Dietary Allowance Research Articles

Equity in Access to Nutrition through ICDS

With the recognition of the problem of child malnutrition in India, the government provides supplementary nutrition under the flagship scheme of Integrated Child Development Services. The scheme has a specific focus on children from geographically and socio-economically disadvantaged groups. In the recent past, although several studies have looked into the access of children to supplementary nutrition services, the effectiveness of the services on children’s nutrition status through the lens of equity has however not drawn adequate attention. This article assesses the nutritional status of children across social groups based on the standard of ‘Nutritive Value of Indian Food’. Data collected from a sample of 286 children across social groups registered under the ICDS scheme covering ten villages in two rural districts of one state; reveals that although the supplementary nutrition meets the protein intake as per the Recommended Dietary Allowances norm, deficiencies are observed in the intakes of nutrients like calorie, calcium and iron. There are notable differentials among children across social groups in the intake of nutrients. The article calls for monitoring of adequacy of supplementary nutrition services for children from disadvantaged groups, and raising nutritional awareness among caregivers.

Pasture feeding improves the nutritional, textural, and techno-functional characteristics of butter

There is an increasing consumer desire for pasture-derived dairy products, as outdoor pasture-based feeding systems are perceived as a natural environment for animals. Despite this, the number of grazing animals globally has declined as a result of the higher milk yields achieved by indoor TMR feeding systems, in addition to the changing climatic conditions and lower grazing knowledge and infrastructure. This has led to the development of pasture-fed standards, stipulating the necessity of pasture and its minimum requirements as the primary feed source for products advertising such claims, with various requirements depending on the region for which it was produced. This work investigates the differences in the composition and techno-functional properties of butters produced from high, medium and no pasture allowance diets during early, mid, and late lactation. Butters were produced using milks collected from 3 feeding systems: outdoor pasture grazing (high pasture allowance); indoor TMR (no pasture allowance); and a partial mixed ration (medium pasture allowance) system, which involved outdoor pasture grazing during the day and indoor TMR feeding at night. Butters were manufactured during early, mid, and late lactation. Creams derived from TMR feeding systems exhibited the highest milk fat globule size. The fatty acid profiles of butters also differed significantly as a function of diet and could be readily discriminated by partial least squares analysis. The most important fatty acids in such an analysis, as indicated by their highest variable importance projection scores, were CLA C18:2 cis-9,trans-11 (rumenic acid), C16:1n-7 trans (trans-palmitoleic acid), C18:1 trans (elaidic acid), C18:3n-3 (α-linolenic acid), and C18:2n-6 (linoleic acid). Increasing pasture allowances resulted in reduced crystallization temperatures and hardness of butters and concurrently increasing the "yellow" color. Yellow color was strongly correlated with Raman peaks commonly associated with carotenoids. The milk fat globule size of cream decreased with advancing stage of lactation and churning time of cream was lowest in early lactation. Differences in the fatty acid and triglyceride contents of butter as a result of lactation and dietary effects demonstrated significant correlations with the hardness, rheological, melting, and crystallization profiles of the butters. This work highlighted the improved nutritional profile and functional properties of butter with increasing dietary pasture allowance, primarily as a result of increasing proportions of unsaturated fatty acids. Biomarkers of pasture feeding (response in milk proportionate to the pasture allowance) associated with the pasture-fed status of butters were also identified as a result of the significant changes in the fatty acid profile with increasing pasture allowance. This was achieved through the use of 3 authentic feeding systems with varying pasture allowances, commonly operated by farmers around the world and conducted across 3 stages of lactation.

Development of a water-soluble Vitamin D drink for enhanced absorption and serum levels

