Dietary Recall Method Research Articles

The Association between Dietary Intake and Lifestyle Patterns of People with Type 2 Diabetes Mellitus in Manipur, India

The aim of the study was to examine the association between dietary intake and lifestyle pattern of diabetes patients in Manipur. Tribal and non tribal respondents between 45-64 years of age were randomly selected from the Regional Institute of Medical Sciences (RIMS) Hospital Manipur. Total number of 200 study subjects, 100 tribal and 100 non tribal subjects constituted the study. The information was collected on socio-demographic profile, clinical, anthropometric measurements and dietary intakes of the patients by using interview schedule and 24-hour dietary recall methods. The data were analyzed and tabulated using statistical tools such as frequency, percentage, mean, standard deviation and Pearson’s correlation test. The key results indicate that alcohol consumption, elevated triglycerides levels, low energy, oils and sugar intake were notably linked with the prevalence of diabetes. Additionally, low calcium intake, particularly among non tribal individuals, demonstrated a significant correlation with elevated Fasting Blood Glucose (FBG) levels, suggesting a potential risk factor for Type 2 diabetes. Moreover, low calcium intake among the non-tribal community was associated with increased Post Prandial (PP) test results, indicating a rise in post-meal glucose levels. Notably, tribal energy intake and non-tribal protein consumption were significantly associated with HbA1c levels, reflecting their impact on glycemic control.

A pilot study of the contribution of energy-dense Caribbean diets to acrylamide exposure with associated health risks for a population of university students in Trinidad and Tobago

Previous studies on university students have indicated a significant decline in the consumption of fruits and vegetables complemented by an increase in energy-dense foods. The food toxicant, acrylamide, typically occurs in carbohydrate-rich, energy-dense foods that have been heated. Hence, this work presents an estimated dietary acrylamide exposure for university students in Trinidad and Tobago. A 2-day dietary recall method was used to obtain the food consumption information from 683 university students of differing sociodemographic backgrounds. The acrylamide exposure was estimated using a deterministic approach. The median acrylamide intake was estimated to be 1.39 µg/kg bw/day. The estimated mean acrylamide dietary intakes for the female and male population were 1.40 and 1.37 µg/kg bw/day, respectively. Coffee was determined to be the major dietary contributor to acrylamide exposure. However, bread was the food item that was most frequently consumed among the students. Using multiple linear regression, a possible correlation was detected between the acrylamide exposure and these variables: dietary habits (mostly eat out; p < 0.05), and Indian ethnicity (p < 0.10). Using the margin of exposure approach, dietary acrylamide exposure was found to be a health concern with regards to neurotoxicity and carcinogenicity. An evaluation of the procedures and results from this pilot study was carried out for the potential of conducting a full-scale research project.

National Dietary Survey on the children population

Abstract The national food consumption survey on the children population in Poland was conducted from August 2019 to February 2020 and was funded by EFSA under the EU Menu project. It aimed at collecting food consumption data of a representative sample of children living in Poland and followed the EFSA EU Menu methodology. Altogether 2605 subjects aged three months to nine years old were invited to participate in the study out of which participants were 1,574 children (780 boys and 794 girls) with a response rate of 60%. An additional group of 300 vegetarians aged six to nine years old was also recruited. After verifying the collected data, EFSA accepted the data from 1565 subjects (777 boys, 788 girls) in the main group and 294 subjects (147 boys, 147 girls) in the group of vegetarians. Data on food consumption was collected by means of two non‐consecutive food dietary record method using a web‐based tool intended for 24‐hour dietary recall method. In addition, a food propensity questionnaire was used. Anthropometric measurements of height, weight, waist and hip circumferences were made to assess the nutritional status of the participants. The level of physical activity was assessed with a short questionnaire, using questions from HBSC (Health Behaviour in School‐aged Children) Polish Study. Before the main study the pilot study was conducted for verifying the feasibility of the study organization. The collected data will be used to update the Comprehensive European Food Consumption Database, which is regulated and administered by EFSA. The results will allow the evaluation of diet and nutritional status of children in Poland, including the prevalence of underweight, overweight and obesity.

