rat groups’ portal inflammation rates were found and the moderate and severe ballooning were observed in 30% fructose rats (p<0.05). Conclusions: As a result, dietary fructose from added sugar as high fructose corn syrup may causes major metabolic disorders.
目的:从高果糖玉米糖浆等添加糖中提取的果糖可能会导致肥胖、高脂血症、心血管疾病、高尿酸血症和脂肪肝等主要风险。本研究旨在探讨和比较高果糖和高葡萄糖摄入对大鼠体重和一些生化指标的影响。实验对象和方法:选用Wistar白化雄性成年大鼠32只(300 ~ 350 g周),饲喂标准实验室饲料。每组随机选取8只大鼠,分为4组。各组大鼠在标准餐的基础上,灌胃不同剂量的葡萄糖和果糖溶液(10%和30%葡萄糖饲喂组,10%和30%果糖饲喂组),持续6周。测定大鼠基线及6周后总胆固醇、vldl -胆固醇、甘油三酯、尿酸、AST、ALT等生化指标及肝脏组织病理学检查。每周评估大鼠体重。结果:30%果糖组AST水平高于10%葡萄糖组、30%葡萄糖组和10%果糖组。6周结束时,果糖饲喂组的平均体重高于葡萄糖饲喂组(p < 0.05)。各组间门静脉炎症发生率无统计学差异,30%果糖大鼠出现中、重度球囊化(p<0.05)。结论:因此,从高果糖玉米糖浆等添加糖中获取的膳食果糖可能导致严重的代谢紊乱。
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引用次数: 6
Nutritional and lifestyle habits of European pharmacy undergraduate students 欧洲药学本科生的营养和生活习惯
4区 医学 Q4 Agricultural and Biological Sciences Pub Date : 2018-03-29 DOI: 10.23751/PN.V20I1.5435
U. Čakar, S. Sobajic, B. Vidović, B. Djordjevic
Aim: Balanced nutrition and healthy lifestyle habits are very important, especially in young population. By this way it is possible to prevent many non-communicable diseases. As a health care professionals, pharmacists have very important role in this mission. The aim of this study was to evaluate basic nutritional knowledge and lifestyle habits of pharmacy undergraduate students in the context of their future health profession. Methods: The study group consisted of 591 European undergraduate pharmacy students. The data related to anthropometry, eating and lifestyle habits were obtained based on self-administered cross-sectional survey. Analysis of gender differences was performed using the chi-square test.  Statistically significance was set at p value < 0.05. Results: Anthropometric characteristics of students showed that 10.5 % female students were underweight, while 62.6% of the males were overweight and 0.7% were obese. Regular breakfast had 80.9% of the students. Breakfast skipping was statistically higher in male participants (p<0.05). Only 35% of students reported daily intake of vegetables. Also, low fruit consumption was observed in all students with statistically lower fruit intake in males (p<0.05). Consumption of alcohol, fried food and tobacco was not common among students. Basic principle of balanced nutrition was recognized by 58.4% of study population.  Conclusion: Results of our study indicate that European pharmacy students have some unsatisfactory eating habits and nutritional knowledge which is already related to their inadequate nutritional status. Our finding suggests that increased level of nutritional education should be incorporated into European pharmacy curriculum.
