Average Daily Energy Intake Research Articles

Distinct characteristics of MetALD (metabolic dysfunction-associated steatotic liver disease with greater alcohol consumption) in the general population.

The term MetALD has been introduced to describe individuals who have metabolic dysfunction-associated steatotic liver disease (MASLD) with greater alcohol consumption, according to the new nomenclature for steatotic liver disease (SLD). This study aims to evaluate the prevalence and clinical characteristics of MetALD in the general population. This study is a retrospective, cross-sectional analysis that utilizes the population-based data from the Korea National Health and Nutrition Examination Survey (KNHANES) undertaken between 2019 and 2021. A total of 16521 participants aged over 18years were included in the analysis. The presence of hepatic steatosis was determined based on a hepatic steatosis index of 36 or higher. The prevalence of MetALD was 2.8% (95% confidence interval, 2.5-3.2). Individuals with MetALD were predominantly men (85.4%) and tended to be younger compared to those with MASLD. They showed a higher prevalence of hypertension and had significantly higher levels of fasting glucose, triglycerides, high-density lipoprotein cholesterol, and creatinine compared to individuals with MASLD. The average daily total energy intake was higher in the MetALD group. In addition, the MetALD group had a lower proportion of unemployment with higher income compared to the MASLD group. Patients with MetALD showed distinct clinical characteristics from those with MASLD. The characteristics of MetALD were similar to those with alcohol-related liver disease. Further analysis of MetALD across various regions and ethnic groups would be needed.

Energy expenditure, metabolic adaptation, physical activity and energy intake following weight loss: comparison between bariatric surgery and low-calorie diet.

Bariatric surgery remains the most effective treatment to achieve substantial weight loss; however, total daily energy expenditure and physical activity changes in response to such interventions have been seldom explored. In this prospective observational study, total daily energy expenditure (TDEE) using doubly labeled water and physical activity (SenseWear armband) was assessed in 17 females (mean ± SD: 48.6 ± 9.7 kg/m2, 43 ± 12 years) at baseline and 8 and 52 weeks following either bariatric surgery (BSG, N = 9) or a low-calorie diet (LCD, N = 8). Energy intake was assessed using the intake-balance method. After 8 weeks, weight loss was 16.0 ± 3.5 kg and TDEE decreased by 552 ± 319 kcal/d in BSG (P < 0.001) compared to 8.8 ± 3.4 kg and 256 ± 239 kcal/d in LCD (P < 0.05). After 52 weeks, weight loss was 44.3 ± 16.4 kg and TDEE decreased by 583 ± 418 kcal/d (P < 0.001), compared to 4.3 ± 6.7 kg and 84 ± 285 kcal/d in LCD (P > 0.05). TDEE was lower than predicted in BSG at 8 (P = 0.03) but not 52 weeks (P = 0.77). There was no evidence of metabolic adaptation in LCD. Average daily energy intake in BSG was 1403 ± 245 kcal/d compared to 2545 ± 398 kcal/d in LCD (P < 0.001). In BSG, step count and physical activity minutes were increased at 52 weeks compared to baseline (P = 0.03), whereas no significant changes were observed in LCD. Bariatric surgery-induced weight loss decreased TDEE at 8 weeks and 1 year, resulting in metabolic adaptation after 8 weeks that was reversed at 1 year. These changes were accompanied by an increase in physical activity.

The association between ultra-processed food consumption and low-grade inflammation in childhood: A cross-sectional study.

This study aimed to investigate the relationship between the amount of ultra-processed food (UPF) in the diet and low-grade inflammation in children. This cross-sectional study was conducted in 50 healthy children recruited from children attending the Social Paediatrics Outpatient Clinic for follow-up of normal developmental stages. Low-grade inflammation was calculated by INFLA-score, dietary intake by three 24-h dietary recalls and dietary content analyses by BeBiS™ software. The mean age of the 50 children included in our study was 10.18 ± 3.98 years (5-17 years). UPF accounted for 24.5% of the total daily energy intake of children. In children with higher inflammation scores (INFLA-score ≥ 2), the amount in grams of UPF and the percentage of total energy from UPF were found to be significantly higher (p = 0.030 and p = 0.015, respectively). A weak positive correlation was found between the INFLA-score and the percentage of daily dietary energy intake coming from UPFs (r = 0.350, p < 0.01), the average daily energy intake from UPFs (r = 0.313, p < 0.05), and the average daily amount of UPF consumed (r = 0.260, p < 0.05). The linear regression model revealed that every one-unit increase (1%) in the percentage of total daily energy intake coming from UPF caused an increase in β = 0.154-unit in the INFLA-score. It was found that obesity was not a mediator in the association between the percentages of total energy intake from UPF on the INFLA-score, instead, the energy intake from UPF had a significant direct association with the INFLA-score. The average amount of UPF consumed daily showed an increasing pattern in parallel with inflammation-score quartile classes (Q1 to Q4) with 33.3% in Q1, 38.5% in Q2, 53.8% in Q3 and 66.7% in Q4 (p = 0.049). In conclusion, a positive association was found between low-grade inflammation and UPF consumption in children, independent of obesity.

