Adequate Nutrient Intake Research Articles

Meat consumption and racial/ethnic disparities in population-based study in the city Campinas, Brazil

The aim of the present study was to investigate meat consumption among adults residing in a city in the countryside of São Paulo, Campinas, according to ethnicity/skin color in two periods: 2008/2009 and 2014/2015, given the scarce literature on the subject. Thus, we sought to evaluate the association between race/color and consumption of meat, a food of great cultural value, based on the hypothesis that this demographic marker is relevant to explain food choices. A cross-sectional population-based study evaluating participants from the Health Survey of the City of Campinas (ISACAMP) was conducted in 2008/2009 and 2014/2015, with 2,354 and 1,606 individuals respectively, aged 20y or older. Food consumption data were collected using the 24-hour food recall method and meats were classified according to animal origin and type of processing. Linear regression models were run to assess the association between meat consumption and sociodemographic variables with a significance level of 5%. Lower total consumption of meat, red meat, beef and fish was found among individuals with self-declared black skin color compared to those with self-declared white skin color. Red meat consumption varied from 109.4g to 157.9g in 2008/2009 and from 102.1g to 125.1g in 2014/2015 between the groups, remaining above the recommendation in both periods. The World Cancer Research Fund recommends consuming between 50 and 71.4 g/day of red meat; thus, these findings reinforce the importance of studies that investigate the impact of ethnicity on food consumption, since racial disparities may be in the origin of the insufficient or excessive consumption of certain types of meat, and understanding the factors associated with the consumption of types of meat is relevant for the adoption of health actions aimed at adequate food intake.

Plant-based dietary patterns, nutrient intake, growth, and body composition in childhood: Results from a prospective population-based study.

Transitioning to more plant-based diets promotes environmental sustainability and has health benefits for adults. However, associations with nutrient intake adequacy and growth in children remain unknown. This study aimed to examine associations of plant-based diets with nutrient intake levels among children, and with longitudinal growth and body composition up to adolescence. We included 3340 children in the Generation R Study, a population-based cohort. Food and nutrient intake were assessed at the age of 8 years, and anthropometrics and body composition (using dual-energy X-ray absorptiometry) were measured at the ages of 10 and 13 years. Plant-based diets were quantified using three plant-based diet indices (PDIs): overall plant-based diet index (PDI), healthful PDI (hPDI), and unhealthful PDI (uPDI). Modified Poisson regression and linear mixed models were used to estimate the associations of PDIs with nutrient intake levels, and with sex- and age-standardized measures of anthropometrics and body composition. Higher scores on each of the three PDIs were associated with lower intake of vitamin B2, B12, and calcium, while higher hPDI score was associated with higher intake levels of fiber, vitamin C, magnesium, and copper. Higher hPDI score was also associated with higher fat-free mass index (FFMI) z-score (0.05 per 10-hPDI score increment, 95% CI: 0.01, 0.10), and with lower body fat percentage z-score (-0.05, 95% CI:-0.09,-0.01), while higher uPDI score was associated with lower height, weight, and FFMI z-score (FFMI:-0.08, 95% CI:-0.12,-0.03) up to age of 13 years. In this cohort study, higher adherence to healthful plant-based diets, rather than unhealthful ones, was associated with better nutrient intakes, and subsequent healthy body composition throughout childhood to adolescence. Our findings suggest that consuming healthful plant-based foods may contribute to children's diets' nutrient quality and subsequent body composition. Still, attention should be given to ensuring balanced and adequate nutrient intake for optimal plant-based eating.

Dietary Food Record Charts and digital photography effectively estimate hospital meal consumption.

Optimal nutritional intake is essential to support nutritional status and improve recovery in hospital patients. To monitor adequate food intake in patients, reliable and accessible methods to quantify patient food intake accurately are needed. The present study aims to compare the accuracy of two methods, Food Record Charts (FRCs) and Digital Photography (DP), in estimating food intake with the gold standard of Weighed Food Records (WFRs). Thirty nurses, healthcare assistants, and researchers participated in a single-blind, prospective study to estimate food consumption using both FRCs and DP for 27 different hospital meals (6 breakfasts, 6 lunches, 6 dinners, and 9 snacks) consisting of 108 different food items. FRCs and DP estimates were compared to WFRs using the average estimations of all participants. Bland-Altman plots were used to identify any discrepancies in the accuracy of food intake estimation. FRCs overestimated food consumption by 3.2±14.7% and DP by 4.7±15.8% compared to WFRs. The Bland-Altman plots showed limited variation. Similar results were found when analyzing energy and protein content subcategories, the consumed amount, food categories, and food consistency. The inter-rater agreement was W=0.733 (P=0.000) and W=0.682 (P=0.000) for FRCs and DP, respectively. FRCs and DP are accurate methods for quantifying food consumption in hospital meals compared to WFRs, with an overestimation of food consumption by less than 5%.

