Caloric Requirements Research Articles

Caloric requirement targets for nutritional support in adult autoimmune encephalitis: a retrospective cohort study.

Autoimmune encephalitis (AE) is a severe neurological disease often accompanied by consciousness disturbances, severe swallowing difficulties, and gastrointestinal dysfunction, increasing the risk of malnutrition. However, the optimal caloric intake target during the acute phase of AE remains unclear. This study aims to evaluate the impact of caloric intake on short-term clinical outcomes in AE patients, specifically focusing on the improvement in Clinical Assessment Scale for Autoimmune Encephalitis (CASE) scores, to provide recommendations for nutritional support during the acute phase. A retrospective study analyzed clinical data from 128 adult AE patients requiring nutritional support, admitted to West China Hospital, Sichuan University, from January 2020 to January 2024. Patients were categorized into low-calorie intake (below 70% of requirements), standard-calorie intake (70-100% of requirements), and high-calorie intake (above 100% of requirements) groups. Multivariate linear and logistic regression models were used to quantify the associations. Higher caloric intake was significantly associated with improved CASE scores (β = 8.58, SE = 3.75, 95% CI = 1.14 to 16.03, p = 0.02). Low caloric intake negatively impacted the improvement of CASE scores (p = 0.049), particularly in seizures and speech problems. The low-calorie intake group had significantly longer hospital stays and nutrition therapy durations (45.79 ± 30.98 days, p < 0.01; 40.39 ± 31.92 days, p = 0.02). Adequate caloric intake has a significant positive impact on the short-term clinical outcomes of AE patients, suggesting that meeting or exceeding caloric requirements may promote neurological recovery in AE patients. Future prospective studies are needed to validate these findings and further optimize nutritional support strategies.

Determining food intake, the requirement, and weighing the relative risk between food secure and insecure households in rural areas of Ethiopia: The case of West Hararghe zone

The severity of food insecurity in Ethiopia is among the worst globally, with record-breaking food assistance needs by various factors. This study tries to uncover various aspects of food security related to food availability, food access, food utilization and food stability dimensions of food security. The study was executed in the west Hararghe zone of the Oromia region of Ethiopia. Its main objective was to determine the food security status of households, with specific objectives aiming at computing individual daily kilo calorie intake, determining the average food requirement, comparing the relative risk between food secure and insecure households and identifying factors that affect household food security status. A multi-stage sampling procedure, involving the purposive selection of; the Zone and Woreda, and a simple random selection of households, to draw the required number of representative sample respondents, was adopted. Hence, from 4163 total households, 134 were selected for collecting primary data. Data were analyzed using descriptive statistics, relative risk analysis using Cohorts and independent tests using ANOVA. Food security status was measured using the Household Food Balance Model (HFBM). Using this model, the study obtained 1973 kilo calories per individual per day intake and 2108 kilo calorie as their requirement, which indicated households were energy deficient by 135 kilo calorie with 2-sided-value &lt; 0.1 critical level (t= -1.747, df =133 &amp; sig2-sided. 0.083). Independent test results showed that farm income (at p-value &lt; 0.1), gross product (at p-value &lt; 0.05), age of household head (at p-value &lt; 0.1), years of owning land (at p &lt; 0.1) and family size (at p-value &lt; 0.1) contributed significantly to food security status. Cross-tabulation showed a linear relationship between food security and higher education level (at p-value &lt; 0.05), which urges a concern in improving farming societies’ literacy to the desired level. In the study areas, about 91.8% of the population produces crops depending on the seasonal rainfall and their daily kilo calorie consumed depends on it; this is statistically correlated with the food insecurity problem at p-value &lt; 0.1 critical level (lambada = 1.75 &amp; sig. = 0.08). Therefore, to tackle the food insecurity problem, alternative method of crop production should be devised such as the establishment of irrigation schemes, water harvesting structures, and water conservation practices, among others. Key words: food security, calorie requirement, food availability, relative risk

Correlation of calorie intake with 24-hour urinary urea nitrogen level changes in critically ill patients at RSUI Depok, Indonesia

Calorie together with protein intake has been proven to be important factors that play a role in critically ill patients. Hypermetabolism in the early acute phase increases energy expenditure and calorie requirement. Insufficient calorie intake will increase protein degradation for gluconeogenesis, which can be assessed by the level of 24-hour urinary urea nitrogen (UUN). Adequate daily calorie intake is expected to improve the UUN level in patients. This study aims to investigates the correlation of calorie intake with UUN level changes in critically ill patients.