National Dietary Survey on the adult population

Abstract The national food consumption survey on the adult population in Poland was conducted from August 2019 to February 2020 and was funded by EFSA under the EU Menu project. It aimed at collecting food consumption data of a representative sample of adolescents, adults and elderly living in Poland and followed the EFSA EU Menu methodology. Altogether 4,249 subjects aged 10 to ≥75 years old were invited to participate in the study out of which participants were 2,432 individuals with a response rate of 57%. Two additional ad hoc groups of 300 vegetarians aged 18‐50 years old and 150 pregnant women were also recruited. After verifying the collected data, EFSA accepted the data from 2385 subjects (1196 men, 1189 women) in the main group, 246 subjects (118 men, 128 women) in the group of vegetarians and 145 subjects in the group of pregnant women. Data on food consumption was collected by means of two non‐consecutive days through a web‐based 24‐hour dietary recall method. In addition, a food propensity questionnaire was used. Anthropometric measurements of height, weight, waist, and hip circumferences were made to assess the nutritional status of the participants. The level of physical activity was assessed using the International Physical Activity Questionnaire (IPAQ). Before the main study the pilot study was conducted for verifying the feasibility of the study organization. The collected data will be used to update the Comprehensive European Food Consumption Database which is regulated and administered by the EFSA. The results will allow the evaluation of diet and nutritional status of adolescents and adults in Poland, including the prevalence of underweight, overweight and obesity.

Aligning health, environment, and cost aspects of diets: Identifying sustainable dietary patterns in China

Considering the adverse effects of agricultural-food systems on both human health and the environment, this research aimed to identify sustainable diets, which are nutritious, culturally acceptable, affordable, and have low environmental impacts, based on self-reported diets in China. Dietary data was collected with a 3-day 24-h dietary recall and weight food record combined method among 10,324 subjects aged 18–64 year, who participated in the China Health Nutrition Survey 2011. Diet quality was assessed by the Chinese Healthy Eating Index 2016 (CHEI2016). Environmental impact was measured by greenhouse gas emissions (GHGE), total water use (TWU), and land use (LU), and diet costs were calculated using market prices of community surveys. Reduced rank regression derived dietary patterns with 34 food groups as predictor variables, and used CHEI2016 score, dietary greenhouse gas emissions (GHGE), total water use (TWU), land use (LU), and cost of the diet as response variables. Four dietary patterns were identified. Participants with the highest adherence (decile 10) to the “High animal-based food” pattern showed higher dietary GHGE (+57%), TWU (+51%), and LU (+54%) and dietary costs (+64%), compared to the average population's diets. The diet in decile 10 for the “High fruit, low ruminant meat” pattern displayed a 21% higher CHEI2016 score, and higher dietary environmental impact (GHGE +17%; TWU +22%; LU +19%) and dietary costs (+46%) than the average diets. Diets of participants who followed the “High fish, low beverages” pattern showed higher environmental impact (GHGE +39%; TWU +32%; LU +28%) and dietary costs (+19%), but the CHEI2016 score was similar (+0.1%). Finally, the “High wheat, low pork” pattern demonstrated lower environmental impacts (GHGE -17%, TWU -12%, LU -2%) and lower cost of the diet (−2%) but also lower CHEI2016 score (−1%) compared to average population. This study reveals the complex trade-offs between diet quality, environmental sustainability, and dietary costs of current dietary patterns. None of the four patterns achieved the desirable combination of high CHEI2016 scores, reduced environmental impact, and reduced dietary costs. The findings offer insights into sustainable diet choices within the current food system, suggesting dietary guidelines should consider environmental sustainability and cost-effectiveness.

Maternal employment status and child age are positive determinants of minimum dietary diversity among children aged 6-23 months in Sagnarigu municipality, Ghana: a cross-sectional study.