Maternal Lifestyle Factors Affecting Breast Milk Composition and Infant Health: A Systematic Review.

Breast milk is a dynamic, personalized nutrition source, influenced by maternal diet, lifestyle, and environmental factors, which shape its composition and impact infant health. This review synthesizes evidence on the associations between maternal lifestyles (e.g., diet, physical activity, smoking), breast milk composition, and child health, offering insights for interventions to optimize breastfeeding benefits. We searched Web of Science, Medline, Embase, and PubMed for studies published up to March 2024 using predefined terms. Out of 5244 articles, 20 studies met the inclusion criteria. Maternal Body Mass Index and macronutrient intake significantly affected breast milk fatty acid composition, influencing infant growth, cognitive development, and metabolic health. Micronutrient intake, particularly iodine, omega-3 fatty acids, and vitamins, was linked to better neurodevelopment and reduced atopic risks. Maternal diet and supplementation improved breast milk nutrient profiles and infant outcomes, though exposure to toxins like ochratoxin A raised concerns. Smoking was associated with altered milk composition, including lower osteopontin levels, potentially affecting infant immunity and growth. This review emphasizes that adequate intake of key nutrients is essential for infant development, highlighting the need for policies that address nutritional deficiencies, promote healthy lifestyles, and reduce socio-economic barriers. These efforts can improve outcomes for both mothers and children, enhancing public health and reducing disparities.

Ketogenic Diet as a Nutritional Metabolic Intervention for Obsessive-Compulsive Disorder: A Narrative Review.

The substantial evidence supporting the ketogenic diet (KD) in epilepsy management has spurred research into its effects on other neurological and psychiatric conditions. Despite differences in characteristics, symptoms, and underlying mechanisms, these conditions share common pathways that the KD may influence. The KD reverses metabolic dysfunction. Moreover, it has been shown to support neuroprotection through mechanisms such as neuronal energy support, inflammation reduction, amelioration of oxidative stress, and reversing mitochondrial dysfunction. The adequate intake of dietary nutrients is essential for maintaining normal brain functions, and strong evidence supports the role of nutrition in the treatment and prevention of many psychiatric and neurological disorders. Obsessive-compulsive disorder (OCD) is a neuropsychiatric condition marked by persistent, distressing thoughts or impulses (obsessions) and repetitive behaviors performed in response to these obsessions (compulsions). Recent studies have increasingly examined the role of nutrition and metabolic disorders in OCD. This narrative review examines current evidence on the potential role of the KD in the treatment of OCD. We explore research on the KD's effects on psychiatric disorders to assess its potential relevance for OCD treatment. Additionally, we identify key gaps in the preclinical and clinical research that warrant further study in applying the KD as a metabolic therapy for OCD.

Minimum dietary diversity behaviour among children aged 6 to 24 months and their determinants: insights from 31 Sub-Saharan African (SSA) countries

