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Effects of Inositol in Women with Polycystic Ovary Syndrome: A Systematic Review and Meta-analysis of Randomized Controlled Trials 肌醇对女性多囊卵巢综合征的影响:随机对照试验的系统回顾和荟萃分析
Pub Date : 2022-04-12 DOI: 10.15226/jnhfs.2022.001189
Kohsuke Hayamizu, Yui Kuramochi, A. Sumino, N. Izumo, Megumi Furukawa, M. Nakano
Background & Aims: To clarify the effects of treatment with inositol’s, D-chiro-inositol, myo-inositol, and pinitol, on hormonal and metabolic parameters in women with Polycystic Ovary Syndrome (PCOS), we conducted a systematic review and meta-analysis of recent randomized clinical trials of inositol’s in PCOS. Methods: The systematic review was conducted using data obtained from randomized controlled trials performed to assess the effects of inositol’s compared with placebo (UMIN000025843). The primary outcomes included serum insulin, HOMA index, sex hormones, and ovulation rate. Results: Eight studies involving 577 patients were eligible for systematic review. The meta-analysis results showed that compared with the control group, inositol’s may improve fasting insulin (Standardized Mean Difference (SMD) −1.06, 95% CI −1.83 to −0.29, p = 0.007), area under the curve (AUC) of Oral Glucose Tolerance Test (insulin SMD −0.76, 95% CI −1.20 to −0.32, p = 0.0008; glucose SMD −0.55, 95% CI −0.88 to −0.17, p = 0.004), free testosterone (SMD −1.94, 95% CI −3.28 to −0.61, p = 0.004), sex hormone binding globulin (SMD 1.10, 95% CI 0.37 to 1.82, p = 0.004), and ovulation rate (Risk Ratio 1.42, 95% CI −1.00 to 2.02, p = 0.05). Conclusions: Inositols may be effective for PCOS by improving insulin resistance. Keywords: Inositol, Polycystic ovary syndrome, Systematic review, Meta-analysis
背景与目的:为了阐明肌醇、d -氨基肌醇、肌醇和蒎醇治疗对多囊卵巢综合征(PCOS)女性激素和代谢参数的影响,我们对最近的PCOS中肌醇的随机临床试验进行了系统回顾和荟萃分析。方法:采用随机对照试验的数据进行系统评价,以评估肌醇与安慰剂(UMIN000025843)的效果。主要结局包括血清胰岛素、HOMA指数、性激素和排卵率。结果:8项研究纳入577例患者,符合系统评价。meta分析结果显示,与对照组相比,肌醇可改善空腹胰岛素(标准化平均差值(SMD) - 1.06, 95% CI - 1.83 ~ - 0.29, p = 0.007),口服葡萄糖耐量试验曲线下面积(AUC)(胰岛素SMD - 0.76, 95% CI - 1.20 ~ - 0.32, p = 0.0008;葡萄糖SMD为- 0.55,95% CI为- 0.88 ~ - 0.17,p = 0.004),游离睾酮(SMD为- 1.94,95% CI为- 3.28 ~ - 0.61,p = 0.004),性激素结合球蛋白(SMD为1.10,95% CI为0.37 ~ 1.82,p = 0.004),排卵率(风险比1.42,95% CI为- 1.00 ~ 2.02,p = 0.05)。结论:肌醇可能通过改善胰岛素抵抗对PCOS有效。关键词:肌醇,多囊卵巢综合征,系统评价,meta分析
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引用次数: 1
Sodium Levels in Pre-packaged Foods and Beverages Sold in Jamaica: A Label Analysis 在牙买加销售的预包装食品和饮料中的钠含量:标签分析
Pub Date : 2022-02-28 DOI: 10.15226/jnhfs.2022.001188
P. Hall, Kevon Kerr, Annalee Gray Brown, S. Soares-Wynter
Background: High salt intake is the main dietary risk factor for hypertension, one of the five leading causes of death, among Jamaicans. A large share of available pre-packaged products are ultra-processed, containing sodium well in excess of recommended healthy thresholds. Policymakers are advocating for reformulations and devising public education strategies to reduce sodium content which requires an understanding of the amount and variety of sodium compounds being used in products. Procedures: This study describes the sodium content of 5,008 pre-packaged products using food label analysis. Products were divided into 15 foods and 4 beverage categories. Descriptive statistics were used to present sodium data. Additionally, a keyword search for the terms “salt” and “sodium” was done to identify the type and variety of sodium-containing ingredients in each product. Findings: Approximately, 44% of products were high in sodium. In addition to salt (sodium chloride), other sources of sodium included 27 sodiumcontaining chemical additives identified from the ingredient listing. Ready-to-heat/eat foods, animal meat products, dry spices, seasoning, spreads and sauces contained the most sodium per serving. There was high variability in mean sodium levels within and across food and beverage categories. Conclusions: Overall, a large share of pre-packaged products in Jamaica are ultra-processed emphasizing the urgency for product reformulations and policies towards healthier levels of sodium. Keywords: Sodium; Food label; Blood pressure; Hypertension; Packaged foods; Beverages; Jamaica; Sodium reduction; Reformulation; Food policy
