Changes In Nutritional Habits Research Articles

Changes in Nutritional Habits and Lifestyles Associated With COVID-19 in Jazan, Saudi Arabia: A 2022 Cross-Sectional Survey.

The COVID-19 pandemic impacted dietary habits and physical activity patterns, with some long-term consequences. This study evaluated the effects of the pandemic on adults' dietary habits and physical activity in Jazan and compared them to pre-pandemic. An analytical cross-sectional survey was conducted among conveniently selected 559 individuals in Jazan, Saudi Arabia, in February 2022 using a validated online questionnaire. Data was collected to assess changes in eating habits, food intake, and weight before and 21 months after lifting of COVID-19 curfew restrictions in the region. Chi-squareand McNemar's tests were used for analysis. The proportion of individuals consuming homemade meals decreased from 50.6% (n=283) before the pandemic to 46.5% (n=260) during the pandemic, while the proportion of participants consuming less than three meals per day increased from 42.2% (n=236) to 45.4% (n=254), and breakfast consumption decreased significantly from 58.1% (n=325) to 53.5% (n=299) (p = 0.033). There was an increase in the consumption of fast food from 10.7% (n=60) to 12.0% (n=67) and dining at restaurants from 18.4% (n=103) to 19.3% (n=108); however, these increases were not statistically significantcompared to pre-pandemic rates. During the pre-COVID-19 period, 46.9% (n=262) reported engaging in physical activity one to three times a week, whereas this frequency decreased to 41.3% (n=231) during the pandemic (p = 0.017). In contrast, a significant increase was observed in the duration of computer usage as prior to the pandemic, 20.2% (n=113) reported spending more than five hours per day on the computer, while this proportion increased to 31.8% (n=178) during the pandemic (p < 0.001). Furthermore, a considerable proportion of both males and females, constituting over one-third (n=189) of the total sample, reported an increase in body weight. The findings suggest that the adult population in the Jazan region of Saudi Arabia experienced significant lifestyle changes during the COVID-19 pandemic, including altered dietary patterns and a significant decline in physical activity. To mitigate potential adverse effects on future well-being, it is crucial to implement enduring initiatives promoting healthy lifestyles.

May changes in nutritional habits be an indicator of fear during the COVID-19 pandemic period?

Purpose The aim of this study was to determine the effect of anxiety levels of adults on their nutritional status during the COVID-19 pandemic in Kayseri province, Turkey. Design/methodology/approach A total of 898 adults consisting of 479 individuals with and 419 individuals without a positive diagnosis of COVID-19 were included in the study. The individuals’ socio-demographic characteristics, health status, nutritional habits, anthropometric measurement and Fear of COVID-19 Scale (FCV-19S) information were obtained online. Findings The mean FCV-19S score of the participants was 17.49 ± 6.02. FCV-19S score was higher in those who reduced their consumption of protein sources compared to those who did not change and those who increased (p &lt; 0.001). It was determined that FCV-19S scores of participants who increased their consumption of fruit/vegetables, sweets and sugar were higher than those who did not change their consumption of such items (p = 0.007). The FCV-19S scores of individuals who did not change their onion/garlic and snack consumption were lower than those who decreased or increased the consumption of these nutrients (p = 0.001, p = 0.002). Practical implications Education programs can be organized especially targeting vulnerable populations, such as women, individuals with chronic diseases and those experiencing COVID-19 symptoms. These programs can be conducted by dietitians and psychologists in collaboration, focusing on promoting healthy eating habits and coping strategies during stressful times. Originality/value It was determined that those who changed their nutrition habits during the COVID-19 pandemic had higher fear levels than those who did not. Individuals with high fear paid more attention to healthy nutrition than individuals without fear.

The Impact of Different Types of Diet on the Prevention of Diseases among Polish Inhabitants, Including COVID-19 Disease.

