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Dietary patterns and metabolic syndrome in patients with premature heart disease: a cross-sectional study 早搏型心脏病患者的饮食模式和代谢综合征:一项横断面研究
Pub Date : 2024-05-16 DOI: 10.1108/nfs-09-2023-0215
Shiva Rezayat, N. Mohammadifard, E. Zarepur, A. Feizi, N. Sarrafzadegan, M. Kafeshani
PurposeDue to the increase in the prevalence of other risk factors of heart diseases, the age of heart disease has decreased and it has led to premature heart disease. One of the main risk factors of this disease is metabolic syndrome (MetS). One of the key ways to control MetS is dietary modification. The purpose of this study is to investigate the relationship between dietary patterns and MetS in patients with premature heart disease.Design/methodology/approachThis study was conducted on 409 people with premature heart disease. The diagnosis of MetS was made based on the ATP III criteria. Dietary intake for the past year was collected using the validated semi-quantitative food frequency questionnaire. Dietary patterns were determined by factor analysis with principal components approach.FindingsThree dietary patterns were identified, including the healthy, western and traditional patterns. The findings showed that people who followed the traditional pattern more than those who followed less had a lower risk of MetS. (OR:0.23; 95% CI: 0.11–0.52). But, no relation was observed between healthy (OR:1.45; 95% CI:0.64–3.25) and western (OR:1.04; 95% CI:0.51–2.13) patterns with MetS.Originality/valueThe findings of this study showed that following a traditional dietary pattern based on high consumption of whole grains, red meat, viscera, fish, eggs, high-fat dairy products, soft drinks, mayonnaise and solid oil was associated with a lower risk of MetS.
目的由于其他心脏病风险因素的增加,心脏病的发病年龄有所下降,导致心脏病过早发病。这种疾病的主要风险因素之一是代谢综合征(MetS)。控制代谢综合征的关键方法之一是调整饮食。本研究的目的是调查早搏性心脏病患者的饮食模式与 MetS 之间的关系。MetS 的诊断依据 ATP III 标准。使用经过验证的半定量食物频率问卷收集过去一年的饮食摄入量。研究结果确定了三种饮食模式,包括健康饮食模式、西方饮食模式和传统饮食模式。研究结果表明,与较少遵循传统饮食模式的人相比,较多遵循传统饮食模式的人患 MetS 的风险较低。(或:0.23;95% CI:0.11-0.52)。原创性/价值这项研究的结果表明,遵循传统膳食模式,即大量食用全谷物、红肉、内脏、鱼、蛋、高脂乳制品、软饮料、蛋黄酱和固体油,与 MetS 风险较低有关。
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引用次数: 0
Development of shake powdered food with cocoa, mesquite pod flour, oak extract and agave fructans, quality characteristics and glycemic index 含可可、弥猴桃荚粉、橡树提取物和龙舌兰果糖的奶昔粉末食品的开发、质量特性和血糖生成指数
Pub Date : 2024-05-14 DOI: 10.1108/nfs-01-2024-0028
Jennifer Aracely De Santiago-Romero, Carlos-Alonso Salas-Ramírez, K. Herrera-Rocha, N. Rocha‐Guzmán, María José Rivas Arreola, J. Gallegos‐Infante, S. M. González-Herrera, M. Moreno‐Jiménez, María Alejandra Galindo-Gallegos
PurposeThe purpose of this study was to development of a new chocolate-flavored powdered food supplement enriched with mesquite pod flour, oak extract and agave fructans, with proper sensory characteristics as well as its physicochemical and glycemic quality.Design/methodology/approachA powdered shake was formulated using experimental design (23) with mesquite (Prosopis laevigata) pod flour, oak (Quercus convallata) extracts, nonalkalinized cocoa, agave fructans, milk protein and xanthan gum. Sensory analysis (choice profile method, ranking test, focus group, quantitative descriptive analysis), moisture, ash, fiber, protein and lipids, pH, color, wettability, dispersibility and rheological tests were done. Phenolic profiling analysis to samples was done by ultraperformance liquid chromatography coupled to photodiode array detection and electrospray ionization tandem mass spectrometry, antioxidant activity was measured by 2,2’-Azino-bis(3-ethylbenzothiazoline-6-sulfonic acid) diammonium salt radical cation, ferric reducing antioxidant power and oxygen radical absorbance capacity, glycemic index (GI) and glycemic load were evaluated.FindingsThe main sensory attributes in the powders were chocolate, bitter, astringent, grass/linseed flavors (p < 0.05). The product has protein [66.9%], carbohydrates [22.0%], lipids [1.6%], ash [2.7%] and moisture [6.8%], with wettability (23 s), and dispersibility of 77.9%. Catechin, epicatechin, gallocatechin, procyanidin B2, chlorogenic, coumaric and ferulic acids were identified. GI and caloric load not show differences between men (73.3±2.4, 4.4±0.1) and women (67.0±2.1, 4.1±0.1) (p > 0.05).Originality/valueThe use of mesquite pods, oak and agave fructans in powder food supplement is an alternative to obtain a product high in protein, with good sensory properties, antioxidant activity and moderate GI.