Ultra-processed foods cause weight gain and increased energy intake associated with reduced chewing frequency: A randomized, open-label, crossover study.

To elucidate the effects of ultra-processed foods (UPFs) on body weight and ad libitum energy intake compared with non-UPFs. In this randomized, open-label crossover study conducted at the University of Tokyo Hospital, overweight/obese Japanese male participants were randomly assigned (1:1) to start the study with consumption of either UPFs or non-UPFs for 1 week, followed by a 2-week washout period, before crossing over to the alternate food diet for 1 week. Individuals with diabetes, hypertension or any other medical conditions who visited a hospital regularly were excluded. The meals were designed to be matched for the total energy and macronutrient levels. The primary outcome was the difference in the body weight change between the UPF and non-UPF periods. The differences in the average daily energy intake and chewing frequency were assessed as one of the prespecified secondary outcomes. Nine eligible participants were randomly assigned to start the study with either UPFs or non-UPFs. All participants completed the study. During the UPF period, participants gained 1.1 kg more weight (95% confidence interval 0.2 to 2.0; P = .021) and consumed 813.5 kcal more per day (342.4 to 1284.7; P = .0041) compared with during the non-UPF period. Regarding the chewing frequency, the number of chews per calorie was significantly lower during the UPF period (P = .016). Consumption of UPFs causes significant weight gain. Medical nutritional therapy focused on reducing the consumption of UPFs could be an effective strategy for preventing obesity.

Energetics of a World-Tour Female Road Cyclist During a Multistage Race (Tour de France Femmes).

Despite the increased popularity of female elite road cycling, research to inform the fueling requirements of these endurance athletes is lacking. In this case study, we report for the first time the energetics of a female world-tour cyclist competing in the 2023 Tour de France Femmes, an 8-day race of the Union Cycliste Internationale. The 29-year-old athlete presented with oligomenorrhea and low T3 before the race. Total daily energy expenditure assessed with the doubly labeled water technique was 7,572kcal/day (∼4.3 physical activity levels), among the highest reported in the literature to date for a female. Crank-based mean maximal power was consistent with female world-tour cyclists (5min, mean 342W, 4.8W/kg; 20min 289W, 4.1W/kg). The average daily energy intake measured with the remote food photography method (Stage Days 1-7) was 5,246kcal and carbohydrate intake was 13.7g/kg (range 9.7-15.9g/kg), and 84g/hr during stages, and an average fat intake of 15% of daily energy intake. An estimated 2,326kcal/day energy deficit was evidenced in a 2.2kg decrease in body mass. Notwithstanding the high carbohydrate intake, the athlete was unable to match the energy requirements of the competition. Despite signs of energy deficiency preexisting (oligomenorrhea and low T3), and other further developing during the race (weight loss), performance was in line with that of other world-tour cyclists and a best personal performance was recorded for the last stage. This case study emphasizes the need for further research to inform energy requirements for female athletes' optimal performance and health.

Dietary Intake, Body Composition, and Nutritional Knowledge of Elite Handball Players.

Nutrition affects both body composition and, consequently, athletic performance. Only a few studies have assessed the nutritional behavior and knowledge of elite players. The present study aimed to assess the dietary intake, body composition, and nutritional knowledge of elite handball players. Thirty-nine handball players (age: 23.2 ± 2.7 years, weight: 88.2 ± 10.1 kg, height: 1.87 ± 0.07 m, and years of training: 13 ± 2) participated in the study. The athletes completed a set of anthropometric measurements, a 24 h food recall, and a translated edition of Abridged Nutrition for Sport Knowledge Questionnaire (A-NSKQ). The average body fat percentage was 16.7 ± 3.8%, while the average fat free mass was 73.9 ± 8.5 kg. The athletes' average daily energy intake was 2606.6 ± 756 kcal, while the average daily intake for carbohydrates, proteins, and fats was 243.85 ± 107.79 g [2.8 ± 1.3 g/kg BW/d-37.2 ± 10.5% of Total Energy Intake (TEI)], 131.59 ± 53.28 g (1.51 ± 0.7 g/kg BW/d-20.3 ± 6.9% of TEI), and 117.65 ± 40.52 g (40.9 ± 9.9% of TEI), respectively. For iron, calcium, and vitamin D, the average daily intakes were 19.33 ± 10.22 mg, 1287.7 ± 676.42 mg, and 3.22 ± 3.57 mcg respectively. The average success rate on the A-NSKQ was only 38.5 ± 10.7% out of 100. Elite handball players exhibit inadequate dietary intake and sports nutrition knowledge. Nutritional education should be a primary concern towards the amelioration of their athletic performance.