Intake of a diversified diet is key to the prevention of malnutrition among children as it results in improved intake of energy and micronutrients, which are deemed critical for better nutritional status of children. This study assessed minimum dietary diversity (MDD) and its determinants among children aged 6-23 months in the Sagnarigu Municipality of Ghana. This was an analytical cross-sectional study, carried out in the Sagnarigu Municipality, Ghana and involved 369 mother-child pairs selected through a systematic random sampling. A semi-structured questionnaire was used to obtain respondents' socio-demographic characteristics, feeding practices, nutritional knowledge and anthropometry. MDD was assessed using a repeated 24-hour dietary recall method. Chi-square/Fisher exact test and binary logistic regression analysis were used to determine the factors associated with MDD. The study found that 24.9% of the children were between the ages of 6-8 months and 75.1% were between the ages of 9-23 months. About 64.2% of the children met the MDD. Children of mothers who were self-employed were approximately 2 times more likely to meet the MDD as compared to children of mothers who were unemployed [Adjusted Odd Ratio (AOR): 1.93, 95% CI (1.13-3.31), P = 0.017]. Also, children aged 9-23 months were approximately 14 times more likely to meet MDD as compared to younger children aged 6-8 months [AOR: 13.98, 95% CI (7.54-25.91), P < 0.001]. Our study suggests that maternal empowerment may have positive effects on improving the MDD of infants and young children.

Dietary Total Polyphenol, Flavonoid, and Lignan Intakes Are Associated with Obesity and Diabetes-Related Traits: A Case-Control Study.

Purpose: Dietary phytochemicals have been under examination as adjuvants for the prevention and treatment of obesity and diabetes. This study aimed at examining the potential associations of dietary "Phytochemical Index" (PI) and polyphenol intake with obesity and diabetes-related parameters. Materials and Methods: The case-control study involved 331 participants (156 overweight/obese and 175 normal weight), aged 18-50 years. Dietary intake was assessed using the 24-hr dietary recall method, and the PI score was calculated as the percentage of energy intake provided by phytochemical-rich foods. Polyphenol intakes were calculated using Phenol-Explorer and U.S. Department of Agriculture databases. Anthropometrical measurements were taken, serum glucose, insulin, and lipid profiles were analyzed, homeostatic model assessment for insulin resistance (HOMA-IR) was calculated, and blood pressure was measured. Linear regression analyses were used to examine the potential associations. Results: Participants with higher PI scores had higher total and some sub-classes polyphenol intakes compared with lower ones (P < 0.05, for each). Dietary PI score was not associated with any of the anthropometrical measurements; however, total polyphenol and flavonoids intakes were inversely associated with body mass index (β = -0.269, P = 0.049; β = -0.262, P = 0.048; respectively), waist circumference (β = -0.127, P = 0.021; β = -0.130, P = 0.016; respectively), and waist-to-hip ratio (β = -20.724, P = 0.032; β = -22.199, P = 0.018; respectively) after adjusting for potential confounders. Either dietary PI score or total and sub-class polyphenol intakes were not associated with a better metabolic profile, except for the lignan intake, which was inversely associated with HOMA-IR (β = -0.048, P = 0.011). Conclusions: Higher dietary polyphenol intake may have potential in the prevention of obesity and diabetes, and validated practical tools are essential for the assessment of polyphenol intake in clinical practice.

Comparative analysis of diets in Sioux Falls: Influence of sociodemographic characteristics, alignment to US national diet and healthy diet

Continuous examination of diets and factors that influence dietary patterns is vital to improve diet quality. The objectives of this study are to evaluate the average diet of adults in the Sioux Falls Metropolitan Statistical Area (SFMSA), USA, examining sociodemographic differences in dietary intake and compare the average diet in the SFMSA (SF Diet) to the U.S. national average and USDA healthy dietary guidelines. A cross-sectional population-based study was conducted and 127 individuals were surveyed from August 2020 to August 2021. Dietary intake was assessed using the self-reported single 24-h dietary recall method and sociodemographic questions. Main effects and first order interactions of participant sociodemographic characteristics were considered. Main findings show that men had higher intake of meat, poultry, and eggs (p < 0.05) and alcohol, particularly older men (p < 0.05), than women. Higher alcohol intake was found for participants with lower levels of income and education (p < 0.01). The intake of fish and seafood was higher for older adults with a high level of income (p < 0.01). Differences were found between the SF diet and the national average but both followed a similar trend (e.g., low in fruits and vegetables and high in solid fats) and did not meet dietary guidelines, particularly for nutrient-dense foods. The intake of total vegetables (p < 0.001) and dark green vegetables (p < 0.001) was higher in the SF Diet and the national average was higher in total grains (p < 0.05), refined grains (p < 0.01), oils and fats (p < 0.001), solid fats (p < 0.001), and added sugar (p < 0.001). By not meeting the dietary guidelines, the findings of this study raise public health concerns.

