Adequate Diet Research Articles

An association of deficiencies in balanced dietary practices and inadequate iron and folic acid supplement's intake during pregnancy and increasing risk of pre-eclampsia or eclampsia among Indian women.

Pre-eclampsia or eclampsia is a serious reproductive health problem which can cause maternal, fetal and neonatal morbidity and mortality worldwide. However till the notable reasons of it is not very clear at all. The main essence of the present study was to examine the association between dietary intake, iron and folic acid consumption during pregnancy and the chances of occurrences of pre-eclampsia or eclampsia among Indian women. A cross sectional observational study was performed by using NFHS-5 (2019-21) data. 190,797 ever married women aged between 15-49 years who had a live birth in the past five years preceding the survey were availed for this study. Multivariable logistic regression analysis was carried out to find out the association between dietary and supplementary intake and occurrences of eclampsia. About 3.6% of the sample women had pre-eclampsia or eclampsia. The results of the study indicated that the likelihood of the prevalence of pre-eclampsia or eclampsia was significantly higher among those women who did not take adequate diet and as well as not consumed iron and folic acid tablet or syrup for at least 90 days during pregnancy compared to those women who took adequate diet and iron and folic acid supplementation even after controlling some maternal, health and lifestyle, socio-economic and demographic characteristics. Integrated and quality ANC services can only ensure adequate nutritional intake in terms of healthy and balanced diet. So, quality ANC services and with this micronutrients intake could be an effective way to reduce the prevalence of pre-eclampsia or eclampsia.

Study on Pattern of Self-Management Practices in Patients of Diabetes in Rural Population in Aligarh

Self care involves all decisions which individuals, families,take for their own health particularly their own physical andmental well being. Staying fit, exercising, avoiding hazardous behavior etc. will all compound to self care.The aim ofthis study is to find the pattern of self care management practices in patients of Diabetes. A cross sectional study wasdone in registered villages of Rural Health Training Centre and 316 population was covered. All patients of the selectednon communicable diseases above 18 years of age were selected who gave their consent. Self care practice assessmentwas done by including: Diabetes specific section including SDSCA measure - Summary of Diabetes Self- Care ActivitiesQuestionnaire. The findings showed that the prevalence of self-care practices in patients of diabetes was not very high.Slightly more than 50% diabetics were following good levels of self-care practices. Individual levels of self-care practiceslike medication, physical activity/ exercise, adequate diet, risky behaviours of tobacco intake and alcohol consumption,monitoring blood pressure/ blood sugar/ symptoms of COPD, weight management etc. showed varied prevalence.Mostly the patients with any non-communicable disease were found adherent to their medications. In patients ofdiabetes; age group, presently attending any health facility for disease management and receiving health care provider’sadvice for lifestyle modifications were associated significantly with self-care practices.

Study on Pattern of Self-Management Practices in Patients of Diabetes in Rural Population in Aligarh

Self care involves all decisions which individuals, families,take for their own health particularly their own physical andmental well being. Staying fit, exercising, avoiding hazardous behavior etc. will all compound to self care.The aim ofthis study is to find the pattern of self care management practices in patients of Diabetes. A cross sectional study wasdone in registered villages of Rural Health Training Centre and 316 population was covered. All patients of the selectednon communicable diseases above 18 years of age were selected who gave their consent. Self care practice assessmentwas done by including: Diabetes specific section including SDSCA measure - Summary of Diabetes Self- Care ActivitiesQuestionnaire. The findings showed that the prevalence of self-care practices in patients of diabetes was not very high.Slightly more than 50% diabetics were following good levels of self-care practices. Individual levels of self-care practiceslike medication, physical activity/ exercise, adequate diet, risky behaviours of tobacco intake and alcohol consumption,monitoring blood pressure/ blood sugar/ symptoms of COPD, weight management etc. showed varied prevalence.Mostly the patients with any non-communicable disease were found adherent to their medications. In patients ofdiabetes; age group, presently attending any health facility for disease management and receiving health care provider’sadvice for lifestyle modifications were associated significantly with self-care practices.