BackgroundFeeding practices during infancy have a significant impact on a child’s cognitive development and long-term health outcomes. Dietary diversity guidelines from the WHO and UNICEF recommend a diverse range of foods for children aged below 24 months for their optimal growth and development. However, in sub-Saharan Africa (SSA), little is known about the extent to which dietary diversity behaviour in children aged 6 to 24 months aligns with the recommendations and the factors associated with the differentials in dietary behaviour. This study aimed to fill this gap.MethodsThis study employed an analytical cross-sectional approach, drawing on recent Demographic and Health Survey (DHS) data from 31 SSA countries. The study included a weighted sample of 44,071 children aged between 6 and 24 months, and their respective mothers aged 15–49 years. The primary outcome was Minimum Dietary Diversity (MDD) categorised per WHO recommendation. Multivariable logistic regression was used to examine the association of MDD with demographic and socio-economic characteristics.ResultsThe pooled MDD intake among children aged 6–24 months in SSA was 11% ranging from as low as 1.3% in Burkina Faso to 32.9% in South Africa. Children of mothers aged 45–49 years had 52% significant higher likelihood of MDD compared to those aged 15–19 years (AOR = 1.52, 95% CI:1.03, 2.24). Higher maternal education levels also increased MDD odds in the children: 22% higher for mothers who had attained secondary education (AOR = 1.22, 95% CI:1.07, 1.39), and 36% higher for those with education beyond secondary level (AOR = 1.36, 95% CI:1.09, 1.71) compared to no education. Children of rich mothers had 44% higher odds of MDD than those with poor mothers (AOR = 1.44, 95% CI:1.27, 1.62). Increased antenatal visits, and urban residence also contributed to higher MDD odds.ConclusionBased on the current global estimate of approximately 28% MDD rate, the reported 11% MDD intake among children in this study is relatively low. There is a positive association between MDD intake in children and several factors, including maternal education, antenatal visits, wealth index, and residency. These findings highlight the need for policymakers and other stakeholders to give urgent attention to empowering parents to ensure adequate nutrient intake among children for better child growth and development.

Consumption of a milk low in lactose high in intrinsic fiber is associated with improved nutrient intake adequacies in Chinese adults: a diet modelling study

Despite national dietary guidelines, dairy intakes remain low in China, partially because of high prevalence of lactose malabsorption1. The fibre intake adequacy is also low comparing to the recommendation in China2. Milk-N is a new range of fortified and non-fortified low-lactose/highfibre milk products. In this study we analyzed the associations between consumption of Milk-N products and nutritional status using diet modelling3.We used data from China Health and Nutrition Survey-20114, participants above 20y were included in the analysis (n = 12127, 47% men, 53% women). Nutrient intakes were estimated through 3 days dietary record and household food inventory. Two diet scenarios were modelled: A) Adding a serving (200ml) of generic milk or of Milk-N to participants not meeting the dairy recommendation, and B) Substituting dairy food intakes with Milk-N in equivalent amount for dairy consuming participants. Paired t-test and Pearson’s Chi-squared test were used to compare the amount of intake and prevalence of nutrient intake adequacy between the two types of addition, and before and after the substitution.Overall, 17.4% of participants consumed dairy foods with an average intake of 160.5g/day, among those 81.2% consumed milk. Only 1.1% of the population met dairy intake recommendations.In the addition scenario, compared to the addition of generic milk, adding one serving of fortified or non-fortified Milk-N increased fibre intake by 25-35% (from 17.6g/day to 22-23.8 g/day), leading to increased fibre intake adequacy from 16.4% to 27.0-32.8%, i.e. 65-100% increase. Addition of fortified Milk-N improved daily average intakes of calcium, iron, zinc, vitamins A and C by 27-31%, 9%, 8%, 3%, and 16%, respectively. Consequently, the proportion of the population with inadequate intakes decreased (p<0.01) for generic milk vs fortified Milk-N as follows, for calcium (66.3% vs. 23.4-29.6%), iron (5.5% vs. 2.2%), zinc (28.1% vs. 18.9%), vitamin A (61.7% vs. 52.7%) and vitamin C (62.4% vs. 51.5%).In the substitution scenario, replacing current dairy food intake with fortified or non-fortified Milk-N increased fibre intake by 20-27% (from 18.4 to 22.0-23.4g/day), leading to increased proportion of dairy consumers with adequate fibre intake from 18.7% to 28.2-32.3%, i.e., 51-73% increase. Substitution with fortified Milk-N improved intakes of calcium, iron, zinc, vitamins A and C by 2327%, 7%, 7%, 10%, and 12%, respectively. Consequently, the proportion of dairy consumers with inadequate micronutrient intakes significantly decreased (p<0.01) for calcium (from 72.9% to 50.353.3%), iron (from 7.5% to 4.7%), zinc (from 33.0% to 26.1%), vitamin A (from 56.9% to 47.4%), and vitamin C (from 60.2% to 50.8%).In addition to the reduced lactose that helps to address lactose malabsorption, consumption of any Milk-N alternative could improve fibre intake, while fortified Milk-N could also contribute to reducing micronutrient inadequacies in Chinese adults.

