Fruit Juice Consumption Research Articles

Orange Juice Consumption Is Not Associated with Excess Weight Gain in a Large Prospective Cohort of US Children and Adolescents

Abstract Objectives Given the conflicting evidence regarding fruit juice consumption and childhood obesity, we sought to evaluate associations between 100% orange juice (OJ) consumption and changes in anthropometric parameters in a large prospective cohort of US children and adolescents. Methods Participants from the Growing Up Today Study II (n = 7301) completed a baseline questionnaire in 2004 and follow-up questionnaires in 2006 and 2008. Data from these questionnaires were then used to assess mean 2-year changes in anthropometric characteristics in relation to OJ consumption. Changes in body mass index (BMI) percentile and height-for-age z-score (HAZ) were computed across OJ consumption categories using mixed linear regression modeling. Results Girls’ 2-year mean (SD) change in BMI percentile was not associated with OJ consumption after full adjustment: −0.44 (0.36) for OJ non-consumers, 0.20 (0.41) for 1–3 glasses/month, −0.04 (0.34) for 1–6 glasses/week, and −0.77 (0.62) for ≥1 glass/day (P-trend = 0.49). Meanwhile, girls’ 2-year mean (SD) change in HAZ was positively associated with OJ consumption: 0.03 (0.01) for non-consumers, 0.03 (0.02) for 1–3 glasses/month, 0.06 (0.01) for 1–6 glasses/week, and 0.09 (0.02) for ≥1 glass/day after full adjustment (P-trend = 0.02). There were no significant associations in boys. Conclusions These results indicate that OJ consumption was not associated with BMI percentile but was positively associated with HAZ change in girls, suggesting that OJ consumption is unlikely to contribute towards obesity. Funding Sources This study was supported by the Florida Department of Citrus, an executive agency of the state of Florida.

Consumption of anthocyanin-rich beverages affects Nrf2 and Nrf2-dependent gene transcription in peripheral lymphocytes and DNA integrity of healthy volunteers

Recently, we demonstrated that the consumption of a bolus of bilberry extract modulates the transcription of Nrf2-regulated genes in peripheral blood lymphocytes (PBL) of healthy volunteers, accompanied by decreased DNA-damage. In the present study, we addressed the question whether consumption of consumer-relevant amounts of anthocyanin-rich beverages can achieve similar effects. The impact of three different anthocyanin-rich beverages on Nrf2-dependent gene transcription as well as and the status of DNA-damage in whole blood was investigated. After a polyphenol-reduced diet, five healthy male subjects consumed a bolus (700 mL) of respective test beverages with blood sampling up to 8 h after intake. All beverages affected the transcription of Nrf2, HO-1 and NQO-1, but showed different potencies and persistence of effects. Consumption of red fruit juice significantly reduced total DNA strand breaks (with formamidopyrimidine-DNA-glycosylase-(fpg) treatment) after 8 h in blood samples of the volunteers, suggesting antioxidant and DNA protective effects, albeit transcript levels of Nrf2-dependent genes had reached the basal state. The amount of basic DNA strand breaks (damage without oxidative DNA strand breaks) remained unchanged during the monitoring period. In contrast, a beverage prepared from grape skin extract significantly increased basic and total DNA strand breaks 2 h after intake, underlining the necessity of further investigations regarding composition, safety and consumer´s acceptance of respective products to exclude undesired adverse effects. Consumption of a bolus of anthocyanin-rich beverages affected Nrf2 and Nrf2-dependent gene transcription in human PBL and DNA integrity, which is indicative for systemic effects.