Fizička aktivnost i srčana slabost sa očuvanom ejekcionom frakcijom leve komore

Heart failure with preserved left ventricular ejection fraction (HFpEF) is a clinical syndrome in which the structure and the function of the heart are damaged, with stiffness of the heart muscle, increased pressures in diastole and in the pulmonary circulation. The latest understanding of HFpEF is that it is a systemic disease of the microcirculation with chronic inflammation and impaired cellular metabolism. The aim of this review was to determine the association between physical activity and HFpEF based on the available research. By summarizing the literature data, it was shown that a sedentary lifestyle represents a risk factor for HFpEF and that continuous physical activity prevents the occurrence of HFpEF, while in patients already suffering from HFpEF it increases functional capacity, as well as the quality of life, mainly due to the improvement of peripheral muscles oxidative metabolism. The impact of physical activity on improving the diastolic function of the heart in people with heart failure is still under research. Patients with HFpEF usually have poor exercise tolerance, thus an individualized prescription of physical activity is indicated in accordance with their capabilities, preferably a combination of aerobic training, strength exercises, balance and an adequate diet. The gold standard for the assessment of aerobic capacity is the cardiopulmonary exercise test, which allows the measurement of oxygen consumption, maximum heart rate, the first and the second anaerobic thresholds, parameters needed for dosing the intensity of physical exercise.

Perception of the food environment by Brazilian slum residents: a qualitative study

Food availability in the territory can influence food consumption by the population. However, it is important to understand how people perceive their food environment to see how food availability affects consumption in different contexts. This study aimed to assess the perception of the food environment by Brazilian slum residents in their neighborhoods. This is a qualitative study, with online focus groups guided by a script in order to gather collective discourses about access to food in Brazilian slums. The invitation to participate in this study was made through social media, and community leaders and nongovernmental organizations with actions in slums were contacted using the snowball sampling technique. Grounded theory analysis was applied with the technique of thematic networks. Access to food for slum residents involves lack of resources and essential elements for an adequate and healthy diet, such as lack of information about food, low income, and low availability of stores that sell healthy food at affordable prices. Public programs and policies are required to encourage the expansion of food and nutritional security resources, such as vegetable gardens and markets, to increase the supply and sell healthy food at affordable prices in slums. Actions are also required to address the complexity of obstacles faced by slum residents in the access to healthy foods.

Age-dependent hypopharyngeal gland size and protein content of stingless bee workers, Tetragonula pagdeni.

Eusocial insects, such as stingless bees (Meliponini), depend on division of labour, overlapping generations, and collaborative brood care to ensure the functionality and success of their colony. Female workers transition through a range of age-specific tasks during their lifespan (i.e., age-polyethism) and play a central role in the success of a colony. These age-specific tasks (e.g., brood care or foraging) often closely coincide with key physiological changes necessary to ensure optimal performance. However, our understanding of how nutrition, age, and polyethism may affect the development of such physiological traits in stingless bees remains limited. Here we show that pollen consumption and age-polyethism govern hypopharyngeal gland (HPG) acini size and protein content in Tetragonula pagdeni. By conducting a controlled laboratory experiment we monitored the effect of pollen consumption on worker bee survival as well as assessed how a pollen diet and age affected their HPG acini width and protein content. Further, we sampled nurses and foragers from field colonies to measure the effect of age-polyethism on HPG acini width. We found that pollen consumption enhanced survival and led to increased HPG acini width and protein content and that HPG acini were as expected largest in nurse bees. Our findings highlight the beneficial effects of an adequate diet for physiological development and health in stingless bees and reveal that age-polyethism is the key factor governing HPG size in worker bees. As HPGs are imperative for collaborative brood care-an essential component of eusociality-the data provide a foundation for future studies to investigate the impact of potential environmental stressors on a critical physiological trait in stingless bees which may serve as a proxy to understand the effects at the colony level.

Role of diet and lifestyle in skin care and skin diseases

Introduction: Skin is of crucial importance in the human system. There are numerous factors that affect its appearance and function leading to many skin issues. Aim: To give information about the role of the diet in maintaining healthy skin and the usage of knowledge in everyday practice, a detailed analysis of available literature is performed on the impact and mechanisms of various food ingredients on the role and appearance of skin through understanding the Nidana of Kushta. Data: The data on the nutrients that affect healthy skin are obtained: The quality, health and beauty of the skin are affected by various vitamins, minerals, proteins, as well as by other nutrients. Some foods make skin shiny and healthy, but there is also bad diet for skin, as well as foods with harmful effects, depending on skin type. Discussion: It is of crucial importance to protect skin from negative factors. In order to provide normal functioning of the skin it is necessary to incorporate various foods of animal or plant origin, taking in consideration skin type as well. Conclusion: It is clear why full attention should be paid to skin, its health, functions, and appearance. Adequate diet is of prime importance, with usage of Pathyahara and vihara and paying attention to possible beneficial effects of certain foods, adjusted to the skin type. This should be applied in everyday practice in working with patients.