Food Consumption, Purchasing and Dietary Pattern of Farm Women in Dharwad District, Karnataka State, India

Present study was undertaken to analyze the socio-economic and nutritional status of women involved in farm activities and to know the impact of nutri-farms on food, nutrition and health security. Using 300 farm women in Chamarajanagar district. Health and nutritional status assessment, food intake, nutritional adequacy and screening for iron deficiency anaemia and KAP study on health and nutrition was conducted. Malnutrition is still one of the crucial problems in developing countries which is relationship between nutrition and health among a majority of the population. The objective of the study was dietary pattern of before and after intervention. This paper tries to analyze the food consumption and dietary pattern of women involved in farm activities and to know the impact of nutri-farms on food and nutrition security by using of 500 farm women in Dharwad district. A well-structured questionnaire was framed to gather the information on dietary pattern of the subjects was assessed by 24– hour diet recall method before and after intervention. The results revealed that, Among cereals, rice was consumed daily (90.4%) by all the families, where as food intake was observed that Pulses (67.67), milk and milk products (167.60), roots and tubers (67.80), GLV’s (47.17), other vegetables (96.47), fruits (37.33), fats and oil (17.70) consumption is very low when compared to RDA whereas consumption of cereal was on par with the recommended dietary allowances. The mean nutrient intake of energy (1794.5 kcal), protein (36.95 g), fat (17.95 g), iron (18.98 mg) and Vitamin C(42.85 mg) were less when compared to the RDA. The results shows that all nutrients and food intake consumption was found inadequate.

A Posteriori Dietary Patterns among Children in Sabah: A Cross-Sectional Study

Introduction: A dietary pattern reflects the combination of foods of an individual’s overall eating habits and there is accumulating evidence that dietary patterns are closely associated with health outcomes. Therefore, this study aimed to determine the á posteriori dietary patterns among children in Sabah. Methods: A cross-sectional study was conducted from December 2022 to February 2023 in Kota Kinabalu and Tawau. A total of 199 children aged 5 to 12 years were recruited. Body weight, height, and body mass index were determined using standard protocols. Dietary intakes were assessed using the 24-hour diet recall method and dietary patterns were derived using the principal component analysis based on 20 food groups. Results: Three dietary patterns emerged: “Fish Dietary Pattern”, “Fruits Dietary Pattern”, and “White Rice Dietary Pattern”. There were significantly more children from households with monthly income less than RM 2500 (54.0%, P&lt;0.001) and from Tawau (74.7%, P&lt;0.001) adhered to the “Fish Dietary Pattern”. Children adhered to the “Fish Dietary Pattern” were taller (P=0.016) and had greater intakes of energy (P&lt;0.001), carbohydrate (P&lt;0.001), and protein (P&lt;0.001), while children adhered to the “White Rice Dietary Pattern” had greater weight (P&lt;0.001), height (P=0.003), BMI (P=0.003), as well as higher intakes of energy (P=0.010), carbohydrate (P&lt;0.001), and protein (P=0.032). Conclusion: There were three distinct dietary patterns among children in Sabah, which were associated with growth indicators and nutrient intakes.

An Overview of Traditional and Novel Tools to Assess Diet.

Effective dietary interventions are vital for combating morbidity and mortality, necessitating reliable assessment tools. This article explores diverse dietary assessment methods, emphasizing their complexities and applications. Food Frequency Questionnaires (FFQs) offer insights into dietary habits over specified periods but require validation for target populations. Traditional Food Records provide detailed insights but are labor-intensive and prone to underreporting. Technology-based and technology-assisted records offer efficient alternatives, leveraging mobile apps and wearable sensors, albeit with access and privacy concerns. 24hour Dietary Recall (24HR) methods capture detailed intake within a day, with traditional and technology-assisted approaches strengthening population studies. The Automated Multi-Pass Method (AMPM) and technology-assisted ASA24 represent traditional and contemporary 24HR methodologies, respectively, both yielding comprehensive dietary data. In conclusion, dietary assessments are crucial for understanding dietary patterns and health implications. Integration of novel technologies streamlines data collection and analysis, enhancing researchers' ability to accurately gauge short- and long-term dietary impacts. Proper utilization of these tools empowers researchers to make informed decisions regarding dietary interventions and public health initiatives.