背景:高盐摄入是牙买加人高血压的主要饮食风险因素,高血压是牙买加人五大死亡原因之一。大部分现有的预包装产品都经过超加工,钠含量远远超过建议的健康阈值。政策制定者正在倡导重新配方,并制定公共教育战略,以减少钠的含量,这需要了解产品中使用的钠化合物的数量和种类。本研究采用食品标签分析法对5008种预包装产品的钠含量进行了分析。产品分为15种食品和4种饮料。使用描述性统计来呈现钠的数据。此外,对“盐”和“钠”进行关键词搜索,以确定每种产品中含钠成分的类型和种类。发现:大约44%的产品钠含量高。除了盐(氯化钠),其他钠的来源还包括27种从成分表中确定的含钠化学添加剂。即食/即食食品、动物肉制品、干香料、调味料、酱料和酱料的钠含量最高。食品和饮料种类内部和不同种类的平均钠含量存在很大差异。结论:总体而言,牙买加大部分预包装产品都经过超加工,这强调了产品重新配方和制定政策以实现更健康的钠水平的紧迫性。关键词:钠;食品标签;血压;高血压;包装食品;饮料;牙买加;减少钠;再形成;食品政策
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引用次数: 0
Vitamin D as a Preventive or Therapeutic Nutrient in COVID-19 Infection 维生素D在COVID-19感染中的预防或治疗作用
Pub Date : 2021-10-21 DOI: 10.15226/jnhfs.2021.001186
Damaris Hunger, C. Wynn, R. Siddiqui
SARS-CoV-2 has caused a global pandemic with limited treatment options available. Some studies have proposed that vitamin D may be associated with Covid-19 infection outcomes. The aim of this literature review is to analyze the evidence currently available from Randomized Controlled Trials (RCTs) and quasi-experimental studies regarding the impact of vitamin D used as a preventative or adjunctive therapeutic agent on the disease severity and mortality rate of Covid-19 patients. A literature search was performed using PubMed, Science Direct, and ProQuest. Sources listed in the citations of systematic reviews and meta-analyses were also evaluated. Articles meeting the inclusion criteria were selected after title, abstract, and article content were reviewed. Five studies, including two RCTs, met inclusion criteria. One RCT did not find significant benefit with vitamin D3 supplementation. The remaining studies, including mostly elderly participants using various vitamin D supplementation forms and doses, reported a reduced need for ICU treatment, faster recovery, decreased severity, and an improved survival rate for Covid-19 patients. An initial loading dose (21,280 IU Calcifediol) and regular supplementation of vitamin D (10,000-60,000 IU/day when ill to monthly doses of 50,000 IU or 80,000-100,000 IU/2-3 months) resulted in the greatest effectiveness. The results of this review suggest that regular vitamin D supplementation may be associated with reduced Covid-19 infection severity and mortality rate. However, more RCTs are needed to provide further robust evidence for more participants of different demographics and give insight into the most appropriate doses, forms, and timeline of vitamin D supplementation for patients with SARS-CoV-2. Keywords: Vitamin D3; Calcifediol; Randomized controlled trials; Recovery rate; Survival rate
SARS-CoV-2已引起全球大流行,但可用的治疗方案有限。一些研究表明,维生素D可能与Covid-19感染结果有关。本文献综述的目的是分析目前随机对照试验(RCTs)和准实验研究中关于维生素D作为预防或辅助治疗剂对Covid-19患者疾病严重程度和死亡率的影响的证据。使用PubMed、Science Direct和ProQuest进行文献检索。对系统综述和荟萃分析引文中列出的来源也进行了评估。在对标题、摘要和文章内容进行审查后,选择符合纳入标准的文章。包括2项随机对照试验在内的5项研究符合纳入标准。一项随机对照试验没有发现补充维生素D3的显著益处。其余的研究,包括大多数使用各种维生素D补充形式和剂量的老年参与者,报告了Covid-19患者对ICU治疗的需求减少,恢复更快,严重程度降低,存活率提高。初始负荷剂量(21,280 IU钙化二醇)和定期补充维生素D(患病时为10,000-60,000 IU/天,每月剂量为50,000 IU或80,000-100,000 IU/2-3个月)效果最佳。本综述的结果表明,定期补充维生素D可能与降低Covid-19感染严重程度和死亡率有关。然而,需要更多的随机对照试验来为更多不同人口统计学的参与者提供进一步有力的证据,并深入了解SARS-CoV-2患者补充维生素D的最合适剂量、形式和时间表。关键词:维生素D3;骨化二醇;随机对照试验;回收率;存活率
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引用次数: 0