Proper nutrition may help in preventing deaths or at least alleviating the symptoms of many chronic diseases. While the COVID-19 disease was still taking its toll, the world had to adjust to new life conditions, which could change nutritional habits. In this observational, cross-sectional study, we aimed to identify the potential correlations between sociodemographic factors and diet and the presence of common chronic diseases among Polish inhabitants. Furthermore, we tried to determine whether the COVID-19 pandemic led to changes in nutritional habits. Therefore, based on the online study (the National Test for Poles' Health (NTPH), we collected data from 376,102 and 200,000 respondents in two different time frames (before the COVID-19 pandemic: 2019-2020 and during the COVID-19 pandemic: 2021-2022, respectively). Despite the rapid global rise of the COVID-19 pandemic, among our study group, hypertension was still the most commonly occurring disease in both time frames (32.33% in 2019-2020 and 34.95% in 2021-2022, p < 0.001). Furthermore, more chronic diseases were reported during the COVID-19 pandemic than in 2019-2020. Regarding sociodemographic factors, male respondents were more likely to develop hypertension and diabetes (OR = 1.35 CI 95% (1.28-1.43), p < 0.001; and OR = 1.20 CI 95% (1.11-1.30), p < 0.001). Vegetarian diet decreases the likelihood of hypertension, neurological disease, and diabetes (OR = 0.69, CI 95% (0.60-0.81), p < 0.001; OR = 0.72, CI 95% (0.59-0.88), p = 0.001; and OR = 0.73, CI 95% (0.55-0.96), p = 0.026). In line with this, consuming meat meals increases the risk of hypertension (OR = 1.09, CI 95% (1.02-1.17), p = 0.009). Interestingly, a reduced-sodium diet has an association with decreased morbidity of COVID-19 disease (OR = 0.72, CI 95% (0.63-0.82), p < 0.001). This result brings new light to more research to be done to allow efficient prevention of this disease. In conclusion, our study shows the beneficial role of a balanced diet in reducing the incidence rate of common chronic diseases. Our findings may be educational for those who would like to change their nutritional habits and/or for public health professionals to suggest the implementation of proper diets to their patients.

Changes in Health Behaviour and Emotional Well-Being of Pregnant Women During the COVID-19 Pandemic in Latvia

Abstract Pregnancy is a vulnerable period of life for changes in physical and mental health, which could be exacerbated by COVID-19. The aim of this study was to assess the impact of COVID-19 on health behaviour and emotional well-being among pregnant women in Latvia. The cross-sectional study included 269 women: pregnant women in the third trimester and women until the 7th day post-partum. The study was conducted between July and October 2020, performed by a trained interviewer. Information regarding demographic, anthropometric data, self-assessment of changes in nutritional habits, daily physical activities, and emotional well-being due to the COVID-19 pandemic was collected. 31.6% reported cooking at home more often and only 10.4% reported eating more often and/or larger portions, 23.2% were going on walks outdoors more often, 32.9% were feeling anxious, insecure about health of themselves and relatives, and 24.8% were lacking communication with friends and family. Latvian women were emotionally more affected than other nationalities (p = 0.015). Overall, women 30+ years of age were more often affected then women aged up to 30 years (p = 0.014). These results suggest that the COVID-19 pandemic had notable impact on health behaviour and emotional well-being in pregnant women in Latvia, especially on women 30+ years of age, who may need more careful counselling.

Nonspecific abdominal pain: Do I have to allocate a specific diagnosis for every patient?

Acute abdominal pain is one of the most common chief complaints in the acute setting all over the world. The definitive diagnoses of these patients vary depending on age, gender, geographical and sociodemographic characteristics etc. Apart from these, aging of the population, obesity, advanced diagnostic imaging modalities and changes in nutritional habits also have an impact on the rates of specific diagnoses. On the other hand, nonspecific abdominal pain constitutes almost half of all visits due to acute abdominal pain in the acute care setting. This phenomenon is the main differential diagnostic problem in the management of these patients because missing a life-threatening condition can cause enormous medicolegal problems for the caregivers. Certain diagnostic scoring systems have also been developed to facilitate recognition and management of these conditions. This article aims to review the entity and underline the challenges it can bring to the scene.

Changes in Nutritional Habits and Lifestyles during the COVID-19 Lockdown Period in Saudi Arabia: A Cross-Sectional Study

The World Health Organization (WHO) declared the coronavirus disease (COVID-19) to be a pandemic in March 2020 due to growing case notification rates worldwide. This study was designed to investigate nutritional habits and lifestyle changes among people living in the Kingdom of Saudi Arabia (KSA) during the COVID-19 lockdown. A cross-sectional study of 208 adults aged 18 to 56 years living in the KSA was conducted between March and May 2020. Participants were identified and invited to complete an online survey. Google Docs forms were used by participants to self-report their nutritional habits, lifestyles, and physical activity levels during the lockdown. Of the 208 participants, 88.9% were female. More than half of the participants (58.1%) reported an increase in their food consumption during the lockdown, which included a higher intake of fast food (47.1%), sweets (48.5%), and fruits and vegetables (49%). 30.8% of participants reported an increase in body weight during the lockdown, while 32.2% reported a decrease. Staying at home or working from home was associated with decreased levels of physical activity in 39% of participants. This study provides the first data on changes in nutritional habits and lifestyles during the COVID-19 quarantine. Our findings suggest that people should decrease their intake of foods that are high in fat and sugar and increase their physical activity levels to maintain a healthy lifestyle.