Vitamin D deficiency and insufficiency have been found in general population but especially in women of childbearing age. Although Vitamin D can be obtained from food source (few naturally) and produced from skin sunlight exposure, it can come from a reliable source via supplementation. Supplementing 15 µg daily could meet the recommended dietary allowance for 19 years and older and 20 µg for 70 years older. Daily supplementation greater than 100 µg is not recommended. Unlike water-soluble vitamins B and C, Vitamins A, D, E, and K are fat-soluble. This property of Vitamin D affects not only the delivery of it in drink but also absorption at the small intestine and bioavailability (i.e., serum level). This study focused on enhancing the solubility of vitamin D using a novel botanical solubilizer. Using rubusoside (RUB), isolated from stevia and other plants, Vitamin D3 (cholecalciferol; VD3) was experimented for solubility enhancement. VD3 was processed with RUB to form the VD3-RUB structure in powder form. Solubility of this powder in physiologic solutions of water, gastric or intestinal fluid, stability over time, and dilutability for achieving desired supplementation levels were examined. The VD3-RUB complex structure in water solution was characterised for particle size and shape using dynamic light scattering techniques. VD3 in water solution after filtration was quantified on HPLC. VD3 was practically insoluble in water. However, in the presence of 10% w/v RUB as the botanical solubilizer, VD3 became soluble in water to a concentration of 4,500 µg/mL. This water-soluble concentrate appeared clear and was freely dilutable to a drink containing amounts of VD3 ranging from 15 µg to 100 µg. Particle size analysis indicated the presence of approximately 4 nm spherical particles. HPLC analysis of the water solution detected RUB and VD3. These drinks were stable and remained clear and transparent for at least eight weeks. A packet of water-soluble Vitamin D3 powder was also developed for addition to a glass of water in the amount of 15 µg VD3. The packet, similar to the instant coffee powder, produced an instant Vitamin D drink containing the recommended dietary allowance of 15 µg. The water-soluble VD3 powder was also dissolvable in simulated gastric fluid and intestinal fluid, and stable for at least two hours. This solubility enhancement could aid in absorption and improve oral bioavailability, seen in the work with oily ceramides(1) and insoluble curcumin(2). It is especially advantageous for making drinks as the solubilizer is generally regarded as safe by the US FDA.

Minerals and trace elements in broad-leaved Geebung (Persoonia stradbrokensis), an underutilised native Australian fruit

Minerals and trace elements are essential for human health and wellness. Fruits can be an important dietary source of these micronutrients. For centuries, native Australian fruits have been a vital source of nutrition and well-being for the Indigenous Communities(1). However, comprehensive information on the mineral and trace element composition of these native fruits, including broad-leaved Geebung (Persoonia stradbrokensis), is lacking. Therefore, the aim of the present study was to determine the mineral and trace element composition of broad-leaved Geebung, an important but still underutilised native Australian fruit, at different maturity stages. Inductively coupled plasma mass spectrometry (ICP-MS) and inductively coupled plasma-optical emission spectroscopy (ICP-OES) were used to analyse the fruit. Statistical analysis was performed using one-way ANOVA and the means (n = 3) were compared by Tukey’s multiple comparison post hoc test with p < 0.05 as significant. Calcium and potassium could be identified as the main minerals, and iron, zinc and manganese as the main trace elements. The calcium content in broad-leaved Geebung was lower than Australian desert lime, kakadu plum, and riberry, respectively (35.7-271.5 vs. 384.2 vs. 282.5 vs. 307.7 mg/100g dry weight (DW))(2). Potassium has a vital role in the prevention of bone loss and is essential for the heart, kidney, and blood pressure. The potassium content of broad-leaved Geebung fruit was lower than Australian desert lime, kakadu plum, lemon aspen, quandong and riberry (average 516.4 vs. 1287.8 vs. 1905.5 vs. 1512.9 vs. 3456.2 vs. 1715.7 mg/100g DW)(2), which contributes to approximately 15% recommended dietary allowance (RDA). Iron is the main element in the production of hemoglobin and is important for maintaining healthy blood. Iron content in the fruit ranged from 0.8-2.6 mg/100g DW, which was higher than that of Davidson’s plum (1.2 mg/100g DW), but lower than the Green Plum, Australian desert lime, and kakadu plum (3.8 vs. 4.7 vs. 4.0 mg/100g DW) (2,3). Besides, the manganese levels were relatively high in broad-leaved Geebung fruit and considerably higher than in other native Australian fruits such as Kakadu plums, Desert limes and Quandongs (11.2-26.4 vs. 3.5 vs. 0.9 vs. 0.3 mg/100 g DW)(2). Interestingly, the mineral and trace element content decreased (p < 0.05) during fruit maturity. In general, broad-leaved Geebung fruit can provide considerable amounts of essential minerals and trace elements and its potential as a healthy “snack” alternative should be investigated further.

Fortifying Micronutrient Supplementation in India: Indian Expert consensus.

