Consumption Of Sugary Foods Research Articles

Association of Evening Eating with Sleep Quality and Insomnia among Adults in a Brazilian National Survey.

Objective To examine the association of evening eating clock time, its elapsed time to the midpoint of sleep (TEM), consumption of caffeine and sugary foods, and reporting dinner as the largest meal with sleep quality indicators and insomnia. Methods Participants ( n = 2,050;18-65y) were part of population-based research, with virtual data collection. Logistic regression models were fitted to assess differences in the ORs(95%CI) of sleep duration < 7 hours, sleep latency > 30 minutes, poor sleep quality, and insomnia (outcomes) with the evening diet-related variables. Linear regression analyses evaluated differences in sleep duration and latency associated with the same variables. Restricted cubic splines were used to study the shape of the association of eating event clock time and TEM with sleep duration and latency. Results Each additional hour of evening eating clock time and of the TEM, respectively increased and decreased, the odds of sleep duration < 7/h [OR(95%CI):1.30(1.20,1.40); OR(95%CI):0.51(0.47,0.56)], sleep latency > 30min [OR(95%CI):1.14(1.07,1.22); 0.88(0.83,0.94)], poor sleep quality [OR(95%CI):1.21(1.13,1.30); 0.80(0.76,0.85)] and insomnia [OR(95%CI):1.12(1.04,1.20); 0.89(0.84,0.95)]. We found a dose-response association between evening eating (clock time and TEM) and sleep duration. The shortest latency was seen when evening eating was ∼20:00 and ∼7-8 hours before the midpoint of sleep. Participants who reported dinner as the largest meal and consumed caffeine and sugary foods/beverages after 18:00 presented higher odds of sleep duration < 7 hours, poor quality, and insomnia. Conclusions Our findings indicate that an early-eating schedule has beneficial sleep effects and that it will be necessary to consider evening eating patterns and timing, along with the existing sleep and circadian hygiene, to improve sleep quality and circadian health.

Early oral colonization of streptococcus mutans and lactobacilli species in infants: Investigating the relationship with maternal and environmental factors, from birth through the sixth month.

To assess the presence of Streptococcus Mutans (S.mutans) and Lactobacillus species (LB) of newborn-mother pairs using the real time polymerase chain reaction (qRT-PCR). Subjects were selected from the patients followed in the Neonatology Clinic of Akdeniz University's Faculty of Medicine between the years 2017-2018. First samples collected within 48 hours after birth, and second samples were at six months. The samples were analyzed for the presence of S.mutans and LB using qRT-PCR. Mothers' smoking habits, education level, occupation, oral hygiene habits, DMFT scores and dietary history; Babies' delivery type, birth weight, feeding type, oral hygiene practices, feeding habits, bottle usage, pacifier usage, consumption of sugary foods, were also recorded. The effect of factors related to both mothers and infants was examined comparatively. S.mutans DNA was detectable in 87% and LB DNA was detected in 37% mothers, while it was undetected in 63% mothers at the first sampling. S.mutans was detected in 37% and, while LB was detected in 5% of the newborns in the first 48 hours of their life. At the second sampling, the S.mutans and LB levels in infants have increased, while there has been no significant change in mothers. A significant relationship was found only between the increase in S.mutans in infants and the presence of erupted teeth. S.mutans and LB were able to colonize on the oral mucosal surfaces of edentulous newborns, with the counts of both bacteria increasing significantly with tooth eruption.

