Healthy Diet Research Articles

Associations of Dietary Intake of Vitamin B6 and Plasma Pyridoxal 5'-Phosphate Level With Depression in US Adults: Findings From NHANES 2005-2010.

Evidence regarding the associations of pyridoxal 5'-phosphate level in plasma and dietary intake of vitamin B6 with depression risk is scarce. Accordingly, we investigated the aforementioned associations in US adults. This is a cross-sectional study that included data from two independent samples of 12,716 and 11,967 individuals (aged ≥20years) participating in the National Health and Nutrition Examination Survey (NHANES) from 2005 to 2010. The associations of the pyridoxal 5'-phosphate level in plasma and dietary intake of vitamin B6 with depression risk were examined through multivariable logistic regression. In addition, we determined dose-response associations by fitting restricted cubic splines to the data. In the multivariable model, the highest quarter of dietary intake of vitamin B6 was associated with a significantly lower risk of depression compared to the lowest quarter (OR=0.63, 95% CI: 0.50, 0.79, p< 0.001). Similarly, the highest quartile of plasma PLP levels was linked to a reduced risk of depression compared to the lowest quartile (OR=0.76, 95% CI: 0.62, 0.93, p<0.01). With increasing quartiles of dietary intake of vitamin B6 and plasma PLP levels, the risk of depression also decreased accordingly (all p for trend < 0.01). Furthermore, the correlation analysis revealed that for every 1-SD increase in the level of plasma lutein+zeaxanthin and dietary intake of vitamin B6, the risk of depression showed a decreasing trend (all p<0.01). The interaction test results indicated that the dietary consumption of vitamin B6 did not significantly interact with any of the stratification factors (all p for interaction >0.05). Moreover, no significant interaction was found between the amount of plasma PLP and any hierarchical factors (all p for interaction >0.05), except for gender-based subgroup analysis (p for interaction >0.05). The dose-response relationship results showed a linear decrease trend in the relationship between dietary vitamin B6 intake and plasma pyridoxal 5'-phosphate with the risk of depression. Plasma PLP levels and dietary vitamin B6 intake in the highest quartiles are associated with a lower risk of depression. These findings support the promotion of a balanced diet rich in vitamin B6. However, future randomized controlled trials are necessary to confirm the effects of vitamin B6 supplementation on depression risk. We should aim for a healthy and balanced diet in terms of nutritional supplementation.

Elements of environmental and socioeconomic sustainability related to the food system: A meta-synthesis

This study aims to understand how the individual elements of the food system relate to sustainability through a meta-synthesis. Changes in food production and consumption in recent decades have had a detrimental effect on human health and the environment. This study helps to explain the existing gap that affects the entire process from food production to the final consumer by discussing the elements that comprise the food system dimensions of a healthy and sustainable diet. The meta-synthesis approach makes it possible to capture elements and their relationship to each other and to generate explanations about theoretical relationships. With this in mind, searches were conducted in the Scopus database, initially selecting 1,362 studies that contained previously selected search descriptors. Subsequently, an exploratory analysis of the titles and abstracts of the articles was conducted, resulting in a set of twenty case studies centered on the topic of interest. After applying inclusion and exclusion criteria, twelve studies remained to make up this meta-synthesis. The elements that emerged from the analytical synthesis of the articles favor or hinder the transition to healthy and sustainable food systems and have an impact on four dimensions: Production, supply, marketing and consumption, as well as on the food system as a whole. As a theoretical contribution, this study explains the elements and stressors of sustainable food systems. As a practical contribution, based on these stressors, action plans can be developed involving different stakeholders and public policies to develop public policies that promote healthy and sustainable diets.

Exploring the effect of diet programs on the behavior of Sudanese children with autism and the prevalence and association of gastrointestinal symptoms: a multi-center cross-sectional study.