Advancements in Nutritional Strategies for Gestational Diabetes Management: A Systematic Review of Recent Evidence.

Gestational diabetes mellitus (GDM) is defined as hyperglycaemia first detected at any time during pregnancy with values lower than those determined by the WHO for diabetes diagnosis in adults. This pathology, with a worldwide prevalence of 13.4%, causes significant maternal and foetal risks. The first line of treatment consists of maintaining normo-glycaemia through an adequate diet and lifestyle changes. The aim is to synthesize the scientific evidence updating the nutritional recommendations for the effective management of GDM. A systematic review of the scientific literature was conducted following the PRISMA guidelines. Randomized clinical trials published within the last five years and providing information on nutritional recommendations to achieve an effective management of gestational diabetes were selected. The databases searched were PubMed, the WOS Core Collection, SCOPUS, and CINAHL, using the MeSH terms: "Diabetes, Gestational"; "Nutrition Assessment (nutrition*)"; "Diet"; "Eating"; and "Food"; with the Boolean operators "AND" and "OR". The PEDro scale (Physiotherapy Evidence Database) was used to assess the scientific quality of the studies, with a mean score of 8.9, indicating an average good scientific quality. Results: A total of 809 papers were collected, of which, after applying the inclusion and exclusion criteria, 14 randomized clinical trials were selected. Probiotic supplementation and co-supplementation with vitamin D have been found to be the most beneficial options for both mothers with GDM and neonates, but the most effective regimens are not known. Diets enriched with extra virgin olive oil (EVOO) and oat bran, as well as some recommendations focused on carbohydrates also seem effective, as well as diets designed for this group of women with GDM such as "CHOICE". Conclusions: Although there are numerous proposals that have been published in recent years focused on the diet of women with GDM in order to improve their results and those of their children, it is the supplementation with probiotics and the co-supplementation with vitamin D that is most agreed upon as beneficial; however, more research is needed into which protocols are most effective. Other proposals that could also be beneficial should be further studied.

A Comparative Analysis of Maternal Nutrition Decision-Making Autonomy During Pregnancy-An Application of the Food Choice Process Model in Burkina Faso and Madagascar.

Adequate nutrition has been cited as one of the most critical components for optimal health outcomes during pregnancy. Women in Burkina Faso and Madagascar experience high rates of undernutrition due to lack of knowledge, finances, cultural norms, and autonomy. Therefore, this study aimed (1) to describe typical maternal diets during pregnancy in Burkina Faso and Madagascar, (2) to understand the multilevel factors that influence women's nutrition decision-making, and (3) to explore the extent to which women have nutrition decision-making autonomy during pregnancy. This study was conducted between October 2020 and February 2021 in Burkina Faso and Madagascar. Semi-structured interviews, focus group interviews, and free lists were conducted among women of reproductive age and pregnant and lactating women. Textual data from interviews were recorded and translated verbatim from local languages into French. The Food Choice Process Model guided textual content analysis using Dedoose software. Free list data were analyzed using cultural domain analysis approaches. In Burkina Faso and Madagascar, women primarily consumed staple foods such as rice and tô during pregnancy. Participants cited eating fruits and vegetables when available, while the animal source foods were rarely consumed. Across both contexts, nutrition during pregnancy was influenced by factors that impact food choices, such as social factors, resources, ideals, and personal factors. While women and men in Madagascar had more shared decision-making on critical domains such as finances, men were the primary decision-makers in most areas of inquiry (eg, finances) in Burkina Faso. The lack of adequate diverse diet consumed during pregnancy is primarily due to important factors including social factors and resources. Understanding the ability for women to consume optimal diets during pregnancy is needed to target behavioral change in maternal nutrition programming.