Effect of standard feeding with a high-protein diet on arterial blood gases in patients admitted to the intensive care units: A study protocol for a double-blinded, randomized controlled clinical trial

Critically ill patients admitted to the intensive care units (ICUs) often face numerous challenges, including severe metabolic stress, systemic inflammation, and compromised immune function. Studies have suggested that critically ill patients frequently experience a negative nitrogen balance due to a hypercatabolic state, leading to impaired organ function and muscle wasting, which can cause severe muscle weakness and physical disability for years after discharge. Arterial blood gases (ABG) reflect patients' oxygenation and acid-base status and are crucial indicators of respiratory and metabolic function in critically ill individuals. We aim to address this by conducting a double-blinded, randomized controlled clinical trial to compare the effects of standard feeding with a high-protein diet on ABG in ICU patients. In this double-blinded, randomized controlled clinical trial, we will use block randomization of 80 patients aged between 18 to 65 years old and Patients expected to be hospitalized in the ICU for at least 3 days from Kosar Hospital, Kurdistan, Iran. The intervention group (n=40) will receive a protein diet (consisting of 18.7% protein, 45% carbohydrates, and 35% fat per 1000cc). A control group (n=40) will receive a standard diet (14.4% protein, 54% carbohydrates, and 32.4% fat per 1000cc) for the same duration in addition to usual care. The caloric requirements of each patient will be determined by a nutritionist based on their nutritional status, height, weight, age, and initial diagnosis, utilizing the Harris-Benedict formula. The parameters of ABG, including PO2, PCO2, SAO2, HCO3, BE, and pH, will be assessed. By optimizing protein intake through a high-protein diet, we aim to improve the nutritional status of patients and enhance their overall clinical outcomes. This reassures us of the potential benefits of our study.

Impact and tolerance mechanism of heat stress in wheat (Triticum aestivum L.): A review

Wheat is one of the major cereal crops preferred by world’s population. About 55% of world’s population depend on wheat to meet their 20% calorie requirement. Wheat being a winter crop grows best in 15-25 degree Celsius of temperature range. But due to increasing global warming climatic requirement of wheat is not fulfilled and suffer different abiotic stresses such as heat, drought, salinity, cold, excess water etc. Among which heat stress is one of the major abiotic stresses faced by wheat. It has different morphological, biochemical and physiological consequences on wheat for instance poor grain quality, decreased grain number and weight, decreased photosynthesis due to disruption in chlorophyll structure and function, reduced starch content due to poor efficiency of enzyme required in biosynthesis. To cope up with all these impacts of heat stress wheat has developed various tolerance mechanisms such as release of heat shock protein, antioxidant defense mechanism, membrane thermostability, stay green, omics approaches etc. Heat shock protein helps to prevent death of cell, accumulation of denatured protein, refolding of protein, transmission of heat shock responses etc. While omics approaches help in gene profiling, protein identification etc. knowledge about both the effect and tolerance mechanism of heat stress in wheat helps to develop heat tolerant varieties with collaborative effort of plant breeder, physiologist etc. that helps to maintain food security.

502 Cat and mouse: The effect of consuming four different diet formants (intact mice, raw, canned wet and kibble) on energy expended to consume a meal and immediately post-prandial in domestic cats