A longitudinal study of fruit juice consumption during preschool years and subsequent diet quality and BMI

BackgroundThe role of fruit juice in pediatric dietary guidelines continues to be controversial, particularly with respect to concerns about unhealthy dietary habits and the potential promotion of excessive weight gain. The objective of the current study was to determine the association between preschool fruit juice consumption and the following outcomes during childhood and adolescence: whole and total fruit intake, diet quality, likelihood of meeting current dietary recommendations, and BMI change.MethodsThe data were previously collected from 100 children enrolled in the Framingham Children’s Study at 3–6 years of age and subsequently followed for 10 years. Dietary data were collected annually using multiple sets of 3-day diet records. Compliance with dietary recommendations was estimated based on 2015–2020 Dietary Guidelines for Americans and diet quality was measured using the associated Healthy Eating Index (HEI). Mixed linear and logistic regression models were used for statistical analyses.ResultsPreschool children (3–6 years) who drank ≥1.0 (vs. < 0.5) cup of 100% fruit juice/day consumed 0.9 cups/day more total fruit (p < 0.0001) and 0.5 cups/day more whole fruit (p < 0.0001) during adolescence (14–18 years). Total HEI scores during adolescence for those with the highest preschool juice intakes were almost 6 points higher than those with the lowest fruit juice intakes (p = 0.0044). Preschoolers consuming < 0.5 cups/day of fruit juice had sharply declining whole fruit intake throughout childhood compared with those preschoolers consuming ≥1.0 cups/day who had stable intakes of whole fruit throughout childhood. Those children who consumed ≥0.75 cups/day of fruit juice during preschool (vs. less) were 3.8 times as likely to meet Dietary Guidelines for whole fruit intake during adolescence (p < 0.05). Finally, in multivariable models, there was no association between fruit juice consumption and BMI change throughout childhood.ConclusionThese data suggest that preschool consumption of 100% fruit juice is associated with beneficial effects on whole fruit intake and diet quality without having any adverse effect on BMI during childhood and into middle adolescence.

Determination of essential and non-essential element concentrations and health risk assessment of some commercial fruit juices in Turkey.

Aim of present study is to quantify essential (Ca, Co, Cr, Cu, Fe, K, Mg, Mn, Na, P, Se and Zn) and non-essential/toxic (Al, As, Ba, Cd, Ni, Pb and Ti) elements of 100% fruit juices (orange, apple, pomegranate and grape) and fruit nectars (orange, peach, apricot and cherry and the determination of non-carcinogenic and carcinogenic risks. For this purpose, inductively coupled plasma-optical emmision spectroscopy was used to find out element content of samples after microwave digestion process. Essential element contents of 100% fruit juices and nectars were determined as max. 1350mg/L (K, in 100% orange juice) and min. 0.007mg/L (Cr, in 100% grape, cherry and apricot nectar and Cu, Mo, in 100% apple juice). Furthermore, the daily intake percentages of essential elements were calculated for 200mL fruit juice consumption. Target hazard quotients, hazard indexes (HI) and target carcinogenic risks (TR) of non-essential, trace and ultra trace elements were also calculated and risk analysis were conducted. According to the results, the HI and TR of samples were founded as less than 1 and 1 × 10-4, respectively. All samples evaluated as in the low risk group.

Untargeted volatile metabolomics using comprehensive two-dimensional gas chromatography-mass spectrometry – A solution for orange juice authentication

Orange juice is one of the most consumed fruit juices worldwide and its adulteration has been a long-lasting concern. In this study, an untargeted volatile metabolomics using a comprehensive two-dimensional gas chromatography-quadrupole mass spectrometry (GC × GC-qMS) was developed to systematically authenticate orange juice. At least 405 citrus whole fruits were collected, belongs to 58 types of orange samples and 23 types of non-orange citrus. The fruit juices were prepared in the laboratory and analyzed using the comprehensive GC × GC-qMS instrument. After optimizing the instrumental settings, this novel method was able to identified ~250 volatiles in each juice sample, covering a variety types of hydrocarbons, esters, alcohols, aldehydes, ketones and others. Combining with unsupervised principal component analysis and supervised partial least squares-discriminant analysis , this novel analytical tool was able to authenticate orange juice from a broad perspectives with a high accuracy in the cross-validation model: 1) differentiating orange juice from non-orange citrus juice (99% accuracy), 2) recognizing orange harvesting years (100% accuracy) and geographical origins (96% accuracy), and 3) distinguishing original pure orange juice from the reconstituted juice (94% accuracy). Key volatile metabolites associated with different categories of samples were also identified after thorough investigation of the loading values of the classification models. These metabolites have high potential to be used as food-markers to design targeted analytical methods for orange juice authentication. This novel comprehensive GC × GC-qMS-based method is ideal for governmental laboratories and the food industry to routinely authenticate orange juice.