Distribution of usual vitamin intake and prevalence of inadequate intake among Chinese adults in 2015

To estimate the usual vitamin intake and the prevalence of inadequate intakes among Chinese adults in 2015, and to provide a scientific basis for developing nutrition intervention strategies and measures for target populations. Data was drawn from the Chinese Nutrition and Health Surveillance 2015-2017, a nationally representative cross-sectional study. The multistage stratified whole-group random sampling method was used to draw participants from 298 surveillance sites in 31 provinces(autonomous regions and municipalities). Participants with no available information or abnormal energy intake were excluded, and finally, a total of 72 231 participants aged 18 years and older were included in the current study. The dietary data of the participants were collected by the 24-hour dietary recall method combined with the condiment weighing method for three consecutive days. The National Cancer Institute method was used to estimate the distribution of the usual intake of vitamin B_1(thiamine), vitamin B_2(riboflavin), niacin, vitamin C(ascorbic acid), and vitamin E(tocopherol), and the prevalence of inadequate intake was evaluated based on estimated average requirement or adequate intake from the Chinese Dietary Reference Intakes 2023. The usual intake of vitamin E, vitamin C, vitamin B_1, vitamin B_2 and niacin were 27.93 mg/d, 77.67 mg/d, 0.78 mg/d, 0.62 mg/d and 13.15 mg/d, respectively. The prevalence of inadequate intake was, in descending order, vitamin B_2(95.98%), vitamin B_1(86.73%), vitamin C(63.70%), niacin(39.81%), and vitamin E(21.17%). The prevalence of inadequate vitamin E, vitamin C, vitamin B_1 and niacin intake among females was higher than among males(P&lt;0.01). Overall, the prevalence of inadequate vitamin intake increased with age. Rural residents had a higher prevalence of inadequate intake of vitamin C, vitamin B_2 and niacin than urban residents(P&lt;0.01). Except for vitamin E, the prevalence of inadequate intake of vitamins decreased with increasing education levels. The prevalence of inadequate intake of these five vitamins was higher among participants with lower income levels than those with middle or high income(P&lt;0.01). Participants with normal weight had a higher prevalence of inadequate intake of vitamin E than those with overweight or obesity and had a higher prevalence of inadequate intake of vitamin C than those with obesity. However, participants with normal weight had a higher prevalence of inadequate intake of vitamin E than those with overweight or obesity, with the differences being statistically significant(P&lt;0.01). Except for vitamin E, the prevalence of inadequate intake of vitamins decreased with increasing physical activity intensity. In 2015, the usual intake of dietary vitamins of Chinese adults was low. There are differences in usual intakes of vitamins and prevalence of inadequate vitamin intake for adults aged 18 years and above in males and females, different age groups, urban and rural areas, education levels, household income levels, body mass index and physical activity intensity.

Composite dietary antioxidant index and sleep health: a new insight from cross-sectional study