Abstract Cats are obligate carnivores; however, we feed them a variety of different diet formats without a clear understanding of feeding behavior and metabolism among diet formats. Whole-prey or raw diets may mimic a more natural diet and require more energy to consume. However, there is currently a dearth of literature examining feline energy expenditure (EE) during the consumption of and immediate post-prandial period when fed different diet formats. The present study aimed to investigate differences in the energetics of adult cats consuming four different diet formats in isocaloric offerings: raw intact mice, commercial raw, canned wet, and kibble diets. Adult neutered male cats [n = 12; body weight (BW) = 4.82 ± 0.164 kg) were used in a 4 x 4 replicated Latin square design and adapted to consuming each diet format before the initiation of the study. Following a 2-d adaptation period, cats were fed 25% of their daily caloric requirement (50.77 ± 1.549 kcal) in indirect calorimetry chambers in which VO2 and VCO2 exchange were measured. Energy expenditure (kcal/BW0.67 kg) was calculated for the consumption period, 15 min immediately post-prandial and 2 h post-prandial. Respiratory gases were measured for one fasted reading, followed by the first feeding. During each feeding, measurements were taken during the consumption period and 15 min post-prandial. For the following 2 h, respiratory gases were measured every 25 min for an additional 4 measures of respiratory gases. All data were analyzed using a generalized linear mixed model considering the effects of treatment, time and their interaction as fixed, and the effects of cat and period as random. A spatial power covariance structure was used to model repeated measures. Significance was considered at P &amp;lt; 0.05 and Tukey’s post-hoc test was performed to separate means. Energy expenditure during consumption and 15 min post-prandial was similar among treatments, and EE for 15 min post-prandial was greater than EE during consumption (P &amp;lt; 0.001). During the 2 h post-prandial, EE for the mice diet was greater than the kibble and canned wet diets (P &amp;lt; 0.001), while EE for the raw diet was only greater than the kibble diet (P &amp;lt; 0.001). Energy expenditure was similar between the kibble and canned wet diets (P = 0.919) and between the mice and raw diets (P = 0.598). Among all treatments and time periods, the mouse diet had the greatest mean EE. An increase in EE during the feeding period and post-prandial could benefit sedentary indoor cats who may be in positive energy balance. Feeding cats a naturalistic diet, such as intact mice or a raw diet, may increase activity levels and EE, but the longer-term effects of these feeding formats on energy balance need to be explored.

Adherence to resistance training and hypocaloric diet among persons near retirement age — A secondary data analysis of three randomized controlled trials

ObjectivesAdherence to lifestyle interventions is crucial for the treatment of obesity. However, there is little research about adherence to lifestyle interventions in persons around retirement age. The objectives of this study are (1) to identify factors associated with the adherence to resistance training and a hypocaloric diet and (2) to describe the association between adherence and changes in body composition outcome parameters. DesignThis secondary data analysis included three randomized controlled trials. Setting & participantsThe inclusion criteria of the participants were an age of 55–75 years, a BMI ≥ 25 kg/m2 and receiving both a hypocaloric diet and resistance training. All participants were residing in the community. MeasurementsAdherence to hypocaloric diet was measured through the mean dietary intake on the basis of a 3-day dietary record. If the participant consumed at least 600 kcal less than the individual caloric requirements, they were considered adherent. Adherence to resistance training was achieved if ≥67% of the recommended training sessions were attended over the course of the study periods. Results232 participants were included, 47.0% female, mean age 64.0 (±5.5) years. 80.2% adhered to resistance training and 51.3% adhered to a hypocaloric diet. Older age (Beta 0.41; 95% CI 0.05, 0.78; p = 0.028) and male sex (Beta 7.7; 95% CI 3.6, 11; p < 0.001) were associated with higher resistance training adherence. A higher BMI at baseline (Beta 6.4; 95% CI 3.6, 9.2; p < 0.001) and male sex (Beta 65; 95% CI 41, 88; p < 0.001) were associated with higher adherence to hypocaloric diet. ConclusionWe identified several associated factors (sex, age and BMI at baseline) that should be considered to promote adherence in future lifestyle intervention studies in persons around retirement age. We recommend including behavior change techniques in lifestyle interventions and consider sex-specific interventions to improve the adherence of women.

Sleep Duration Alters Overfeeding-mediated Reduction in Insulin Sensitivity.

Weight gain and sleep restriction both reduce insulin sensitivity. However, it is not known if sleep duration alters glucose metabolism in response to overfeeding. To examine the effect of sleep duration on overfeeding-mediated alterations in carbohydrate metabolism and insulin sensitivity. Retrospective exploratory analysis of a longitudinal overfeeding study in healthy participants (n = 28, age: 26.9 ± 5.5 years, body mass index: 25.74 ± 2.45 kg/m2). After providing baseline study measures, participants were overfed 40% above weight maintenance calorie requirements for 8 weeks. Insulin sensitivity was determined by a 2-step hyperinsulinemic-euglycemic clamp. Baseline habitual sleep duration was estimated by accelerometry, and sleep groups were created based on median sleep duration (5.2 hours/night). Overfeeding led to an average body weight gain of 7.3 ± .4 kg. Habitual sleep duration did not alter overfeeding-mediated body weight gain, fat gain, and fat distribution (all P > .15). Compared to participants with more sleep, fasting insulin (P = .01) and homeostatic model assessment for insulin resistance (P = .02) increased while fasting glucose remained unchanged (P = .68) with overfeeding in participants with shorter sleep duration. Glucose infusion rate during high insulin dose was reduced with overfeeding in participants with short sleep duration but not in participants with more sleep (P < .01). Overfeeding mediated weight gain reduced liver, adipose, and whole-body insulin sensitivity prominently in individuals with short sleep duration but not in individuals with longer sleep duration. This suggests that promoting adequate sleep during short periods of overeating may prevent detrimental effects on glucose metabolism.