Autism spectrum disorder (ASD) is a neurodevelopmental condition characterized by social difficulties, speech and nonverbal communication issues, and restricted behaviors. Nutritional issues, such as food allergies and intolerances, can affect children with ASD. This study aimed to evaluate the impact of diet programs on ASD behavior and gastrointestinal symptoms, which would be considered as a starting point to increase the family's knowledge about how to practice healthy and suitable dieting for their children. The study was a cross-sectional observational study on 45 children with an autism spectrum disorder in four centers aged 2-18 in Khartoum state. Data was collected through an interview questionnaire, which included sociodemographic, diet, gastrointestinal, and behavioral assessments. The data was analyzed using SPSS to find the correlation between the various variables. Independent t-test, Analysis of Variance, and Mann-Whitney test were used in univariant analysis to assess the association between study variables, while multiple linear regression was used in multivariant analysis for the same purpose. The study involved a large number of children with autism spectrum disorder (ASD), with 80% being male and 73.3% being school-aged. Most had parents as guardians and 71.1% were in intermediate financial status. About 20% were overweight or obese, and 57.8% did not have a specific diet program. Food selectivity was prevalent, with 22.7% having allergies to milk and wheat. ASD children experienced vomiting, gastric reflux, abdominal pain, and changes in stool characteristics. A significant link was found between financial status, behavioral status and gastrointestinal changes. High financial status was significantly different from intermediate and low statuses based on behavioral changes. However, no significant association was found in multivariant analysis. The study found that ASD children generally have good nutritional health, with a higher degree of dietary selection. The financial status of guardians significantly influenced behavioral and gastrointestinal changes in the children. Further interventional studies are recommended to assess the direct impact of diet programs on these symptoms.

Tele-Medical Nutrition Therapy to Promote Healthy Eating and Nutrition Adherence of Chronic Patients in the COVID-19 Pandemic: A Pragmatically Before-After Trial.

Patients find it difficult, during the pandemic, to receive appropriate nutrition services because of the limited access to health services. This study assessed the effectiveness of a tele-consulting nutrition intervention on the nutrition adherence of patients with diabetes and hypertension. A tele-medical nutrition therapy (MNT) intervention was conducted as a one-group before-after trial. The estimated sample size was 314. Of these, 183 patients were selected from Hefdah-e-Shahrivar and 131 from Farabi Hospital. Patients were asked to complete an adapted version of the nutrition adherence self-reported instrument to compare nutrition adherence when they received face-to-face therapy versus tele MNT. In total, 166 completed all phases of the study. The results showed that the nutrition adherence score significantly increased compared to before the intervention. Hedges's g effect size also confirmed the high efficacy of telenutrition therapy. The magnitude of differences was within a high range (effect size 3.76 [CI: 3.40-4.12]). The present findings showed that providing teleconsulting nutrition services to diabetic and hypertensive patients can positively affect their nutrition adherence. Telenutrition to promote a healthy diet can contribute to effectively controlling diseases in chronic patients during/after the pandemic with no gaps or failures. This study was a tele-nutrition intervention. In this study, we provided consultation on regular food consumption and did not order any chemical substances or nutritional supplements. Furthermore, we did not perform any treatment or invasive intervention, we assumed that a registration number was unnecessary, so we did not apply for clinical trial registration.

The relationship between perceived discrimination and reported nutrient intake among pregnant individuals of minoritized racial and ethnic groups

BackgroundImplications of life-long, perceived discrimination on nutrient intake during the preconception period are unclear. ObjectiveThe objective is to identify associations between perceived discrimination and consumption of specific nutrients associated with risk of adverse pregnancy outcomes. DesignThis is a secondary data analysis of the prospective Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-to-be (NuMom2b) cohort. Participants completed a Block Food Frequency Questionnaire assessing diet in the three months prior to pregnancy and a Krieger Experiences of Discrimination Scale assessing personal encounters of discrimination. Participants/SettingParticipants were recruited from eight clinical centers across the US between 2010-2013. Each participant completed the Food Frequency and Krieger questionnaires and self-identified as belonging to a minoritized racial or ethnic group for this analysis (n=2457). Main outcome measuresMain outcomes include reported total energy and macronutrient intake, percent of energy from macronutrients, saturated and unsaturated fatty acids (FA), added sugar, sodium, dietary fiber, and Healthy Eating Index-2010 Seafood and Plant Proteins component score. Statistical analyses performedParticipants were grouped as reporting fewer (<3) or more (≥3) circumstances of discrimination on the Krieger Scale. Multivariable regression models examined associations between discrimination group and nutrient intake. Variables with non-normal distributions were log transformed. Associations were adjusted for total energy intake. Primary outcomes underwent false discovery rate correction (FDR). ResultsThose reporting three or more circumstances of discrimination had higher reported energy intake (p=0.002) and higher reported intake of total fat, saturated fat, unsaturated fats, protein, added sugar and sodium after FDR (all p<0.05) as compared to those reporting fewer circumstances. After adjustment for total energy intake, reporting three or more circumstances was associated with greater reported intake of saturated fat and n-3 polyunsaturated FA, and lower reported intake of dietary fiber (all p<0.05). ConclusionReporting three or more circumstances of discrimination was associated with higher reported total energy intake. After adjustment for total energy, reporting three or more circumstances of perceived discrimination was associated with less nutritious intake for some (higher saturated fat and lower dietary fiber) but not all (higher eicosapentaenoic and docosahexaenoic acids) nutrients.