Results of the ECHO (Eating habits CHanges in Oncologic patients) Survey: An Italian Cross-Sectional Multicentric Study to Explore Dietary Changes and Dietary Supplement Use, in Breast Cancer Survivors.

The role of a healthy diet in cancer prevention is well recognized. Recent data indicate that following the same advices can also improve cancer survivors’ quality of life. Breast cancer (BC) patients are commonly concerned about diet and nutrition and frequently express the need to obtain health-related information and the will to change their diet and lifestyle. Hence, be aware of survivors’ dietary changes and information needs is crucial for healthcare professionals to guide them toward optimal lifestyle choices. In order to investigate eating habits changes in a BC survivors’ population, we conceived the cross-sectional multicentric study ECHO (Eating habits CHanges in Oncologic patients) Survey. Data were collected from 684 patients, diagnosed with invasive breast cancer, in order to investigate their changes in food consumption, use of supplements, or the beginning of a specific diet, after BC diagnosis. We also examined the sources of information used and if any modification in their diets was reported to the oncologist. We primarily observed that patients increased their consumption of vegetables, pulses, nuts, fruits, wholemeal bread/pasta, grains and fish; while decreasing red and processed meat, refined bread/pasta, baked good and animal fat consumption. Survivors also reported the use of dietary supplements, mainly vitamins, aimed at counteracting therapies’ side effects. Changes in nutritional habits were often adopted without asking or informing the oncologist. Despite BC survivors made some positive changes in their nutritional habits, those modifications were mostly pursued by less than half of them, while the majority of patients consumed nutritional supplements after diagnosis. These results, as well as the failure to communicate with the physicians, reinforce the need to both improve the patient-healthcare professional relationship and to develop tailored nutrition counselling and intervention programs for cancer survivors.

Diet Supplementation with Fish-Derived Extracts Suppresses Diabetes and Modulates Intestinal Microbiome in a Murine Model of Diet-Induced Obesity.

Metabolic syndrome-related diseases affect millions of people worldwide. It is well established that changes in nutritional habits and lifestyle can improve or prevent metabolic-related pathologies such as type-2 diabetes and obesity. Previous reports have shown that nutritional supplements have the capacity to limit glucose intolerance and suppress diabetes development. In this study, we investigated the effect of dietary supplementation with fish-derived extracts on obesity and type 2 diabetes and their impact on gut microbial composition. We showed that nutritional supplements containing Fish Complex (FC), Fish Complex combined with Cod Powder (FC + CP), or Cod Powder combined with Collagen (CP + C) improved glucose intolerance, independent of abdominal fat accumulation, in a mouse model of diet-induced obesity and type 2 diabetes. In addition, collagen-containing supplements distinctly modulate the gut microbiome in high-fat induced obesity in mice. Our results suggest that fish-derived supplements suppress diet-induced type 2 diabetes, which may be partly mediated through changes in the gut microbiome. Thus, fish-derived supplements and particularly the ones containing fish collagen have potential beneficial properties as dietary supplements in managing type 2 diabetes and metabolic syndrome via modulation of the gut microbiome.

Energy Drink Administration Ameliorates Intestinal Epithelial Barrier Defects and Reduces Acute DSS Colitis.