The relationship between stress, emotional eating, and nutritional status in adolescents

&lt;p align="center"&gt;&lt;strong&gt;ABSTRACT&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt;Background: &lt;/em&gt;&lt;/strong&gt;&lt;em&gt;The prevalence of overnutrition among adolescents in Indonesia has significantly increased from 7.3% in 2013 to 13.5% in 2018. Overnutrition at this age can increase the risk of obesity and other degenerative diseases in adulthood. Stress and eating behavior are two factors that might impact nutritional status in adolescents. Stress can trigger unhealthy eating behaviors, such as increased consumption of fast food, sugary foods and drinks, or even loss of appetite. Stress can also lead to emotional eating behavior, which is the urge to eat as a coping method when facing stress or negative pressure, and has been link to a higher BMI.&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt;Objectives: &lt;/em&gt;&lt;/strong&gt;&lt;em&gt;This study aims to identify the relationship between stress, emotional eating, and the nutritional status of high school students at SMA 2 Cileungsi Bogor Regency.&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt;Methods: &lt;/em&gt;&lt;/strong&gt;&lt;em&gt;This research is a quantitative study with a cross-sectional approach. Data collection was conducted in September 2023 at SMA 2 Cileungsi Bogor Regency. Data were collected using research instruments, including the Adolescent Stress Questionnaire – Shortened Version (ASQ-S) to determine stress data, the Dutch Eating Behavior Questionnaire (DEBQ) to determine emotional eating data, anthropometric measurements to determine the nutritional status of the respondents, and the Food Frequency Questionnaire (FFQ) to assess the frequency of respondents' consumption of various foods. This study involved 262 respondents obtained using Cluster Random Sampling technique. &lt;/em&gt;&lt;em&gt;&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt;Results: &lt;/em&gt;&lt;/strong&gt;&lt;em&gt;The results showed that most of respondents in this study had normal nutritional status, accounting for 66.0%, while 8.4% were undernourished and 25.6% were overnourished. Respondents categorized as stressed were 51.9%, while the remaining 48.1% were adaptive. It was found that 54.6% of respondents fell in to the category of emotional eating, while 45.4% did not exhibit emotional eating behaviour. Based on bivariate analysis, a significant relationship was found between stress and nutritional status (p-value=0.013). There was no significant relationship between emotional eating and nutritional status (p-value=0.647).&lt;/em&gt;&lt;em&gt;&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt;Conclusions:&lt;/em&gt;&lt;/strong&gt;&lt;em&gt; &lt;/em&gt;&lt;em&gt;Stress has been shown to be significantly associated with nutritional status.&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;em&gt; &lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;KEYWORD&lt;/strong&gt;&lt;strong&gt;&lt;em&gt;: &lt;/em&gt;&lt;/strong&gt;&lt;em&gt;Nutritional status; stress; emotional eating; adolescents&lt;/em&gt;&lt;/p&gt;

Eating attitudes, physical activity, and sleep quality levels of adolescents during the pandemic process

PurposeThe present study was conducted to determine the eating attitude, physical activity, and sleep quality levels of adolescents during the pandemic process. MethodThis descriptive study was completed by 987 adolescents. Data were collected by using the Adolescent Descriptive Characteristics Form, the Dutch Eating Behavior Questionnaire (DEBQ), the International Physical Activity Evaluation Questionnaire (IPAQ-Short Form), and the Pittsburgh Sleep Quality Index (PSQI). ResultsIt was found that the mean age of the adolescents who participated in the study was 16.30 ± 1.30 and 23.1 % of them were male. During the pandemic process, adolescents consumed pastries, sugary foods and beverages, french fries, chips, etc. consumption was found to increase (41.7 %, 42.2 %, 45.2 %, respectively). It was also found that the mean DEBQ score of the adolescents was 75.13 ± 19.65 and the mean PSQI score was 10.99 ± 4.22. In the IPAQ, 29.9 % of the adolescents were found to be inactive, 44.7 % minimally active, and 25.4 % very active. It was determined that BMI, PSQI, gender, pastry, and sugary food consumption were important predictors of eating behavior. When the increase in consumption of pastries and sugary foods was added, it was seen that BMI, PSQI, and gender explained 7 % of the change in DEBQ and when the increase in pastry and sugary foods was added, it explained 11 % of the change in DEBQ. It was found that BMI, PSQI (p < 0.001), and gender (p = 0.001) had significant effects on students' eating behavior scores. ConclusionAdolescents' eating out, emotional eating, and restrictive eating scores were found to be high during the COVID-19 pandemic. Adolescents were also found to have inadequate physical activity levels and poor sleep quality. It is recommended that projects and intervention studies be performed to help adolescents with these matters.