Consumption of Sugar-Sweetened Beverages, Juice, Artificially-Sweetened Soda and Bottled Water: An Australian Population Study.

Reducing consumption of free sugars, such as those found in high concentrations in manufactured products such as sugar-sweetened beverages (SSBs) and 100% fruit juices, is a global public health priority. This study aimed to measure prevalence of widely available pre-packaged non-alcoholic water-based beverages (carbonated sodas, sports drinks, energy drinks, artificially-sweetened sodas, fruit juices (any type), and bottled water) and to comprehensively examine behavioral, environmental, current health, and demographic correlates of consumption. A cross-sectional, nationally-representative population survey of 3430 Australian adults (18+ years) was conducted using computer-assisted telephone (mobile and landline) interviewing. Past week prevalence of pre-packaged drinks containing free sugar was 47.3%; daily prevalence was 13.6%. Of all the pre-packaged drinks assessed, consumption of fruit juices (any type) was the most prevalent (38.8%), followed by bottled water (37.4%), soda (28.9%), artificially-sweetened soda (18.1%), sports drinks (8.1%), and energy drinks (4.2%). Higher soda consumption was associated with males, younger age, socio-economic disadvantage, frequent takeaway food consumption, availability of soda in the home, obesity, and a diagnosis of heart disease or depression. A diagnosis of Type 2 Diabetes was associated with increased likelihood of consuming artificially-sweetened sodas and decreased likelihood of consuming sugar-sweetened soda. SSB consumption is prevalent in Australia, especially among young adults and males, foreshadowing continued population weight gain and high burdens of chronic disease. To reduce consumption, Australia must take a comprehensive approach, incorporating policy reform, effective community education, and active promotion of water.

Evaluating the effects of different beverages with daily consumption habits on the wear of restorative materials.

The aim of this study was to investigate the cumulative effects of fruit juices and/or alcoholic beverages on wear track area of the restorative materials by simulating the oral environmentin vitro.A microhybrid, a sub-microhybrid, a nanofill resin composite, and a giomer material were used. A daily exposure habits model was created to simulate consumption frequency of acidic and/or alcoholic beverages. Two-body wear tests were carried out using a reciprocating wear tester. ANOVA and Tukey's HSD tests were used for statistical analyses (p < 0.05). When considering experimental groups related to daily exposure habits, statistical difference was found between restorative materials in terms of wear track area (p < 0.01). Joint effect of rmaterial and exposure on wear track area was statistically significant (p < 0.01). Giomer was found to be more affected by acidic and alcoholic beverages. Microhybrid resin composites showed less wear than the other restorative materials. Cumulative effects of alcoholic beverages and fruit juice on wear track area of materials could be related to material's composition and frequency of consumption of acid or ethanol-containing beverages. Daily cumulative effect of acidic and alcoholic beverages was found to be stronger than only acidic fruit juice consumption in terms of wear track area. The plasticizing effect and the concentration of ethanol in the alcoholic beverages provided the basis for the increased wear track area on the restorative materials.

The influence of eating habits on the academic performance of university students

Objective To explore the correlation between eating habits of university students and academic achievement. Participants 577 undergraduate students at a university in the United States. Methods Students were invited to participate in an anonymous online survey that asked questions concerning health-related behaviors; participants were asked to report their current grade point average (GPA). Statistical analyses were performed using the JMP software program; a standard least squares regression was used to test whether self-reported current GPA was related to different types and rates of weekly food and drink consumption. Results Self-reported GPA did not change along with weekly rates of milk, vegetables, green salad, fruit juice, or fresh fruit consumption. Breakfast consumption had a positive effect on self-reported GPA, while fast food consumption had a negative effect. Conclusion Healthy eating habits have a positive effect on students’ academic performance. However, other factors, such as sleep habits, may be more important.