Probiotics as an Adjunct Approach to the Prevention and Treatment of Colon Cancer: A Review

Abstract:: One out of every six people in the world is suffering from cancer disease. The major causes of cancer are high consumption of tobacco, high body mass index, and alcoholic beverages with low intake of a healthy diet and limited physical activity. Colon cancer is one of the leading causes of cancer-related morbidity worldwide. In the past few years, probiotics have drawn a lot of interest as potential preventive and therapeutic anticancer agents. This literature review addressed both human and animal research that has explored the association between probiotics and colon cancer. Probiotic administration has remarkable potential for the prevention and treatment of colon cancer through various mechanisms such as inhibiting the growth of cancer cells via apoptosis, improving immune activity, restoring gut microbiota, improving intestinal barrier properties, synthesizing anticarcinogenic compounds, and degrading carcinogenic compounds. Therefore, probiotics emerge as an adjunct therapy, holding the potential to significantly reduce the risk of colorectal cancer.

Electronic screening and brief interventions promoting healthy diet and physical activity among adult patients in medical settings: A systematic review

Background & AimsElectronic screening and brief interventions (eSBIs) are promising health promoting approaches but their utilization towards nutrition outcomes has been little documented so far. The aim of this systematic review is to examine the nature and findings of eSBIs targeting diet and/or physical activity (PA) among adult patients in healthcare settings since smartphone technologies emerged. MethodsThree systematic searches in PubMed, ScienceDirect and PsycINFO were conducted from January 2010 to May 2023. We include all studies assessing eSBI towards lifestyle habits (dietary habits and/or PA at least), implemented in healthcare settings and targeting adult participants. ResultsOf 1981 articles identified, 15 studies met inclusion criteria. Most of them documented eSBIs implemented in primary care (n=11), targeting PA (n=11) and diet (n=9) alone or combined (n=5). Some eSBIs targeted additional behaviors (e.g. smoking, drinking). Delivery modes included computer (n=8), printed documents (n=8) or phone (n=2) but only four eSBIs were interactive (or partially automated). In addition to personalized feedback, most common behavior change techniques were “information about social and environmental consequences” (n=9), “goal setting” (n=7), and “information about health consequences” (n=7). Most studies assessing behavior change had a control group (8 in 10), and eight studies found positive changes in behavior. ConclusionsAlthough implementing eSBIs towards PA/diet among adult patients in medical settings seems promising for primary, secondary and tertiary prevention, common conceptual framework, intervention and outcomes are severely lacking, and the extent to which they follow existing SBI guidelines remains unclear. Demonstrating their effectiveness requires fixing these issues before conducting prospective assessment studies in medical settings.

Sleep: The Silent Hero in Cardiometabolic Health

The essential role of sleep in overall health is increasingly recognized, yet it remains underemphasized in both clinical and public health contexts. Despite extensive research linking poor sleep health to chronic conditions such as cardiovascular disease, type 2 diabetes, and cognitive decline, sleep health is not routinely assessed or integrated into standard care practices. Sleep problems, including insomnia, sleep apnea, and poor sleep quality, are prevalent globally, affecting over 30% of the population and contributing to significant public health burdens like cardiometabolic disease, mental health disorders and multimorbidity. The economic implications are substantial, with insufficient sleep imposing significant societal and financial costs worldwide. Recognizing this, recent initiatives like the American Heart Association’s inclusion of sleep in the Life’s Essential 8 framework highlight the importance of sleep in cardiometabolic health. Integrating sleep into clinical and public health strategies is crucial, due to the wide-ranging impact of sleep on cardiometabolic health. Social, environmental, and demographic factors also play significant roles in sleep health, with lower socioeconomic groups and women often experiencing poorer sleep, further exacerbating health disparities. Adopting a life course approach and promoting healthy sleep behaviors early in life are essential for mitigating long-term cardiometabolic risks. Effective evidence-based strategies for improving sleep behaviors and cardiometabolic health, beyond addressing sleep disorders, include prioritizing sleep hygiene, managing stress, promoting physical activity, maintaining a healthy diet, and reducing substance use, all of which contribute to overall well-being. In conclusion, incorporating sleep health into routine cardiometabolic risk stratification, prevention, and management is essential for improving overall health outcomes.