目的:均衡的营养和健康的生活习惯非常重要,尤其是在年轻人中。通过这种方式可以预防许多非传染性疾病。作为一名医疗保健专业人员,药剂师在这一使命中发挥着非常重要的作用。本研究的目的是评估药学本科生在未来健康职业中的基本营养知识和生活习惯。方法:研究组由591名欧洲药学本科生组成。与人体测量、饮食和生活习惯相关的数据是基于自我管理的横断面调查获得的。采用卡方检验对性别差异进行分析。统计学显著性设定为p值<0.05。结果:学生的人体测量特征显示,10.5%的女生体重不足,62.6%的男生超重,0.7%的男生肥胖。80.9%的学生吃早餐。男性参与者不吃早餐的比例在统计学上更高(p<0.05)。只有35%的学生报告每天摄入蔬菜。此外,所有学生的水果摄入量都较低,男性的水果摄入量在统计学上较低(p<0.05)。饮酒、油炸食品和烟草的消费在学生中并不常见。58.4%的研究人群认同营养均衡的基本原则。结论:我们的研究结果表明,欧洲药学学生的饮食习惯和营养知识不令人满意,这已经与他们的营养状况不足有关。我们的研究结果表明,应将提高营养教育水平纳入欧洲药学课程。
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引用次数: 10
Biological effect of calcium and vitamin D dietary supplements against osteoporosis in ovariectomized rats 钙和维生素D膳食补充剂对去卵巢大鼠骨质疏松症的生物学效应
4区 医学 Q4 Agricultural and Biological Sciences Pub Date : 2018-03-29 DOI: 10.23751/PN.V20I1.5223
Reham A. Mustafa, Nehal A. A. Alfky, Haifa H. Hijazi, Eslam A. Header, F. Azzeh
There is a direct association between the lack of estrogen and the progress of osteoporosis. This study was done to evaluate the biological effect of diet supplementation with calcium (Ca), and vitamin D (VD) on osteoporosis in ovariectomized (OVX) rats and to examine the possible potential mechanisms. Twenty-eight rats were randomly divided into 4 equal groups (n=7). To induce estrogen deficiency in rats, bilateral ovariectomy and sham (SHAM; negative control) surgery were done. In the basal diet, Ca and VD was supplemented with 210 mg/kg and 600 IU/kg, respectively, for 6 weeks. Alendronate as a standard anti-osteoporotic drug was used in a single weekly dose (3 mg/kg) for 6 weeks. After six weeks, serum markers of osteoporosis and bone femur status were evaluated. The results exposed that Ca and VD supplementation increased the body weight gain and diminished the uterine weight as a result of ovariectomy operation. These supplements significantly raised the serum Ca, bone-specific alkaline phosphatase, free thyroxin, and osteocalcin in OVX-rats, while the serum interleukin-1beta, interleukin-6, parathormone, and pyridinoline levels were significantly dropped. There were also significantly improved in femur bone mineral density and bone ash contents, mainly Ca and phosphorous. In conclusion, feeding of Ca and VD dietary supplements have an anti-osteoporotic activity in OVX rats due to improvement of bone formation and abolition of bone loss. The study recommends that intake of Ca and VD together may be beneficial for the inhibition of osteoporosis in postmenopausal women due to estrogen deficiency.
雌激素缺乏与骨质疏松症的进展之间存在直接联系。本研究旨在评估饮食中补充钙(Ca)和维生素D(VD)对去卵巢(OVX)大鼠骨质疏松症的生物学效应,并探讨其可能的机制。28只大鼠被随机分为4组(n=7)。为了诱导大鼠雌激素缺乏,进行了双侧卵巢切除术和假手术(sham;阴性对照)。在基础日粮中,Ca和VD分别补充210 mg/kg和600 IU/kg,为期6周。阿仑膦酸盐作为一种标准的抗骨质疏松药物,以单周剂量(3 mg/kg)使用6周。六周后,评估骨质疏松症的血清标志物和股骨状况。结果表明,Ca和VD的补充增加了卵巢切除术后的体重增加,减轻了子宫重量。这些补充剂显著提高了OVX大鼠的血清Ca、骨特异性碱性磷酸酶、游离甲状腺素和骨钙素,而血清白细胞介素-1β、白细胞介素-6、甲状旁腺激素和吡啶啉水平显著下降。股骨骨密度和骨灰含量也有显著改善,主要是钙和磷。总之,Ca和VD膳食补充剂在OVX大鼠中具有抗骨质疏松活性,这是因为它们可以改善骨形成和消除骨丢失。该研究建议,钙和VD的摄入可能有利于抑制雌激素缺乏引起的绝经后妇女骨质疏松症。
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引用次数: 10
Serum zinc level in Iron Deficiency and Iron Deficiency Anemia of children aged 6 months to 5 years 6个月至5岁儿童缺铁和缺铁性贫血的血清锌水平