Arterial hypertension: a global public health challenge and the need for comprehensive strategies

High blood pressure affects more than 1 billion people and is one of the main causes of morbidity and mortality. This chronic condition, often asymptomatic in its early stages, can lead to serious cardiovascular diseases if not managed properly. Its risk factors include modifiable elements such as obesity and a sedentary lifestyle, as well as non-modifiable factors such as genetics and age. Effective management of hypertension requires timely diagnosis, medical treatment, and significant lifestyle changes. The present study aims to develop educational strategies to reduce complications. Through a qualitative-quantitative approach with the development of a survey, it was learned that the majority of patients do not have knowledge about their disease, are sedentary and do not follow an adequate diet, nor do they engage in physical activity. It is concluded to propose education strategies that promote healthy environments on hypertension to mitigate its global impact and thus improve quality of life and reduce the economic burden on health systems

Insights into the influence of diet and genetics on feed efficiency and meat production in sheep.

Feed costs and carcass yields affect the profitability and sustainability of sheep production. Therefore, it is crucial to select animals with a higher feed efficiency and high-quality meat production. This study focuses on the impact of dietary and genetic factors on production traits such as feed efficiency, carcass quality, and meat quality. Diets promote optimal sheep growth and development and provide sufficient protein can lead to higher-quality meat. However, establishing an optimized production system requires careful consideration and balance of dietary parameters. This includes ensuring adequate protein intake and feeding diets with higher intestinal absorption rates to enhance nutrient absorption in the gut. The study identifies specific genes, such as Callipyge, Calpastatin, and Myostatin, and the presence of causal mutations in these genes, as factors influencing animal growth rates, feed efficiency, and meat fatty acid profiles. Additionally, variants of other reported genes, including PIGY, UCP1, MEF2B, TNNC2, FABP4, SCD, FASN, ADCY8, ME1, CA1, GLIS1, IL1RAPL1, SOX5, SOX6, and IGF1, show potential as markers for sheep selection. A meta-analysis of reported heritability estimates reveals that residual feed intake (0.27 ± 0.07), hot carcass weight (0.26 ± 0.05), dressing percentage (0.23 ± 0.05), and intramuscular fat content (0.45 ± 0.04) are moderately to highly heritable traits. This suggests that these traits are less influenced by environmental factors and could be improved through genetic selection. Additionally, positive genetic correlations exist between body weight and hot carcass weight (0.91 ± 0.06), dressing percentage (0.35 ± 0.15), and shear force (0.27 ± 0.24), indicating that selecting for higher body weight could lead to favorable changes in carcass quality, and meat quality.

Nutritive tissue rich in reserves in the cell wall and protoplast: the case of Manihot esculenta (Euphorbiaceae) galls induced by Iatrophobia brasiliensis (Diptera, Cecidomyiidae).

The galls can offer shelter, protection, and an adequate diet for the gall-inducing organisms. Herein, we evaluated the structure of Manihot esculenta leaves and galls induced by Iatrophobia brasiliensis in order to identify metabolic and cell wall composition changes. We expected to find a complex gall with high primary metabolism in a typical nutritive tissue. Non-galled leaves and galls were subjected to anatomical, histochemical, and immunocytochemical analyses to evaluate the structural features, primary and secondary metabolites, and glycoproteins, pectins, and hemicelluloses in the cell wall. The gall is cylindric, with a uniseriate epidermis, a larval chamber, and a parenchymatic cortex divided into outer and inner compartments. The outer compartment has large cells with intercellular spaces and stocks starch and is designated as storage tissue. Reducing sugars, proteins, phenolic compounds, and alkaloids were detected in the protoplast of inner tissue cells of galls, named nutritive tissue, which presents five layers of compact small cells. Cell walls with esterified homogalacturonans (HGs) occurred in some cells of the galls indicating the continuous biosynthesis of HGs. For both non-galled leaves and galls, galactans and xyloglucans were broadly labeled on the cell walls, indicating a cell growth capacity and cell wall stiffness, respectively. The cell wall of the nutritive tissue had wide labeling for glycoproteins, HGs, heteroxylans, and xyloglucans, which can be used as source for the diet of the galling insect. Manihot esculenta galls have compartments specialized in the protection and feeding of the galling insect, structured by nutritive tissue rich in resource compounds, in the cell walls and protoplast.