目的本研究的目的是开发一种富含介壳虫豆荚粉、橡树提取物和龙舌兰果聚糖的新型巧克力味粉末食品补充剂,使其具有适当的感官特征及其理化和血糖质量。设计/方法/途径 采用实验设计(23),用介壳虫(Prosopis laevigata)豆荚粉、橡树(Quercus convallata)提取物、无碱可可、龙舌兰果聚糖、牛奶蛋白和黄原胶配制粉状奶昔。此外,还进行了感官分析(选择轮廓法、排序测试、焦点小组、定量描述性分析)、水分、灰分、纤维、蛋白质和脂质、pH 值、颜色、润湿性、分散性和流变性测试。酚类分析采用超高效液相色谱-光电二极管阵列检测和电喷雾串联质谱法,抗氧化活性采用 2,2'-叠氮双(3-乙基苯并噻唑啉-6-磺酸)二铵盐自由基阳离子、铁还原抗氧化能力和氧自由基吸收能力进行测定,血糖生成指数(GI)和血糖负荷进行了评估。结果粉末的主要感官属性为巧克力味、苦味、涩味、青草味/亚麻籽味(p < 0.05)。产品含有蛋白质[66.9%]、碳水化合物[22.0%]、脂类[1.6%]、灰分[2.7%]和水分[6.8%],可湿性(23 秒)和分散性为 77.9%。已鉴定出儿茶素、表儿茶素、没食子素、原花青素 B2、绿原酸、香豆酸和阿魏酸。在粉末食品补充剂中使用介壳虫豆荚、橡树和龙舌兰果聚糖是获得高蛋白、良好感官特性、抗氧化活性和适度 GI 的另一种选择。
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引用次数: 0
Gender differences in dietary intake and physical activity among university students: a post-COVID-19 pandemic study 大学生饮食摄入和体育活动的性别差异:COVID-19 大流行后的研究
Pub Date : 2024-05-13 DOI: 10.1108/nfs-01-2024-0015
Chyi Yann Chong, C. X. Tan, Meng-Che Tsai, S. Tan, Hariyono Hariyono, S. Tan
PurposeMalaysia transitions from a pandemic to an endemic state, beginning on April 1, 2022. The dietary intake and physical activity of university students were altered during the COVID-19 pandemic confinement period, but there is limited information on this topic in the post-COVID-19 period. This cross-sectional study aims to understand gender differences in dietary intake and physical activity among university students and investigate the factors influencing their body mass index (BMI) in the post-COVID-19 period.Design/methodology/approachThe questionnaire used in this study comprised three main segments: sociodemographic information, a semiquantitative food frequency questionnaire and the International Physical Activity Questionnaire.FindingsResults indicated that males exhibited significantly higher (p < 0.05) mean intakes of total dietary energy and macronutrients compared to females. Compared to the Malaysian Recommended Nutrient Intakes 2017, 76.4% of males and 68.8% of females had a sufficient daily energy intake. The majority of males (52.7%) and females (46.4%) were moderately physically active. Regression analysis revealed that male university students with lower fiber intake (ß = −0.309, p = 0.002) were significantly associated with higher BMI reading after confounding adjustment. However, a similar trend was not observed in female university students.Practical implicationsUnderstanding the gender differences in dietary intake and physical activity can provide insights into the development of effective gender-specific health promotion strategies and the formulation of policies aimed at promoting healthier lifestyles among university students in the post-COVID-19 pandemic era.Originality/valueThis study provides insights into the gender differences in the dietary and physical activity habits of university students, as well as the factors influencing their BMI in the post-COVID-19 pandemic era.