Soy-Based High-Protein Spheric Foods with the Appearance of Familiar Sugary Snacks.

Excessive consumption of sugary foods increases the likelihood of obesity, as well as the preventable risk of lifestyle illnesses such as diabetes and cardiovascular diseases. Frequent intake of sweet snacks is considered to increase the risk of overweight/obesity in industrial nations. However, we cannot stop snacking against our better judgment. Therefore, in this study, we sought to develop high-protein, low-carb "mock snacks" to satisfy snack lovers' appetites and nutrition. Soy protein-based, ball-shaped food products with 57.7% (w/w) protein and 3.6% sugar have been developed. The addition of canola oil made them melty in the mouth without sacrificing their crispiness. Moreover, evaluation of the surface topography of the "soy balls" by 3D laser scanning demonstrated their high degree of sphericity. Conclusively, the snacks developed here may be one of the healthy alternatives for the current sugary ones.

Hubungan faktor metabolik dan konsumsi makanan minuman manis dengan kadar gula darah pada usia 30-60 tahun di Puskesmas Simalingkar

High blood glucose levels (hyperglycemia) can be caused by several conditions, including diabetes mellitus (DM). Among the top 5 nations in the world with the most DM cases in 2021 is Indonesia. There are 161,267 DM patients in North Sumatra, with 31,482 cases in Medan. Simalingkar Community Health Center is one of the health centers in Medan with the highest number of DM cases in 2022. This study intends to examine the association between blood glucose levels in individuals aged 30 to 60 at Simalingkar Community Health Center and metabolic variables, particularly obesity as assessed by body mass index (BMI) and belly circumference, as well as the consumption of sugary foods and beverages. This research is a cross-sectional study. 120 participants were included in this research sample and use accidental sampling method. Data analysis was done univariately, bivariately using the chi-square test and multivariately using logistic regression. The results showed that BMI (RP=1.701; 95% CI=1.095–2.645; p=0.022), abdominal circumference (RP=2.124; 95% CI=1.253–3.600; p=0.003) and sweet foods and beverages consumption (RP=2.042; 95% CI=1.358–3.069; p=0.001) were significantly associated with blood glucose levels. The habit of consuming sweet foods and drinks is the most dominant factor influencing a person to experience hyperglycemia (OR=3,345; 95% CI=1,512-7,387). The community is advised to control blood glucose levels by maintaining ideal body weight and reducing consumption of sweet foods and beverages to prevent type 2 DM.

The relationship between dental caries, dietary intake and body composition in school-age children

ObjectiveThe aim of this study is to evaluate the relationship between dental caries, food intake, and body composition in school-age children.MethodsThe study was conducted on 210 children, 105 boys and 105 girls, aged 6–12 years, without mental and/or physical disorders. Oral examinations of the children were performed by paediatric dentists and DMFT–DMFS and dmft–dmfs values were recorded. A detailed food frequency questionnaire was applied to determine the consumption frequency of dairy products and sugar‐added foods. Children’s height, waist and hip circumference measurements were taken by the researcher; body weight and body composition were evaluated with a Tanita body analyzer.ResultsThe DMFS value of children who consumed white cheese daily is lower than children who did not (p < 0.05). The DMFT and DMFS values were found to be higher in children who consumed sweets, biscuits, and spreadable chocolate daily compared to children who did not (p < 0.05). Body weight and waist circumference are positively correlated with DMFT and negatively correlated with dmft. BMI is positively correlated with DMFT and negatively correlated with dmft (p < 0.05). In binary logistic regression, it was found that maternal education level, frequency of added sugar intake and body fat ratio were predictors of the presence of caries.ConclusionIn this study, dental caries was associated with food consumption and body mass index. In children, consumption of sugary foods should be reduced and consumption of dairy products should be increased.