EFEKTIFITAS JUICE SEMANGKA DAN SENAM KEBUGARAN TERHADAP PENURUNAN BERAT BADAN PADA ANAK OBESITAS

The culture of consuming instant food and reducing physical exercise result in increasing obesity in children today. The impact that occurs if not overcome can lead to the occurrence of various types of non-infectious diseases in the future such as: heart disease, hypertension, stroke and diabetes. To overcome the problem of obesity, behavioral changes are needed in childhood, namely fruit consumption and regular exercise. However, this behavior still becomes a national problem, especially in Magelang Regency. Consuming fruit juice and having exercise enables ones to lose weight.A kind of fruits that can be consumed is watermelon and the kind of sport that can be practiced is fitness exercise. The research is aimed to identify the difference in effectiveness between consuming watermelon juice and having fitness exercises in weight loss in obese children at Sawitan State Elementary School. The method used in this study is quasy-experiment. The number of samples was 24 respondents consisting of 12 respondents treated with watermelon juice consumption, and 12 respondents treated with fitness exercises. To take samples, it is used purposive sampling method. the treatment was carried out 3 times in a week. The results showed there was a decrease in weight lose in obese elementary school children, both with watermelon juice treatment and fitness exercises. The results of the independent t-test analysis, on watermelon juice therapy showed P ^ 0.00 and the Wilcoxon test on fitness exercises was P ^ 0.04, which means that both therapies have an influence in decreasing one’s weight. The result of the dependent T test on watermelon juice consumption and fitness exercise was P ^ 0.261, which means that the two therapies have no significant difference of influence. Health workers, especially nurses, are expected to be able to provide alternative therapies to reduce children’s overweight by using watermelon juice consumption or fitness exercises.&#x0D;

Diet, Physical Activity and Weight-Related Behaviors, Changes and Risks with Newly-Arrived (< 1 Year) Immigrant and Refugee Adolescents (Ages 12-17).

Adolescent immigrants and refugees are at elevated risk for obesity, however, gaps remain regarding specific diet and lifestyle changes. This study examined: (1) weight status, behaviors and perceptions, (2) diet patterns and changes, (3) sociodemographic and dietary factors associated with BMI. Cross sectional survey, anthropometric measures were conducted at a school for newcomer youth in North Carolina. Data analysis included descriptive, frequency, bivariate and linear regression. Participants (n = 68, 55% female, < 1year US) included immigrants and refugees ages 12-17. Thirty-one percent were overweight or obese. Forty-seven percent had attempted to lose weight. Positive weight perceptions were associated with normal BMI (p = 0.010). Fruit, milk, fruit juice, soda, and meat consumption increased post-arrival (p = 0.037, p = 0.010, p = 0.003, p = 0.044, p = 0.014, respectively). Dietary change was positively associated with BMI (p = 0.002). Adverse diet and lifestyle changes occur rapidly, are associated with obesity, and weight control behaviors and concerns warrant early intervention.

First determination of the highly genotoxic fungal contaminant altertoxin II in a naturally infested apple sample

Altertoxin II is an epoxide-holding perylene quinone and secondary metabolite produced by Alternaria molds. Its genotoxic potential and the high concentrations determined in laboratory fungal cultures resulted in an increased scientific interest in this emerging contaminant. However, no natural occurrence in food has been reported to date to the best of our knowledge. Here, we unambiguously identified altertoxin II in a naturally infected, unprocessed apple. Applying a validated LC-MS/MS method, fruit peel spots (approx. 1 mm in diameter), typically associated with Alternaria infestation, were tested for 17 mycotoxins produced by this genus. Negligible concentrations of tentoxin were determined 24 h after harvest, and the dibenzopyrones alternariol, alternariol monomethyl ether (AME) and AME-3-sulfate after six months of storage. Overall, these contamination patterns can be considered unlikely to be of toxicological concern for consumers. However, an inconspicuous peel lesion (0.5 × 1 cm) separately sampled from a stored apple, exhibited considerably high concentrations of 14 Alternaria toxins, including dibenzopyrones, their barely studied modified forms (glucosides and sulfates), as well as genotoxic perylene quinones including altertoxin II. Considering the toxicological potential of this compound, contaminations in such infected fruit parts should not be underestimated, e.g. in the case of exposure through the consumption of fresh smoothies or fruit juices.