Risk assessment of nutrients: There must be a threshold for their effects

Nutrients serve physiological functions in a dose-dependent manner and that needs to be recognized in risk assessment. An example of the consequences of not properly considering this can be seen in a recent assessment by the European Food Safety Authority (EFSA). EFSA concluded in 2022 that the intake of added and free sugars should be “as low as possible in the context of a nutritionally adequate diet”. That conclusion of EFSA is based on the effects on two surrogate endpoints for an adverse effect found in randomized controlled trials with high sugars intake levels: fasting glucose and fasting triglycerides. The lowest intake levels in these trials were around 10 energy% and at this intake level there were no adverse effects on the two outcomes. This indicates that the adverse effects of sugars have an observable threshold value for these two endpoints. The most appropriate interpretation from the vast amount of data is that currently no definitive conclusion can be drawn on the tolerable upper intake level for dietary sugars. Therefore, EFSA's own guidance would lead to the conclusion that the available data do not allow the setting of an upper limit for added sugars and hence, that more robust data are required to identify the threshold value for intake of sugars.

Assessment of Nutritional Status Using Composite Index of Anthropometric Failure (CIAF) Among Under-Five Children from An Urban Slum of Southern India: A Cross-Sectional Study

Introduction: NFHS-5 Telangana reports underweight, stunting, and wasting among under 5 children as 31.8%, 33.1%, and 21.7% respectively. Composite Index of Anthropometric Failure is an aggregate indicator that excludes children with anthropometric failure and includes children who are wasted, stunted, or underweight, and their combinations. The objectives were to determine the prevalence of anthropometric failures and to find its determinants among under-five children in an urban slum area of Hyderabad. Methodology: A cross sectional study was conducted among 310 under 5 children residing in the urban-slum area of Hyderabad. Probability proportionate to size sampling was used. Using questionnaire and standard operating procedures, socio-demographic profile, health details and nutritional assessment was done. Statistical analysis was done using SPSS version 26. Results: The prevalence of anthropometric failure is noted to be 39.6%. The prevalence of stunting, underweight and wasting were found to be 20.7%, 26.8% and 12%, respectively. The illiteracy of father [AOR:2.94(CI: 1.31-6.62); p-value=0.009], low birth weight [AOR:2.024(CI: 1.253-3.26); p-value=0.004], not exclusively breastfed [AOR:4.291(CI:1.55-11.904); p-value=0.005] and deficient calorie intake [AOR: 2.079(CI:1.103-3.906); p-value=0.023] were found to be the significant predictors of Anthropometric failure. Conclusion: Under nutrition is an important public health problem with 40% prevalence in urban slum of Telangana. Enhancing the literacy of fathers, reduction in low birth weight, better IYCF practices and providing calorie adequate diet will aid in enhancing children's nutritional status.

Predictive model for vitamin C levels in hyperinsulinemic individuals based on age, sex, waist circumference, low-density lipoprotein, and immune-associated serum proteins

Vitamin C (ascorbic acid) is an important water-soluble antioxidant associated with decreased oxidative stress in type 2 diabetes (T2D) patients. A previous targeted plasma proteomic study has indicated that ascorbic acid is associated with markers of the immune system in healthy subjects. However, the association between the levels of ascorbic acid and blood biomarkers in subjects at risk of developing T2D is still unknown. Serum ascorbic acid was measured by ultra-performance liquid chromatography and serum proteins were quantified by untargeted liquid-chromatography mass spectrometry in 25 hyperinsulinemia subjects that were randomly assigned a high dairy intake diet or an adequate dairy intake diet for 6 weeks, then crossed-over after a 6-week washout period. Spearman correlation followed by gene ontology analyses were performed to identify biological pathways associated with ascorbic acid. Finally, machine learning analysis was performed to obtain a specific serum protein signature that could predict ascorbic acid levels. After adjustments for waist circumference, LDL, HDL, fasting insulin, fasting blood glucose, age, gender, and dairy intake; serum ascorbic acid correlated positively with different aspects of the immune system. Machine learning analysis indicated that a signature composed of 21 features that included 17 proteins (mainly from the immune system), age, sex, waist circumference, and LDL could predict serum ascorbic acid levels in hyperinsulinemia subjects. In conclusion, the result reveals a correlation as well as modulation between serum ascorbic acid levels and proteins that play vital roles in regulating different aspects of the immune response in individuals at risk of T2D. The development of a predictive signature for ascorbic acid will further help the assessment of ascorbic acid status in clinical settings.