Do Iranian Female Dancers Face a Risk of Chronic Negative Energy Balance? A Study on Energy Intake and Expenditure Among Non-professional Female Dancers

Background: Female dancers are at risk of negative energy balance and its adverse effects. However, there is no evidence regarding the energy balance of Iranian female dancers in the literature. Methods: In a cross-sectional study of 25 female nonprofessional dancers, dietary intake was assessed using self-reported food diaries and recall interviews on three different days: One dance day, one workday without dance, and one weekend day without dance. Nutrient intake was analyzed and converted into protein, carbohydrate, and fat components, and subsequently into energy equivalents. Total energy expenditure was calculated based on physical activity measurements taken on dance, work, and rest days. The average daily energy intake and expenditure over a 7-day period were then compared. Results: Significant daily energy deficiency was observed based on the average over 7 days (- 772.7 kcal +/- 450 kcal, P-value &lt; 0.05). Dancers consumed less protein and carbohydrates and more fat than the recommended daily values (P-value &lt; 0.05). Conclusions: It appears that Iranian female dancers suffer from negative energy balance and nutritional malpractice. This may be related to underlying eating disorders or perceptions of body image, as well as inadequate nutritional knowledge. Consulting experienced sports nutritionists and other necessary specialists is recommended.

Foods and nutrients consumption and the risk of gallstone disease: A nested case-control study in Rosario, Argentina

The etiology of Gallstone Disease (GD) is multivariate and it involves genetics and environmental factors. Nutritional exposure is considered the main environmental influence that contributes to gallstone formation. The aim of this study was to assess the association between diet and GD. A nested case-control study based on a previous representative screening of asymptomatic subjects living in Rosario, Argentina, was carried out. Participants underwent a personal interview. Food and nutrient intake were estimated by applying a food-frequency questionnaire, a food photography atlas, and software for food composition. Logistic regression analysis was used to estimate Odds Ratios (OR) and 95% confidence intervals, adjusted by potential confounders. A total of 120 patients, 51 cases and 69 controls, were studied. Statistically significant differences in average daily energy intake were found between cases and controls (p = 0.002). Total fats, chicken with skin, sausages, and cold cuts intakes were higher in the cases group. However, the control group was characterized by a statistically significant higher consumption of vegetables, fresh fruits, nuts, chicken without skin, and skimmed dairy products. Multiple logistic regression showed that GD risk diminished with red and yellow vegetables (OR = 0.037; p = 0,0004) and nuts consumption (OR = 0.201; p = 0.019). Instead, GD risk increases with total fats (OR = 7.959; ρ = 0.0205), fatty cattle meat (OR = 18.163; p = 0.0063), and chicken with skin consumption (OR: 10.595; p = 0.0050). Phosphorus consumption decreases GD risk (OR = 0.055; p = 0.0035). A number of meals also acted as a protective factor. Also, caloric intake was a risk factor. Each 100 kilocalories daily consumed; the risk increases by 12%.

Differences in Daily Food Intake and Body Mass Index between Stressed and Unstressed University Students

Stress adversely affects health through direct biological and indirect behavioural changes, including in young adults. This cross-sectional study aimed to examine the variation between body mass index (BMI), and daily food, energy and nutrient intakes among Universiti Sultan Zainal Abidin students according to their stress levels. A total of 221 eligible students aged 18–29 years were recruited. Data were collected using a validated self-administered Malay-language questionnaire as follows: sociodemographic, Depression Anxiety Stress Scales 21 questionnaire, and semi-quantitative Food Frequency Questionnaire. Weight and height were also measured using standard procedures. Data were analysed using independent samples t-test and Mann-Whitney U test. Overall, 39% of the students experienced stress; 26% and 18% were overweight and obese, respectively. The average daily energy intake (TEI) for male and female students was 2,992±1,063 kcal and 2,352±1,002 kcal, respectively. Approximately 63% and 88% of the students met their recommended daily intake of carbohydrates and protein, respectively. The majority of respondents did not achieve 25–30% of TEI for fat (70%) and had excess sugar (77%) and sodium (66%). The top 10 foods consumed daily were rice (97%), chicken (68%), table sugar (57%), green leafy vegetables (44%), candy/chocolate (30%), hen eggs (29%), tea (19%), marine fish (18%), apple (16%), and condensed milk (13%). There were significantly higher years of degree education (2.2±1.1 years vs. 1.7±1.0 years, p=0.003) and BMI (24.3±6.3 kg/m² vs. 22.6±4.7 kg/m², p=0.021) among stressed students compared to their peers. Stressed students consumed more pizza (Z=2.16; p=0.031), sausage/hotdog/frankfurter (Z=2.35; p=0.019), chicken/meat balls (Z=2.10; p=0.035), cake (Z=2.95; p=0.003), peanut butter (Z=2.37; p=0.018), and bean sprouts (Z=2.31; p=0.021) than their peers. However, a comparison among stressed and unstressed students revealed no significant differences in energy, carbohydrates, protein, fat, sodium, and sugar intake. This study shows that stressed students had a higher tendency to consume energy-dense food (i.e. fast foods, peanut butter and cakes) compared with unstressed students. A more detailed study is warranted to determine the personal dietary behaviours of stress eaters.