Incretin-Based Therapies and Lifestyle Interventions: The Evolving Role of Registered Dietitian Nutritionists in Obesity Care

The emergence of incretin-based therapies, specifically glucagon-like peptide-1 receptor agonists and glucose-dependent insulinotropic polypeptide, as a new class of obesity medications, is dramatically changing obesity care. Use of these medications, known categorically as anti-obesity medications, as part of comprehensive obesity management is associated with significantly greater weight loss and health benefits than found with earlier-generation obesity medications. The outcomes reported from medication trials were often achieved in conjunction with lifestyle counseling sessions by a registered dietitian nutritionist (RDN) or other qualified health care professional. Research demonstrates that evidence-based obesity care should incorporate lifestyle interventions. Counseling by an RDN, paired with incretin-based therapies, can play a critical role in supporting adherence to the medication regimen, preventing and managing adverse effects, adequate nutrient intake, and establishment of lifestyle behaviors for long-term weight and health management. To date, minimal research has been reported on the impact of incretin-based therapies on food and nutrient intake. Until that research is conducted, RDNs and other health care professionals can apply knowledge and experience from clients who have undergone other intensive treatments. This article provides considerations for lifestyle interventions, with a focus on medical nutrition therapy provided by RDNs for adults prescribed incretin-based therapies. RDNs have the education and training to provide medical nutrition therapy for people with overweight or obesity, as well as lifestyle counseling on physical activity, stress management, sleep hygiene, goal setting, and other behaviors associated with positive health outcomes. RDNs have a critical role in the integration of incretin-based therapies into obesity management.

Methodology for developing and validating Bangladesh healthy eating index: A study protocol.

One of the widely used methods for evaluating the overall quality of a diet is the Healthy Eating Index. In the present study protocol, we lay out the methodological approach to the development and validation of a healthy eating index specific for the Bangladeshi population (hereinafter referred to as Bangladesh Healthy Eating Index (BD-HEI)). Bangladesh Healthy Eating Index will be developed based on the Food-based dietary guidelines (FBDG) of Bangladesh. Using a scoring system that aligns with the eleven food groups outlined in the FBDG, the index will consist of eleven eating components. A cross-sectional community nutrition survey will be carried out among 1080 reproductive-aged women. Through this survey, quantitative dietary data will be collected following multiple pass 24h dietary recall method. Repeated 24-hour dietary data (of two consecutive days) will be collected from one-third of the respondents. Evaluating usual food and nutrient intake as well as the probability of nutrient intake adequacy, the study will examine the validity of the BD-HEI. Following a suitable statistical procedure, the reliability and construct validity of BD-HEI will be evaluated. Country-specific HEI can be used to assess the dietary quality of the people of that country. The findings from this research can inform policy decisions and strategies to promote healthier eating habits and combat the rising burden of diet-related diseases in the country.

Effect of Diet and Dietary Patterns on the Progression of Multiple Sclerosis: A Review

The link between diet and the progression of Multiple Sclerosis (MS) is a topic of growing interest and investigation within the medical community. This review explored the mechanisms through which dietary interventions can impact the course of MS and shape the clinical outcomes and quality of life of individuals with the disease. By synthesizing current knowledge from clinical studies and observational research, the review aimed to provide insights into the role of diet in managing MS. A comprehensive literature search was conducted, focusing on the effect of diet and dietary patterns on the progression of MS. Key findings indicated that individuals with higher diet quality exhibit reduced disability levels and lower symptom severity, emphasizing the importance of maintaining a healthy diet and adopting a holistic, healthy lifestyle in managing MS. The review also delved into the potential impact of macronutrients, vitamins, and minerals on the progression of MS, highlighting the importance of adequate nutrient intake for optimal health outcomes. Additionally, the study explored the association between dietary intake variations and the severity of MS, suggesting that further investigation is needed to understand the potential implications of nutrient deficiencies in MS patients. Overall, the review serves as a valuable resource for healthcare professionals and individuals living with MS, providing evidence-based dietary approaches that may help optimize health outcomes and mitigate the burden of the disease. It also calls for future research directions in the critical area of dietary management of MS to enhance our understanding and improve patient care.