Association of Evening Eating with Sleep Quality and Insomnia among Adults in a Brazilian National Survey

Abstract Objective To examine the association of evening eating clock time, its elapsed time to the midpoint of sleep (TEM), consumption of caffeine and sugary foods, and dinner meal size with sleep quality indicators and insomnia. Methods The present study's participants (n = 2,050; 18–65 y) were part of a population-based research, with virtual data collection. Logistic regression models were fitted to assess differences in the odd ratios (ORs) (95% confidence interval [CI]) of sleep duration &lt; 7 hours, sleep latency &gt; 30 min, poor sleep quality, and insomnia (outcomes) with the evening diet-related variables. Linear regression analyses evaluated differences in sleep duration and latency associated with the same variables. Restricted cubic splines were used to investigate the shape of the association of mealtime and TEM with sleep duration and latency. Results For each hour delay in evening eating and increase in the duration of TEM, the odds of sleep duration &lt; 7 h [OR(95%CI):1.30(1.20,1.40); OR(95%CI):0.51(0.47,0.56)], sleep latency &gt; 30 [OR(95%CI):1.14(1.07,1.22); 0.88(0.83,0.94)], poor sleep quality [OR(95%CI):1.21(1.13,1.30); 0.80(0.76,0.85)] and insomnia [OR(95%CI):1.12(1.04,1.20); 0.89(0.84,0.95)], respectively, increased and decreased. We found a dose-response association of evening eating (clock time and TEM) with sleep duration. The shortest latency was seen when evening eating was at ∼ 8 PM and ∼ 7 to 8 hours before the midpoint of sleep. Participants who reported dinner as their largest meal and consumed caffeine and/or sugary foods/beverages after 6 PM presented higher odds of sleep duration &lt; 7 hours, poor sleep quality, and insomnia. Conclusions Our findings indicate that an early-eating schedule has beneficial sleep effects and that it will be necessary to consider evening eating patterns and timing, along with sleep and circadian hygiene, to improve sleep quality and circadian health.

A tendency toward evening chronotype associates with less healthy diet among preschoolers: cross-sectional findings from the DAGIS study.

Evidence suggests that adolescents and adults with a later chronotype have poorer sleep habits and are more susceptible to unhealthy behaviors, but little is known about these associations in younger children. The objective of the study was to (1) identify and compare individual chronotype tendencies among preschool-aged children and (2) investigate associations of sleep dimensions and chronotype with diet. Participants were 636 3-6 years old (mean ± SD age: 4.74 ± 0.89 years, 49% girls) preschoolers from the cross-sectional Increased Health and Well-Being in Preschoolers (DAGIS) study in Finland. Sleep duration, sleep variability (in duration and midpoint), social jetlag, and midsleep on weekends adjusted for sleep debt (MSWEadj) were measured with 7-day actigraphy. Morning, intermediate, and evening chronotype tendencies were defined based on the lowest and highest 10th percentile cutoffs of MSWEadj. Food, energy, and macronutrient intake were assessed from 3-day records. Associations between sleep dimensions and diet were assessed with regression models. MSWEadj was 1:13 ± 14 minutes for morning (n = 64), 2:25 ± 28 minutes for intermediate (n = 560), and 3:38 ± 15 minutes for evening (n = 64) chronotype tendency. Children with an evening chronotype tendency had greater social jetlag and sleep variability. Having an evening chronotype tendency was associated with higher added sugar, higher sugary food consumption, and lower vegetable consumption compared to intermediate tendency types. A later chronotype (MSWEadj) was associated with higher sugary food consumption, as well as lower vegetable and fiber intake. Sleep duration, social jetlag, and sleep variability were not associated with diet. Several less healthy sleep and diet behaviors were observed among children with later chronotypes. Future public health interventions aimed towards children would benefit from taking into account chronotype.

Cardiometabolic Risk and Dietary Behaviors in Middle-School Children Consuming School-Sourced Lunch.