The rise in the prevalence of inflammatory bowel diseases in the past decades coincides with changes in nutritional habits, such as adaptation of a Western diet. However, it is largely unknown how certain nutritional habits, such as energy drink consumption, affect intestinal inflammation. Here, we assessed the effect of energy drink supplementation on the development of intestinal inflammation in vitro and in vivo. HT-29 and T84 intestinal epithelial cells and THP-1 monocytic cells were treated with IFNγ in presence or absence of different concentrations of an energy drink. Colitis was induced in C57BL/6 mice by addition of dextran sodium sulfate (DSS) to drinking water with or without supplementation of the energy drink. Energy drink supplementation caused a dose-dependent decrease in IFNγ-induced epithelial barrier permeability, which was accompanied by upregulation of the pore-forming protein claudin-2. Administration of the energy drink reduced secretion of the pro-inflammatory cytokines interleukin-6 and tumor necrosis factor-α from HT-29, T84, and THP-1 cells. In vivo, energy drink administration reduced clinical symptoms of DSS-induced colitis and epithelial barrier permeability. Endoscopic and histologic colitis scores and expression of pro-inflammatory cytokines were significantly reduced by energy drink co-administration. Energy drink consumption seems to exert an unexpected anti-inflammatory effect in vitro and in vivo in our experimental setting. However, our experimental approach focuses on intestinal inflammation and neglects additional effects of energy drink consumption on the body (eg, on metabolism or sleep). Therefore, the translation of our findings into the human situation must be taken with caution.

Food insecurity and its association with changes in nutritional habits among adults during the COVID-19 confinement measures in Belgium.

To assess food insecurity and its association with changes in nutritional habits among Belgian adults during confinement due to COVID-19. Three cross-sectional online health surveys were conducted during March-May 2020. Multinomial logistic regression models were used to determine associations between self-reported changes in fruit, vegetable, soft drink and sweet and salted snack consumption or weight as dependent variables and food insecurity indicators as independent variables, adjusted for gender, household composition, educational attainment and household income. Belgium. In total, 8640 adults recruited by convenience sampling. About 10·4 % of Belgians often or sometimes feared food shortages, 5·0 % were often or sometimes short of food without money to buy more and 10·3 % often or sometimes could not afford to eat a healthy diet during confinement. These percentages were highest among single-parent families (26·7, 14·4 and 23·4 %, respectively). Adults who often or sometimes feared that food would run out during confinement had significantly higher odds of decreased v. unchanged fruits (3·53; 95 % CI = 2·06, 6·05) and vegetables (5·42; 95 % CI = 2·90, 10·11) consumption and significantly higher odds of increased v. unchanged soft drink consumption (3·79; 95 % CI = 2·20, 6·54). Similar results were found for adults who often or sometimes ran out of food and for adults who often or sometimes were not able to afford a healthy diet. Food insecurity during the COVID-19 confinement measures in Belgium was associated with adverse changes in most dietary behaviours. A strong government response is needed to tackle malnutrition and food insecurity to protect public health from ongoing and future pandemics.

Assessing effects of diet alteration on selected parameters of chronically mentally ill residents of a 24-hour Nursing Home. Part I: Effects of diet modification on carbohydrate-lipid metabolism.

The study was aimed at finding out whether, and to what extent, it is possible to introduce and maintain proper nutrition habits in chronically mentally ill residents of a24-hour Nursing Home. The study involved 52 residents of a 24-hour Nursing Home (NH) for the chronically mentally ill. The study was carried out with a prospective method using questionnaires, nutrition-related interviews, anthropometric measurements, and analysis of selected blood biochemical indicators. Diet modification, accompanied by simultaneous health-promoting nutrition-related education, involved balancing the energy and nutrient contents, with adue consideration to gender and age as well as the major ailment and the accompanying disorders. Sources of the basic nutrients, i.e., proteins, carbohydrates and lipids, were replaced by recommended and/or health-promoting ones. Both female and male patients showed a statistically significant reduction in energy uptake, resulting primarily from a significant reduction in the uptake of lipids and simple carbohydrates. Changes in nutritional habits were reflected in statistically significant increase in the uptake of vitamins, minerals and liquids (in the form of water). Diet composition modifications translated into beneficial changes in concentrations of glucose, triacylglycerols, cholesterol (total as well as HDL and LDL fractions) in numerous patients examined. The study showed chronic mental patients to be capable of adopting, with full acceptance and cooperation, proper nutritional habits. Changes in those habits were reflected in improved body functions, including carbohydrate-lipid metabolism indicators, also in schizophrenia patients treated with antipsychotics.