The association between early postoperative food intake and postoperative hospital length of stay in patients undergoing cardiac surgery: A retrospective observational single-center study

Background & AimsPerioperative nutritional status is critical during the postoperative recovery process in patients undergoing cardiac surgery. Several studies on patients undergoing cardiac surgery have reported low energy intake in early postoperative food intake via oral nutrition; however, no study has shown an association of low energy intake with postoperative hospital length of stay (LOS). This study aimed to determine whether early postoperative low food intake was associated with prolonged postoperative hospital LOS in patients undergoing cardiac surgery. MethodsThis was a retrospective, observational, single-center study conducted in patients aged ≥18 years undergoing elective cardiac surgery from January 1, 2020, to May 31, 2023. Patients were categorized by food intake as food intake < 50% (low food intake group) and ≥ 50% (adequate food intake group) at lunch on postoperative day (POD) 3. The primary outcome of this study was the postoperative hospital LOS. A generalized linear model was used to examine the association between food intake and postoperative hospital LOS using the following explanatory variables: age, European System for Cardiac Operative Risk Evaluation (EuroSCORE) II value, preoperative risk of malnutrition, activities of daily living status, Sequential Organ Failure Assessment score, and C-reactive protein level. ResultsOf the 315 patients, 104 (33.0%) had a food intake of <50% on POD3. There were no significant differences in age, sex, EuroSCORE II value, and comorbidities between the two groups. Patients in the low-food intake group had a significantly lower Barthel Index (6.7% vs. 1.4%, p = 0.017) and a higher malnutrition risk according to the Mini Nutritional Assessment Short Form score (40.4% vs. 28.2%, p = 0.043). Food intake of <50% on POD3 was associated with prolonged postoperative hospital LOS (β = 1.135 [95% confidence interval: 1.004–1.262], p = 0.018). ConclusionsLow food intake on POD3 is associated with prolonged postoperative hospital LOS in patients undergoing elective cardiac surgery. Early postoperative food intake should be closely monitored in patients after elective cardiac surgery.

Overview of Dietary Supplements Use: A Narrative Review

Abstract: Dietary supplements are ingestible nutrient products used in individuals’ diets to meet their adequate intake of nutrients required for general health purposes. This review aims to explore the impact of using dietary supplements in relation to communicable and non-communicable diseases, as well as some adverse effects caused by dietary supplements. Findings indicated that vitamin D supplements can aid in recovery from flu and COVID-19. Folic acid can reduce stroke incidents among adults with hypertension. Moreover, vitamin C or calcium intake is significantly associated with lowering diabetes risk. Advantageous effects have been reported of high doses of vitamin C against breast cancer. Moreover, frequent consumption of vitamin E reduced the risk of chronic lung diseases by 10%. In conclusion, the present review confirms the beneficial health effects of dietary supplement consumption and suggests further investigations for a better understanding of their mechanisms in the prevention and treatment of communicable and non-communicable diseases.

Factors Related To Compliance With The Consumption Of Iron Tablets In Adolescent Females

Background : Anemia is a condition characterized by decreased hemoglobin levels, red blood cell counts, and impaired oxygen requirements. One type of anemia that is often experienced by adolescents is iron deficiency anemia, due to the high iron requirements for adolescent growth which is inversely proportional to the amount of iron intake of adolescents. Many factors cause adolescent girls not to consume or still low consumption of Iron Supplement Tablets in Adolescent Girls. This study aims to determine the factors that influence compliance in taking iron tablets in adolescent girls at SMP Negeri 1 Kotabunan. Materials and Methods: This type of research uses quantitative observational analytic with a cross-sectional approach conducted on 74 female students taken from total sampling. Data collection was obtained from a research instrument in the form of a questionnaire. Data analysis was carried out by univariate analysis carried out on each variable and bivariate using the Charles Spearman Correlation Test or Spearman's Rank Correlation Coefficient with a confidence level (alpha) of 0.05. Results:of the study showed that respondents started menstruating at the age of 11-12 years by 35%, adolescent girls were obedient in consuming iron tablets by 57 people (77%), knowledge of adolescent girls by 67 people (90.5%) with a good category, Teacher Support 82.4%, Family 66.2% and Peers 77% supported adolescent girls consuming iron tablets, the correlation coefficient value with the Spearman's Rank test. for knowledge with compliance in consuming iron tablets 0.000, teacher support 0.003, family support 0.000 and peer support 0.007. There is a relationship between the level of knowledge, teacher support, family support and peer support with compliance in consuming iron tablets with a correlation coefficient value (sig.2-tailed) &lt;0.05. Conclusion: Adolescents in the growth and development period require adequate nutrient intake including the consumption of iron tablets to avoid anaemia. This study shows that factors associated with adherence to iron tablet consumption in adolescent girls are knowledge, attitude, parental support and teacher support.