Bridging the Gap: Community Pharmacists’ Burgeoning Role as Point-Of-Care Providers During the COVID-19 Pandemic Through the Integration of Emerging Technologies 弥合差距:通过整合新兴技术,社区药剂师在COVID-19大流行期间作为医疗点提供者的新兴作用
Pub Date : 2021-06-25 DOI: 10.15226/jnhfs.2021.001184
Frantzeska Nimee, A. Gioxari, James Steier, M. Skouroliakou
Community pharmacies are an under-utilized setting for the provision of primary and preventative care measures, especially the provision of clinical dietary care. The SARS-CoV-2 pandemic presented a unique opportunity to study pharmacist-based nutritional counseling in the absence of ready access to primary nutritional care. In the present interventional pilot study, we analyzed the efficacy of a Clinical Decision Support System (CDSS) for community pharmacy integration on patient weight management, monitoring, and goal setting over a 4-week period. 57 Greek adult patients (16 males and 41 females) of a community pharmacy in the greater Athens area were enrolled in the intervention and subsequently assigned a hypo- or iso-caloric diet according to baseline anthropometric measurements, total daily energy expenditure, medical history, and drug treatment status as assessed by the CDSS. At the end of the intervention period participant weight (kg) and corresponding Body Mass Index (BMI) (kg/ m2) calculations were recorded to gauge sample diet and CDSS recommendation efficacy. Among patients who remained diet compliant to study completion, body weight and BMI were significantly decreased in the hypo-caloric diet group compared to baseline (n=13) (mean difference = -2.685 kg, p = 0.004; mean difference = -1.112 kg/m2, p = 0.004, respectively). No significant change in body weight nor BMI from baseline of isocaloric diet compliant patients was registered (n=9) (p=0.273; p=0.320, respectively), succeeding in the purported goal of weight maintenance. This study provides preliminary evidence for the efficacy of a CDSS in assisting pharmacists with nutritional assessment, screening, and sample diet counselling concordant with patient dietary and weight-loss requirements. This trial also builds on emerging research into the broadening purview of traditional pharmacy services in primary care settings.
社区药房在提供初级和预防性保健措施方面,特别是在提供临床饮食保健方面,没有得到充分利用。SARS-CoV-2大流行为在无法获得初级营养保健的情况下研究基于药剂师的营养咨询提供了独特的机会。在本介入性试点研究中,我们分析了临床决策支持系统(CDSS)在社区药房整合患者体重管理、监测和目标设定方面的功效,为期4周。大雅典地区社区药房的57名希腊成年患者(16名男性和41名女性)被纳入干预,随后根据基线人体测量值、每日总能量消耗、病史和CDSS评估的药物治疗状态分配低热量或等热量饮食。在干预期结束时,记录参与者的体重(kg)和相应的身体质量指数(BMI) (kg/ m2)计算,以衡量样本饮食和CDSS推荐的效果。在饮食符合研究完成的患者中,与基线相比,低热量饮食组的体重和BMI显著降低(n=13)(平均差= -2.685 kg, p = 0.004;平均差值= -1.112 kg/m2, p = 0.004)。等热量饮食依从患者的体重和BMI与基线相比没有显著变化(n=9) (p=0.273;P =0.320),成功实现了体重维持的目标。本研究为CDSS在协助药剂师进行营养评估、筛查和符合患者饮食和减肥要求的样本饮食咨询方面的有效性提供了初步证据。这项试验还建立在新兴研究的基础上,这些研究扩大了初级保健机构中传统药房服务的范围。
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引用次数: 3
Coronavirus-19 (Covid-19) Knowledge, and the Influence on Infants and Young Children Feeding Behaviors and Practices in the Mifi Health District, West Cameroon: Qualitative Study 冠状病毒19 (Covid-19)知识及其对喀麦隆西部Mifi卫生区婴幼儿喂养行为和做法的影响:定性研究
Pub Date : 2021-06-10 DOI: 10.15226/jnhfs.2021.001183
Vincent Asilaza Kinya, Armand Tsapi Tiotsia, Doria Loic Metchehe Djommo, Vanila Audrey Tala Nintidem, Gotlieb Ivan Zachee Ndombol, Zelie Pernelle Sonkeng Momo, Rose Yvana Edjimbi Nnanga, Gautler Arsene Dombou Zeufack, Agbor Nyenty Agbornkwai, Russo Gianluca, Martin Sanou Sobze