Gıda katkı maddelerinin sağlık üzerine etkileri

Günümüzde gıda teknolojinin gelişmesine ve beslenme alışkanlıklarının değişimine bağlı olarak çok sayıda ve çeşitlilikte işlenmiş gıda üretilmekte ve tüketilmektedir. Tüketicilerin gıda seçimindeki öncelikleri gıdanın besleyici değeri, güvenirliliği ve kullanım uygunluğu olarak sıralanmaktadır. Tüketicilerin beklentilerine cevap verebilecek gıda üretimini sağlayabilmek için gıda katkı maddelerinin kullanımı kaçınılmaz hale gelmiştir. Gıda katkıları, gıda üretim aşamalarında, belirli amaç ve fonksiyonları yerine getirmek için kullanılmaktadır. Doğal ve yapay çok sayıda gıda katkı maddesi üretimi hızla artmaktadır. Tüketicinin bilinçlendirilmesinde gıdanın etiketi anahtar öneme sahiptir. Bu yolla bilgilenen tüketici sağlığını korumada ve gıda seçiminde kendi tercihini kullanabilmektedir. Bu derlemenin amacı, gıdalarda kullanılan katkı maddelerinin sağlık üzerine etkileri araştırılmıştır.

Failure of a single nutrition counseling session for climacteric women

Background: Due to the alarming growth of obesity over the world, strategies of nutritional guidance are necessaryfor the treatment and prevention of this disease. Thus, the objective of the present study was to provide a singlesession of nutritional counseling to a group of climacteric women and to assess the efficacy of this procedure 2 yearslater and to calculate the concordance between methods that evaluate body composition.Methods: Anthropometric, dietary and physical activity data were collected from the volunteers studied, who werethen counseled about correct eating habits and the importance of physical activity during a single visit lasting 120minutes. Two years later, the same women were reevaluated on the basis of the same criteria as used for the initialevaluation. Body composition and energy expenditure were assessed by bioelectrical impedance, DXA and indirectcalorimetry, and food intake was calculated. Anthropometric measurements were made and laboratory tests werealso performed. The initial and final analyses were compared statistically by the Wilcoxon test for paired samplesand the St. Laurent test was applied to determine the concordance of the methods for the determination of bodycomposition.Results: Ten women were followed up during the study period and their mean (±SD) age was 54 ± 8 years at thebeginning of the study. The dietary history of the subjects studied showed deficient intake of calcium, vitamins, zincand fibers both at the beginning and at the end of the study. A greater intake of cholesterol and carbohydratesoccurred at the end of the study. The anthropometric measurements and all other body composition measurementsremained constant, with concordance between the anthropometric and DXA measurements regarding body mass.Conclusion: The data show the inefficiency of a single visit or counseling session regarding a change of nutritionalhabits in these patients, despite the limited number of participants

Most of qualitative dietary changes observed one year post-bariatric surgery can be achieved with a preoperative dietary intervention

Background and objectivesBariatric surgery (BS) leads to several changes in nutritional habits that can be attributed to different mechanisms. Some of these changes could be achievable with a preoperative nutritional intervention. The objective was to evaluate dietary modifications during the preoperative and postoperative periods of BS. MethodsProspective observational study of patients who underwent BS between 2010 and 2014 at the Hospital del Mar; 60 consecutive patients were included. Food consumption was measured by a validated food-frequency questionnaire at inclusion in the bariatric surgery program, after preoperative nutritional intervention, and one year after surgery. Generalized estimating equation models were used to assess differences in food group intake during follow up. ResultsEnergy intake significantly decreased from inclusion to 1 year of surgery (p=0.003). After the preoperative intervention and prior to surgery, there was an increase in intake of nuts, vegetables, poultry and rabbit, fruit, fish and skimmed milk products and a decrease in bread, soft drinks and pastry. At one year post-surgery, a continued decrease in the consumption of bread and soft drinks and an increase in nuts was observed (linear non-quadratic trend). Consumption of fruit, pastry, fish and skimmed milk products remained stable showing a linear and quadratic trend. Vegetables and poultry and rabbit increased in the preoperative period and decreased after surgery, showing a quadratic but not linear trend. Conclusionsa preoperative nutritional intervention in morbidly obese patients can associate favorable dietary changes that are mostly maintained one year after bariatric surgery.