Childhood obesity remains a major public health issue. This study assessed the association between school-sourced lunches and cardiometabolic risk factors in middle-school students. Data from health behavior surveys and physiologic screenings in a Michigan middle-school wellness program between 2005 and 2019 were used to analyze the association of school lunch consumption with cardiometabolic risk factors (overweight/obesity, non-fasting lipids/glucose, blood pressure) and dietary behaviors (fruit/vegetable consumption, intake of sugar-sweetened beverages/foods). Students were divided into three groups based on their responses to the survey item if they 1) always, 2) sometimes, or 3) never consumed school-sourced lunches. Groups were compared using descriptive statistics and chi-squared tests. Students consuming school-sourced lunches were more likely to have overweight or obesity, without significant differences in total, HDL, or LDL cholesterol. There was no difference in non-fasting glucose levels, blood pressure, or resting heart rate. Students consuming school sourced lunch were more likely to have increased sugary and fatty food or beverage consumption. Students consuming school sourced lunch were more likely to attend school in a low or middle socioeconomic status region. In this large cohort of middle-school children, consuming school-sourced lunches was associated with a greater prevalence of overweight and obesity and consumption of fatty foods and sugary beverages. School-based interventions should target methods to reduce consumption of sugary beverages and unhealthy snacks and promote consumption of fruits and vegetables, particularly among high-risk individuals.

Sugary Food and Beverages Consumption, Family History, and Primary Dysmenorrhea in Undergraduate Students, Faculty of Public Health, Universitas Indonesia

Primary dysmenorrhea is the most common gynecological problem experienced by women of reproductive age and can interfere with daily activities. Therefore, the aim of this study was to determine the prevalence and differences in the proportion of primary dysmenorrhea based on individual factors (duration of menstrual bleeding, family history, physical activity, stress) and diet (breakfast habits, frequency of saturated fat consumption, omega-3 consumption, iron consumption, frequency of consumption of dairy products, caffeine consumption, and frequency of consumption of sugary foods and beverages). This study used a cross-sectional design and involved 150 regular undergraduate students in the 2019-2022 batch of Faculty of Public Health Universitas Indonesia who were selected with a systematic random sampling technique. Data were collected by filling out an online questionnaire and analyzed with chi square test and multiple logistic regression. Results showed that 61.3% of female students experienced primary dysmenorrhea. Bivariate analysis showed that there was a significant difference (p value &lt; 0.05) in the proportion of primary dysmenorrhea based on family history, caffeine consumption, and frequency of consumption of sugary foods and beverages. Multivariate analysis showed that the frequency of consumption of sugary foods and drinks (OR = 4.8) and family history (OR = 4.7) were the two most influencing factors associated with the incidence of primary dysmenorrhea. This study shows that the frequency of consumption of sugary foods and beverages and family history increase the risk of primary dysmenorrhea.

Dental Anxiety and Its Association with Dietary Intake and Food Groups: A Cross-Sectional Study.

Although there is an established connection between diet and mental health, the relationship between diet and dental anxiety has not been examined yet. The purpose of this study was to fill this gap by assessing the association between diet quality, mental distress, and dental anxiety. The data was collected through an anonymous Google Forms survey. The survey consisted of a modified version of the validated Food-Mood Questionnaire and the Modified Dental Anxiety Scale with questions about demographics, dental health, and dental health anxieties. Data collection was performed over seven months, from April to October 2021. Data were analyzed using Pearson's correlation coefficient in SPSS version 25.0 and STATA 17 for sample size calculation, data processing and regression analyses. A total of 506 responses were collected. Our data verified that diet quality modulates dental anxiety. Women exhibited a stronger link with dental anxiety than men (p < 0.01). Consumption of sugary foods was associated with different attributes of dental anxiety (p < 0.01). Low-quality energy-dense foods and dairy were associated with dental anxiety, whereas caffeine, meat, nuts, and green leafy vegetables produced a negative correlation. This cross-sectional study provides proof of concept that dietary patterns are potentially associated with dental anxiety.

Decoding early childhood caries: an in-depth analysis of YouTube videos for effective parental education.