4区 医学 Q4 Agricultural and Biological Sciences Pub Date : 2018-03-29 DOI: 10.23751/PN.V20I1.5201
Ece Karasu, M. Erol, Özgül Yiğit, Ö. B. Gayret
Background: Iron Deficiency Anemia (IDA) is the most common anemia in all age groups. The coexistence of iron deficiency anemia and zinc (Zn) deficiency is quite common, for most of the etiologic factors are common. The purpose of this study is to determine the prevalence of zinc deficiency in children with iron deficiency and/or iron deficiency anemia. Method: One hundred and sixty child patients within 6month-5 year age range diagnosed with iron deficiency and/or iron deficiency anemia and 91 children with no iron deficiency and/or iron deficiency anemia diagnosis were included in the study. The relationships between serum zinc levels and other biochemical and hematological parameters were examined. Results: It was observed that the study and control groups had similar demographic characteristics, and there was no statistically significant difference between two groups in terms of average age (months), distribution of age groups, and gender groups. Statistically significant differences were observed between hemoglobin (Hb), haematocrit (Hct), mean corpuscular volume (MCV), red cell distributionwidth (RDW), iron (Fe), total iron binding capacity (TIBC), transferrin saturation (TS) and Ferritin values of the study group and control group, and the cases in the study group were determined to be highly anemic. Statistically significant difference was determined between groups in terms of zinc levels, and zinc levels in the study group were determined to be lower than those in the control group. Zinc deficiency (10%) in children diagnosed with iron deficiency and/or iron deficiency anemia was found more common compared to the control group (2.2%). A positive correlation between serum zinc levels and Hb, Hct, MCV, Fe, TS and Ferritin, and a negative correlation between serum zinc levels and RDW and total TIBC were detected in the study group. Conclusion: According to these results, it was concluded that children with iron deficiency could simultaneously have zinc deficiency, the iron-zinc combination might be more effective for the treatment of iron deficiency than treatment with only iron, and early age supplementation programs might be useful for the highrisk groups such as childhood until zinc deficiency tests gave routine results.
背景:缺铁性贫血(IDA)是所有年龄组中最常见的贫血。缺铁性贫血和锌缺乏症并存是很常见的,因为大多数病因都是常见的。本研究的目的是确定缺铁和/或缺铁性贫血儿童缺锌的患病率。方法:将160名6个月-5岁范围内被诊断为缺铁和/或缺铁性贫血的儿童患者和91名未被诊断为铁缺乏和/或铁缺乏性贫血症的儿童纳入研究。检测血清锌水平与其他生化和血液学参数之间的关系。结果:观察到,研究组和对照组具有相似的人口统计学特征,两组在平均年龄(月)、年龄组分布和性别组方面没有统计学上的显著差异。研究组和对照组的血红蛋白(Hb)、血细胞比容(Hct)、平均红细胞体积(MCV)、红细胞分布宽度(RDW)、铁(Fe)、总铁结合能力(TIBC)、转铁蛋白饱和度(TS)和铁蛋白值之间存在统计学上的显著差异,研究组的病例被确定为高度贫血。在锌水平方面,各组之间存在统计学显著差异,研究组的锌水平低于对照组。与对照组(2.2%)相比,被诊断为缺铁和/或缺铁性贫血的儿童锌缺乏(10%)更为常见。研究组的血清锌水平与Hb、Hct、MCV、Fe、TS和Ferritin呈正相关,血清锌水平和RDW和总TIBC呈负相关。结论:根据这些结果,可以得出结论,缺铁儿童可能同时患有锌缺乏症,铁锌联合治疗缺铁可能比仅用铁治疗更有效,早期补充计划可能对儿童等高危人群有用,直到锌缺乏测试得出常规结果。
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引用次数: 3
Low protein diet score: a novel diet quality index and predictor of disease progression in patients with chronic kidney disease 低蛋白饮食评分:一种新的饮食质量指数和慢性肾病患者疾病进展的预测因子