目的 马来西亚从 2022 年 4 月 1 日开始从大流行状态过渡到流行状态。在 COVID-19 大流行期间,大学生的膳食摄入量和体力活动发生了变化,但在 COVID-19 之后,这方面的信息却很有限。本横断面研究旨在了解大学生膳食摄入和体力活动的性别差异,并调查影响他们在后COVID-19时期体重指数(BMI)的因素。研究结果结果表明,与女性相比,男性的膳食总能量和宏量营养素平均摄入量明显更高(P < 0.05)。与《2017年马来西亚推荐营养素摄入量》相比,76.4%的男性和68.8%的女性每天摄入的能量充足。大多数男生(52.7%)和女生(46.4%)的运动量适中。回归分析显示,经混杂因素调整后,纤维摄入量较低的男大学生(ß = -0.309,p = 0.002)与较高的体重指数读数显著相关。实践意义了解大学生在膳食摄入和体育锻炼方面的性别差异,有助于制定有效的性别健康促进策略和政策,从而在后COVID-19大流行时代促进大学生的健康生活方式。
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引用次数: 0
In search of an appropriate front-of-package nutritional labelling scheme for the CARICOM region 为加共体地区寻找适当的包装前营养标签制度
Pub Date : 2024-05-01 DOI: 10.1108/nfs-10-2023-0235
Alison S. Gajadhar, Melissa K. Hippolyte
PurposeThis study aims to evaluate the impact of the proposed CARICOM Octagon “High In” Warning Label (OWL), against four alternative Front-of-Package Nutrition Labels (FOPNLs): US “Facts Up Front” (FUF), UK Multi-Traffic Light (MTL), Mexican OWL and the Brazilian Magnifying Glass “High In” Warning Label, on respondents’ purchase intentions, perception of healthiness and understanding of nutritional information across and within food products.Design/methodology/approachIn an online randomized control experiment, adults from eight CARICOM countries (n = 948) were randomly assigned to a control and four treatment FOPNL groups. Respondents were tasked to choose between four categories of mock products with three variations in healthfulness across and within products.FindingsNo statistically significant difference (p > 0.05) was found across FOPNL groups compared to the OWL on outcomes of purchase intentions and perception of healthfulness. Regarding the understanding of nutritional information, FUF performed the best, as participants were 1.76 times (p = 0.03) and 3.23 times (p = 0.00) more likely to correctly identify the products with the highest and lowest amount of sugar, respectively. Results were similar for products with the lowest sodium (odds ratio [OR] = 2.25, p = 0.00) and highest saturated fats (OR = 2.11, p = 0.00).Research limitations/implicationsSome limitations of this study include the use of an online platform to conduct the experiment. Though this was the most cost-effective method of execution and presented many benefits, there were limitations to using this approach. Firstly, this approach may not entirely replicate the real world in store purchasing settings. Although online grocery shopping is becoming increasingly popular, in the Caribbean, most grocery purchases are made in stores. Furthermore, online surveys are more likely to lead to samples with higher educational and income levels than the average population (Bethlehem, 2010). The skewedness observed was not unique to this study and was common with similar published studies (Franco-Arellano et al., 2020; Packer et al., 2021; Talati et al., 2018). Nevertheless, all respondents were randomly assigned to groups, and it was confirmed that there were no systematic differences in the education and income levels of participants across the FOPNL groups.Practical implicationsSome CARICOM policy makers advocate for the use of “High In” warning labels to limit the intake of nutrients of concern (NOCs) and to encourage healthier eating habits among consumers. However, regional private sector stakeholders have expressed concern about the lack of sufficient research undertaken at a regional level, to inform the effectiveness of this model within CARICOM, and some have also expressed a preference for the use of other interpretative and reductive FOPNLs, already in use in the Region. The results of this study reveal that while interpretative FOPNLs like the Draft CARIC
目的 本研究旨在评估拟议的加共体八角形 "高含量 "警示标签(OWL)与四种可供选择的包装正面营养标签(FOPNL)的影响:设计/方法/方法在一项在线随机对照实验中,来自八个加共体国家的成年人(n = 948)被随机分配到一个对照组和四个处理 FOPNL 组。在购买意向和健康感知方面,FOPNL 组与 OWL 组相比没有发现明显的统计学差异(p > 0.05)。在对营养信息的理解方面,FUF 的表现最好,因为参与者正确识别含糖量最高和最低产品的可能性分别是 OWL 的 1.76 倍(p = 0.03)和 3.23 倍(p = 0.00)。对于钠含量最低(几率比 [OR] = 2.25,p = 0.00)和饱和脂肪含量最高(OR = 2.11,p = 0.00)的产品,结果也类似。虽然这是最具成本效益的执行方法,也有很多好处,但使用这种方法也有局限性。首先,这种方法可能无法完全复制现实世界中的商店购物环境。虽然网购日渐流行,但在加勒比海地区,大多数食品杂货都是在商店购买的。此外,在线调查更有可能产生教育和收入水平高于平均人口的样本(Bethlehem,2010 年)。观察到的偏斜现象并非本研究独有,类似的已发表研究(Franco-Arellano 等人,2020 年;Packer 等人,2021 年;Talati 等人,2018 年)也存在这种现象。尽管如此,所有受访者都被随机分配到了不同的组别,而且经证实,各 FOPNL 组别参与者的教育和收入水平并无系统性差异。然而,该地区私营部门的利益相关者对缺乏区域层面的充分研究表示担忧,认为这种模式在加共体内部并不有效,一些利益相关者还表示更倾向于使用该地区已经在使用的其他解释性和还原性食品标签。这项研究的结果表明,虽然像《加共体区域标准草案》DCRS5(OWL)这样的解释性食品OPNL 可以帮助消费者做出更健康的购买决策,但在健康感知方面,它优于《中型食品标签》,在营养成分信息的理解方面,它优于《功能性食品标签》。研究还发现,DCRS5(OWL)在选择营养成分差异明显的产品时更为有效,但在所有产品的营养成分均高于相关阈值时,DCRS5(OWL)在帮助受访者做出健康购买决策方面表现不佳。本研究的结果突出表明,可以进一步加强现有的 FOPNL 计划,以取得更好的效果。要做到这一点,可以采用一种混合方法,其中包括还原性和解释性元素,以便在食品之间和食品内部进行比较。社会影响一个设计合理的食品OPNL 可以帮助消费者做出更健康的食品选择;但是,必须同时采取措施提高消费者的意识,增加人口的健康知识,从而随着时间的推移改变偏好和行为模式。原创性/价值这项研究的结果表明,在帮助参与者正确识别净有机碳含量最高或最低的产品方面,FUF 和 MTL 在 5%的显著水平上表现最佳,而当所有产品的净有机碳含量都高于相关阈值时,OWL 在帮助参与者做出健康的购买决策方面表现较差。