To assess the coverage of information about early childhood caries (ECC) available on YouTube videos in three different languages, regarding technical characteristics of videos and interaction metrics. Search strategies were developed in English, Spanish, and Portuguese to make a comprehensive collection of videos from YouTube, encompassing 60 samples for each language, regarding all video types. The videos were assessed by a thematic checklist regarding 17 items on ECC. Videos were dichotomized according to the median of the thematic score and the nature of their authorship (health and non-health authors) to compare groups. The statistical analysis was performed using the Statistical Package for Social Science (version 25.0), applying Spearman's rank correlation coefficient and Mann-Whitney U test. P < 0.05 values were considered significant. Among 120 videos meeting inclusion criteria, ECC aetiology and prevention information proved incomplete, with a median score of 5 (Q1-Q3 = 3-7). No correlation emerged between this score and other video characteristics. However, interaction metrics like views, likes, dislikes, and viewing rates displayed significant correlations. Health authors primarily created these videos, yet non-health author channels had more subscribers. Surprisingly, videos focused on the impact of regular sugary food and beverage consumption on ECC progression received the most attention. Videos that presented information about the aetiology and prevention of ECC invariably focused on partial aspects of the disease. This highlights the need for better-quality educational videos and the importance of dental professionals in guiding patients toward reliable sources of information.

Sweet dreams are not made of this: no association between diet and sleep quality.

Numerous studies have emphasized the significance of nutrition on the quality of sleep, but few have evaluated the effect of various coexisting dietary markers on middle-aged adults. We assessed the association between sleep quality and a large array of dietary markers among middle-aged, community-dwelling participants. Data from the first, second, and third follow-ups of CoLaus|PsyCoLaus, a population-based study in Lausanne, Switzerland, was used. Sleep quality was assessed by the Pittsburgh Sleep Quality Index. Dietary intake was assessed by a validated food frequency questionnaire. Data from 3857 (53% women, 57.2 ± 10.4 years), 2370 (52% women, 60.7 ± 9.5 years), and 1617 (52% women, 63.5 ± 9.0 years) participants from the first, second, and third follow-ups was used. Bivariate correlations showed fish, vegetables, fruit, and cheese intake to be associated with a better sleep quality (lower Pittsburgh Sleep Quality Index), while rusks, sugar, and meat intake were associated with a poorer sleep quality (higher Pittsburgh Sleep Quality Index). After multivariable adjustment, participants reporting poor sleep quality (Pittsburgh Sleep Quality Index > 5) had a lower Mediterranean diet score and a lower likelihood of complying with the meat and fish recommendations, but the results were inconsistent between surveys. No association was found between sleep quality and macro- or micronutrients in the three surveys. No consistent associations were found between a large panel of nutritional markers and sleep quality. Components of the Mediterranean diet such as dairy, fruits, and vegetables might favor good sleep quality, while increased consumption of sugary foods or meat might favor poor sleep quality. Oliveira JL, Marques-Vidal P. Sweet dreams are not made of this: no association between diet and sleep quality. J Clin Sleep Med. 2023;19(12):2005-2014.

Proportionate universalism intervention is effective for tackling nutritional social gradient in adolescents: the PRALIMAP-INÈS mixed randomised trial