Environmental pressures and pesticide exposure associated with an increase in the share of plant-based foods in the diet

Diets rich in plant-based foods are encouraged for human health and to preserve resources and the environment but the nutritional quality and safety of such diets is debated. This study aimed to model nutritionally adequate diets with increasing plant food content and to characterise the derived diets using a multicriteria approach including, nutrients intake, environmental pressures and exposure to pesticides. Using data of the NutriNet-Santé cohort (N = 29,413), we implemented stepwise optimization models to identified maximum plant-food content under nutritional constraints. Environmental indicators at the production level were derived from the DIALECTE database, and exposure to pesticide residues from plant food consumption was estimated using a contamination database. Plant-based foods contributed to 64.3% (SD = 10.6%) of energy intake in observed diets and may reach up to 95% in modelled diets without jeopardizing nutritional status. Compared to the observed situation, an increase in plant-based foods in the diets led to increases in soy-based products (+ 480%), dried fruits (+ 370%), legumes (+ 317%), whole grains (+ 251%), oils (+ 144%) and vegetables (+ 93%). Animal products decreased progressively until total eviction, except for beef (− 98%). Dietary quality (estimated using the Diet Quality Index Based on the Probability of Adequate Nutrient Intake) was improved (up to 17%) as well as GHGe (up to − 65%), energy demand (up to − 48%), and land occupation (− 56%) for production. Exposures to pesticides from plant-based foods were increased by 100% conventional production and to a much lesser extent by 100% organic production. This study shows that shifting to nutritionally-adequate plant-based diets requires an in-depth rearrangement of food groups’ consumption but allows a drastic reduction environmental impact. Increase exposure to pesticide residues and related risks can be mitigated by consuming foods produced with low pesticide input.

Do Brazilian regulatory measures promote sustainable and healthy eating in the school food environment?

BackgroundRegulatory measures regarding food in the school environment aim to promote a healthier food environment in public and private schools. In Brazil, implementing regulations in the school food environment does not occur the same way across states and cities, and no national regulation covers public and private schools. The present study aims to analyze regulatory measures for school food environments in Brazilian states and cities and develop a score to evaluate them.MethodsA systematic search of the regulatory measures in force and implemented until 2021 was conducted. The score was developed based on the Model Law Project prepared by the Brazilian Institute for Consumer Protection. It considered food and nutrition education actions, restrictions on the sale and distribution of food, a ban or restriction on food advertising and marketing, and points of excellence. These points included regulations that addressed the importance of supervision and social control, laws regulated by decree, the mention of a ban on ultra-processed foods, and whether the regulatory measures covered public and private schools.ResultsSixty-five cities and states regulatory measures in force were found to be evaluated jointly by a federal entity (n = 43). Among the federal entities evaluated, only 13.95% fulfilled the function of promoting sustainable and healthy eating (8–12 points).ConclusionsBrazilian children and adolescents are exposed to a school food environment with regulations that partially fulfill the function of promoting an adequate, healthy, and sustainable diet. In this sense, it is necessary to improve regulatory measures or to encourage states and cities to develop effective legal provisions that are in line with the food guide for the Brazilian population and with the perspective of a healthy school food environment for the effective promotion of adequate, healthy and sustainable and healthy food in schools.

PSIV-1 Nutrient Intervention During Gilt Development Leads to Effects on Progeny Growth Responses