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引用次数: 0
Snacking pattern among IT professionals from Pune, India 印度浦那 IT 专业人员的零食消费模式
Pub Date : 2024-04-23 DOI: 10.1108/nfs-11-2023-0243
Prabhashwori Devi, Devaki Gokhale, Anuja Phalle
PurposePune is a prominent information technology (IT) hub in India, where snacking has become a customary practice among IT professionals. This study aims to determine the pattern and factors associated with snacking among IT professionals from various multinational corporations (MNCs) in Pune, Maharashtra, India.Design/methodology/approachThis cross-sectional study considered 404 IT professionals aged 21 to 50 years. A convenient sampling method was adopted to administer a validated questionnaire. Information on snacking patterns and factors associated with snacking were recorded. Descriptive and inferential statistics were used to analyze the data with p = 0.05. The participation was voluntary, and confidentiality was ensured.FindingsThe mean age of the participants was 31 ± 7.9 years. Almost half (51.5%) of the participants engaged in daily snacking. The sociodemographic factors such as younger age (0.000), marital status (p = 0.001), salary package (p = 0.006), living situation (p = 0.05), designation (p = 0.042) and work experience (p = 0.001) significantly related with the unhealthy snacking pattern scores. Daily snacking was significantly associated with hunger (p = 0.001), stress (p = 0.001), weight (p = 0.000), peer influence (p = 0.041) and taste (p = 0.001). Hunger, stress, taste, peer influence, boredom and weight were significantly (p = 0.05) associated with unhealthy snacking patterns.Research limitations/implicationsThe mean age of the participants was 31 ± 7.9 years. Almost half (51.5%) of the participants engaged in daily snacking. The sociodemographic factors such as younger age (0.000), marital status (p = 0.001), salary package (p = 0.006), living situation (p = 0.05), designation (p = 0.042) and work experience (p = 0.001) significantly related with the unhealthy snacking pattern scores. Daily snacking was significantly associated with hunger (p = 0.001), stress (p = 0.001), weight (p = 0.000), peer influence (p = 0.041) and taste (p = 0.001). Overall, hunger, stress, taste, peer influence, boredom and weight were significantly (p = 0.05) associated with unhealthy snacking patterns such as snacking in between, prioritizing taste over nutrition, exclusion of fruits and vegetables in snacks, lack of control over snacking and snacking habit.Originality/valueThis study uniquely identifies the snacking pattern of IT professionals from Pune, India, which primarily includes unhealthy snacking. Various socio-demographic and other factors such as hunger, taste, stress, boredom, convenience, weight and peer influence, were associated with unhealthy snacking. Understanding the snacking pattern and its determinants can help create nutrition interventions to promote healthy snacking and decrease the risk of noncommunicable diseases in IT professionals.
目的浦那是印度著名的信息技术(IT)中心,在那里,吃零食已成为 IT 专业人员的一种习惯做法。本研究旨在确定印度马哈拉施特拉邦浦那市各跨国公司(MNCs)的 IT 专业人员吃零食的模式和相关因素。研究采用了方便抽样法,并发放了经过验证的调查问卷。问卷记录了有关零食摄入模式和与零食摄入相关因素的信息。采用描述性和推论性统计方法对数据进行分析,P=0.05。参与者自愿参与,并确保数据保密。近一半(51.5%)的参与者每天都吃零食。年轻(0.000)、婚姻状况(p = 0.001)、薪资待遇(p = 0.006)、生活状况(p = 0.05)、职位(p = 0.042)和工作经验(p = 0.001)等社会人口学因素与不健康零食模式得分显著相关。每天吃零食与饥饿(p = 0.001)、压力(p = 0.001)、体重(p = 0.000)、同伴影响(p = 0.041)和口味(p = 0.001)明显相关。饥饿、压力、口味、同伴影响、无聊和体重与不健康零食模式有显著相关性(p = 0.05)。近一半(51.5%)的参与者每天都吃零食。年轻(0.000)、婚姻状况(p = 0.001)、薪酬待遇(p = 0.006)、生活状况(p = 0.05)、职位(p = 0.042)和工作经验(p = 0.001)等社会人口因素与不健康零食模式得分有显著关系。每天吃零食与饥饿(p = 0.001)、压力(p = 0.001)、体重(p = 0.000)、同伴影响(p = 0.041)和口味(p = 0.001)明显相关。总体而言,饥饿、压力、口味、同伴影响、无聊和体重与不健康的零食摄入模式有显著相关性(p = 0.05),这些不健康的零食摄入模式包括中间吃零食、口味优先于营养、零食中不含水果和蔬菜、对零食和零食习惯缺乏控制。饥饿、口味、压力、无聊、方便、体重和同伴影响等各种社会人口因素和其他因素都与不健康零食有关。了解零食摄入模式及其决定因素有助于制定营养干预措施,促进健康的零食摄入,降低 IT 专业人员罹患非传染性疾病的风险。