Dietary Habits and Physical Activity of 18-Year-Old Adolescents in Relation to Overweight and Obesity

The purpose of this study was to evaluate the correlations between the nutritional status, nutritional habits, and physical activity in the representative population of 18-year-old students. A total of 1,631 participants aged 18 years, originating from secondary schools/senior high schools in the city of Bialystok, Szpitalna, Bialystok, Poland were enrolled. Participants completed anonymous questionnaires, and their body mass index was assessed. Data were analyzed using standard statistical procedures with Statistical PL 12.0. The analysis showed that consumption of only one to two or three meals was associated with an increased risk of overweight and obesity-in case of one or two meals among girls, OR=1.78 (P<0.05), in case of one or two meals among boys, OR=2.325 (P<0.01), and in case of three meals, OR=1.771 (P<0.05). First breakfast was consumed by 82.1% of boys with normal BMI and 73.1% overweight and obesity (OR=0.593; P<0.05). 24.5% of the eutrophic compared to only 20.3% of adolescents with elevated BMI reported attending all PE classes. Physical activity undertaken after school was associated with a 35.9% decrease risk of overweight and obesity among girls and 57.7% among boys. A specific pattern of nutritional habits, that is, decreased meal frequency in adolescents, skipping meals, appear the most frequent nutritional mistakes associated with overweight and obesity. Insufficient physical activity and exposure to sedentary behaviors among adolescents are disturbing. The obesity problem requires monitoring, prevention and the change of nutritional habits and physical activity early in childhood.

Most of qualitative dietary changes observed one year post-bariatric surgery can be achieved with a preoperative dietary intervention

Background and objectivesBariatric surgery (BS) leads to several changes in nutritional habits that can be attributed to different mechanisms. Some of these changes could be achievable with a preoperative nutritional intervention. The objective was to evaluate dietary modifications during the preoperative and postoperative periods of BS. MethodsProspective observational study of patients who underwent BS between 2010 and 2014 at the Hospital del Mar; 60 consecutive patients were included. Food consumption was measured by a validated food-frequency questionnaire at inclusion in the bariatric surgery program, after preoperative nutritional intervention, and one year after surgery. Generalized estimating equation models were used to assess differences in food group intake during follow up. ResultsEnergy intake significantly decreased from inclusion to 1 year of surgery (p=0.003). After the preoperative intervention and prior to surgery, there was an increase in intake of nuts, vegetables, poultry and rabbit, fruit, fish and skimmed milk products and a decrease in bread, soft drinks and pastry. At one year post-surgery, a continued decrease in the consumption of bread and soft drinks and an increase in nuts was observed (linear non-quadratic trend). Consumption of fruit, pastry, fish and skimmed milk products remained stable showing a linear and quadratic trend. Vegetables and poultry and rabbit increased in the preoperative period and decreased after surgery, showing a quadratic but not linear trend. Conclusionsa preoperative nutritional intervention in morbidly obese patients can associate favorable dietary changes that are mostly maintained one year after bariatric surgery.

Barriers and Enablers That Influence Overweight/Obesity/Obesogenic Behavior in Adolescents From Lower-Middle Income Countries: A Systematic Review.

Overweight/obesity during adolescence in lower-middle income countries has become a public health problem with consequences in adulthood. Inadequate dietary habits, poor diet quality, sedentary behavior, and parental obesity have been reported. To describe management of obesity-like food habits and behavior of adolescents from lower-middle income countries with respect to what keeps them using this diet (barriers) and what helps them avoid it (enablers). Systematic review of the literature related to obesity and food intake of adolescents conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). We classified 11 eligible studies describing the barriers to and enablers of the management of obesity-like food intake and obesity lifestyle. The dual burdens of malnutrition and increased urbanization have been observed. There is preference for processed food, dietary habits, and obesity-like food intake and sedentary behavior. Barriers to managing body weight gain included mostly consumption of fast-food and snack food, less vegetable and fruit intake, skipping meals, and sedentary behavior. Enablers of managing body weight gain included changes in nutritional habits, perception of the consumption of healthy food, physical activity, and engagement in programs to change lifestyle. The globalization of the fast food industry has provided an obesogenic environmental stimulus for adolescents in lower-middle income countries.

Psychological support of esophageal cancer patient?