4区 医学 Q4 Agricultural and Biological Sciences Pub Date : 2018-03-29 DOI: 10.23751/pn.v20i1.5225
M. Rouhani, Mojgan Mortazavi Najafabadi, L. Azadbakht
Background and Aim: Patients with chronic kidney disease (CKD) have been recommended to consume a low protein diet. However, there is no specific index for evaluating amounts of dietary protein and CKD progression in these patients. The objective of this study was to define a low protein diet score (LPDS) as a predictor of CKD progression and an index of diet quality in patients with CKD.  Methods: For this cross-sectional study, two hundred twenty seven eligible subjects with CKD (stage 3 and 4) were selected. We used a validated food frequency questionnaire to assess dietary intake of patients. LPDS was defined based on the 3 cut of points: >2 gr/kg (score=1), 1.01-2 gr/kg (score=2) and ≤ 1 gr/kg (score=3). Renal function (i.e., blood urea nitrogen and serum creatinine) and cardiometabolic variables (i.e., low density lipoprotein, triglyceride, total cholesterol, fasting blood sugar and high sensitivity C-reactive protein) were measured by biochemical assessment. As dietary intakes of sodium, potassium, phosphorus, saturated fatty acid and cholesterol are important, we used intake of these nutrients to assess diet quality. Results: Patients who received higher scores, had better diet quality because they consumed lower amounts of phosphorus, potassium, saturated fatty acid and cholesterol (P<0.01 for all). Biochemical assessments showed that in comparison with the bottom LPDS, a marginally significant lower blood urea nitrogen was observed among subjects with higher scores (P=0.06). We did not observe any significant difference in other biochemical variables across the defined LPDS. After adjusting for all confounders, a significant decreasing trend for risk of CKD progression was revealed across LPDS (P for trend=0.04). Conclusion: The results of the present study showed that higher LPDS was associated with favorable nutrients intake (lower intakes of sodium, potassium, phosphorus, cholesterol and saturated fatty acid) among patients with CKD. Moreover, subjects who received higher LPDS had a marginally significant lower BUN. Also, we observed that LPDS was inversely related to the risk of being in the higher stage of CKD after adjusting for potential confounders. Therefore, it was a predictor of CKD progression.
背景和目的:慢性肾脏疾病(CKD)患者被推荐食用低蛋白饮食。然而,没有特定的指标来评估这些患者的饮食蛋白量和CKD进展。本研究的目的是确定低蛋白饮食评分(LPDS)作为CKD进展的预测指标和CKD患者饮食质量的指标。方法:在这项横断面研究中,选择了227名符合条件的CKD患者(3期和4期)。我们使用一份经过验证的食物频率问卷来评估患者的饮食摄入量。lpd的定义基于3个切点:>2 gr/kg (score=1)、1.01-2 gr/kg (score=2)和≤1 gr/kg (score=3)。采用生化评价法测定肾功能(即血尿素氮、血清肌酐)和心脏代谢指标(即低密度脂蛋白、甘油三酯、总胆固醇、空腹血糖、高敏c反应蛋白)。由于饮食中钠、钾、磷、饱和脂肪酸和胆固醇的摄入量很重要,我们使用这些营养素的摄入量来评估饮食质量。结果:得分越高的患者饮食质量越好,其摄入的磷、钾、饱和脂肪酸和胆固醇含量越低(P<0.01)。生化评价结果显示,得分较高的受试者血尿素氮较低,差异有统计学意义(P=0.06)。我们没有观察到在定义的lpd中其他生化变量有任何显著差异。在对所有混杂因素进行调整后,在lpd中显示CKD进展风险显著降低的趋势(P =0.04)。结论:本研究结果表明,较高的LPDS与CKD患者有利的营养摄入(钠、钾、磷、胆固醇和饱和脂肪酸摄入量较低)有关。此外,接受较高lpd的受试者的BUN较低。此外,我们观察到,在调整潜在混杂因素后,lpd与处于CKD高级阶段的风险呈负相关。因此,它是CKD进展的预测因子。
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Progress in Nutrition
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