ObjectiveThis study aimed to investigate the effectiveness of proportionate universalism intervention to reduce the slope of the nutritional social gradient in adolescents. Study designA mixed (experimental and quasi-experimental) multicentre trial. MethodsData from 985 adolescents of the PRALIMAP-INÈS trial (North-eastern France, 2012–2015) were analysed. For this, adolescents were split into five social classes according to the Family Affluence Scale: Highly Less Advantaged (H.L.Ad; n = 33), Less Advantaged (L.Ad; n = 155), Intermediate (Int; n = 404), Advantaged (Ad; n = 324) and Highly Advantaged (H.Ad; n = 69). The overweight care management was a standard care for all and a strengthened one adapted to the social class of adolescents. The main outcome was the 1-year change of the body mass index z-score (BMIz) slope. Other nutritional outcomes were BMI, ΔBMIp95 (BMI minus 95th percentile of the WHO reference), %BMIp95 (percent of 95th percentile of the WHO reference), leisure-time sport, consumption of fruits and vegetables and consumption of sugary foods and drinks. ResultsThe inclusion data confirmed a weight social gradient expressed by a significant BMIz linear regression coefficient (β = −0.09 [−0.14 to −0.04], P < 0.0001). The higher the social class, the lower the BMIz. The 1-year BMIz linear regression coefficient was −0.07 [−0.12 to −0.02], corresponding to a significant weight social gradient reduction of 23.3% (β = 0.021 [0.001 to 0.041]; P = 0.04). Consistent results were found for other nutritional outcomes. ConclusionsPRALIMAP-INÈS shows that proportionate universalism intervention is effective to reduce the adolescents’ nutritional social gradient and suggests that equitable health programmes and policies are a realistic goal.

‘You have to use everything and come to some equilibrium’: a qualitative study on hypoglycemia self-management in users of continuous glucose monitor with diverse hypoglycemia experiences

IntroductionAlthough continuous glucose monitoring systems (CGMs) can help reduce hypoglycemia, about one-quarter of people with type 1 diabetes (T1D) who use CGMs still either spend at least 1% of the...

Associations between socioeconomic status, home food availability, parental role-modeling, and children’s fruit and vegetable consumption: a mediation analysis

BackgroundRecent literature has suggested that associations and interactions between family socioeconomic status (SES) and home food environment influence children’s diet, but little is known about the mediation roles of parental role-modeling and food availability in the socioeconomic inequalities of children’s diet. This study aimed to determine the associations between family SES and children’s fruit and vegetable (FV) consumption and to assess the mediation roles of parental role-modeling and food availability in the above associations.MethodsCross-sectional data of 574 Finnish children (aged 3 to 6) were analyzed. Parents completed an FFQ assessing their children’s FV consumption frequency and a questionnaire assessing SES and home food environment. Two exposure variables: parental educational level (“low”, “middle”, and “high”) and the relative family income tertiles of the family were used. The frequencies of parental role-modeling of FV and sugary food and drink (SFD) consumption, and the availability of FV and SFD at home were calculated. Single- and multiple-mediator models were created using IBM SPSS 27.0.ResultsThe positive association between high parental educational level and children’s FV consumption (direct effect coefficient: 2.76, 95% CI: 0.51–4.86) was partially mediated by more frequent parental role-modeling of FV consumption (indirect effect coefficient: 0.89, 95% CI: 0.10–1.76), higher availability of FV (indirect effect coefficient: 1.00, 95% CI: 0.35–1.77), and lower availability of SFD (indirect effect coefficient: -0.30, 95% CI: -0.72 – -0.01). The relative family income was not directly associated with the outcome. However, the higher relative family income level indirectly predicted the Children’s FV consumption (full mediation) through more frequent parental role-modeling of FV consumption (indirect effect coefficient: 0.91, 95% CI: 0.06–1.83) and higher availability of FV (indirect effect coefficient: 0.98, 95% CI: 0.40–1.67). Parental role-modeling on SFD consumption did not mediate any of the above associations.ConclusionsParental educational level showed more associations with children’s FV consumption than relative family income. Our findings suggest that reducing the availability of SFD is as important as increasing the availability of FV to enhance children’s FV consumption. Future interventions to improve children’s dietary behaviors should pay greater attention to the lower SES segments of society. Longitudinal studies and intervention studies supporting these findings are needed for making meaningful recommendations for health promotion.

Factors Associated With Urolithiasis: A Hospital-Based Case-Control Study.