Dietary Magnesium Intake and Proteinuria: Is There a Relationship?

The possible relationship between dietary magnesium status and proteinuria has been suggested by a number of previous studies. However, human studies on this association are limited. Therefore, the present study aimed to investigate the independent relationship between dietary magnesium intake and urinary protein excretion. The present study was a post hoc analysis of the previous randomized clinical trial that evaluated the effect of dietary phosphorus restriction on proteinuria. The baseline data of 90 participants with proteinuria and chronic kidney disease was used to measure the association between dietary magnesium intake and proteinuria. Participants were asked to record their 24-h food intake for three days a week in a questionnaire. Urinary protein to creatinine ratio (UPCR) in a random urine sample was measured to be a marker for proteinuria. Out of 90 patients included in the study, 47 were men and 43 were women. The mean ± standard deviation of age and body mass index were 59.05 ± 14.16 years and 29.02 ± 5.54 kg/m2, respectively. The patients' average daily dietary intake of energy and magnesium were 2183 kcal and 169.44 mg, respectively. A significant inverse correlation was found between the dietary intake of magnesium and UPCR (r = - 0.219, p = 0.042). This association remained significant even after adjusting for confounding variables (β = - 0.222, p = 0.028). The findings of the present study showed a significant inverse relationship between the magnesium intake and proteinuria. Although, the design of the current research was cross-sectional, it has provided a basis for conducting future longitudinal studies and trials to better elucidate such a relationship.

Positive Effect of Danhong Assisted by Information Motivation Behavioral-Based Progressive Rehabilitation Nursing on Nutritional Recovery of Patients with Coronary Heart Disease After Percutaneous Coronary Intervention

This study aimed to analyze the influence of Danhong injection, assisted by information-motivation-behavioral skills model-based progressive rehabilitation nursing, on the nutritional status of coronary heart disease patients after percutaneous coronary intervention. A total of 107 coronary heart disease patients were randomly divided into a control group and the research group, comprising 53 and 54 patients, respectively. The control group received routine nursing, while the research group underwent information-motivation-behavioral skills model-based progressive rehabilitation nursing for comparative analysis. We found that the cardiac function and exercise endurance of the research group were improved compared to the control group after nursing, and the hemodynamics was better (P &lt; 0.05). Moreover, although both groups’ average daily energy and protein intakes did not meet the target requirements, the research group exhibited better performance than the control group (P &lt; 0.05). Furthermore, elevated postoperative total protein, hemoglobin, and albumin levels were observed in the research group (P &lt; 0.05). Regarding dietary compliance, the research group exhibited higher compliance and a lower incidence of adverse reactions (P &lt; 0.05). These findings indicated that Danhong injection, assisted by information-motivation-behavioral skills model-based progressive rehabilitation nursing, effectively promotes the nutritional recovery of coronary heart disease patients following percutaneous coronary intervention, thereby enhancing the patient’s health and prognosis.

Effects of Metabolizable Energy Intake and Body-Weight Restriction on Layer Pullets: 1-Growth, Uniformity, and Efficiency