Can Foraging for Earthworms Significantly Reduce Global Famine in a Catastrophe?

Earthworms are a resilient group of species thriving in varied habitats through feeding on decaying organic matter, and are therefore predicted to survive an abrupt sunlight reduction scenario, e.g., a nuclear winter. In this study, the feasibility and cost-effectiveness of foraging earthworms to reduce global famine in such a scenario with or without global catastrophic infrastructure loss was considered. Previously reported earthworm extraction methods (digging and sorting, vermifuge application, worm grunting, and electroshocking) were analysed, along with scalability, climate-related barriers to foraging, and pre-consumption processing requirements. Estimations of the global wild earthworm resource suggest it could provide three years of the protein needs of the current world human population, at a median cost of USD 353·kg−1 dry carbohydrate equivalent or a mean cost of USD 1200 (90% confidence interval: 32–8500)·kg−1 dry carbohydrate equivalent. At this price, foraging would cost a median of USD 185 to meet one person’s daily caloric requirement, or USD 32 if targeted to high-earthworm-biomass and low-labour-cost regions; both are more expensive than most existing resilient food solutions. While short-term targeted foraging could still be beneficial in select areas given its quick ramp-up, earthworms may bioaccumulate heavy metals, radioactive material, and other contaminants, presenting a significant health risk. Overall, earthworm foraging cannot be recommended as a scalable resilient food solution unless further research addresses uncertainties regarding cost-effectiveness and food safety.

Protein and Leucine Requirements for Maximal Muscular Development and Athletic Performance Are Achieved with Completely Plant-Based Diets Modeled to Meet Energy Needs in Adult Male Rugby Players.

Rugby athletes consume large amounts of animal protein in accordance with conventional dietary guidance to increase muscle mass and strength. This misaligns with national dietary guidelines, which suggest limiting meat consumption for chronic disease prevention. The ability of completely plant-based diets to satisfy the nutritional needs of rugby players has not been explored. This study scaled nutrient data from a large population consuming completely plant-based diets with limited supplemental protein to meet the calorie requirements of adult male rugby athletes to assess whether protein and leucine recommendations for muscular development and athletic performance would be achieved. Calorie requirements were estimated from research that employed the doubly labeled water method, and dietary data from the Adventist Health Study-2 were scaled to this level. The modeled protein level was 1.68 g/kg/day, which meets recommendations for maximal gains in muscle mass, strength, and athletic performance. The modeled leucine level was 2.9 g/meal for four daily meals, which exceeds the threshold proposed to maximally stimulate muscle protein synthesis in young men. These results indicate that consuming large portions of completely plant-based meals can satisfy protein and leucine requirements for maximal muscular development and athletic performance in adult male rugby athletes while aligning with public health recommendations.

Nutritional Issues among Children with Duchenne Muscular Dystrophy-Incidence of Deficiency and Excess Body Mass.

The progression of Duchenne muscular dystrophy (DMD)requires the assessment of nutritional disturbances at each stage of the disease. The purpose of this study was to assess the nutritional status in various ages of boys with DMD using screening and in-depth evaluation methods. Body composition by Dual X-ray Absorptiometry (DXA), basal metabolic rate (BMR) by indirect calorimetry, a questionnaire of nutritional status-Pediatric Nutrition Screening Tool (PNST)-and laboratory parameters were performed. In the cohort of 93 boys aged 8.54 (5.9-12.6 years), inappropriate nutritional status occurred in 41.8% of boys (underweight 11.8%, overweight 16.0%, and obesity 14.0%). In the 10-13 age group, the occurrence of overweight and underweight was the highest. Based on PNST, 15.1% of patients were at nutritional risk (≥2 points)-the most in the 14-17 age group (29%). A negative correlation was identified between PNST and z-scores of body weight, BMI, and FFMI (r Spearman = -0.49, -0.46, and -0.48, respectively; p < 0.05). There were no differences between BMR results from indirect calorimetry and calculations from the Schofield formula for any age group. In obese boys, the caloric requirement in indirect calorimetry was significantly lower than that indicated by the calculations according to the Schofield formula (p < 0.028). Inappropriate nutritional status occurred in almost half of the children with DMD. The age group in which nutritional disorders were most frequently identified was 10-13 years old. PNST could be considered a tool for screening malnutrition after testing a larger group of DMD patients.