Adequate sleep duration accentuates the effect of glucagon-like peptide-1 receptor variant on HbA1c: A gene-environment interaction study

BackgroundBoth glucagon-like peptide-1 receptor (GLP1R) agonists and lifestyle modifications are widely adopted in managing glycemia. However, the joint effects of GLP1R agonists with lifestyle on glycemic traits have not been evaluated. MethodsThis gene-environment study tested the interaction between GLP1R-rs10305492 variant, consistent with the effect of GLP1R agonist therapies, and four lifestyle factors (diet, physical activity, sleep duration, and chronotype) for glucose and glycated hemoglobin (HbA1c) levels among 263,846 UK Biobank participants. Linear regression models were conducted to evaluate the effects of the rs10305492 and lifestyle factors on glucose and HbA1c levels. ResultsGLP1R-rs10305492-AA/AG genotype combined a healthy diet, regular physical activity, adequate sleep duration, or morning chronotype were associated with lower glucose and HbA1c levels (all P for trend < 0.001). A synergistic effect was found between rs10305492 and sleep duration on HbA1c, suggesting a recommended adequate sleep duration (7–8 h/day) may amplify the HbA1c lowering effect of GLP1R agonists. Joint effects of the rs10305492 and adequate sleep were associated with a 26 % reduced risk of hyperglycemia (>7.8 mmol/L) risk and a 22 % lower of high HbA1c (>39 mmol/mol or 5.7 %). ConclusionsCombining GLP1R agonists with adequate sleep may provide additional benefits for glycemic control in clinical practice.

Acid Fast Positivity Rate and Associated Factors of Leprosy in a Tertiary Care Hospital of Northeastern Ethiopia: Its Implication for Evidence-Based Leprosy Prevention and Control.

Leprosy is one of the most common skin neglected tropical diseases in Ethiopia posing social stigma, physical disability, deformity, discrimination, loss of social status, and poor quality of life in families. Hence, evidence-based collaborative inter-sectoral actions should be performed to reduce and eliminate its burden in endemic areas. Thus, the aim of this study was to assess the acid-fast positivity rate and associated factors of leprosy among suspected cases in Northeastern Ethiopia: a cross-sectional study. A cross-sectional study was conducted from September 2022 to March 2023 among 256 leprosy-suspected cases selected using a simple random sampling technique. A semi-structured questionnaire was used to collect socio-demographic, clinical, and predictor variables of leprosy through face-to-face interviews. Skin slit specimens were collected and stained using Ziehl-Neelsen staining technique. STATA 17 was used for analysis. The scale reliability coefficient was checked using Cronbach's α and the goodness-of-fit test of the model was assessed by the Hosmer-Lemshow test. Moreover, bivariable and multivariable logistic regression were computed. Finally, variables with an adjusted odds ratio and their p < 0.05 were taken as statistically significant. The mean ± standard deviation of the age of participants was 43.25 ± 16.35. The overall, prevalence of acid-fast positivity among suspected cases was 19.6% (95% CI: 15.8%, 23.4%). Multivariable logistic regression analysis showed that sex being male (p = 0.045), rural residence (p = 0.047), not eating three times meals frequency (p = 0.014), not eating a balanced diet (p = 0.036), poor personal hygiene (p = 0.028), distant from health facility (p = 0.039), not washing hands usually (p = 0.013), presence of current co-infection (p = 0.002), type of leprosy (p = 0.004), and close contact with leprosy cases (p = 0.003) were more likely to be positive for leprosy. The prevalence of leprosy was remained high. Thus, early detection and treatment are necessary to reduce delayed diagnosis and hidden transmission of leprosy in the community. By addressing the driving factors through evidence-based intervention, we can significantly control the burden of leprosy in the affected communities, and improve their health outcomes and quality of life.