This study aimed to determine the effects of dietary energy and body-weight (BW) restriction on layer pullets’ growth, uniformity, and feed efficiency. Two experiments were conducted using a precision feeding (PF) system (Experiment 1) and a conventional feeding (CON) system (Experiment 2). Experiment 1 consisted of a 2 × 4 factorial arrangement (eight treatments) with two feed allocation (FA) levels: meal every visit (MEV) or restricted to the lower boundary of Lohmann Brown-Lite pullets; and three dietary metabolizable energy (ME) levels: Low, Standard (Std), and High (2600, 2800, and 3000 kcal/kg, respectively); the fourth treatment enabled birds to choose from the three diets (Choice). Experiment 2 consisted of a 2 × 3 factorial arrangement (six treatments): two FA levels (ad libitum or restricted) and three dietary ME levels (Low, Std, and High). In each experiment, BW, coefficient of variation (CV), average daily feed intake (ADFI), average daily metabolizable energy intake (MEI), and feed conversion ratio (FCR) were recorded. Diet ADFI preferences and feeding motivation were determined only in the PF experiment. ANOVA was conducted on each experiment with the two main effects as fixed factors (FA and dietary ME), and age or period as the sources of variation. Differences were reported at p ≤ 0.05. MEV (PF experiment) and ad libitum-fed (CON experiment) pullets had greater BW compared to restricted-fed pullets (p &lt; 0.05). The lowest CV was observed in the restricted-fed pullets from the PF experiment (p &lt; 0.05). ADFI was greater in pullets fed the Low ME diet in the PF experiment compared to all the other groups, and the lower the dietary ME, the greater the ADFI in the CON experiment (p &lt; 0.05). Choice-feeding pullets preferred feed with greater ME content in the PF experiment (p &lt; 0.05). The lower the dietary ME, the greater the FCR in the CON experiment (p &lt; 0.05). Restricted-fed pullets had greater daily visits, and lower daily meals, meal size, and successful visits to the PF system (p &lt; 0.05). In conclusion, the results of this trial indicated that lower dietary ME increased FCR and ADFI, whereas feed restriction decreased BW and increased feeding motivation. Future steps after this trial will include examining the effects of dietary energy and feed restriction on carcass composition and sexual maturation.

Inadequate intake of energy and nutrients: A comparative cross-sectional study between sport and nonsport science university students of southern Ethiopia.

This study aimed to investigate and compare the energy and selected nutrient intakes of sport science and nonsport science university students of Southern Ethiopia. Multiple-day dietary data were collected from 166 university students (76 sport science and 90 nonsport sciences). Average daily energy and nutrient intake, and inadequate intakes were calculated using NutriSurvey (NS). There were significant differences (p < .05) in the median intakes of energy, total carbohydrate, and vitamin B1 between female students from the sport science and nonsport science groups, but only the median intake of iron was significantly different (p < .05) between the male sport and nonsport science student groups. The prevalence of inadequate intake of vitamin B1 was significantly (p < .05) higher in the male and female from the nonsport science groups compared to the male and female student groups in the sport science, respectively, whereas the prevalence of inadequate iron intake by the male sport science students' group was significantly (p < .05) higher compared to their counterparts. Similarly, the prevalence of inadequate energy among the females from the sport science group was significantly (p < .05) higher compared to the female students from the nonsport science department group. The prevalence of inadequate intake of dietary energy and the majority of the nutrients (protein, fat, vitamin A, B1, B2, and magnesium) were high (>50%) in selected university students. The energy and majority of nutrient intakes by the students in the selected universities of southern Ethiopia were suboptimal. Therefore, activities that will improve the dietary intake of university students should include weekly meal plan revision considering their average recommended nutrient intake (RNI).

Estimation of the metabolisable energy requirements of feedlot light lambs and comparison with the U. S. National Research Council predictions

The aim of the present work was to compare the estimated metabolisable energy requirements (MER) of fattening light lambs raised in feedlot with the U. S. National Research Council (NRC) predictions. Body weight (BW) gain and feed intake were collected from 15 pens (7 lambs/pen) of Manchega male lambs under on-farm conditions over six weeks. The pens were randomly assigned to three dietary treatments (5 pens/treatment) consisting of three concentrates of different composition and barley straw. Feeds were offered for ad libitum consumption throughout the experimental period. Average daily metabolisable energy intake (MEI) was calculated on a weekly basis for each pen from the average daily consumption of concentrate and barley straw and their respective ME contents. Following, the average daily MER was predicted for each pen from the weekly average of both BW and BW gain, according to two models: One including the adjustment of ME for body maintenance (MEm) for the effect of level of MEI on visceral organ tissue energy use as described by NRC (Model 1), and the other excluding such adjustment (Model 2). Model 1 had no mean bias, and exhibited a higher concordance correlation coefficient and a lower underprediction, supporting the need for the upward adjustment of MEm in accordance with MEI to enhance the precision and accuracy of predicted MER. It was concluded that the NRC method was precise and accurate enough to support its application for calculating the MER of feedlot light lambs.