Introduction: COVID-19 presents immediate and long-term nutritional challenges. Improving infant and young children feeding (IYCF) at the community level is a key priority for optimizing the survival, growth, and development of children. The study assessed the influence of the Covid-19 pandemic on the feeding behaviors and practices of children under five in households of the Mifi Health District. Methods: This qualitative study used the non-random sampling technique; data was collected during focus groups (FG) among mothers & fathers, face-to-face individual interviews with Key informants (KI), and In-depth interviews (ID), and document review. Discussions were transcribed verbatim and repeated data was deleted. A thematic analysis was carried out. Results: Forty-five participants (76% Female; 24% male), 03 FG, and 30 face-to-face individual interviews were conducted (15 KI; 15 ID). Demographically, 82.2% were Christians; 11.1% Muslims and 6.7% traditionalists. Mothers knew that it’s necessary to exclusively breastfeed children up to six months and incorporate complementary foods beyond six months even during COVID19. They however believe that breastfeeding in public places exposes babies to COVID19; complementary foods from markets are a potential source of infection and an infected mother should not breastfeed. Participants mentioned a reduction in the consumption of meat and fruit in households. The spread of rumors led to increased demand for foodstuff. Mothers reported the need to wash their hands and wear face masks before breastfeeding. Equally, a decrease in attendance of vaccination services was noted. Conclusion: Creating breastfeeding rooms in public places and an intensive sensitization on nutrition in the COVID19 context can improve IYCF. Keywords: Infant and young child feeding; Health crisis; COVID-19; Cameroon, Knowledge attitudes practices
导言:COVID-19带来了眼前和长期的营养挑战。在社区一级改善婴幼儿喂养是优化儿童生存、生长和发展的关键优先事项。该研究评估了Covid-19大流行对Mifi卫生区家庭五岁以下儿童喂养行为和做法的影响。方法:采用非随机抽样技术进行定性研究;数据通过对父母的焦点小组(FG)、对关键举报人的面对面个人访谈(KI)、深度访谈(ID)和文件审查收集。讨论内容逐字记录,重复的资料删除。进行了专题分析。结果:45名参与者(76%为女性;24%男性),03名FG和30名面对面的个人访谈(15名KI;15 ID)。人口统计上,82.2%是基督徒;11.1%是穆斯林,6.7%是传统主义者。母亲们知道,即使在2019冠状病毒病期间,也有必要对6个月以下的孩子进行纯母乳喂养,并在6个月以上的孩子中加入补充食物。然而,他们认为,在公共场所母乳喂养会使婴儿感染covid - 19;市场上的辅食是潜在的感染源,受感染的母亲不应进行母乳喂养。与会者提到了家庭肉类和水果消费量的减少。谣言的传播导致对食品的需求增加。母亲们报告说,母乳喂养前需要洗手和戴口罩。同样,也注意到接种疫苗的人数有所减少。结论:在2019冠状病毒病背景下,在公共场所设立母乳喂养室和加强营养宣传可以改善IYCF。关键词:婴幼儿喂养;健康危机;COVID-19;喀麦隆,知识态度实践
{"title":"Coronavirus-19 (Covid-19) Knowledge, and the Influence on Infants and Young Children Feeding Behaviors and Practices in the Mifi Health District, West Cameroon: Qualitative Study","authors":"Vincent Asilaza Kinya, Armand Tsapi Tiotsia, Doria Loic Metchehe Djommo, Vanila Audrey Tala Nintidem, Gotlieb Ivan Zachee Ndombol, Zelie Pernelle Sonkeng Momo, Rose Yvana Edjimbi Nnanga, Gautler Arsene Dombou Zeufack, Agbor Nyenty Agbornkwai, Russo Gianluca, Martin Sanou Sobze","doi":"10.15226/jnhfs.2021.001183","DOIUrl":"https://doi.org/10.15226/jnhfs.2021.001183","url":null,"abstract":"Introduction: COVID-19 presents immediate and long-term nutritional challenges. Improving infant and young children feeding (IYCF) at the community level is a key priority for optimizing the survival, growth, and development of children. The study assessed the influence of the Covid-19 pandemic on the feeding behaviors and practices of children under five in households of the Mifi Health District. Methods: This qualitative study used the non-random sampling technique; data was collected during focus groups (FG) among mothers & fathers, face-to-face individual interviews with Key informants (KI), and In-depth interviews (ID), and document review. Discussions were transcribed verbatim and repeated data was deleted. A thematic analysis was carried out. Results: Forty-five participants (76% Female; 24% male), 03 FG, and 30 face-to-face individual interviews were conducted (15 KI; 15 ID). Demographically, 82.2% were Christians; 