FOOD SELECTION OF CHILDREN WITH AUTISM SPECTRUM DISORDER ENROLLED IN NATEA CAETÉS

Introduction: Autism Spectrum Disorder (ASD) is understood as a neurological disorder characterized by behavioral heterogeneity, affective blunting, and stereotypical behaviors. Objective: To understand the eating habits of children with Autism Spectrum Disorder and the main foods and restrictions regarding the child's diet. Methodology: This is an observational, cross-sectional study with a qualitative descriptive approach, since the objective is to observe and delve deeper into the food selectivity of autistic children. The target population will be mothers of children with autism spectrum disorder registered with NATEA in the city of Capanema. Results: The sample consisted of 42 participants, of which 85.71% were male, reflecting the male predominance frequently observed in ASD diagnoses. The most represented age group was 5 to 12 years (61.90%), and the majority of participants identified as brown (85.72%). Regarding diagnosis, 64.29% of children were diagnosed between 1 and 5 years of age, and support levels ranged from mild (33.33%), moderate (40.48%) to intense (26.19%). Regarding feeding, 80.49% of children presented food selectivity, with a greater preference for carbohydrates and sweets, and low acceptance of vegetables and fats. Mealtimes were challenging for caregivers, with 70.97% reporting greater difficulty at the beginning of meals, suggesting initial resistance to food engagement. In addition, 80% of participants reported difficulties with food consistency, highlighting the importance of adapted nutritional interventions. Conclusion: The results indicate the need for integrated strategies to improve food acceptance and provide emotional support to caregivers. It is concluded that the demographic profile, associated with food selectivity and socioeconomic difficulties, reinforces the importance of multidisciplinary support programs to promote a balanced diet and well-being for this population.

Short-term intermittent fasting and energy restriction do not impair rates of muscle protein synthesis: A randomised, controlled dietary intervention

BackgroundIntermittent fasting (IF) is an effective energy restricted dietary strategy to reduce body and fat mass and improve metabolic health in individuals with either an overweight or obese status. However, dietary energy restriction may impair muscle protein synthesis (MPS) resulting in a concomitant decline in lean body mass. Due to periods of prolonged fasting combined with irregular meal intake, we hypothesised that IF would reduce rates of MPS compared to an energy balanced diet with regular meal patterns. AimsWe assessed the impact of a short-term (ten days) alternate day fasting or a continuous energy restricted diet to a control diet on integrated rates of skeletal MPS in middle-aged males with overweight or obesity. MethodsTwenty-seven middle-aged males with overweight or obesity (age: 44.6±5.4 y; BMI: 30.3±2.6 kg/m2) consumed a three-day lead-in diet, followed by a ten-day controlled dietary intervention matched for protein intake, as alternate day fasting (ADF: 62.5 energy (En)%, days of 25 En% alternated with days of 100 En% food ingestion), continuous energy restriction (CER: 62.5 En%), or an energy balanced, control diet (CON: 100 En%). Deuterated water (D2O) methodology with saliva, blood, and skeletal muscle sampling were used to assess integrated rates of MPS over the ten-day intervention period. Secondary measures included fasting plasma glucose, insulin, and gastrointestinal hormone concentrations, continuous glucose monitoring, and assessment of body composition. ResultsThere were no differences in daily rates of MPS between groups (ADF: 1.18±0.13, CER: 1.13±0.16, and CON: 1.18±0.18%/day, P>0.05). The reductions in body mass were greater in ADF and CER compared to CON (P<0.001). Lean and fat mass were decreased by a similar magnitude across groups (main time effect, P<0.001; main group effect, P>0.05). Fasting plasma leptin concentrations decreased in ADF and CER (P<0.001), with no differences in fasting plasma glucose or insulin concentrations between groups. ConclusionShort-term alternate day fasting does not lower rates of MPS compared to continuous energy restriction or an energy balanced, control diet with matched protein intake. The prolonged effects of IF and periods of irregular energy and protein intake patterns on muscle mass maintenance remain to be investigated. This trial was registered under Australian New Zealand Clinical Trial Registry (https://www.anzctr.org.au), identifier no. ACTRN12619000757112.