The Impact of Natural Disasters on Dietary Intake.

Objectives: In this study, we explored the potential impact of disasters on individuals' fruit and vegetable consumption. Methods: Individual-level data (N = 351,229) from the Behavioral Risk Factor Surveillance System (BRFSS) 2011 survey were merged with county-level disaster declaration data from the Federal Emergency Management Agency (FEMA) based on disaster duration, interview month and residential county. Multilevel mixed-effects generalized linear models were conducted to examine the impact of different types of disasters on self-reported daily fruit, 100% pure fruit juice, beans, green vegetables, orange vegetables, other vegetables and overall vegetables consumption frequencies, adjusting for individual covariates. Results: No associations between disasters and daily fruit and overall vegetable consumption frequency were identified at either national or state levels. Only floods were consistently associated with reduced consumption of orange vegetables. Conclusions: This study did not identify an association between natural disasters and daily overall fruit/vegetable consumption frequency at national or state levels, whereas disasters were found to alter the consumption of certain vegetable subgroup (orange vegetables) slightly. Longitudinal studies with validated and detailed measures on diet and disaster are warranted to advance research in this field.

Associations between beverage consumption of parents and their children. The ToyBox-study

AbstractIntroduction: Dietary habits are established from a very young age. Parental role modeling is an important factor influencing the eating behavior of their children. Drinking behavior may have an impact in the development of childhood obesity. This study aimed to explore the correlations of core drinking beverages between parents and their children.Materials and Methods: The present study included children of 3.5–5.5 years and their parents from the (Multifactorial evidence-based approach using behavioral models in understanding and promoting fun, healthy food, play and policy for the prevention of obesity in early childhood) ToyBox study. The study was a kindergarten-based family-involved intervention, in preschool children from six European countries: Belgium, Bulgaria, Germany, Greece, Poland, and Spain. For this study, we analyzed data from the baseline cross-sectional survey.Data on consumption frequency of water, homemade or fresh fruit juice, prepacked fruit juice, light beverages and sugared sweetened beverages consumption from parents and their children was obtained via a validated food frequency questionnaire. Parents were given examples of serving sizes and asked about how to self-report their usual consumption per day or week. Beverage consumption of children was reported by their parents and information about frequency and portion sizes was collected. Body weight and height of children was measured and classified according to the International Obesity Task Force (IOTF). Bivariate correlations were performed to analyze beverage consumption (servings per day) in children and their parents.Results: The studied sample included 5266 pairs of children (49.2% girls) and parents (91.7% women) that were included in the analysis.Girls presented higher correlations in water (r2 = 0,317) and sugar sweetened beverages (r2 = 0,302), whereas boys, presented slightly higher correlations of light soft drinks (r2 = 0,273), pure fruit juices (r2 = 0,308) and prepacked fruit juices (r2 = 0,324), all of them at &lt; 0.01 level of significance. Considering boys and girls together, a slightly higher significant correlation coefficients were found between children-parents’ dyads with overweight/obesity compared to normal weight children-parentś for sugar sweetened beverages (r2 = 0,303) and light soft drinks (r2 = 0,396).Discussion: Beverage consumption of children and their parents were found to be moderately correlated. Overweight children seem to have better correlations with their parents in relation of sugar sweetened beverages and light soft drinks. Parents should encourage a healthy beverage consumption for their own health and most important, because there are key role models to their children.