Micronutrients play a key role in human health, being involved in energy metabolism, immunity, cellular functioning, growth, and development. Deficiencies in micronutrients occur in individuals of all ages due to several factors, including inadequate diets, disease states, and overweight/obesity. Guidelines from the Indian Council of Medical Research (ICMR) National Institute of Nutrition (NIN) Expert Group on Nutrient Requirements for Indians (2023) have specified the Recommended Dietary Allowances (RDA) for macronutrients and micronutrients. In addition, a healthy diet is crucial for overall health and should be the first step toward addressing micronutrient deficiencies. When diet is inadequate, micronutrient supplements can be provided to compensate. An expert panel of Indian doctors was convened to develop a pathway toward micronutrient supplementation among the Indian population. This Consensus Statement recognizes that different populations have varying needs for specific micronutrients, and ensuring adequate intake of such micronutrients can improve health outcomes. The panel provided recommendations for dietary practices and micronutrient supplementation when diet is inadequate. Addressing micronutrient deficiencies at the primary care level can prevent chronic deficiencies and their consequences. This Consensus Statement can serve as a primer for physicians to monitor and address deficiencies and thus help individuals maintain their health.

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.

An Affordable and Sustainable Thrifty-Like Meal Plan, FoodRx, That Meets the Recommended Dietary Allowances.

There is considerable controversy as to whether a healthy diet is affordable given recent inflation. In order to determine whether a healthy, climate-friendly sustainable diet can be obtained within the allotments of the Supplemental Nutrition Assistance Program (SNAP), we created and purchased 26weeks of meal plans designed to meet the EAT-Lancet sustainability guidelines and > 90% of the RDAs for 23 macro/micronutrients for households with at least 2 adults and 1-3 children. We compared the food quantities and cost of a healthy sustainable diet purchased in Los Angeles, 2023, to the Thrifty Food Plan, 2021. We compared the volume of food and cost of basic groceries to those recommended in the Thrifty Food Plan, 2021. The costs of the sustainable diet fell within the 2023 SNAP allotments as long as the average calories required per person did not exceed 2000. The volume of fruits, vegetables, legumes, nuts, and seeds were considerably higher for the sustainable diet compared to the Thrifty Food Plan. Given that calorie needs are the determinants of food quantity and costs, the USDA may consider offering supplemental coverage for individuals with higher calorie needs to make healthy eating affordable.

Association between dietary magnesium intake and muscle mass among hypertensive population: evidence from the National Health and Nutrition Examination Survey

BackgroundMagnesium is critical for musculoskeletal health. Hypertensive patients are at high risk for magnesium deficiency and muscle loss. This study aimed to explore the association between magnesium intake and muscle mass in patients with hypertension.MethodsIn this population-based cross-sectional study, 10,279 U.S. hypertensive adults aged 20 years or older were derived from the National Health and Nutrition Examination Survey in 1999–2006 and 2011–2018. Magnesium (Mg) intake from diet and supplements was assessed using 24-hour diet recalls. Muscle mass was evaluated by appendicular skeletal muscle mass index (ASMI, total ASM in kilograms [kg] divided by square of height in meters [m2]). The association of Mg intake with ASMI was estimated using weighted multivariable-adjusted linear regression models and restricted cubic splines.ResultsDose-response analyses showed a positive linear correlation between dietary Mg intake and ASMI. Every additional 100 mg/day in dietary Mg was associated with 0.04 kg/m2 (95% confidence interval [CI] 0.02–0.06 kg/m2) higher ASMI. The ASMI in participants who met the recommended dietary allowance (RDA) for dietary Mg was 0.10 kg/m2 (95% CI 0.04–0.16 kg/m2) higher than those whose dietary Mg was below estimated average requirement (EAR). However, the relationship of Mg intake from supplements with ASMI was not identified.ConclusionHigher level of dietary Mg intake rather than Mg supplements was associated with more muscle mass in U.S. adults with hypertension, which highlights the importance of meeting the recommended levels for dietary Mg intake.