The needs and prioritization of nutrition and dietary support for individuals with disabilities: an exploratory study

Objectives: Based on a survey of officers, social workers, and dietitians involved in managing nutrition and welfare policies or projects for vulnerable groups in local governments or private welfare institutions, this study aimed to assess the need for nutritional and dietary support policies and programs for persons with disabilities (PWD), as well as to identify appropriate support measures. Methods: An online survey was conducted from March 2 to 15, 2021. The survey included 20 questions exploring perspectives on the nutritional status of PWD, their need for nutritional and dietary support policies and programs, and the prioritization of appropriate support measures. A total of 132 responses were analyzed. Results: Approximately 68.9% of the respondents rated the nutritional status of PWD as “bad” or “very bad.” A substantial number identified “difficulty in purchasing ingredients, cooking, and preparing meals independently due to disability,” and “limited knowledge about nutrition and recipes necessary for maintaining a healthy and balanced diet” as the primary challenges in the dietary and nutritional management of this population. Additionally, 97.0% of the respondents deemed that the introduction of nutritional and dietary support policies and programs for PWD was “needed” or “very much needed.” Priority strategies to implement and strengthen these policies and systems included the “development of customized programs and services tailored to the needs and demands of the target population” and the “establishment of a dedicated department with specialized personnel.” Conclusion: Comprehensive nutritional and dietary support policies and programs should be actively implemented to ensure a healthy and stable diet for PWD, tailored to meet their actual needs and demands.

Designing Health Interventions to Meet the Needs and Experiences of Minoritized Adolescents: #DoubleTap4Health.

Engagement in preventive health behaviors (PHBs; i.e., healthy eating, sleep, and physical activity) during adolescence is associated with reduced risks for chronic conditions, such as diabetes, in adulthood. Although several interventions seek to improve adolescents' engagement in health promoting behaviors, racial- and income-based disparities across PHBs persist and may be even more pronounced for adolescents with multiple minoritized identities (e.g., Black adolescents in low-income communities). Therefore, targeted interventions that better meet the needs of minoritized adolescents are critical. The design of such interventions should include: (1) adolescent involvement, (2) cultural tailoring, (3) developmental theory, and (4) consideration of the social determinants of health. This article describes how these elements have been successfully incorporated into adolescent preventive health interventions and used to design #DoubleTap4Health, a community-based social media health intervention for Black adolescents from a low-income community. The results of a feasibility pilot of #DoubleTap4Health suggest that (1) attention to these elements in the intervention design process is feasible and advantageous to ensuring that the intervention components are appropriate and well received by adolescents, and (2) the intervention demonstrated promise as adolescents showed improved engagement in PHBs and media literacy skills. Lessons learned and next steps for intervention development are discussed. Including the above four elements in the design of preventive health interventions for adolescents from minoritized communities is critical to promoting health equity.

Exploring challenges and demands of practising healthy eating in young adults: a qualitative study

Transitioning from adolescence to adulthood for individuals aged 18 to 29 involves challenges and demands. This research explores the key challenges and needs of the lived experiences of young adults aged 18 to 29 in practising healthy eating. A qualitative research methodology was employed, using a phenomenological approach to investigate personal and subjective experiences. The study revealed five focused topics and 20 themes clustered into thirteen information categories reflecting their challenges and demands. It highlights knowledge of healthy eating practices among young adults and the need for targeted support systems and interventions to assist young adults in managing these challenges.

Prevalence of anhedonia, anxiety, and their impact on food consumption among postgraduate Qassim University students.