Abstract To elucidate the effect of early life dietary nutrient level and vitamin D source during gilt development on progeny growth performance, equal number of weaning age piglets (n = 72) were selected from each of 4 sow treatments group. All pigs were fed a common 3,000 ppm zinc diet for first two weeks postweaning to allow for accommodating the weaning process. At the beginning of week 3, pigs were sorted by sow parity and BW within gender and stratified based on maternal dietary treatments. Dietary treatments during gilt development period included two levels of dietary nutrients (Adeq: optimal growing diet that exceed NRC 2012 recommendation or Low: moderate slow growing diet that SID lys and ME levels were gradually reduced by 0.03% and 0 kcal/kg, 0.15% and 146 kcal/kg, and 0.15% and 150 kcal/kg, respectively) and two sources of vitamin D [StD: 1653 IU cholecalciferol/kg or HyD: 500 IU cholecalciferol/kg + 50 mcg calcifediol (ROVIMIX HY.D DSM Nutritional Products North America)] during development phase 1 (23 to 57 kg), 2 (57 to 91 kg), and 3 (91 until breeding). Dietary nutrient level treatment was withdrawn during gestation and lactation stages, while sows remained on their vitamin D treatments. Progeny were fed with a 6-phase feeding regimen as nursery phase 3 (14 d) and 4 (14 d), grower phase 1 (28 d) and 2 (28 d), and finisher phase 1 (28 d) and 2 (28 d). All pigs were transferred to a commercial processing plant where carcass characteristics were measured. Data were analyzed using Mixed procedure of SAS (Cary, NC) with maternal diet nutrient level, vitamin D source and the interaction as fixed effects. Progeny born from sows fed HyD diets had greater ADG in overall grower/finisher phases (P = 0.04) and during the whole trial (P = 0.03). This weight gain improvement increased the final BW, HCW, and yield percentage over StD derived progeny by 3.19 kg, 3.56 kg and 0.11% (P = 0.04, 0.02 and < 0.01), respectively. Dietary nutrient level had limited effect on progeny ADG and BW during the preslaughter period. The maternal vitamin D source did not affect progeny ADFI but overall G:F tended (P = 0.06) to be greater in pigs sourced from dams fed HyD . A maternal vitamin D by nutrient level interaction was observed for ADFI during grower/finisher phases (P = 0.05) and overall (P = 0.07) because progeny from gilts fed a low nutrient level had greater intake than cohorts from gilts fed an adequate nutrient diet, while ADFI was similar for all offspring from gilts fed HyD diets. These results indicate that manipulating nutrients during gilt development, or feeding HyD rather than StD to reproducing sows, can affect growth of their progeny to slaughter.

The effects of lifestyle changes like diet, toilet habits, physical activity and others in children with functional constipation

Background: Functional constipation is common in pediatric age group. Our aim is to evaluate the effects of lifestyle changes (diet, toilet habits, physical activity and others) in children with functional constipation, and to assess the risk factors of functional constipation in Indian children. Methods: This was an observational, prospective, questionnaire and proforma based (pretested and predesigned) follow-up study. Duration was from January 2016 to December 2017. Study was conducted at, department of paediatrics, Mahatma Gandhi Medical College, Jaipur. Results: On regular follow-up, stool frequency was improved after changing the lifestyle factors like adequate physical activity (p<0.05, CI: 0.27) and regular toilet habits (p<0.05, CI:0.93), blood/mucus, straining, painful defecation and pain abdomen, all are showing significant improvement (p<0.05) after relieving constipation. On regular follow-up Need of disimpaction (polyethylene glycol or proctoclys enema) reduced significantly (p=0.001), number of cases with adequate fiber diet improved significantly (p=0.001), Number of children consuming frequent junk food decreased significantly (p=0.001). Conclusions: Initial disimpaction, if needed and maintenance laxative therapy (1-3 months as per need) along with major lifestyle changes like fibers rich diet, avoidance of junk food, adequate physical activity, optimal sleep hygiene, and daily regular toilet habits have significantly positive correlation with improvement in functional constipation and its symptoms.

Could commercial meal kits be part of the solution to food insecurity during pregnancy? An Australian exploratory study.

To explore the nutritional content of meal kits from two main Australian companies over a 6-week period against healthy eating guidelines for pregnancy. Across the 6-week period, weekly meal kits from both Provider 1 and Provider 2 were purchased, 36 individual meals were assessed. All data were analysed for the development of a macronutrient and micronutrient profile of meals. Extracted data were macronutrient, vitamin, and mineral composition, which were compared against the healthy eating guidelines for pregnant women in Australia and New Zealand. Meal kits include higher levels of sodium, and lower levels of dietary fibre, calcium, magnesium, zinc, iron, thiamin, riboflavin, grains, and dairy when compared against the guidelines for healthy eating for pregnant women in Australia and New Zealand. Meal kits may increase meals prepared and consumed in the home, and thanks to the clear instructions and pre-portioned ingredients, may reduce stress related to food preparation. They have the potential to provide nutritionally adequate meals to pregnant women as a way to mitigate food insecurity or hunger during pregnancy and may provide some nutritional benefits and have the potential to remove some of the challenges with maintaining an adequate diet when pregnant.