11.1% Muslims and 6.7% traditionalists. Mothers knew that it’s necessary to exclusively breastfeed children up to six months and incorporate complementary foods beyond six months even during COVID19. They however believe that breastfeeding in public places exposes babies to COVID19; complementary foods from markets are a potential source of infection and an infected mother should not breastfeed. Participants mentioned a reduction in the consumption of meat and fruit in households. The spread of rumors led to increased demand for foodstuff. Mothers reported the need to wash their hands and wear face masks before breastfeeding. Equally, a decrease in attendance of vaccination services was noted. Conclusion: Creating breastfeeding rooms in public places and an intensive sensitization on nutrition in the COVID19 context can improve IYCF. Keywords: Infant and young child feeding; Health crisis; COVID-19; Cameroon, Knowledge attitudes practices","PeriodicalId":366384,"journal":{"name":"Journal of Nutritional Health & Food Science","volume":"54 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128003827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Validity of Self-Reported Anthropometric Measures in Estimating Obesity Prevalence in Brazil: Study with Data from the National Health Survey (PNS), 2013 自我报告的人体测量测量在估计巴西肥胖患病率中的有效性:来自2013年国家健康调查(PNS)数据的研究
Pub Date : 2021-06-03 DOI: 10.15226/jnhfs.2021.001182
Arthur Pate de Souza Ferreira, C. Szwarcwald, G. N. Damacena, C. Boccolini, Paulo Roberto Borges de Souza Junior
Background Self-reported height and weight measurement is a simple and a non-invasive method of collecting data in population surveys. However, the inaccuracy of self-reported data may bias the population nutritional status evaluation. The aim of this study is to compare the obesity prevalence estimated with self-reported anthropometric data and with measured weight and height using data from the National Health Survey, Brazil, 2013. Methods A three-stage cluster sampling (census tracts, households, and individuals) with stratification of the primary sampling units and random selection in all stages was used to select Brazilian adults aged 18 years and over. Excluding pregnant women, measurements of weight and height were taken among all selected adults and were also self-reported during the interview on the same day. Logistic regression models were used to investigate the sociodemographic factors and lifestyles associated with the outcome "reported weight and height during the interview”. Obesity prevalence estimates calculated with self-reported and measured weight and height were compared in all variable categories. Results From the sample of 59,402 adults, 70.2% self-reported weight and height. Men were most likely to report their weight (OR = 1.14) and white people when compared to non-white (OR = 0.60). People from the upper socioeconomic class are 6.5 times more likely to report their weight and height during the interview. Healthy habits and medical consultation in the past year were significantly associated with the outcome. Among women, obesity prevalence estimated with self-reported measures (20.5%) was significantly lower than those with measured weight and height (24.4%), with larger differences among women of high socioeconomic status. No significant differences were found among men. Conclusions Given that the body mass index is used as a guide for identifying health risks, these findings indicate that direct measurement of height and weight should be performed whenever possible in Brazilian surveys to adequately support public health policies. Keywords: Health surveys; Nutritional status; Obesity; Self-reported anthropometric measures.