BackgroundLow-quality sleep and obstructive sleep apnea (OSA) can result in series of chronic diseases. Healthy diet has been considered as an effective and simple strategy to optimize sleep quality. However, current evidence on the correlation of dietary composite antioxidant intake with sleep health remained obscure.Aim of the studyTo determine the relationship of composite dietary antioxidant index (CDAI) and sleep health.MethodsCross-sectional analyses were based on National Health and Nutrition Examination Survey (NHANES) 2005–2008. Dietary consumption was assessed by trained staff using 24-h diet recall method and CDAI was calculated based on previous validated approach that included six antioxidants. Sleep-related outcomes were self-reported by a set of questionnaires and classified into OSA, day sleepiness, and insufficient sleep. Weighted logistic regression was conducted to calculate odds ratios (ORs) and 95% confidence intervals (CIs). Restricted cubic spline (RCS) regressions were also used to evaluate the dose-response of CDAI and three sleep-related outcomes.ResultsA total of 7274 subjects included (mean age: 46.97 years) were enrolled in our study, including 3658 were females (52.54%) and 3616 were males (47.46%). Of them, 70.6%, 29.51%, and 35.57% of the subjects reported that they had OSA, day sleepiness and insufficient sleep, respectively. Logistic regression showed the highest quartile of CDAI was inversely associated with the risk of OSA (OR: 0.69, 95%CI: 0.49–0.97), day sleepiness (OR: 0.64, 95%CI: 0.44–0.94) and insufficient sleep (OR: 0.68, 95%CI: 0.50–0.92) compared with the lowest quartile. RCS showed linear relationship of CDAI and insufficient sleep but non-linear relationship of CDAI with OSA and day sleepiness.ConclusionsOur results show that CDAI was non-linearly associated with lower risk of OSA and day sleepiness whereas a linear inverse association between CDAI and insufficient sleep was observed. These findings implicate that combined intake of antioxidants could be a promising and effective approach to optimize sleep quality for public.

Evaluation of Healthy Eating Index and Children's Diet Inflammatory Index according to asthma severity group

BackgroundDiet may contribute to better asthma control in children by impacting the immune and inflammatory pathophysiology. Therefore, this study aimed to investigate differences in nutrient intake, Children’s Dietary Inflammatory Index (C-DII), and dietary quality according to asthma severity.Materials and methodsAsthma severity, dietary inflammatory status, and diet quality were assessed in a sample of 202 children with asthma (55.6% males, aged 5–18 years) attending a pediatric allergy outpatient clinic. Asthma severity was evaluated according to the Global Initiative for Asthma criteria and categorized as mild, moderate, or severe. The Children’s Dietary Inflammatory Index (C-DII) and Healthy Eating Index (HEI-2010) were calculated based on information collected by the 24-h dietary recall method. Dietary quality was categorized as poor, moderate, or good diet according to HEI-2010.ResultsThe mean age of the participants was 9.6 ± 3.2 years. Children with severe asthma were younger on average (p < 0.05). Children with mild asthma had significantly higher fiber and iron intake than those with moderate asthma (p < 0.05). C-DII values did not differ significantly according to asthma severity (p > 0.05). Dietary quality was evaluated as moderate in 89.1% of the participants and also showed no difference based on asthma severity.ConclusionsThese findings suggest that inflammatory status and diet quality may not affect asthma severity in children, highlighting the influence of various genetic and environmental factors on the association between diet and asthma severity. More comprehensive and longitudinal studies are needed to investigate the mechanisms linking diet and asthma.

A Study on the Health and Nutritional Status of Mawasi Tribal Women in Villages of Chitrakoot Region in Madhya Pradesh, India

The present study is a cross sectional survey in which an attempt was made to understand the socio- demographic profile and assess nutritional status of Mawasi tribal women in Majhgawan block of Satna district in Madhya Pradesh. The sample comprised of 100 females between the age groups of 18-46 which were selected from 100 households for assessment of health and nutritional status. Stratified random sampling method was used for selection of 5 villages. The primary tool in the study was predesigned and pretested interview schedule. Height, weight recording, clinical examination and body type of females were the part of the study. The design of the study is qualitative that include data from 100 in depth interviews with the mothers. To calculate nutrient intake, twenty –four hour dietary recall method was adopted and was compared with the RDA-2020 given by ICMR. Nearly half (51%) females were short stature and thin. 79 % women were suffering from severe to moderate anemia. Daily intake of foods were deficit in vitamin A (75.5%), vitamin C (54.83%), folic acid (70.32%),Vitamin B12(63%), iron (61.43%) and calcium (47.67%) nutrients. The mean weight of the female was 42.72 Kg. The vast majority (92%) of females had weight less than the weight of the reference women (55Kg). The mean body mass index was 19.39. Only one-third (32%) females were normal( BMI 20.0-25.0).More than half (51%)of the study women suffered from chronic energy deficiency (BMI&lt;18.5). 98 % women were found anemic according to the cut-off (HB&amp;lt;12.0g/dl) proposed by WHO. The overall nutritional status of the tribal females was poor and their nutrient intake was also insufficient showing high percentage deficit in calories, proteins, fats, iron, zinc, calcium and vitamins A, B and C intake. Nutritional anemia, Vit-A and vit-C, VitaminB12 deficiencies were common problems in Mawasi women.