{"title":"Snacking pattern among IT professionals from Pune, India","authors":"Prabhashwori Devi, Devaki Gokhale, Anuja Phalle","doi":"10.1108/nfs-11-2023-0243","DOIUrl":"https://doi.org/10.1108/nfs-11-2023-0243","url":null,"abstract":"Purpose\u0000Pune is a prominent information technology (IT) hub in India, where snacking has become a customary practice among IT professionals. This study aims to determine the pattern and factors associated with snacking among IT professionals from various multinational corporations (MNCs) in Pune, Maharashtra, India.\u0000\u0000Design/methodology/approach\u0000This cross-sectional study considered 404 IT professionals aged 21 to 50 years. A convenient sampling method was adopted to administer a validated questionnaire. Information on snacking patterns and factors associated with snacking were recorded. Descriptive and inferential statistics were used to analyze the data with p = 0.05. The participation was voluntary, and confidentiality was ensured.\u0000\u0000Findings\u0000The mean age of the participants was 31 ± 7.9 years. Almost half (51.5%) of the participants engaged in daily snacking. The sociodemographic factors such as younger age (0.000), marital status (p = 0.001), salary package (p = 0.006), living situation (p = 0.05), designation (p = 0.042) and work experience (p = 0.001) significantly related with the unhealthy snacking pattern scores. Daily snacking was significantly associated with hunger (p = 0.001), stress (p = 0.001), weight (p = 0.000), peer influence (p = 0.041) and taste (p = 0.001). Hunger, stress, taste, peer influence, boredom and weight were significantly (p = 0.05) associated with unhealthy snacking patterns.\u0000\u0000Research limitations/implications\u0000The mean age of the participants was 31 ± 7.9 years. Almost half (51.5%) of the participants engaged in daily snacking. The sociodemographic factors such as younger age (0.000), marital status (p = 0.001), salary package (p = 0.006), living situation (p = 0.05), designation (p = 0.042) and work experience (p = 0.001) significantly related with the unhealthy snacking pattern scores. Daily snacking was significantly associated with hunger (p = 0.001), stress (p = 0.001), weight (p = 0.000), peer influence (p = 0.041) and taste (p = 0.001). Overall, hunger, stress, taste, peer influence, boredom and weight were significantly (p = 0.05) associated with unhealthy snacking patterns such as snacking in between, prioritizing taste over nutrition, exclusion of fruits and vegetables in snacks, lack of control over snacking and snacking habit.\u0000\u0000Originality/value\u0000This study uniquely identifies the snacking pattern of IT professionals from Pune, India, which primarily includes unhealthy snacking. Various socio-demographic and other factors such as hunger, taste, stress, boredom, convenience, weight and peer influence, were associated with unhealthy snacking. Understanding the snacking pattern and its determinants can help create nutrition interventions to promote healthy snacking and decrease the risk of noncommunicable diseases in IT professionals.\u0000","PeriodicalId":509279,"journal":{"name":"Nutrition &amp; Food Science","volume":"56 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140667387","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: 0
Enteral nutrition practices among very preterm infants in neonatal units: a cross-country comparative study 新生儿科早产儿肠内营养做法:跨国比较研究
Pub Date : 2024-04-19 DOI: 10.1108/nfs-02-2024-0045
Wesam Alyahya, Rayhana AlSharfa, Noor Alduhbaki, Batool Al-Zahir, Marwa Alqalaf, Jumanah S Alawfi, Hussah Altwejri, Hanoof Alessa, Tunny S. Purayidathil, R. Khattab
PurposeThe objective of this study was to delineate and compare enteral nutrition (EN) practices among neonatal units across the Arabian Gulf countries.Design/methodology/approachA cross-sectional study was conducted by recruiting 255 clinicians working in neonatal units in the Arabian Gulf countries.FindingsOut of 255 invited clinicians, 73 (29%) participated in the survey. Neonatal units used varied EN strategies, where feeding practices exhibited variability. The majority (74%) of units had a local standard feeding protocol, while 18% followed international protocols, and 8% did not adhere to a specific protocol. When maternal milk was not used, the main alternatives were preterm formula (67%) and predigested formula (14%). The age at which the first EN was commenced and the reported advancement rate showed significant variations among different units (p < 0.001). The initiation of fortification was primarily driven by reaching a specific enteral volume (commonly reported as 100 mL/kg/day) and addressing poor postnatal growth. Fortification practices did not differ significantly among professions, except for the initial fortification strength, where none of the dietitians and only 8.3% of neonatologists preferred full strength, compared to 28.6% and 21.4% of medical residents and nurses, respectively (p = 0.033).Originality/valueThis study marks the first exploration of EN practices in neonatal units, examining their local and cross-country variations. It provides valuable insights to guide local trials and foster global collaboration among neonatal units to establish a unified knowledge base, standardized practices and promote research and innovation, ultimately contributing to optimal feeding practices for very preterm infants.