背景自我报告身高体重测量是人口调查中一种简单、无创的数据收集方法。然而,自我报告数据的不准确性可能会使人群营养状况评估产生偏差。本研究的目的是将估计的肥胖患病率与自我报告的人体测量数据以及使用2013年巴西国家健康调查数据测量的体重和身高进行比较。方法采用三阶段整群抽样(人口普查区、家庭和个人),分层抽样,各阶段随机抽取18岁及以上的巴西成年人。除孕妇外,所有被选中的成年人都测量了体重和身高,并在同一天的采访中自我报告。使用逻辑回归模型调查与结果“访谈中报告的体重和身高”相关的社会人口因素和生活方式。根据自我报告和测量的体重和身高计算的肥胖患病率估计在所有变量类别中进行比较。结果59,402名成人中,70.2%的人自我报告体重和身高。男性报告体重的可能性最大(OR = 1.14),白人报告体重的可能性最大(OR = 0.60)。来自上层社会经济阶层的人在面试中报告体重和身高的可能性要高出6.5倍。过去一年的健康习惯和医疗咨询与结果显著相关。在女性中,用自我报告的测量方法估计的肥胖患病率(20.5%)明显低于用体重和身高测量的患病率(24.4%),在高社会经济地位的女性中差异更大。在男性中没有发现显著差异。鉴于身体质量指数被用作识别健康风险的指南,这些研究结果表明,在巴西的调查中,应尽可能直接测量身高和体重,以充分支持公共卫生政策。关键词:健康调查;营养状况;肥胖;自我报告的人体测量值。
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引用次数: 0
A Change Point Regression Model for Treatment Effects Estimation of Functional Foods in a Pre-Post Design 功能食品前后设计处理效果评价的变化点回归模型
Pub Date : 2021-05-24 DOI: 10.15226/jnhfs.2021.001181
Shiori Kobuna, Kohsuke Hayamizu
In an intervention study for functional foods, the study population is often a mixed group of healthy individuals and/or those who are not so healthy but are not definitely disease. For such heterogeneous populations, we propose an alternative approach for evaluating the efficacy of dietary supplements and functional foods based on a changepoint regression model (CPRM). The CPRM can be performed without stratified or subgroup analysis. By using profile likelihood methods based on the Akaike information criterion, inferences can made easily using standard statistical software. The proposed method was applied to skeletal muscle ratio study data, and the merit of the proposed method was demonstrated by comparing it with the conventional method. Keywords: Change point regression model Clinical trial; Dietary supplements; AIC
在功能性食品的干预研究中,研究人群通常是一组混合的健康人群和/或不太健康但不完全患病的人群。对于这样的异质性人群,我们提出了一种基于变化点回归模型(CPRM)的替代方法来评估膳食补充剂和功能食品的功效。CPRM可以在没有分层或亚组分析的情况下进行。采用基于赤池信息准则的轮廓似然方法,可以方便地使用标准统计软件进行推断。将该方法应用于骨骼肌比例研究数据,并与传统方法进行了比较,证明了该方法的优越性。关键词:变点回归模型;临床试验;膳食补充剂;另类投资会议
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引用次数: 0
An in vitro Method to Determine Intestinal Bioavailability of Glucosamine Salt Mixture 体外测定葡萄糖胺盐混合物肠道生物利用度的方法
Pub Date : 2021-02-10 DOI: 10.15226/jnhfs.2021.001180
Shengwu Yu, Anika Singh, H. Zhang, David D. Kitts
Glucosamine is an amino sugar commonly used to improve joint health. It is often available for consumers as specialized supplements, the matrixes of which are formulated with components that facilitate enhancing functionality of the bioactive glucosamine. The primary objective of this study was to determine the in vitro bioaccessibility and bioavailability of a commercial glucosamine sulphate supplement, formulated with a mineral clay mixture. We used a modified a 3-step in vitro digestion procedure that included oral, gastric, and gastrointestinal digestions to assess bioaccessibility. Bioavailability followed using a Caco2 cell permeability test. Glucosamine bioaccessibility was not affected by gastric digestion and only marginally affected by gastrointestinal digestion (e.g., > 90% recovery). Bioavailability was dramatically lower, averaging approximately 15%, but similar for both the glucosamine reference standard and clay mineral mix glucosamine formulated product. Our in vitro bioavailability measurement of glucosamine, corrected for bioaccessibility, agree with values from in vitro rodent models. We conclude that the in vitro 3-step digestion of glucosamine, used to mimic gastrointestinal digestion, followed by the Caco2 permeability assay represents an alternative method to assess digestibility and bioavailability of formulated glucosamine products. Keywords: Glucosamine; Clay Mineral Mix; Bioaccessibility; Bioavailability