Infants Sucking Pattern Identification Using Machine-Learned Computational Modeling

Abstract Breastfeeding involves a complex coordination of swallowing, breathing, and sucking, with the infant's sucking proficiency being crucial for adequate nutrient intake. However, real-time assessment of milk intake is difficult, and issues with sucking often become apparent after the infant shows signs of nutrient deficiency. Traditional assessments by clinicians rely on the expertise and subjective judgment of healthcare professionals, enabling personalized evaluations. In this research, we introduce a novel approach to identifying sucking patterns by leveraging data collected from infants during breastfeeding sessions. This method utilizes artificial nipple-based sensors to capture the tongue forces exerted by infants, generating valuable clinical data. In the analysis of the collected time-series data, we applied machine-learned computational modeling (MLCM) algorithms to extract pertinent features and identify distinctive sucking patterns. The best-performing model demonstrated an accuracy of 90%, an 80% recall score, a perfect 100% precision score, a 0.90 f1-score, and an area under the curve (AUC) of 0.80. The proposed classification system has the potential to serve as a reliable decision-support tool for clinicians, offering valuable insights into infants' sucking behaviors. By integrating machine learning (ML)-based computational modeling into clinical practice, we aim to enhance the early identification of unhealthy sucking patterns, allowing for timely interventions and pro-active healthcare management.

Assessment of energy and nutrient intake adequacy and dietary diversity of pregnant women in Abidjan

Background: Dietary diversity is a potential indicator of adequate nutrient intake. Aims: The study assessed dietary diversity and adequacy of nutrient intake among pregnant women in Abidjan (Côte d’Ivoire). Subjects and Methods: A cross-sectional study was conducted on 389 healthy pregnant adult women aged 20 to 43. Participants completed a three-day, 24-hour dietary recall questionnaire and dietary data were converted into nutrient amounts using Nutrisurvey software. Dietary Diversity Score (DDS) was based on nine food groups aggregated from a 15-item questionnaire. Nutrient intake was assessed using the Nutrient Adequacy Ratio (NAR) with the mean adequacy ratio (MAR) serving as an overall indicator of diet quality. Data were analyzed using SPSS version 25. Results: The mean DDS among pregnant women was low at 4.30 ± 1.04, with diet primarily consisting of cereals, white tubers, roots, vegetables and fish. The average energy intake of pregnant women was 2429 kcal/day for over 60 % of participants. While the majority met the Recommended Daily Allowance (RDA) for carbohydrates, fats, proteins, and vitamin B12. However, intakes of calcium, iron, magnesium, zinc, folates and vitamin C were below the RDAs for most pregnant women. The average MAR for pregnant women was 70.86% and exhibited a positive correlation with DDS (r = 0.37; p &lt; 0.001). NAR for energy and other nutrients was positively correlated with DDS, except for vitamins B12 and C. Conclusions: Pregnant women with adequate nutrient intakes consumed a diverse range of foods. Dietary diversity can therefore provide be a reliable indicator of nutrient adequacy in the diets of pregnant women in Abidjan’s hospital. Keywords: Dietary diversity, nutrient intake, nutrient adequacy ratio, pregnant women, Côte d'Ivoire.

Contribution of fortified foods and dietary supplements to total nutrient intakes and their adequacy in Japanese adults

BackgroundThis study examined how fortified foods and dietary supplements contributed to total nutrient intakes and their adequacy in Japanese adults.MethodsNutrient intake was estimated from 4-day dietary records of 392 adults (20–69 years) in total intake considering intakes from fortified foods and dietary supplements and in base diets without considering their intake. Users were defined as participants who used at least one fortified foods and/or dietary supplements during the 4-day recording period. The proportion of participants whose intake was below the Estimated Average Requirements (EAR) or exceeded the Tolerable Upper Intake Level (UL) provided in the Dietary Reference Intakes for Japanese was calculated.ResultsIn 122 identified users (31% of participants) of fortified foods and/or dietary supplements, the mean contributions of fortified foods and dietary supplements to total intake were < 4% and < 21%, respectively, for all 25 examined nutrients. Users were more likely to meet the EAR than non-users for six nutrients in the base diets and nine nutrients in the total intake. Among the users, the prevalence of participants below the EAR decreased by ≥ 10% in the total intake compared with the base diet for five nutrients. No nutrient intake from the base diet exceeded the UL in users and non-users; however, vitamin B6 intake in 2% of users exceeded the UL of their total intake.ConclusionAlthough the users of fortified foods and/or dietary supplements had better nutrient intake than non-users in base diets, fortified foods and dietary supplements helped the Japanese users achieve adequate intakes of certain nutrients without a risk of excessive intake (except for vitamin B6).