Current practices in the nutrition management of people with amyotrophic lateral sclerosis (ALS): a survey of U.S. ALS care teams

Objective To assess current practices of U.S. professionals providing outpatient ALS nutrition care. Methods A cross-sectional survey assessing nutrition care practices was distributed in February/March 2023 through electronic mailing lists of relevant professional organizations. Results Of the 87 professionals completing the survey, 85.1% were registered dietitians and 50.6% had five or fewer years of experience in ALS care. Many (44.2%) professionals reported receiving no training on the nutrition care of people with ALS (PALS), and 40.2% reported having no other ALS dietitians in their close network. Methods utilized to estimate calorie and protein requirements in PALS varied widely. Although 95.4% of respondents reported that their clinic’s dietitian participates in feeding tube discussions, many practitioners may be waiting until ALS symptoms negatively impact PALS’ breathing, eating, swallowing, or weight to begin discussing feeding tubes. Additionally, few professionals reported institutional practices conducive for refeeding syndrome prevention or monitoring. Conclusions Many professionals providing outpatient nutrition care to PALS possess limited experience, received insufficient training, and are not connected to other ALS dietitians. Specific nutrition care practices, including nutrient need estimation, vary widely among health professionals. Practices surrounding feeding tube discussions and refeeding syndrome may be suboptimal at many institutions. These findings highlight the need for initiatives that educate and connect practitioners providing nutrition care to PALS.

Evaluation of the Antioxidant and Antimicrobial Activity of the Nutritionally Rich Plant, Dioscorea alata L.

Dioscorea alata belongs to Dioscoreaceae or the yam family. Around 600 Dioscorea species are consumed in various regions of the world. Dioscorea alata is well known cultivated tuber consumed by both rural and urban people. In this study, we have investigated the nutrient composition, phytochemicals, and antioxidant and antimicrobial activity of the underground and aerial tubers of Dioscorea alata. The result of the analysis showed that the aerial tuber of D. alata contained a higher amount of moisture (68.51%), ash (4.64%), starch (5.61%), reducing sugar (0.029%), fat (0.33%) and protein (1.39%) than underground tuber of D. alata. At the same time, carbohydrates, free amino acids, vitamin C, sodium, potassium and iron contents were superior in the underground tuber than in the aerial tuber. Further, both underground and aerial tuber was a good source of phenols, flavonoids, tannins and diosgenin. The underground tuber exhibited better DPPH scavenging potential compared to the aerial tuber. Six solvents extract of D. alata showed significant to moderate antibacterial activity toward seven tested clinical stains. Thus, the tuber of D. alata could be used as a better food supplement to meet the calorie requirement and a rich source of relevant antimicrobial agents to treat microbial infections.

Protein Requirements for Maximal Muscle Mass and Athletic Performance Are Achieved with Completely Plant-Based Diets Scaled to Meet Energy Needs: A Modeling Study in Professional American Football Players.

American football players consume large quantities of animal-sourced protein in adherence with traditional recommendations to maximize muscle development and athletic performance. This contrasts with dietary guidelines, which recommend reducing meat intake and increasing consumption of plant-based foods to promote health and reduce the risk of chronic disease. The capacity of completely plant-based diets to meet the nutritional needs of American football players has not been studied. This modeling study scaled dietary data from a large cohort following completely plant-based diets to meet the energy requirements of professional American football players to determine whether protein, leucine, and micronutrient needs for physical performance and health were met. The Cunningham equation was used to estimate calorie requirements. Nutrient intakes from the Adventist Health Study 2 were then scaled to this calorie level. Protein values ranged from 1.6-2.2 g/kg/day and leucine values ranged from 3.8-4.1 g/meal at each of four daily meals, therefore meeting and exceeding levels theorized to maximize muscle mass, muscle strength, and muscle protein synthesis, respectively. Plant-based diets scaled to meet the energy needs of professional American football players satisfied protein, leucine, and micronutrient requirements for muscle development and athletic performance. These findings suggest that completely plant-based diets could bridge the gap between dietary recommendations for chronic disease prevention and athletic performance in American football players.