氨基葡萄糖是一种常用于改善关节健康的氨基糖。它通常作为专门的补充剂提供给消费者,其基质中含有促进增强生物活性氨基葡萄糖功能的成分。本研究的主要目的是确定一种由矿物粘土混合物配制的商业硫酸氨基葡萄糖补充剂的体外生物可及性和生物利用度。我们采用改良的三步体外消化程序,包括口服、胃和胃肠道消化来评估生物可及性。生物利用度采用Caco2细胞渗透性试验。葡萄糖胺的生物可及性不受胃消化的影响,仅受胃肠道消化的轻微影响(例如,> 90%的回收率)。生物利用度显著降低,平均约为15%,但葡萄糖胺参考标准品和粘土矿物混合葡萄糖胺配制产品的生物利用度相似。我们对葡萄糖胺的体外生物利用度测量,校正了生物可及性,与体外啮齿动物模型的值一致。我们得出的结论是,体外3步消化葡萄糖胺,用于模拟胃肠道消化,然后是Caco2渗透性测定,代表了一种评估配方葡萄糖胺产品消化率和生物利用度的替代方法。关键词:氨基葡萄糖;粘土矿物混合物;Bioaccessibility;生物利用度
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引用次数: 0
Vasorelaxant Effects of Coriandrum SativumL. Extract on Rat Isolated Aorta 芫荽的血管松弛作用。大鼠离体主动脉提取物
Pub Date : 2020-11-19 DOI: 10.15226/jnhfs.2020.001179
Toru Iizuka, Rina Ogata, Jing Yu, Yasuo Watanabe
Aim: Coriander(Coriandrum sativum L.) is an annual plant belonging to the family Umbelliferae, which distributed in Central and Western Europe, India, Bangladesh, Thailand, China, and other Asian regions. Besides being edible, coriander is an important traditional medicine in India and China, and is used to treat circulatory disorders, such as respiratory, urinary tract, and skin diseases. In this study, we investigated the vasorelaxant effects of extracts from coriander and further studied to clarify their action mechanisms. Method: The aerial part of coriander, which analyzed the rutin content as its quality evaluand using a chromatographic method (HPLC), was cut and extracted with ethyl acetate or hot water. The extracts were concentrated under the reduced pressure. Vasorelaxant effects of these extracts were assessed on rat isolated aorta. The aorta was placed in a well-oxygenated bath of modified Krebs-Henseleit solution and the mechanical tension was measured isometrically. Results: These extracts showed vasorelaxant effects on aorta precontracted with 3×10-7 M norepinephrine (NE). The ethyl acetate extract showed biphasic vasorelaxation (fast and slowly developing relaxations) on isolated rat aortic rings with endothelium. Fast relaxation disappeared in deendothelialized or pre-administration of 10-4 M L-NG-monomethylarginine. Furthermore, the hot water extract showed only slowly developing relaxations independent in endothelium. After treatment with the hot water extract, NE-induced phasic vasoconstriction was not inhibited. While the hot water extract inhibited vasoconstrictions induced by a high concentration (60 mM) of K+ and also showed inhibitory effect on NE-induced vasoconstriction in the presence of nicardipine. Conclusion: These results suggest that the vasorelaxant effect of ethyl acetate extract of coriander on NE-induced vasoconstriction may be attributed to Nitric Oxide (NO) releasing dependent on endothelium. And the hot water extract of coriander showed vasorelaxant activities attributed to blocking of Ca2+ influx via voltage-depended Ca2+ channels (VDCs) and receptor-operated Ca2+ channels (ROCs), but not competing for the adrenergic receptor. Keywords: Coriandrum sativum; quality evaluation; vasorelaxant effects; aorta; endothelium; Ca2+ channel