Contribution of school meals to the recommended nutrient and energy intake of children enrolled in the National Homegrown School Feeding Program in Zaria, Nigeria

BackgroundA poor nutritional status in children results in reduced physical and mental health and poor academic performance. The National Homegrown School Feeding Program (NHSFP) was introduced in Nigeria in 2016 to ameliorate short-term hunger and improve the nutritional status of school-aged children (SAC). At least 33% of the recommended nutrient intake (RNI) for the enrolled students should be met by the school meals. However, to our knowledge, the contribution of school meals served through the NHSFP to the RNI of SAC in Zaria, Nigeria, remains to be explored. MethodsWe conducted a school-based cross-sectional study among 276 eligible SAC recruited from public primary schools in the Zaria Local Government Area. Portion sizes of the meals served through the NHSFP were determined using an electronic scale, meal samples were collected for nutrient analysis, and the average daily nutrient intake of the participants from the meals was calculated. The average daily intake of nutrients and energy of the participants was compared with the age- and sex-specific RNI to estimate the percentage contribution of the meals. ResultsThe portion sizes recorded were 199.3 ± 20.6 g, 263.9 ± 11.5 g, 242.1 ± 16.8 g, 311 ± 17.3 g, and 160.3 ± 1.9 mL, respectively, for moi-moi, jollof rice and beans, bean porridge, jollof rice and boiled egg, and yoghurt. In addition, the meals contained moisture (30.13–66.11%), ash (0.73–7.08%), crude fat (9–32.61%), crude protein (7.25–24.5%), crude fiber (0–2.45%), and total carbohydrate (2.19–29.74%) with an energy content ranging from 183.6 to 330.57 kcal. Similarly, the meals contained calcium (82.58—711 mg), potassium (133–797 mg), sodium (340–1720 mg), iron (0.078–8.60 mg), zinc (1.84–13.4 mg), vitamin A (2.38–100.56 RAE), and vitamin C (0.04–1.57 mg) per 100 g of the school meals. The meals contributed 18.2–19.1%, 102.8–183.7%, 13.04–13.6%, and 26.1%–35.8% of the RNI for carbohydrates, proteins, fiber, and energy, respectively. Furthermore, they contributed 137–175%, 314.3–502.2%, 87.6–142.1%, 21.5–25.1%, 279.2–348.5%, 3.3–5.9%, 24.7–48.8%, and 3.3–5.9% of the RNI for iron, zinc, calcium, potassium, sodium, vitamin A, and vitamin C, respectively. ConclusionThe meals served through the NHSFP contributed at least 33% of the RNI for energy, protein, iron, calcium, sodium, vitamin A, and zinc. However, they could not meet the 33% of the RNI for carbohydrates, fiber, potassium, and vitamin C. Increasing the portion sizes and the diversity of the meals can address the suboptimal contribution of the meals to the RNI for carbohydrates, fiber, potassium, and vitamin C.

FAMILY FOOD SECURITY AND THE INCIDENT OF STUNTING TODDLERS IN EAST BARITO REGENCY CENTRAL KALIMANTAN PROVINCE

This study aims to assess family food security and its relationship with food availability, food access, and food diversity in Dusun Tengah District, East Barito Regency, Central Kalimantan Province. The research methodology involves observation, interviews, and data recording. The findings reveal that the average daily energy intake for children under five in Dusun Tengah District is 960.76 kcal/cap/day, with a PPH score of 63.7. The majority of households fall into the category of food insecurity, with a moderate level of hunger at 81.1%. Severe hunger is observed in 7.8% of households, while food insecurity without hunger is reported in 11.1% of cases, and no households are classified as food secure. Regarding food availability, all households are in the low category, accounting for 100% of respondents. In terms of food access, 39% of respondents have a distance of less than 25 minutes to the market, while 61% have access to the market within a 25-minute distance. As for food diversity, 100% of the families of toddlers’ experience food insecurity, with none in the food-safe or food-alert category. The composite index shows that no families have a food-safe status, 28% have a food-alert status, and the majority, accounting for 72%, experience food insecurity. The correlation coefficients with stunting are 0.233 for availability, 0.113 for access, and 0.081 for diversity, indicating a weak relationship between availability, access, and diversity with stunting.