本研究的目的是对阿拉伯海湾国家新生儿科室的肠内营养(EN)实践进行界定和比较。研究结果在 255 名受邀临床医生中,73 人(29%)参与了调查。新生儿科室采用了不同的 EN 策略,喂养方法也各不相同。大多数单位(74%)制定了当地的标准喂养方案,18%遵循国际方案,8%未遵循特定方案。不使用母乳时,主要的替代品是早产儿配方奶粉(67%)和预消化配方奶粉(14%)。开始首次强化营养的年龄和报告的推进率在不同单位之间存在显著差异(p < 0.001)。开始添加营养强化剂的主要原因是达到特定的肠内容量(通常报告为 100 毫升/千克/天)和解决产后发育不良的问题。营养师和新生儿科医生中没有人选择全强化,仅有 8.3% 的人选择全强化,而住院医生和护士中分别有 28.6% 和 21.4% 的人选择全强化(p = 0.033)。它为指导当地试验和促进新生儿科室之间的全球合作提供了宝贵的见解,以建立统一的知识库、标准化实践并促进研究和创新,最终为早产儿的最佳喂养实践做出贡献。
{"title":"Enteral nutrition practices among very preterm infants in neonatal units: a cross-country comparative study","authors":"Wesam Alyahya, Rayhana AlSharfa, Noor Alduhbaki, Batool Al-Zahir, Marwa Alqalaf, Jumanah S Alawfi, Hussah Altwejri, Hanoof Alessa, Tunny S. Purayidathil, R. Khattab","doi":"10.1108/nfs-02-2024-0045","DOIUrl":"https://doi.org/10.1108/nfs-02-2024-0045","url":null,"abstract":"\u0000Purpose\u0000The objective of this study was to delineate and compare enteral nutrition (EN) practices among neonatal units across the Arabian Gulf countries.\u0000\u0000\u0000Design/methodology/approach\u0000A cross-sectional study was conducted by recruiting 255 clinicians working in neonatal units in the Arabian Gulf countries.\u0000\u0000\u0000Findings\u0000Out of 255 invited clinicians, 73 (29%) participated in the survey. Neonatal units used varied EN strategies, where feeding practices exhibited variability. The majority (74%) of units had a local standard feeding protocol, while 18% followed international protocols, and 8% did not adhere to a specific protocol. When maternal milk was not used, the main alternatives were preterm formula (67%) and predigested formula (14%). The age at which the first EN was commenced and the reported advancement rate showed significant variations among different units (p < 0.001). The initiation of fortification was primarily driven by reaching a specific enteral volume (commonly reported as 100 mL/kg/day) and addressing poor postnatal growth. Fortification practices did not differ significantly among professions, except for the initial fortification strength, where none of the dietitians and only 8.3% of neonatologists preferred full strength, compared to 28.6% and 21.4% of medical residents and nurses, respectively (p = 0.033).\u0000\u0000\u0000Originality/value\u0000This study marks the first exploration of EN practices in neonatal units, examining their local and cross-country variations. It provides valuable insights to guide local trials and foster global collaboration among neonatal units to establish a unified knowledge base, standardized practices and promote research and innovation, ultimately contributing to optimal feeding practices for very preterm infants.\u0000","PeriodicalId":509279,"journal":{"name":"Nutrition &amp; Food Science","volume":" 0","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140684203","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: 0
Dietary diversity and preferences among pregnant women and its association with anaemia 孕妇的饮食多样性和偏好及其与贫血的关系
Pub Date : 2024-04-18 DOI: 10.1108/nfs-11-2023-0273
Benedicta Twum - Dei, R. Aryeetey, L. N. E. Aduku
PurposeThis study aims to assess dietary choices of pregnant women and its relationship with their anaemia status.Design/methodology/approachA mixed-method study comprising a survey and three focus group discussions (FGDs). The survey included 380 adult pregnant women with data collected on food choices, preferences and haemoglobin (Hb) status.FindingsMore than 50% of women in the study had Hb concentration < 11.0 g/dl; mean Hb was 10.24 g/dl (SD = 1.59). Univariate analysis was used to generate descriptive tabulations for socio-demographic characteristics of respondents, dietary choices for women and anaemia status. T-test and bivariate analysis between dietary diversity score of the women among the food groups consumed as well as their anaemia (Hb) status. This showed that women with high dietary diversity score had improved Hb status (P = 0.003), and those who consumed meat and fish as well as dark leafy vegetables had significantly high diversity scores (P = 0.031 and P = 0.049). Thematic analysis was used for analysing qualitative data.Research limitations/implicationsThe sample used in the study is unlikely to be fully representative of pregnant women in the Accra Metropolis. In addition, this study used a cross-sectional study design, making it difficult to establish causal associations between nutritional status and food choice of pregnant women. It does not also show variation in dietary practices by seasons of the year. The scope of the study did not allow for a detailed analysis, and this should be considered in future studies. Also, the study did not explore an obstetric factor like past bleeding history as well as the menstrual cycle of these pregnant women, as these factors are likely to interfere with the anaemia status of the pregnant women.Originality/valueThis paper contributes significant value by specifically focusing on and clarifying the complex relationship between dietary choices and aneamia among pregnant women. It also provides insights into the distinct dietary patterns and preferences of pregnant women, which may be contributing to the high prevalence of aneamia. The results of the study can inform the development of localized, evidence-based interventions to address this critical public health concern, ultimately leading to improved maternal and foetal health outcomes.