Urolithiasis is a common preventable ailment. Previous studies showed that there are a lot of factors, such as dietary, health and environmental factors, which are likely to develop this condition. Only a few research have been conducted on urolithiasis in the UAE. Therefore, our study aimed to identify the factors associated with urolithiasis in the country, identify the symptoms of urolithiasis among the cases and identify the most common diagnostic methods. It was a case-control study design. The study population was adults above 18 years attending a tertiary care centre. Those who have confirmed diagnosis of urolithiasis and gave informed consent were considered cases and those who have not confirmed diagnosis of urolithiasis as controls. Patients with renal, bladder or urinary tract impairment or anomaly were excluded from the study. Ethical approval was obtained for the study. Crude odds ratio (OR) showed that age, gender, past treatment for urinary stones, and lifestyle factors such as diet and smoking are risk factors while exercising is a protective factor. Age-adjusted OR found that past treatment for the urinary disease (OR=10.4), consumption of oily food (OR=11.5), consumption of fast food (OR=11.0)and consumption of energy drinks (OR=5.9) were the significant risk factors for urolithiasis. We found that past urinary disease treatment and diet are vital in developing urinary stones. Higher consumption of salty, oily, sugary and protein foods increases the odds of urinary diseases. Public awareness programs are essential to educating people about urolithiasis risk factors and preventive measures.

Dental Care use and Self-Reported Dental Problems in Children in Lahore, Pakistan

Objectives: Oral diseases affect a probable 90% of school children worldwide. Understanding the behaviours among children would give us the information required to create better health programmes. This cross-sectional research aims to assess oral health behaviours among school children. Methods: Data was collected using a WHO oral health questionnaire for children and 527 students participated from four schools in Lahore. Results: The research shows that in schools in Lahore, there are still 29.5% of students who are irregular in their brushing habits. The use of toothpaste was widespread although information on fluoride in toothpaste was limited. Students regularly took milk and tea with added sugar (43.9% and 49.2%). Fresh fruit consumption was 22%. According to regression analysis, females were 1.96 times more likely to be made fun of their teeth when compared to males. Higher parental education brought about significantly better brushing habits but also significantly higher odds for eating candies and sweets (1.29) and lower odds (0.57) for eating fresh fruits. High consumption of sugary foods was related to more dental visits. Practical implication &amp; Conclusion: Self-assessed dental health is positive amongst the students in Lahore. However, this research indicates a significant portion of the students have irregular oral hygiene practices and sporadic dental visitation. Oral health education should be incorporated into the school environment with the support of teachers and parents so that it becomes a lifetime practice. Keywords: Child oral health, WHO oral health questionnaire, Fresh fruit consumption.

Possible sleep bruxism and biological rhythm in school children.

To verify whether children with possible sleep bruxism (PSB) had alterations in biological rhythm and to explore the possible factors involved, such as sleep characteristics, screen time, breathing, sugary food consumption, and clenching teeth during wakefulness reported by parents/guardians. Data were collected through online interviews with 178 parents/guardians of students aged 6 to14years from Piracicaba, SP, BR, when the BRIAN-K scale was answered, which is composed of four domains (1) sleep; (2) daily routine activities; (3) social behavior; (4) eating; questions about predominant rhythms (willingness, concentration, and change day to night). Three groups were formed: (1) without PSB (WPSB), (2) with PSB sometimes (PSBS), and (3) with PSB frequently (PSBF). Sociodemographic variables were similar between groups (P > 0.05); the total value of the BRIAN-K was significantly higher for the PSBF group (P < 0.05); the first domain (sleep) presented significantly higher values for the PSB groups (P < 0.05); no significant difference for other domains and predominant rhythms occurred (P > 0.05). The involved factor that differed between groups was clenching teeth, as the number of children with PSBS was significantly higher (χ2, P = 0.005). The first domain of the BRIAN-K (P = 0.003; OR = 1.20), and clenching teeth (P = 0.048; OR = 2.04) were positively associated with PSB. Difficulties in maintaining sleep rhythm and clenching teeth during wakefulness reported by parents/guardians may determine a greater chance to increase the frequency of PSB. Good sleep seems to be important to maintain a regular biological rhythm and may reduce the frequency of PSB in the 6-14 age group.