A prevalent symptom of many mental health issues, such as depression, is anhedonia, which is the inability to feel joy or pleasure. Tension-induced sensations, anxious thoughts, and bodily alterations are the hallmarks of anxiety. One known environmental factor that affects mental health is diet. In this implication, eating appetizing meals has been proposed to reduce unpleasant feelings like worry. This study aimed to indicate whether eating habits among postgraduate students are related to symptoms of anhedonia and/or anxiety. In a cross-sectional study, responses were collected from a total of 393 postgraduate students. Each student self-answered the General Anxiety Disorder-7, Snaith-Hamilton Pleasure Scale for Anhedonia, and the Food Consumption Questionnaire and reported the body weight. The prevalence of anhedonia was 28%, moderate anxiety and severe anxiety were 15.7 and 10.9%, respectively. In this research, results showed that sugary foods, fast food, and fried foods were positively associated with anxiety and anhedonia. However, fruits and vegetables were negatively associated with anxiety and anhedonia. Linear regression showed that fruit and drinking water consumption was significant with the number of meals/day. There was no significance between the number of meals per day and anhedonia; however, there was statistical significance with the total GAD-7 scale score regarding the number of meals/per day. Anhedonia and anxiety are associated with food consumption, especially foods rich in sugars, fast and fried, which help to increase positive feelings. Future studies should focus on understanding the relationship between food consumption and following a healthy diet and improving and reducing symptoms of anxiety and anhedonia in those who suffer from a stressful or task-filled lifestyle, such as students, especially postgraduate students. In addition, it focuses on the importance of awareness of the symptoms of anhedonia, which is classified as a depressive disease, and how to control anxiety to maintain better mental health.

Fruits, Spices and Honey Phenolic Compounds: A Comprehensive Review on Their Origin, Methods of Extraction and Beneficial Health Properties

Numerous health benefits have been attributed in the last decades to the regular consumption of fruits, vegetables, herbs and spices, along with honey, in a balanced diet. In this context, the aim of the present review was to provide the literature with the most relevant studies focusing on the determination protocols of these polyphenols and other reducing agents in selected fruits (orange, lemon, grapefruit, prunus, apricot, peach, plum, sweet cherry), spices (oregano, cinnamon, clove, saffron, turmeric) and honey of different botanical origin (nectar or honeydew). In addition, the content and the extraction methods of these compounds, along with their metabolic pathway, have been critically evaluated and discussed. Results showed that all fruits, spices and honey exhibit a considerably high antioxidant activity, which is mainly owed to their phytochemical content. Therefore, a balanced diet consisting of the combination of the foods studied herein may comprise a shield against chronic and other pathophysiological disorders and may be achieved through consecutive educational programs for consumers at an international level.

AVALIAÇÃO PARASITOLÓGICA DE ALFACE EM FEIRAS E MERCADOS NO MUNICÍPIO DE RIO BRANCO, ACRE.

Introduction: The search for a healthy diet has grown over the last few decades, making the population opt for natural products, resulting in the intake of raw vegetables, with lettuce (Lactuca sativa L.) being one of the most consumed in the world; hygiene is necessary to reduce risks. The main contamination is due to poor sanitary conditions in the irrigation of vegetables, planting and inadequate handling of these leafy vegetables. The topic is relevant because they represent a serious public health problem. Objectives: to carry out a parasitological evaluation of lettuce (Lactuca sativa L.) sold in the municipality of Rio Branco, Acre. Methods: Lettuce samples of the species (Lactuca sativa L.) sold in 3 open-air markets were collected: Mercado Municipal Elias Mansour, Central de Abastecimento de Rio Branco (Ceasa) and Feira Livre and in different supermarkets X and Y in the municipality of Rio Branco , Ac. Methods: Lettuce samples of the species (Lactuca sativa L.) sold in 3 open-air markets were collected: Mercado Municipal Elias Mansour, Central de Abastecimento de Rio Branco (Ceasa) and Feira Livre and in different supermarkets X and Y in the municipality of Rio Branco , Ac. 5 samples were collected from each of the 5 units, totaling 25 samples per month and 250 between the months of July/2022 to November/2022 and February/2023 to June/2023. Subsequently, transported to the Parasitology Laboratory of the Uninorte University Center (UNINORTE). Leaves were established as the sampling unit for vegetables. 200g of leaf was weighed, sliced and separated for parasitological analysis and hygiene technique. To search for enteroparasites, the leaves were washed with 500 ml of distilled water containing 0.5 ml of neutral detergent. The liquid was used for the Spontaneous Sedimentation and Faust techniques. For the hygiene technique, 200g of leaves were submerged in a solution containing 1000 ml of distilled water and 10 ml of sodium hypochlorite (2%), homogenized for 10 min. Subsequently, the liquid was used to perform the spontaneous sedimentation technique. Results: To analyze diversity, the Shannon Wiener indices were used. In parasitological techniques, 51 parasitic agents were identified, with Balantidium coli (7.2%), Entamoeba coli (6.8%), Endolimax nana (4.4%), Larva of Strongyloides stercoralis (0.8%), followed by of Entamoeba histolyrica (0.4%), Arcella vulgaris (0.4%), and Enterobius vermicularis larvae (0.4%). Among the lettuce sales units, those with the highest prevalence were: Supermercado Y (27.5%), Mercado X (23.6%), Feira Livre (25.4%), CEASA (15.7%) and Elias Mansour (7.8%). Protozoa represented (94.1%) and Helminths (5.9%). Faust represented (56.8%) of the parasites found, compared to (43.2%) from the spontaneous sedimentation technique. No parasitic forms were found after the sodium hypochlorite cleaning technique. Conclusions: Lettuces sold in Rio Branco/AC contained different types of protozoa and helminths, with the most common enteroparasites being Balantidium coli and Entamoeba coli. The hygiene technique proved to be effective in eliminating these agents. Ingesting raw lettuce may present a potential risk to consumers, and it is recommended to clean it before consumption.