Improved long-term outcome of children with congenital diarrhea followed by an intestinal rehabilitation program.

Long-term outcomes of congenital diarrheas and enteropathies (CODE) are poorly described. We evaluated the morbidity and mortality of children with CODE followed by an intestinal rehabilitation program (IRP) compared to children with short bowel syndrome (SBS). Matched case-control study of children with intestinal failure (IF) due to CODE (diagnosed between 2006 and 2020; N = 15) and SBS (N = 42), matched 1:3, based on age at diagnosis and duration of parenteral nutrition (PN). Nutritional status, growth, and IF-related complications were compared. Survival and enteral autonomy were compared to a nonmatched SBS cohort (N = 177). Fifteen CODE patients (five males, median age 3.2years) were followed for a median of 2.9years. Eleven children were alive at the end of the follow-up, and two achieved enteral autonomy. The CODE group had higher median PN fluid and calorie requirements than their matched SBS controls at the end of the follow-up (83 vs. 45 mL/kg/day, p = 0.01; 54 vs. 30.5 kcal/kg/day, p < 0.01), but had similar rates of growth parameters, intestinal failure associated liver disease, central venous catheter complications and nephrocalcinosis. Kaplan-Meier analyses of 10-year survival and enteral autonomy were significantly lower in CODE patients compared to the nonmatched SBS population (60% vs. 89% and 30% vs. 87%, respectively; log-rank p < 0.008). Despite higher PN needs in CODE, rates of IF complications were similar to matched children with SBS. Enteral autonomy and survival rates were lower in CODE patients. Treatment by IRP can mitigate IF-relatedcomplications and improve CODE patient's outcome.

Resting Energy Expenditure, comparison of predictive formulas with bioimpedance: Peruvian population

ntroduction: In areas with limited access to healthcare systems, Resting Energy Expenditure (REE) estimation is performed using predictive equations to calculate an individual’s caloric requirement. One problem is that these equations were validated in populations with different characteristics from those in Latin America, such as race, height, or body mass, leading to potential errors in the prediction of this parameter. Objective: To determine the REE using predictive formulas compared with bioimpedance in Peruvians. Materials and methods: A comparative analytical cross-sectional study with secondary database analysis of the CRONICAS cohort. Results: we worked with a total of 666 subjects. The Mjeor equation was the one with the highest rating of 0.95, a lower mean absolute percentage error (MAPE) of 4.69%, and equivalence was found with the REE values. In the multiple regression, it was observed that the Mjeor equation was the one that least overestimated the REE, increasing 0.77 Kcal/day (95% CI: 0.769-0.814; p&lt;0.001) for each point that increased the REE determined by bioimpedance. The strength of association between Mjeor and bioimpedance was 0.9037. Furthermore, in the regression of the data (weight, height, age) in the Mjeor equation it was observed that the coefficients obtained were the same as those used in the original equation. Conclusions: The Mjeor equation seems to be the most adequate to estimate the REE in the Peruvian population. Future prospective studies should confirm the usefulness of this formula with potential utility in primary health care.

Determinant factors associated with central obesity in the academic staff at Universitas Negeri Gorontalo

Central obesity is one of the causes of metabolic syndrome and other degenerative diseases. This study aimed to analyze the relationship between age, gender, physical activity, genetics, stress, and diet with the incidence of central obesity in academic staff at Universitas Negeri Gorontalo. The research method used was an analytical observational method with a cross-sectional study design with the number of research subjects 248 samples consisting of employees or education personnel at Universitas Negeri Gorontalo. Data were collected using a questionnaire and analyzed using binary logistic regression analysis. The results showed that physical activity, genetics, stress, and calorie requirement had a significant relationship with central obesity, while age and gender did not. The calorie requirement variable had a p-value of 0.000 and an odds ratio of 10.75. The physical activity variable had a p-value of 0.009 with an odds ratio of 0.59. The stress variable has a p-value of 0.015 with an odds ratio of 2.09. The results of the data analysis test obtained an R-square value of 0.359. This indicates that the independent variable can explain or influence the dependent variable by 35.9%. The remaining 64.1% is explained by other variables not included in this study.