The Practices and Glycated Hemoglobin Levels of Adults with Diabetic Neuropathy in Nakuru County, Kenya

Diabetic neuropathy is a common complication of diabetes that can significantly impact patients’ quality of life. Practices play a crucial role in managing the condition and preventing further complications. This cross-sectional study examined the practices and glycated hemoglobin levels among adult patients with diabetic neuropathy. The study employed a cross-sectional design. A sample of adult patients diagnosed with diabetic neuropathy at Nakuru referral and teaching hospital was recruited. Data on dietary practices, including food choices, meal patterns, and dietary restrictions, were collected through structured interviews. Nutrient intake was assessed using dietary recall methods and analyzed using descriptive statistics. The chi-square test was used across the glycated hemoglobin (HbA1c) levels to compare categorical variables. Adherence to dietary recommendations was evaluated based on established guidelines for diabetic neuropathy management. Preliminary findings reveal sub-optimal practices in adults with diabetic neuropathy. Those with one or two daily meals reported significantly elevated HbA1c levels [χ2=11.808, p=0.008]. Skipping meals, especially breakfast and lunch, correlated with elevated HbA1c [χ2=17.622, p=0.001]. Smokers and alcohol consumers had a higher proportion of elevated HbA1c [χ2=7.269, p=0.007] and [χ2=15.610, p&lt;0.001], respectively. Regular exercise, particularly daily or 1-3 times a week, is associated with lower HbA1c [χ2=37.329, p&lt;0.001]. Elevated HbA1c correlated significantly with daily intake of animal products [χ2=18.931, p&lt;0.001], fats and oils [χ2=12.211, p =0.00], fruits [χ2= 22.106, p&lt;0.001], and cereals [χ2=21.728, p&lt;0.001]. Conversely, daily consumption of vegetables [χ2=8.255, p=0.016], pulses, and legumes [χ2 =53.757, p&lt;0.001] were associated with normal HbA1c. However, occasional sugar and honey intake did not significantly impact HbA1c [χ2=1.082, p=0.582]. In conclusion, our study highlights sub-optimal practices in adult diabetic neuropathy patients, particularly in those consuming one or two meals daily, skipping breakfast and lunch, and engaging in smoking or alcohol. Regular exercise correlates with lower HbA1c, while certain dietary habits influence glycemic control. These insights inform targeted interventions for improved patient care.

Inadequate dietary diversity practices and associated factors among pregnant adolescents in the West Arsi Zone, Central Ethiopia: a community-based cross-sectional study

The aftermath of dietary modifications made during pregnancy has the most substantial effects on nutritional status and birth results, despite the important influence of nutritional reserves. Numerous studies have been conducted on dietary practices and their determinants among pregnant women; however, there is a gap in evidence among pregnant adolescents. Therefore, this study sought to close this gap by examining dietary practices and associated factors among pregnant adolescents in the West Arsi Zone, Central Ethiopia. This community-based cross-sectional study was conducted among 459 pregnant adolescents between February and March 2023. Cluster sampling was used for selecting pregnant adolescents. Structured questionnaires were used for data collection. The data were entered into the Kobo toolbox and exported to SPSS version 25 software for analysis. Dietary diversity was assessed using the 24-h dietary recall method. Binary and multivariable logistic regression analyses were used to identify independent predictors of dietary practices. Odds ratios (ORs) with 95% confidence intervals (CIs) were estimated to identify the factors associated with the outcome variables. A p value ≤ 0.05 indicated statistical significance. The prevalence of inadequate dietary practices among the pregnant adolescents was 78.4% (95% CI 74.3%, 82.8%), and a level of nutritional knowledge [AOR = 2.4, 95% CI (1.82–4.74]; an unfavorable attitude toward dietary diversity [AOR = 4.3, 95% CI 2.9–5.83]; a food insecurity status [AOR = 8.7, 95% CI 2.37–10.24]; and a low perceived severity of poor dietary practices [AOR = 4.7, 95% CI 3.26–5.47]. These factors were significantly associated with inadequate dietary practices among pregnant adolescents. The most frequently consumed foods were starchy foods (81.3%) and pulses (79%), and the least consumed foods were meat (2.8%) and fruits (3.48%). The magnitude of inadequate dietary practices was high, and it was significantly associated with educational, behavioral, and economic status. Nutritional interventions focused on communicating nutritional behavioral changes and strengthening sustainable income-generating strategies are recommended to improve the dietary practices of pregnant adolescents.