目的 本研究旨在评估孕妇的饮食选择及其与贫血状况的关系。设计/方法/途径 一项混合方法研究,包括一项调查和三次焦点小组讨论(FGD)。调查包括 380 名成年孕妇,收集了有关食物选择、偏好和血红蛋白(Hb)状况的数据。研究结果50% 以上的孕妇血红蛋白浓度低于 11.0 g/dl;平均血红蛋白为 10.24 g/dl(SD = 1.59)。采用单变量分析法对受访者的社会人口特征、妇女的饮食选择和贫血状况进行描述性列表。通过 T 检验和双变量分析,对妇女所食用食物种类的膳食多样性得分及其贫血(血红蛋白)状况进行了分析。结果显示,膳食多样性得分高的妇女的血红蛋白状况有所改善(P = 0.003),而食用肉类、鱼类和深色叶菜的妇女的膳食多样性得分明显较高(P = 0.031 和 P = 0.049)。对定性数据的分析采用了主题分析法。研究局限性/影响研究中使用的样本不可能完全代表阿克拉大都市的孕妇。此外,本研究采用的是横断面研究设计,因此难以确定孕妇的营养状况与食物选择之间的因果关系。它也没有显示一年中不同季节饮食习惯的差异。由于研究范围所限,无法进行详细分析,这一点应在今后的研究中加以考虑。此外,该研究也没有探讨产科因素,如这些孕妇过去的出血史和月经周期,因为这些因素很可能会干扰孕妇的贫血状况。研究还深入探讨了孕妇独特的饮食模式和偏好,这可能是导致无乳症高发的原因之一。研究结果可为制定本地化的循证干预措施提供信息,以解决这一重大公共卫生问题,最终改善孕产妇和胎儿的健康状况。
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引用次数: 0
Probiotic icecream as a functional food - a review 作为功能性食品的益生菌冰淇淋--综述
Pub Date : 2024-04-18 DOI: 10.1108/nfs-02-2024-0036
S. Sarkar
PurposeGlobally, consumer’s inclination towards functional foods had noticed due to their greater health consciousness coupled with enhanced health-care cost. The fact that probiotics could promote a healthier gut microbiome led projection of probiotic foods as functional foods and had emerged as an important dietary strategy for improved human health. It had established that ice cream was a better carrier for probiotics than fermented milked due to greater stability of probiotics in ice cream matrix. Global demand for ice cream boomed and probiotic ice cream could have been one of the most demanded functional foods. The purpose of this paper was to review the technological aspects and factors affecting probiotic viability and to standardize methodology to produce functional probiotic ice cream.Design/methodology/approachAttempt was made to search the literature (review and researched papers) to identify diverse factors affecting the probiotic viability and major technological challenge faced during formulation of probiotic ice cream. Keywords used for data searched included dairy-based functional foods, ice cream variants, probiotic ice cream, factors affecting probiotic viability and health benefits of probiotic ice cream.FindingsRetention of probiotic viability at a level of >106 cfu/ml is a prerequisite for functional probiotic ice creams. Functional probiotic ice cream could have been produced with the modification of basic mix and modulating technological parameters during processing and freezing. Functionality can be further enhanced with the inclusion of certain nutraceutical components such as prebiotics, antioxidant, phenolic compounds and dietary fibres. Based upon reviewed literature, suggested method for the manufacture of functional probiotic ice cream involved freezing of a probiotic ice cream mix obtained by blending 10% probiotic fermented milk with 90% non-fermented plain ice cream mix for higher probiotic viability. Probiotic ice cream with functional features, comparable with traditional ice cream in terms of technological and sensory properties could be produced and can crop up as a novel functional food.Originality/valueProbiotic ice cream with functional features may attract food manufacturers to cater health-conscious consumers.