Hábitos saludables en universitarios de ciencias de la salud y de otras ramas de conocimiento: un estudio comparativo

Introducción: Durante la vida universitaria, los estudiantes deberían consolidar sus hábitos saludables, que se verán reflejados posteriormente en su vida adulta. Esto es de especial importancia en el caso de los estudiantes que lleguen a ser profesionales del ámbito de la salud. Sin embargo, gran parte de la literatura concluye que los estudiantes reportan malos hábitos durante el periodo universitario. Objetivos: El presente estudio pretende determinar si estudiantes de ciencias de la salud (ECS) y estudiantes de otras ciencias (EOC) presentan hábitos saludables relacionados con la práctica de actividad física (AF) y adherencia a la Dieta Mediterránea (DM). Asimismo, saber si los ECS tienen hábitos más saludables que los EOC. Material y métodos: Se evaluaron los hábitos saludables de 104 estudiantes (52 ECS y 52 EOC) con edades comprendidas entre los 19 y 32 años. La práctica regular de AF fue determinada con el Cuestionario Internacional de Actividad Física (IPAQ) y la adherencia a la DM, juntamente con los hábitos nutricionales, con el cuestionario PrediMed. Resultados: Un 51,92% de los ECS reportaron una práctica de AF relacionada principalmente con actividades vigorosas, mientras que el resto, con moderadas y leves. Por el contrario, la mayoría de EOC (67,31%) tiende a practicar AF leve. En relación con la adherencia a la DM, un 54% de los ECS presentaron adherencia a la DM en contraste con solo un 27% de los EOC. Finalmente, los ECS presentaron un consumo más elevado de frutas y zumos naturales, pescados y mariscos y frutos secos, mientras que los EOC se decantaron por un consumo mayor de carnes rojas y procesadas y bebidas azucaradas. Conclusiones: Los ECS presentaron hábitos más saludables que los EOC, una práctica regular de AF más intensa y una mayor adherencia a la DM. Se demuestra una relación directa entre los conocimientos en salud y unos hábitos más saludables en la población universitaria.

Child Consumption of Whole Fruit and Fruit Juice Following Six Months of Exposure to a Pediatric Fruit and Vegetable Prescription Program.

Public health recommendations suggest limiting child consumption of fruit juice in favor of whole fruit due to juice’s high sugar content, lack of fruit fiber, and potential for excess intake. However, replacing juice with whole fruit may be particularly challenging for low-income and minority children, who report the highest intake of 100% juice. To address access and affordability challenges among low-income children, researchers partnered with pediatricians in an urban food desert community, to introduce a fruit and vegetable prescription program (FVPP) that provided a $15 prescription for fresh produce to every child during each office visit. Participating vendors included a farmers’ market and local mobile market. This study assessed changes in daily consumption of total fruit and whole fruit among 108 pediatric patients following six months of exposure to the FVPP. Child-reported mean daily intake of whole fruit increased significantly from the baseline to the 6-month follow-up (p = 0.03): 44% of children reported an increased intake of at least ¼ cup per day, and 30% reported an increased intake of at least ½ cup per day. Changes in total fruit intake (including fruit juice) were not significant. Results suggest a pediatric FVPP may have meaningful impacts on children’s dietary behaviors, particularly with regard to the intake of whole fruits.

What Child Oral Health-Related Behaviors Can First-time Mothers Actualize? A Pragmatic Prospective Study.

First-time pregnant women are considered to be receptive to health information, rendering the prenatal period an opportune time to provide helpful information on the importance of child-related oral health. However, little is known about pregnant women's knowledge of child oral health-related behaviors (COHBs) during pregnancy and their implementation after birth. We sought to address this knowledge gap by a prospective investigation of intended and actualized oral health behaviors among first-time pregnant women. We examined relationships between intended and actualized COHBs and their correlations with changes in oral health knowledge, health literacy, general self-efficacy, and dental neglect in a cohort of first-time pregnant clients at Women, Infants, and Children sites in North Carolina-participants of a large community-based study. The COHBs were related to diet (i.e., frequency of fruit juice and sweet snacks consumption and nighttime bottle-feeding) and oral hygiene practices (e.g., performance of daily oral hygiene and use of fluoridated toothpaste). Analyses relied on descriptive statistics and bivariate tests (Student's t and McNemar's). Data were collected from 48 participants (White, 44%; African American, 40%; Native American, 17%) at baseline and again at least 12 months after the birth of their first child. On average, most mothers actualized 3 of 5 COHBs (range, 1 to 4). Significant differences between before and after birth were noted for frequency of sweet snacks consumption and putting the baby in bed with a bottle. No correlation was found between knowledge, literacy, self-efficacy, neglect, and sociodemographic characteristics and COHB actualization. Our findings suggest that first-time mothers in the studied population are likely to implement some but not all positive intended COHBs during pregnancy. Interventions are needed to assist women in implementing these practices. We support that, for prenatal interventional efforts to reap positive benefits, messaging should be personalized and include specific guidance on how to implement these recommendations. A knowledge gap exists in our understanding of the relationship between first-time mothers' intended and actualized child oral health behaviors, with implications in the optimal timing of infant and early childhood oral health messaging. Our findings suggest that first-time mothers are likely to implement some but not all positive behaviors that they intended to adopt during pregnancy. Interventions are needed to assist women in implementing these practices.