目的:芫荽(Coriandrum sativum L.)是伞形科一年生植物,分布于中欧、西欧、印度、孟加拉国、泰国、中国等亚洲地区。除了可食用外,香菜在印度和中国也是一种重要的传统药物,用于治疗循环系统疾病,如呼吸道疾病、尿道疾病和皮肤病。在本研究中,我们研究了香菜提取物的血管松弛作用,并进一步研究其作用机制。方法:将芫荽的地上部分切开,用乙酸乙酯或热水浸提,以测定其芦丁含量作为质量评价指标。提取液在减压下浓缩。在大鼠离体主动脉上评价了这些提取物的血管松弛作用。将主动脉置于含氧良好的改良Krebs-Henseleit溶液中,等距测量机械张力。结果:该提取物对3×10-7 M去甲肾上腺素(NE)预收缩的主动脉有血管松弛作用。乙酸乙酯提取物对带内皮的离体大鼠主动脉环表现出快速和缓慢弛豫的双相性。去内皮化或预给药10-4 M l - ng -单甲基精氨酸后快速松弛消失。此外,热水提取物仅表现出独立于内皮细胞的缓慢松弛。经热水浸膏处理后,ne诱导的相性血管收缩不受抑制。热水提取物对高浓度(60 mM) K+诱导的血管收缩有抑制作用,对尼卡地平存在时ne诱导的血管收缩也有抑制作用。结论:芫荽乙酸乙酯提取物对ne诱导的血管收缩的血管松弛作用可能与一氧化氮(NO)依赖内皮细胞释放有关。香菜热水提取物显示出血管松弛活性,这归因于通过电压依赖性Ca2+通道(vdc)和受体操作的Ca2+通道(ROCs)阻断Ca2+内流,但不竞争肾上腺素能受体。关键词:芫荽;质量评价;vasorelaxant效果;主动脉;内皮;钙离子通道
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引用次数: 0
Nutritional Impact on Embryo Implantation. Review of the Literature 营养对胚胎着床的影响。文献综述
Pub Date : 2020-10-23 DOI: 10.15226/jnhfs.2020.001178
A. Tsantsaridou, Olga Tsantsaridou, Maria Asprogianni, S. Potamianos, K. Spiliopoulos, N. Tsilimingas, I. Skoularigis, S. Kalantaridou, G. Valsamakis
The implantation procedure involves a “biofilmic” mechanism of organism protection against threat. Immune-inflammatory procedures expressed by nutritional, molecular and biochemical factors related to homeostasis ensure successful incorporation of blastocyst in the uterine ecology. The feeding chain of the host mother, the embryo and their microbiota modifies the human intrinsic environment, hormone levels, fetal characteristics and growth. This study was conducted to provide information about the effects of diet on implantation quality in an attempt to therapeutically synchronize the development of blastocyst within the nourishing mothers. The issue is generalized to all “windows of alien implantations”. The formation of life (: fertilization) and its development is a consequence of biochemical reactions (: mitochondrial cycle, replication, regeneration, oxidation, apoptosis, etc.). Homeostasis is called the body’s ability to keep its internal ecosystem stable despite exo orendogenous changes. The whole process involves energy consumption, operative coordination of various organs, especially between the nervous and endocrine systems. Instability of homeostasispredisposesto“miscarriages”. Key elements that enhance acid-base equilibrium, oxygen demands and indirectly implantation success are proteins, trace minerals, vitamins, omega-3 fatty acids, enzymes, fruit and vegetable phytonutrients, probiotics. Restriction of processed or foods polluted with endocrine disrupting chemicals and microbes, sugar, saturated and trans fatty acids prevents genetic deterioration, ageing and troublesome implantations. Balanced diet, digestion and hormone-dependent metabolism identifies the efficiency of our reproductive system and homeostatic implantation procedure. Key words: Implantation; Nutrition; Diet; Microbiota; Oxidative Stress; Inflammation;Immunity.
植入过程涉及一种“生物膜”机制,以保护生物体免受威胁。与体内平衡相关的营养、分子和生化因素表达的免疫炎症过程确保囊胚成功融入子宫生态。宿主母亲、胚胎及其微生物群的食物链改变了人的内在环境、激素水平、胎儿特征和生长。本研究旨在提供有关饮食对着床质量影响的信息,以尝试在治疗上同步滋养母体内囊胚的发育。这个问题普遍化到所有“外来植入窗口”。生命的形成(受精)及其发育是生物化学反应(线粒体循环、复制、再生、氧化、凋亡等)的结果。体内平衡被称为身体保持其内部生态系统稳定的能力,尽管外界的变化。整个过程涉及到能量的消耗,各个器官的运作协调,特别是神经系统和内分泌系统之间的协调。体内平衡不稳定易导致“流产”。蛋白质、微量矿物质、维生素、omega-3脂肪酸、酶、水果和蔬菜植物营养素、益生菌是促进酸碱平衡、氧气需求和间接植入成功的关键元素。限制加工食品或被内分泌干扰化学物质和微生物、糖、饱和脂肪酸和反式脂肪酸污染的食品,可以防止基因退化、衰老和麻烦的植入。均衡的饮食,消化和激素依赖的代谢确定了我们的生殖系统和体内平衡植入过程的效率。关键词:植入;营养;饮食;微生物群;氧化应激;炎症,免疫。
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引用次数: 0
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Journal of Nutritional Health & Food Science
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