Dairy Consumption at Breakfast among Southeast Asian Children: Associations with Nutrient Intake from the South East Asian Nutrition Surveys II (SEANUTS II).

Children's rapid growth requires adequate nutrient intake, with breakfast, especially when incorporating dairy, playing an important role. This study examined associations between dairy consumption at breakfast and energy and nutrient intake among children in Southeast Asia. Utilizing the cross-sectional South East Asian Nutrition Surveys II dataset, using a 24 h dietary recall and questionnaires distributed among 10,286 children aged 2 to 12 years from Malaysia, Thailand, Indonesia, and Vietnam, we investigated the impact of dairy consumption at breakfast on nutrient intake and examined associations between breakfast consumption and the prevalence of stunting and overweight/obesity among 10,135 children. Although most of the children consumed breakfast, only 37%, 27%, 16%, and 18% in Malaysia, Thailand, Indonesia, and Vietnam, respectively, included dairy in this meal, with younger children being significantly more likely to consume dairy at breakfast (p < 0.001). Dairy consumers had significantly higher intakes of vitamins A, B12, and D and calcium both at breakfast and throughout the day (p < 0.001). Breakfast skippers had a 29% increased risk of being overweight/obese. Dairy consumption at breakfast was associated with enhanced nutrient intake and overall diet quality among Southeast Asian children. The association between breakfast habits and anthropometric outcomes highlights the need to address nutritional deficiencies and promote healthy growth and development.

Validation of the minimum dietary diversity for women as a predictor of micronutrient adequacy among lactating women in Ethiopia.

The Minimum Dietary Diversity for Women (MDD-W) indicator is used as a proxy indicator for assessing micronutrient adequacy among women of the reproductive age group. Variations were observed in studies, and there was also a lack of evidence regarding the performance of this proxy indicator in Ethiopia, a country with diverse dietary consumption practices. This study aimed to validate the performance of the MDD-W in predicting micronutrient intake adequacy among lactating women in Ethiopia. A community-based cross-sectional study was conducted among randomly selected 457 lactating women in Northwest Ethiopia from February 2 to 18, 2023. A multistage sampling technique was used to select 457 study participants. A single multiphasic interactive 24-h dietary recall was used to collect dietary intake data. Ten food groups were used to compute the Minimum Dietary Diversity for Women, and the Mean Adequacy Ratio was used to assess nutrient intake adequacy. Spearman's rank correlation test, Cohen's kappa statistics, and ROC curve analysis were conducted. The optimal cutoff points for Minimum Dietary Diversity for Women were determined by selecting the points that maximized the Youden index. MDD-W had poor positive correlation (ρ = 0.19, p < 0.001) and poor predictive ability (AUC = 0.62, 95% CI: 0.56, 0.67) (p < 0.001) with the Mean Adequacy Ratio in determining micronutrient intake adequacy. The sensitivity and specificity of the MDD-W in the ≥5 food groups standard cutoff were 25.2 and 82.3%, respectively. The optimal cutoff point for MDD-W to predict micronutrient intake adequacy was ≥3 food groups. Minimum Dietary Diversity for Women had a poor correlation and poor predictive ability in predicting micronutrient intake adequacy. The variations noted in studies and differences from the Food and Agriculture Organization recommendations regarding the cutoff and level of performance of MDD-W in defining micronutrient adequacy warrant further investigation.

Nutrients, Diet Quality, and Dietary Patterns in Patients with Inflammatory Bowel Disease: A Comparative Analysis.