Important questions are still open about psychological aspects in esophageal cancer (EC) and about the related psychological support. How to cope with the cancer diagnosis and poor prognosis: a psychological counselling may be a valid option to personalize the communication to patients with a poor prognosis. How to cope with long chemoradiotherapy: after neoadjuvant therapy, patients know that curative process is not completed, and they perceive the severity of the neoadjuvant side effects, considering themselves "fragile" and far from a healthy condition before the major surgery they are going to undergo. Therefore, this is a particularly crucial point when psychological support may be useful. How to cope with change of nutritional habits: esophagectomy for cancer strongly impairs nutritional function in the early postoperative period and feeding Jejunostomy impairs emotional function. How to cope with sleep disturbances: most cancer patients report disturbed sleep after cancer diagnosis and/or following cancer treatment. Psychological intervention aims to identify underlying concerns worsening sleep quality. How to cope with postoperative complications: the occurrence of such complications reduces patient's satisfaction and has a negative effect on doctor-patient relationship. How to cope with long-term functions impairment: EC patients need a plan for the future.

Effect of Aerobic exercise and life style intervention among young women with Polycystic Ovary Syndrome

INTRODUCTION: Poly cystic ovary syndrome (PCOS) is the common endocrine condition with an increasing prevalence in recent years. Life style is recognized to be a very important factor in the development and progression of this condition. Poor life style which includes lack of exercise and dietary habits is said to be the underlying factor in the development of the condition. It is estimated that approximately 40%-60% of PCOS subjects are obese. Obesity plays a major role in aggravating the clinical presentation of the disease, very importantly fertility and metabolism. Insulin resistance is also closely associated with obesity and PCOS. Lifestyle changes including more physical activity, changes in nutritional habits and diet can improve obesity, metabolic and hormonal profile in these people which enhances their quality of life. OBJECTIVE: To study the effectiveness of aerobic exercise and life style intervention among young women with polycystic ovary syndrome. MATERIALS & METHODS: Total 30 PCOS subjects in the age group between 18 to 25 years were recruited based on the Rotterdam criteria (2003) for the presence of PCOS in this pretest-posttest, randomized controlled trial. The recruited subjects were randomly allocated into two groups, each group consisting of 15 subjects. Group A (AE) were intervened with aerobic exercises protocol, which comprised of 45 minutes of brisk jogging in a treadmill at 6km/hour speed and Group B (ASE) were instructed only to do active stretching exercises. The study duration was 12 weeks. PCOS-Q50 and blood hormonal level were taken pre and post intervention. Both the groups received nutritional advice from a nutritionist. Statistical analysis of the result was done using paired t test within groups and independent t test between the groups. RESULT: The result of the study showed that on the PCOS Q-50 parameter, LH: FSH ratio, free testosterone hormone level, homeostatic Model Assessment Insulin resistance and high sensitivity C Reactive protein, Group A(AE) showed highly significant decrease in the post test mean at P<0.001 when compared to Group B(ASE). CONCLUSION: The present study concluded that a 12 week aerobic exercise and life style intervention was effective in improving PCOS-Q50 scores and hormonal levels among young women with PCOS.

Non-specific abdominal pain remains as the most common reason for acute abdomen: 26-year retrospective audit in one emergency unit

Objective: Distribution of diagnoses causing acute abdominal pain (AAP) may change because of population aging, increased obesity, advanced diagnostic imaging and changes in nutritional habits. Our aim was to evaluate the diagnoses causing AAP during a 26-year period.Materials and methods: This was a retrospective cross-sectional cohort study in one emergency department (ED) covering population about 250,000. All patients admitted to the ED in 1986, 2003 and 2012 were evaluated from hospital electronic database. Demographic data, utilization of diagnostic tests, surgical treatment and discharge diagnosis were analyzed. Statistical data of population aging, obesity and alcohol consumption during 1980–2012 were obtained from national registers.Results: The AAP patients represented 10–20% of our total ED census. The most common causes of AAP were nonspecific abdominal pain (NSAP, 31–37%), acute appendicitis (11–23%), biliary disease (9–11%), bowel obstruction (5–7%), acute pancreatitis (4–8%) and acute diverticulitis (1–7%). The percentage of NSAP remained highest throughout the study period. Decrease in the number of acute appendicitis (from 23 to 11%; p < .0001), increase in acute diverticulitis (from 1 to 5%; p ≤ .0001) and acute pancreatitis (from 4 to 7%; p = .0273) was observed over time. The utilization of diagnostic imaging increased significantly (CT from 2 to 37% and US from 4 to 38%, p < .0001). Hospital mortality was very low (1–2%).Conclusions: NSAP is still the main differential diagnostic problem in the ED. Except acute appendicitis, distribution of specific diagnoses causing AAP remained rather stable through 26-year audit.