Erzurum İlinde İçme Suyu İçin Ödeme İstekliliği Üzerine Etkili Olan Faktörlerin Belirlenmesi

Belediyelerin topluma daha hijyenik, daha güvenilir içme sularını ulaştırmaları yıllar geçtikçe daha fazla önem arz etmektedir. Ancak bu amacı gerçekleştirmek belediyelerin çok büyük yatırımlar yapmasını gerektirmektedir. Bu yatırımları yerine getirmesinde toplumun katkısı da önemli bir yere sahiptir. Bu çalışmadaki amaç içme suyunda toplumun belediye hizmetlerinin iyileştirmesine yönelik katkıda bulunup bulunmayacağını araştırmaktır. Çalışmada hanelerin %65.7’sinin belediye suyunun 1 litresine 50-80 kuruş ödemeye istekli olduğu tespit edilmiştir. Ayrıca hanelerde meyve suyu tüketimi arttıkça içme suyu için ödeme istekliliği artmaktadır. Bunun dışında hanelerdeki birey sayısı arttıkça, hane reisinin eğitim yılı azaldıkça, hane reisinin mesleği esnaflık olunca, çeşme suyunun maliyeti arttıkça ve tüketicilere sunulan ödeme istekliliği fiyatı arttıkça tüketicilerin içme suyu için ödeme istekliliği azalmaktadır. Tüketiciler güvenilir içme sularına ödedikleri su faturasına yaklaşık 3.2 katı kadar ödemeye razıdırlar. Bu nedenle belediyeler tüketicilere daha hijyenik ve tadı daha güzel suları ulaştırmak için altyapı hizmetlerini iyileştirmesinde toplumun desteğini alabilir.

Mycotoxin Dietary Exposure Assessment through Fruit Juices Consumption in Children and Adult Population.

Consumption of fruit juice is becoming trendy for consumers seeking freshness and high vitamin and low caloric intake. Mycotoxigenic moulds may infect fruits during crop growth, harvest, and storage leading to mycotoxin production. Many mycotoxins are resistant to food processing, which make their presence in the final juice product very likely expected. In this way, the presence of 30 mycotoxins including aflatoxin B1 (AFB1), aflatoxin B2 (AFB2), aflatoxin G1 (AFG1), aflatoxin G2 (AFG2), alternariol (AOH), alternariol monomethyl ether (AME), Ochratoxin A (OTA), fumonisin B1 (FB1), fumonisin B2 (FB2), enniatin A (ENNA), enniatin A1 (ENNA1), enniatin B (ENNB), enniatin B1 (ENNB1), beauvericin (BEA), sterigmatocystin (STG), zearalenone (ZEA), α-zearalanol (α-ZAL), β-zearalanol (β-ZAL), α-zearalenol (α-ZOL), β-zearalenol (β-ZOL), deoxynivalenol (DON), 3-acetyl-deoxynivalenol (3-ADON), 15-acetyl-deoxynivalenol (15-ADON), diacetoxyscirpenol (DAS), nivalenol (NIV), fusarenon-X (FUS-X), neosolaniol (NEO), patulin (PAT), T-2 toxin and HT-2 toxin was evaluated in 80 juice samples collected from Valencia retail Market. An efficient Dispersive Liquid-Liquid Microextraction method (DLLME) was carried out before their trace level determination by chromatographic techniques coupled to tandem mass spectrometry. The results obtained revealed the presence of nine mycotoxins namely AOH, AME, PAT, OTA, AFB1, AFB2, AFG2, β-ZAL, and HT2 in the analyzed samples, with incidences ranging from 3 to 29% and mean contents between 0.14 and 59.52 µg/L. Considerable percentages of TDIs were reached by children when 200 mL was considered as daily fruit juice intake.