(1) Background: Diet plays an important role in the development of inflammatory bowel disease (IBD). There are a number of methods available to assess the diets of patients with IBD, including nutrients, dietary patterns, and various appraisal tools of diet quality. However, research on diet quality and dietary patterns in IBD populations is limited, and comparative evaluations of dietary intake in patients with IBD have not been performed. (2) Objectives: The aim of this study was to assess nutrients, the dietary patterns, and diet quality of patients with IBD and to investigate the relationship between dietary patterns, diet quality, and the adequacy of nutrient intake. (3) Methods: Three-day food records of 268 patients with ulcerative colitis (UC) and 126 patients with Crohn's disease (CD) were collected to estimate nutrients and food groups, while dietary quality was assessed using the Dietary Inflammation Index (DII) and Mediterranean Diet Score (MDS). Dietary patterns were derived using principal component analysis (PCA). Participants' nutrient intake, diet quality, and dietary patterns were compared. We used binary logistic regression to assess the relationship between dietary patterns (independent variable) and nutritional adequacy (dependent variable). (4) Results: In our sample, patients had inadequate energy, protein, and dietary fiber intake compared with Reference Nutrient Intake (RNI). Regarding micronutrients, intakes of potassium, zinc, selenium, vitamin A, vitamin C, vitamin E, sodium, calcium, iron, niacin, thiamin, and riboflavin were inadequate. Regarding food groups, the highest intakes were fruits, legumes, dairy products, and nuts. PCA revealed four dietary patterns, namely DP1, DP2, DP3, and DP4. Among UC patients, 96, 55, 69, and 48 patients adhered to DP1, DP2, DP3, and DP4 dietary patterns, respectively. Among CD patients, 41, 31, 34, and 20 patients complied with the dietary patterns of DP1, DP2, DP3, and DP4, respectively. There was no significant difference in dietary patterns between UC and CD patients. Compared with DP4 (high intake of mixed legumes and low intake of tubers), DP1 (high intake of cereals, tubers, vegetables and eggs) was more likely to ensure adequate intake of energy (OR, 2.96; 95% CI, 1.55, 5.62), protein (OR, 2.05; 95% CI, 1.06, 3.96), carbohydrates (OR, 3.55; 95% CI, 1.51, 6.59), thiamine (OR, 2.59; 95% CI, 1.36,4.93), niacin (OR, 2.75; 95% CI, 1.39, 5.42), phosphorus (OR, 2.04; 95% CI, 1.08, 3.85), zinc (OR, 2.43; 95% CI, 1.28, 4.63), and manganese (OR, 3.10; 95% CI, 1.60, 5.90), and DP2 (high intake of fruits, poultry, aquatic products, and nuts) was more likely to meet niacin requirements than DP4 (OR, 2.65; 95% CI, 1.28, 5.48). (5) Conclusion: This study clarifies our understanding of dietary intake, diet quality, and dietary patterns in adult patients with IBD. Future attention is needed to improve diet quality, emphasizing the importance of assessing and understanding patient dietary habits and increasing understanding of the factors that influence dietary intake in IBD in order to achieve optimal outcomes for patients with IBD.

SMARCA4-deficient undifferentiated tumor with high quality of life and far exceeding predicted survival: A case report.

SMARCA4-deficient undifferentiated tumor (SMARCA4-UT) is a recently reported rare malignancy that can rapidly metastasize to tissues and organs throughout the body. The tumor is characterized by a lower response to platinum-based chemotherapy. More regrettably, the mean survival time of patients with this disease after diagnosis is only 4 to 7 months. A 58-year-old man was admitted to a hospital for fatigue, sudden syncope, and a mass-like shadow of his left upper lobe demonstrated by a pulmonary computed tomographic. Based on his subsequent clinical and pathological features, he was highly suspected of SMARCA4-UT. Combined with next-generation sequencing genetic testing and immunohistochemical examination results, the patient was diagnosed with SMARCA4-UT. The patient received a left upper lobectomy and lymph node dissection, four-course chemotherapy divided into 8 sessions with the use of paclitaxel simply, and a proper post-discharge self-care. The patient's operation and chemotherapy were all successful and he maintained a high quality of life after surgery that far exceeded his predicted survival. Early diagnosis, higher education level, attention to the disease and complications, reducing chemotherapy damage, adequate nutrient intake, relieving symptoms, controlling depression, and maintaining immunity and the ability to perform activities of daily living may all be the positive factors that can prolong the survival of patients with SMARCA4-UT.