A history of strategies and a tapestry of triumphant tales in tackling plant fungal diseases

AbstractEver since the first crops were domesticated over 10,000 years ago, pests and pathogens have wreaked havoc on crop production. Despite diverse threats from longstanding and emerging diseases, plants continue to play a central role in meeting humanity's requirements for calories and nutrients. In this review, we discuss historical advances made by plant pathologists and breeders that have helped keep many plant diseases at bay. We focus predominantly on fungal diseases of five food crops—rice, wheat, maize, soybean and potato—that provide the bulk of calories consumed globally. We cover such historical triumphs in plant pathology as (i) advanced knowledge of fungal biology revolutionizing disease management strategies, (ii) integration of genetics by the ‘wheat wizard’ Rowland Biffen and others transforming the landscape of resistance breeding and (iii) the advent of modern fungicides—from a sinking ship in the 1660s—leading to dramatic yield enhancements. We also discuss (iv) the potential for emerging biocontrol agents to holistically promote plant health and yield. Today, the high homogeneity of crops in modern agricultural systems exacerbates yield losses due to disease by increasing pest/pathogen transmission rates and eroding natural spatial barriers to pest/pathogen dispersal. Meanwhile, climate change is altering the compositions of global pest and pathogen populations and expanding pest/pathogen territories with unpredictable consequences. As we look to the future, the strength of the plant pathology community remains central to developing innovative solutions to tackle these complex and expanding threats to plant health and secure a plentiful food supply.

Sex differences in electrolyte abnormalities indicating refeeding syndrome risk among hospitalized adolescents and young adults with eating disorders

BackgroundRefeeding syndrome is the gravest possible medical complication in malnourished patients undergoing refeeding in the hospital. We previously reported that males with malnutrition secondary to eating disorders required more calories and had longer hospital stays than females; however, sex differences in electrolyte abnormalities indicating refeeding syndrome risk remain unknown. The objective of this study was to assess differences in electrolyte abnormalities indicating refeeding syndrome risk among male and female adolescents and young adults with eating disorders hospitalized for medical instability.MethodsWe retrospectively reviewed the electronic medical records of 558 patients aged 9–25 years admitted to the University of California, San Francisco Eating Disorders Program for medical instability between May 2012 and August 2020. Serum was drawn per standard of care between 5 and 7 am each morning and electrolyte abnormalities indicating refeeding syndrome risk were defined as: hypophosphatemia (< 3.0 mg/dL), hypokalemia (< 3.5 mEq/L), and hypomagnesemia (< 1.8 mg/dL). Logistic regression was used to assess factors associated with electrolyte abnormalities indicating refeeding syndrome risk.ResultsParticipants included 86 (15.4%) males and 472 (84.6%) females, mean (SD) age 15.5 (2.8) years. Rates of refeeding hypophosphatemia (3.5%), hypokalemia (8.1%), and hypomagnesemia (11.6%) in males hospitalized with eating disorders were low, with no statistically significant differences from females. Older age was associated with higher odds of refeeding hypophosphatemia and hypomagnesemia. Lower percent median body mass index and greater weight suppression at admission were associated with higher odds of refeeding hypophosphatemia.ConclusionsRates of electrolyte abnormalities indicating refeeding syndrome risk were low in males hospitalized for eating disorders and rates did not significantly differ from females. Together with our finding that males have higher caloric requirements and longer hospital length of stay, the finding that electrolyte abnormalities indicating refeeding syndrome risk were not greater in males than females supports future research to evaluate the safety and efficacy of higher calorie and/or faster advancing refeeding protocols for males.

Test of Acceptance and Protein Levels in Soybean Flour Formulation Muffins as Snacks for Young Women with Chronic Energy Deficiency

Chronic energy deficiency in young people is caused by a lack of nutritional intake, such as energy and protein. Consequently, the nutrients required for daily needs are insufficient. This study aims to determine the acceptability test results and protein content in soy flour muffins as a snack for young women with chronic energy deficiency. An experimental study was conducted with 25 participants to assess the acceptability of three muffin formulas, varying in wheat flour to soy flour ratios: 150:0, 90:60, and 80:70. Following processing and acceptability testing, the control and preferred formula were analyzed for protein content in soy flour muffins. The results indicate that the preferred formula among the panelists (DP18) was formula 3, with a wheat flour to soy flour ratio of 80:70, containing a protein content of 10.70%. This formula exhibited an energy density of 4.23 kcal/g and a Protein Energy ratio of 12.31%. Muffins supplemented with 60 g/serving of soy bean can fulfill 10% of daily calorie and protein requirements. Future researchers are encouraged to conduct community-based projects to assess the utility of these muffins in increasing body weight and average arm circumference.