Chapter 9: Acidic Beverages and Foods Associated with Dental Erosion and Erosive Tooth Wear.

Dental erosion is the partial demineralisation of the tooth surface caused by repeated exposure to acids. The loss of surface tissue, which results from simultaneous and/or subsequent exposure to mechanical forces is known as erosive tooth wear (ETW). Excessive consumption of acidic beverages and foods has been the main focus of research into erosion. Enamel dissolution is significantly associated with chemical parameters: pH, buffer capacity, titratable acidity, viscosity, as well as calcium, phosphate and fluoride concentrations in the beverages and foods. Some of these parameters are used to calculate the degree of saturation of a given substance, which represents its driving force to demineralise dental hard tissues. Undersaturated substances with low pH and high titratable acidity and high buffer capacity have greater erosive potential, while substances with high concentrations of Ca2+ and phosphate cause less demineralisation. Other physical parameters also modulate the demineralisation processes. Swishing drinks in the mouth tends to cause more erosion, since the Nernst layer is continuously renewed and does not reach saturation. Recent systematic reviews confirm that frequent consumption of carbonated/soft drinks are the main dietary factor associated with ETW. Vitamin C and frequent consumption of natural fruit juices and acidic snacks or sweets are also significantly associated with more ETW; whereas higher consumption of milk and yoghurt is a protecting factor. Patients presenting with ETW should have their dietary habits assessed by recording their complete dietary intake in a diet record sheet. Dentists should assess the erosive potential of the different beverages and foods, as well as the frequency of ingestion, then elaborate specific preventive measures and dietary interventions individually tailored to each patient.

Estimated Substitution of Tea or Coffee for Sugar-Sweetened Beverages Was Associated with Lower Type 2 Diabetes Incidence in Case–Cohort Analysis across 8 European Countries in the EPIC-InterAct Study

BackgroundBeverage consumption is a modifiable risk factor for type 2 diabetes (T2D), but there is insufficient evidence to inform the suitability of substituting 1 type of beverage for another. ObjectiveThe aim of this study was to estimate the risk of T2D when consumption of sugar-sweetened beverages (SSBs) was replaced with consumption of fruit juice, milk, coffee, or tea. MethodsIn the European Prospective Investigation into Cancer and Nutrition (EPIC)–InterAct case–cohort study of 8 European countries (n = 27,662, with 12,333 cases of incident T2D, 1992–2007), beverage consumption was estimated at baseline by dietary questionnaires. Using Prentice-weighted Cox regression adjusting for other beverages and potential confounders, we estimated associations of substituting 1 type of beverage for another on incident T2D. ResultsMean ± SD of estimated consumption of SSB was 55 ± 105 g/d. Means ± SDs for the other beverages were as follows: fruit juice, 59 ± 101 g/d; milk, 209 ± 203 g/d; coffee, 381 ± 372 g/d; and tea, 152 ± 282 g/d. Substituting coffee for SSBs by 250 g/d was associated with a 21% lower incidence of T2D (95% CI: 12%, 29%). The rate difference was −12.0 (95% CI: −20.0, −5.0) per 10,000 person-years among adults consuming SSBs ≥250 g/d (absolute rate = 48.3/10,000). Substituting tea for SSBs was estimated to lower T2D incidence by 22% (95% CI: 15%, 28%) or −11.0 (95% CI: −20.0, −2.6) per 10,000 person-years, whereas substituting fruit juice or milk was estimated not to alter T2D risk significantly. ConclusionsThese findings indicate a potential benefit of substituting coffee or tea for SSBs for the primary prevention of T2D and may help formulate public health recommendations on beverage consumption in different populations.