目的在全球范围内,由于消费者健康意识的提高和医疗保健成本的增加,他们开始倾向于功能性食品。事实上,益生菌可以促进肠道微生物群的健康,因此益生菌食品被视为功能性食品,并已成为改善人类健康的重要饮食策略。研究发现,冰淇淋比发酵牛奶更适合作为益生菌的载体,因为冰淇淋基质中的益生菌更加稳定。全球对冰淇淋的需求激增,益生菌冰淇淋可能成为需求量最大的功能食品之一。本文旨在回顾影响益生菌存活率的技术方面和因素,并对生产功能性益生菌冰淇淋的方法进行标准化。研究结果将益生菌活力保持在大于 106 cfu/ml 的水平是功能性益生菌冰淇淋的先决条件。在加工和冷冻过程中,通过改变基本配料和调节技术参数,可以生产出功能性益生菌冰淇淋。加入某些营养保健成分,如益生元、抗氧化剂、酚类化合物和膳食纤维,可进一步增强功能性。根据查阅的文献,生产功能性益生菌冰淇淋的建议方法包括冷冻益生菌冰淇淋混合物,该混合物是将 10%的益生菌发酵奶与 90%的非发酵原味冰淇淋混合物混合而成,以提高益生菌的活力。原创性/价值具有功能性特点的益生菌冰淇淋可吸引食品制造商迎合注重健康的消费者。
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引用次数: 0
Optimization of salt ready-mix for instant fried noodles production using response surface methodology 利用响应面方法优化方便炸酱面生产用盐预拌粉
Pub Date : 2024-04-17 DOI: 10.1108/nfs-11-2023-0261
Manisha Malik, Devyani Tomar, Narpinder Singh, B.S. Khatkar
PurposeThis study aims to provide a salt ready-mix to instant fried noodles manufacturers.Design/methodology/approachResponse surface methodology was used to get optimized salt ready-mix based on carbonate salt, disodium phosphate, tripotassium phospahte, sodium hexametaphosphate and sodium chloride. Peak viscosity of flour and yellowness, cooking loss and hardness of noodles were considered as response factors for finding optimized salt formulation.FindingsThe results showed that salts have an important role in governing quality of noodles. Optimum levels of five independent variables of salts, namely, carbonate salt (1:1 mixture of sodium to potassium carbonate), disodium phosphate, sodium hexametaphosphate, tripotassium phosphate and sodium chloride were 0.64%, 0.29%, 0.25%, 0.46% and 0.78% on flour weight basis, respectively.Originality/valueTo the best of the authors’ knowledge, this is the first study to assess the effect of different combinations of different salts on the quality of noodles. These findings will also benefit noodle manufacturers, assisting in production of superior quality noodles.
目的 本研究旨在为方便炸酱面生产商提供一种预拌盐。设计/方法/方法采用响应面法获得了基于碳酸盐、磷酸氢二钠、磷酸三钾、六偏磷酸钠和氯化钠的优化预拌盐。面粉的峰值粘度、面条的黄度、蒸煮损失和硬度被视为寻找优化盐配方的反应因素。五个自变量盐,即碳酸盐(碳酸钠和碳酸钾 1:1 的混合物)、磷酸氢二钠、六偏磷酸钠、磷酸氢三钾和氯化钠的最佳含量分别为面粉重量的 0.64%、0.29%、0.25%、0.46% 和 0.78%。这些发现也将使面条生产商受益,有助于生产出质量上乘的面条。
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引用次数: 0
The relationship between sidewalk access and weight-related outcomes: a systematic review 人行道与体重相关结果之间的关系:系统性综述
Pub Date : 2024-04-17 DOI: 10.1108/nfs-09-2023-0214
Kiyavash Irankhah, Soheil Asadimehr, Golnaz Ranjbar, Behzad Kiani, S. Sobhani
PurposeTo effectively combat the increasing rates of obesity, it is crucial to explore how environmental factors like sidewalk access impact weight-related outcomes. This study aimed to systematically examine the association between sidewalk accessibility and weight-related outcomes.Design/methodology/approachDatabases were searched by keywords for relevant articles, which were published before March 3, 2024, to report the role of neighborhood sidewalk access on weight-related outcomes. The main findings of the selected articles were extracted from eligible studies by two independent reviewers.FindingsA total of 20 out of 33 studies indicated a significant negative relationship between access to sidewalks and weight-related outcomes. Three studies demonstrated an indirect relationship between access to sidewalks and weight-related outcomes by greater access to physical environments. In addition, five studies reported no clear relationship, and three studies reported a significantly positive relationship between access to sidewalks and weight-related outcomes.Practical implicationsIn general, people who live in urban areas with better sidewalk access benefit from better weight-related outcomes. Adults showed this correlation more prominently than adolescents and children. Therefore, sidewalks that have a positive effect on physical activity levels could be considered as a preventive measure against obesity.Originality/valueOne of the weight-related outcomes is obesity. Every community faces numerous challenges due to obesity, which adversely affects the quality of life and health. Environmental factors such as access to sidewalks could be associated with body weight due to lifestyle influences.
目的为了有效应对日益增长的肥胖率,探索人行道等环境因素如何影响体重相关结果至关重要。本研究旨在系统地研究人行道的可及性与体重相关结果之间的关系。设计/方法/途径通过关键词检索数据库,寻找 2024 年 3 月 3 日之前发表的相关文章,这些文章报道了社区人行道的可及性对体重相关结果的影响。33 项研究中共有 20 项研究表明,人行道与体重相关结果之间存在显著的负相关关系。有三项研究表明,人行道与体重相关结果之间存在间接关系,因为人行道可以提供更多的物理环境。此外,五项研究报告称两者之间没有明确的关系,三项研究报告称人行道与体重相关结果之间存在显著的正相关关系。与青少年和儿童相比,成年人的相关性更为突出。因此,可将对身体活动水平有积极影响的人行道视为预防肥胖的措施。每个社区都面临着肥胖带来的诸多挑战,肥胖对生活质量和健康造成了不利影响。由于生活方式的影响,人行道等环境因素可能与体重有关。
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引用次数: 0
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Nutrition &amp; Food Science
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