Dietary zinc intake and absolute lymphocyte counts in advanced stage of nasopharyngeal cancer patients

BackgroundNasopharyngeal Cancer (NPC) patients experience a deficiency immune system due to a systemic inflammatory response. Anorexia due to inflammation and dysphagia, as well as the effects of therapy such as chemotherapy and radiotherapy in NPC, causes a decreased intake of macronutrients and micronutrients, including zinc. Long-term zinc deficiency affects both non-specific and specific immune components (lymphocytes, monocytes, macrophages, neutrophils). However, research regarding zinc intake and lymphocyte counts is still rarely carried out, especially in NPC patients in Indonesia. The population of Indonesia has a different dietary intake pattern from the population of western countries. Therefore, researchers intend to examine zinc intake and lymphocyte counts in NPC patients at Dr. Kariadi Hospital in Semarang, Indonesia. AimsTo determine the relationship between dietary zinc intake and Absolute Lymphocyte Counts (ALC) in NPC patients. MethodsThis study was a cross-sectional study involving NPC patients undergoing first to third cycles of chemotherapy and aged 18–59 years at Dr Kariadi Semarang in July 2020–October 2022. Patients with hypoalbuminemia, experienced metastases, had other comorbid diseases, and had undergone radiotherapy were excluded from this study. Dietary zinc intake was measured using the Food Frequency Questionnaire (FFQ) for the last 14 days and ALC was measured using a heme analyzer at Dr Kariadi Hospital Laboratory. Statistical analysis used the Pearson and Spearman correlation test to measure the strength of the correlation between dietary zinc intake and ALC, and a one sample T test to determine whether participants' zinc intake differed from the Recommended Dietary Allowance (RDA). ResultsThe sample of this research was 35 subjects [20 male subjects (57.1%) and 15 female subjects (42.1%)]. The average dietary zinc intake of NPC patients undergoing chemotherapy at Dr Kariadi Hospital was 5.18 ± 2.19 mg/day (5.83 ± 1.63 mg/day and 4.32 ± 2.58 mg/day for males and females, respectively). The results showed a positive correlation between dietary zinc intake and ALC in NPC patients (r = 0.41, p = 0.013; p < 0.05). ALC in NPC patients was influenced by zinc intake and protein intake (p < 0.05), but not energy intake, BMI, and age (p > 0.05). The zinc intake of men and women was significantly different compared to the RDA recommendation (p < 0.05). ConclusionThere is a significant and positive correlation between dietary zinc intake and absolute lymphocyte counts in NPC patients undergoing chemotherapy.

Dietary patterns, physical activity, and nutritional status of medical students at Udayana University

Background: Indonesia faces a significant nutritional challenge among adolescents, termed the double burden, involving both undernutrition and overnutrition, notably central obesity. Lifestyle factors such as irregular dietary patterns and inadequate physical activity contribute to these issues, impacting physical and mental growth and development, particularly the cardiovascular system. This study aimed to examine the dietary patterns, physical activity, and nutritional status of medical students at Udayana University. Methods: This descriptive observational cross-sectional study involved 165 students, selected using simple random sampling. Dietary patterns were assessed using the Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ), physical activity was evaluated using the Global Physical Activity Questionnaire (GPAQ), and nutritional status was determined through anthropometric measurements. Results: Most respondents exhibited dietary pattern close to the recommended dietary allowance (RDA) (53.9%), followed by low (40%) and over (6.1%). In terms of physical activity, 51.5% had insufficient activity, while 48.5% had sufficient activity. Regarding nutritional status, 55.2% were classified as normal, 10.3% underweight, 15.8% overweight, and 18.8% obese, comprising obesity I (12.7%), obesity II (6.1%), and central obesity (12.7%). Conclusion: The study highlights prevalent abnormal dietary patterns and nutritional status among respondents, alongside inadequate physical activity. Recommendations include implementing interventions to improve dietary habits and increase physical activity among medical students at Udayana University. Further research utilizing more precise measurement methods is warranted to explore the relationship between dietary patterns, physical activity, and nutritional status.

Phytonutritional Composition and Antioxidant Properties of Southern African, Purple-Fleshed Sweet Potato (Ipomoea batatas (L.) Lam.) Storage Roots.