Anthropometric, biochemical, dietary, morbidity and well-being assessments in women and children in Indonesia, India and Senegal: a UKRI GCRF Action Against Stunting Hub protocol paper

IntroductionChild stunting has a complex aetiology, especially in the first 1000 days of life. Nutrition interventions alone have not produced expected impacts in reducing/preventing child stunting, indicating the importance of...

Association between the composite dietary antioxidant index and metabolic syndrome: evidence from NHANES 2003-2018.

A healthy and nutritional diet has been considered a promising approach to improve many adverse clinical outcomes. However, current evidence of the association of the intake of composite dietary antioxidants with metabolic syndrome (MetS) is limited. The current study was performed to explore the effect of the composite dietary antioxidant index (CDAI) on MetS and its components based on the National Health and Nutrition Examination Survey (NHANES) from 2003 to 2018. The dietary consumption was evaluated using the 24-hour diet recall method, and a previously validated approach that included six antioxidants was used to calculate CDAI. The National Cholesterol Education Program-Adult Treatment Panel III (NCEP ATP III) was applied to evaluate MetS. ORs and 95%CIs were computed by logistic regression. The association between CDAI and MetS was determined by subgroup analyses and restricted cubic spline (RCS) regressions. This study included 24,705 individuals; approximately 18,378 (74.39%) participants were determined to be without MetS and 6,327 (25.61%) with MetS. After considering all confounders, compared to individuals of the lowest quartile of CDAI, those of the highest quartile showed a 31% lower risk of MetS (OR, 0.69, 95% CI: 0.57-0.82). RCS revealed a non-linear relationship between CDAI and MetS risk. A non-linear association was found between CDAI and decreased MetS risk, which indicated that selective combined intake of antioxidants could be a promising and effective approach to preventing MetS for the public.

Nutrition intake modifies the association between pulmonary function and cognitive performance among elderly Americans from NHANES 2011-2012.

Nutrition intake is one of the modifiable risk factors for cognitive decline. Whether energy and protein intakes alter the association between pulmonary function (PF) and cognition has not been studied. We made use of information from the U.S. National Health and Nutrition Examination Survey (NHANES) 2011-2012. PF measures, including forced expiratory volume in one second (FEV1), forced vital capacity (FVC), and peak expiratory flow (PEF), were calculated, whereas cognitive function was assessed through four tests: the Immediate Recall test (IRT), the Delayed Recall test (DRT), the Animal Fluency test (AFT) and the Digit Symbol Substitution test (DSST). Energy and protein intakes were measured using the 24-h dietary recall method. Weighted generalized linear regression was performed upon adjustment for covariates. Further interaction analyses were conducted to investigate the effect of energy and protein intakes on the association between PF and cognition. We finally included 803 participants aged ≥ 60years (54.4% female, weighted value). After adjusting for covariates, multiple measures (including FEV1, FVC, PEF, and composite PF) were all positively associated with better global cognition and the DSST score (P < 0.05). A stronger positive association between the DSST score and FEV1 (P for interaction = 0.001), FVC (P for interaction = 0.004), PEF (P for interaction = 0.003), and composite PF (P for interaction = 0.001) in lower energy intake. Similar results were observed in lower protein intake (all P for interaction < 0.05). Higher PF was independently associated with improved specific components of cognitive function (i.e., the DSST score). The positive association between PF and the DSST score was stronger in individuals with lower energy and protein intakes.