Traditional food consumption pattern and nutritional status of Oraons: An Asian Indian indigenous community

IntroductionFood consumption is an intensive social activity and can be considered a cultural artifact, reflecting the intricate process of sociocultural differentiation in shaping eating habits. Food has a positive effect on a person's health, physical performance, and state of mind. The nutritional composition of a person's diet plays a significant role in their overall health and development. Moreover, tribal cuisine is incomplete without a traditional drink. Rice beer, or handia, is one such indigenous alcoholic-fermented beverage that serves as a staple food.MethodsThis exploratory cross-sectional study was conducted from January, 2018 to December, 2020 to explore the traditional food practices of the Oraon community through a combination of one-to-one interviews, focus group discussions, and measurements. This study also involved the documentation of individual food recipes, from collection to preparation. To assess nutrient intake, we used a 24-h dietary recall method for 200 Oraon families comprising 466 adults and 193 children. Anthropometric measurements, such as body mass index (BMI) for adults and height-for-age and BMI-for-age z-score methods for children, recommended by the WHO, were taken and recorded using standard procedures. Additionally, the nutrient content of handia was analyzed.ResultsThe mean (SD) height, weight, mid-upper arm circumference (MUAC), and BMI of the Oraon people were analyzed. The combined overall prevalence of chronic energy deficiency (CED) (BMI &amp;lt; 18.5 kg/m2) was 39% (37% in men and 40.3% in women). The prevalence of overweight and obesity (BMI ≥ 25.0 kg/m2) was found to be 7.1% among only women. The average daily energy intake was calculated to be 2,290 kcal per capita. It is worth noting that the food and nutrient consumption of the Oraon tribe was largely consistent with the recommended daily allowances/intakes (RDA/RDI). The consumption of root and tuber products was particularly high. The Oraon tribe was found to have a familiar intake of animal protein in the form of meat, including common periwinkles (Littorina littorea). The study also discovered a remarkable array of unique, region-specific festive foods. The consumption of nutrient-rich fermented rice beer was especially noteworthy.ConclusionThe present study provides insight into the traditional food practices of the Oraon tribe in West Bengal. It also highlights that their indigenous food consumption patterns have undergone significant changes as a result of admixture with other communities. To address these dietary issues, it is recommended that regional, need-based planning, and effective intervention programs be implemented. To ensure the proper maintenance of the Oraon tribe's traditional food practices, the cultivation of kitchen gardens and the domestication of wild, edible plants, such as seeds and tubers, may be helpful. Moreover, promoting the consumption of macronutrient-fortified handia, an indigenous beverage with high medicinal benefits, could be effective in combating hidden hunger among adults.

Estimation of Salt Intake in Normotensive and Hypertensive Children: The Role of Body Weight.

The connection between increased dietary salt intake and arterial hypertension has been recognized for a long time, even in children. This study aimed to investigate salt consumption in normotensive and hypertensive children and evaluate their dietary habits. A total of fifty participants were included in this cross-sectional study: twenty-five normotensive children and 25 children of both sexes with essential arterial hypertension from 12-17 years old. Subjects' body mass index, waist-to-hip ratio, body composition and arterial blood pressure were measured, and their daily salt intake was calculated from 24-h urine samples. Using the food frequency questionnaire (FFQ), the data on the average daily total energy and food intakes were collected and analyzed using a suitable program. Estimated daily salt intake was significantly higher in hypertensive compared to normotensive children, and this is positively associated with blood pressure and body mass index (BMI). Hypertensive children had significantly higher BMIs, which also positively correlated with blood pressure. Consistently, resting metabolic rate (kcal) is higher in hypertensive children compared to normotensive, and this is also associated with blood pressure. Reported energy intake is also enlarged in hypertensive compared to normotensive children and for both groups, levels are significantly higher than the recommended values. Our study results confirm the relationship between daily salt consumption, blood pressure and body weight. Sodium consumption related to blood pressure and body weight among children. Cardiovascular disease prevention should start in early childhood by reducing salt intake and preventing overweight/obesity since these are two of the most important modifiable risk factors for hypertension.

Effect of enteral nutritional support on clinical outcomes of patients with sepsis