Acute Toxicity of Mycotoxigenic Fungi Isolates in Ready-to-Eat Meat in Buea, Cameroon

Introduction: Meat is an important source of nutrition for many people worldwide. Away from homes, it is widely consumed in restaurants (e.g. small roadside) and non-restaurants (including drinking parlors and open-air)in various forms assnack. Objective: This paper reports on the acute toxicity of mycotoxigenic fungi isolates from various ready-to-eat meat from Buea, Cameroon. Method: Ten varieties of ready-to-eat meat samples (N=130: raw beef (n=18), beef soya (n=29), fried chicken (n=11), chicken soya (n=10), snail soya (n=13), fried pork (n=06), fried cow liver (n=13), roasted goat (n=06), boiled cow skin (n=07) and smoked beef (n=17).were collected from Buea municipality. The samples were cultures, and fungal isolates isolated microscopically. Thereafter, an acute toxicity test using 24 young BALB/c mice (weight range: 22-25g) was performed. Results: A total of 40 mycotoxigenic fungi belonging to five genera (Aspergillus, Penicillium, Fusarium, Rhizomucor, and Rhizopus) were identified. The most dominant species was Aspergillus (unidentified Aspergillus species, 23.1%; and Aspergillus ochraceus,10.3%).The order of Aspergillus fungi proliferation were roasted goat liver(20%), fried chicken (20%), snails soya (20%)ean body weight of test mice significantly decreased (p&lt;0.05) after the first 7 days of feeding with a mycotoxigenic fungi-supplemented diet relative to control mice that ate healthy diets. Aspartate Transaminase (AST, range: 169.9-563.1U/L) and Alanine Transaminase (ALT, range:521.1-707.5U/L) levels were significantly (p&lt;0.05) higher than the reference values for healthy mice (range: 60-100U/L for AST and 25-6U/L for ALT). Conclusion: Given the toxicity potentials of mycotoxigenic fungi, e.g. production of toxic secondary metabolites, not reported in this paper, and demonstrated by the liver toxicity/function test, ready-to-eat meat in Buea, Cameroon may not be adequately safe for consumption.

ASSISTÊNCIA DE ENFERMAGEM A PACIENTES COM TROMBOFILIA NO PRÉ-NATAL

The research addressed the importance of nursing care for pregnant women with thrombophilia during prenatal care, a condition that increases the risk of thromboembolic complications for both mother and fetus. Thrombophilia is a hemostatic disorder characterized by an increased predisposition to thrombosis, which can be caused by hereditary or acquired factors, such as the use of hormones or medications. The general objective of the study was to describe the nursing care provided to these patients, focusing on risk identification, clinical monitoring during pregnancy, and preventive methods. The methodology used was a literature review with a quantitative approach, conducted based on selected articles from scientific databases such as PubMed, Google Scholar, and Scielo. Studies that addressed the topic of thrombophilia during prenatal care, focusing on health care and complication prevention, were included. The results showed that adequate nursing care, including detailed anamnesis, continuous monitoring, and medication management, is essential to prevent serious complications such as deep vein thrombosis and pregnancy loss. The study also highlighted the importance of preventive measures, such as adopting a balanced diet and engaging in physical activities, to reduce the risks associated with thrombophilia during pregnancy.