To research whether clinical outcomes of patients with sepsis can be improved by higher enteral nutritional support. A retrospective cohort method was applied. 145 patients with sepsis who were hospitalized in intensive care unit (ICU) of Peking University Third Hospital from September, 2015 to August, 2021 and met inclusion criteria as well as exclusion criteria were selected, including 79 males and 66 females, the median age was 68 (61, 73). Researchers evaluated whether there was correlation between improved modified nutrition risk in critically ill score (mNUTRIC), daily energy intake and protein supplement of patients and their clinical outcomes through Poisson log-linear regression analysis and Cox regression analysis. The median of mNUTRIC score of 145 hospitalized patients was 6 (3, 10), wherein 70.3% of patients (102 cases) were in high-score group (≥ 5 scores) and 29.7% of patients (43 cases) were in low-score group (< 5 scores); the average of daily protein intake in ICU was about 0.62 (0.43, 0.79) g×kg-1×d-1, and the average of daily energy intake was about 64.4 (48.1, 86.2) kJ×kg-1×d-1. As shown by Cox regression analysis, increase of mNUTRIC score, sequential organ failure assessment (SOFA), and acute physiology and chronic health evaluation II (APACHE II) were correlated to growth of in-hospital mortality [hazard ratio (HR) = 1.12, 95% confidence interval (95%CI) was 1.08-1.16, P = 0.006; HR = 1.04, 95%CI was 1.01-1.08, P = 0.030; HR = 1.08, 95%CI was 1.03-1.13, P = 0.023]. Higher average daily intake of protein and energy as well as lower mNUTRIC, SOFA, and APACHE II scores were also significantly correlated to lower 30-day mortality (HR = 0.45, 95%CI was 0.25-0.65, P < 0.001; HR = 0.77, 95%CI was 0.61-0.93, P < 0.001; HR = 1.10, 95%CI was 1.07-1.13, P < 0.001; HR = 1.07, 95%CI was 1.02-1.13, P = 0.041; HR = 1.15, 95%CI was 1.05-1.23, P = 0.014); however, there was no significant correlation between gender as well as number of complications and in-hospital mortality. Within 30 days of attack of sepsis, the average daily intake of protein and energy were not correlated to days of non-ventilator (HR = 0.66, 95%CI was 0.59-0.74, P = 0.066; HR = 0.78, 95%CI was 0.63-0.93, P = 0.073). Increase of patients' average daily intake of protein and energy were significantly correlated to a lower in-hospital mortality (HR = 0.41, 95%CI was 0.32-0.50, P < 0.001; HR = 0.87, 95%CI was 0.84-0.92, P < 0.001), shorter ICU stay (HR = 0.46, 95%CI was 0.39-0.53, P < 0.001; HR = 0.82, 95%CI was 0.78-0.86, P < 0.001), and hospital stay (HR = 0.51, 95%CI was 0.44-0.58, P < 0.001; HR = 0.77, 95%CI was 0.68-0.88, P < 0.001). According to correlation analysis, among patients with mNUTRIC score ≥ 5, increasing daily intake of protein and energy can reduce in-hospital mortality (HR = 0.44, 95%CI was 0.32-0.58, P < 0.001; HR = 0.73, 95%CI was 0.69-0.77, P < 0.001), and 30-day mortality (HR = 0.51, 95%CI was 0.37-0.65, P < 0.001; HR = 0.90, 95%CI was 0.85-0.96, P < 0.001); the receiver operator characteristic curve (ROC curve) further confirmed that higher protein intake had good predictive value for inpatient mortality area under the curve (AUC) = 0.96 and 30-day mortality (AUC = 0.94); higher emergy intake had good predictive value for inpatient mortality (AUC = 0.87) and 30-day mortality (AUC = 0.83). By contrast, among patients with mNUTRIC score < 5, it is only discovered that increasing daily intake of protein and energy can reduce 30-day mortality of patients (HR = 0.76, 95%CI was 0.69-0.83, P < 0.001). The increase of average daily intake of protein and energy for patients with sepsis is significantly correlated to reduction of in-hospital mortality and 30-day mortality, shorter ICU stay, and hospital stay. The correlation is more significant in patients with high mNUTRIC score, and higher intake of protein and energy can bring down in-hospital mortality and 30-day mortality. As for patients with low mNUTRIC score, nutritional support cannot improve prognosis of the patients significantly.

Inflammation level in type 2 diabetes is associated with dietary advanced glycation end products, Mediterranean diet adherence and oxidative balance score: A pathway analysis

AimsThe aim of this study was to evaluate the effects of dietary advanced glycation end products (dAGE) intake, Mediterranean diet adherence screener (MEDAS), and oxidative balance score (OBS) on inflammation among individuals with type 2 diabetes. MethodsThe study was conducted with 96 adults (aged between 32 and 64 years) with type 2 diabetes. The average daily dAGE intakes, energy and macronutrient intakes of the participants were taken with the three-day food consumption recording method. OBS and MEDAS score was used. At the same time, routine blood lipids, HbA1c, fasting blood glucose and inflammation marker C-reactive protein (CRP) were measured. ResultsDietary AGE intake was associated with fasting blood glucose, HbA1c, CRP and blood pressures (p < 0.01). The relationship between OBS and dAGE intake was significant (β = −0.36; 95 % Cl = −0.500, −0.220; p < 0.001). MEDAS has a negative and statistically significant effect on dAGE intake (β = −0.56; 95 % Cl = −0.696, −0.444; p < 0.001). There was a significant and positive effect of dAGE on CRP when other variables (MEDAS, OBS) affecting dAGE were also included in the analysis (β = 0.79; 95 % CI = 0.664, 0.917; p < 0.001). ConclusionsOur findings may have important implications for explaining the development of inflammation in type 2 diabetes patients with high dAGE intake.