Purple sweet potatoes (Ipomoea batatas (L.) genotype) in Southern Africa have a phytonutritional composition and antioxidant properties that can increase incomes and improve nutrition. This study compared the phytonutrient composition and antioxidant properties of four purple-colour sweet potato genotypes (local Purple-purple, '2019-1-1', and USA genotypes, '08-21P' and '16-283P'). These purple sweet potato genotypes were characterised by UPLC/QTOF/MS and 16 phenolic compounds were identified. Purple-purple (very dark purple) showed the highest concentration of cyanidins and peonidin derivatives. Chlorogenic acid derivatives were highest in the genotype '16-283P'. 'Puple-purple' and '16-283P' displayed the strongest antioxidant power and scavenging activities. Diaffeoylquinic acid isomer 1 was identified as the marker candidate for distinguishing the four purple sweet potato genotypes. Southern Africa's highest-protein sweet potato genotypes are Purple-purple (28.81 g/100 g) and '08-21 P' (24.31 g/100 g). A 13.65 g portion of '2019-1-1' would meet the Recommended Dietary Allowance (RDA) for iron for men, while 25.59 g would meet the RDA for children, and 30.72 g would meet the RDA for women. The sweet potato root of genotype '2019-1-1' provides 31.43 g of Zn per day for children and 22.86 g for adults. The roots of local cultivar Purple-purple can be used as functional food ingredients.

Determination of vitamin c in raw fruit and vegetable homogenates: dietary exposure and health effects of excess intake in adults and children.

The aim of the study was to determine Vitamin C content in some fruits and vegetables (FAV) including apple, banana, orange, pineapple, watermelon, carrot and cucumber, sold in the local markets in Awka, Anambra State, Nigeria as well as Vitamin C content in two-component and three-component homogenates FAV. The work was also designed to investigate the dietary exposure and health effects of excess vitamin C intake in adults and children. Vitamin C as total ascorbic acid (AA) after reduction of dehydroascorbic acid was analyzed using both titrimetric and spectrophotometric methods. The titrimetric method involved iodometric back-titration while the spectrophotometric method was done at an absorbance of 530 nm. The dietary exposure was evaluated as the total FAV intake multiplied by chemical concentration in the FAV whereas the health effect of excess vitamin C intake was conducted using the hazard quotient (HQ). The results revealed that Vitamin C for single fruits ranged from 11.76 - 41.17 mg/L for spectroscopic method and 16.9 - 31.84 mg/L for titrimetric method. Fruit homogenates showed Vitamin C concentrations of 14.70 - 220.58 mg/L and 17.23 - 209.09 mg/L for two-components homogenates: 29.41-132.35 mg/L and 31.05-113.10 mg/L for tri-components homogenates for spectrophotometric and titrimetric methods respectively. The results of dietary exposure and the health effects of excess vitamin C intake showed that children are more susceptible to health issues than adults in illnesses such as nausea, gastrointestinal pains, increased kidney stones and hyperactivity. There is therefore the need for a national recommended dietary allowance for total ascorbic acid (AA) in FAV homogenates from a stakeholder point of view in Nigeria.

Estimation of dietary intake of sodium, potassium, phosphorus and protein in healthy Indian population and patients with chronic kidney disease.

Poor nutritious diet is a major risk element for non-communicable diseases (NCD), which are of considerable public health concern. Given the diverse dietary patterns in India, precise determination of nutrient consumption is crucial for disease management. The present study assessed the dietary intake of sodium, potassium, protein, and phosphorus among North Indians. This cross-sectional study included healthy adults and adults with stage 2 to 4 chronic kidney disease (CKD). We analysed sodium, protein, potassium and phosphorus intakes using one-time 24-h urinary excretion. Dietary intake was also analysed in subgroups based on sex, body mass index, blood pressure and abdominal obesity. We evaluated the performance of various equations available to estimate sodium intake using a spot urine sample with respect to the sodium excretion measured in a 24-h urine sample. Descriptive statistics was used along with t-test for statistical significance. A total of 404 subjects (182 adult healthy subjects and 222 adults with CKD) with a mean age of 47.01 ± 11.46 years were studied. Mean dietary intakes of sodium, salt, potassium, protein and phosphorus were 2.94 ± 1.68 g/day, 7.42 ± 4.24 g/day, 1.43 ± 0.59 g/day, 47.67 ± 14.73 g/day and 0.86 ± 0.39 g/day, respectively. There were no differences in nutrient consumption between adults who were healthy and those with CKD. Consumption of sodium, salt, protein, potassium, and phosphorus among healthy population vs. those with CKD were 2.81 ± 1.60 vs. 3.05 ± 1.73 g/day (p = 0.152), 7.08 ± 4.04 vs. 7.70 ± 4.37 g/day (p = 0.143), 47.16 ± 14.59 vs. 48.08 ± 14.86 g/day (p = 0.532), 1.38 ± 0.59 vs. 1.48 ± 0.58 g/day (p = 0.087) and 0.86 ± 0.41 vs. 0.87 ± 0.37 g/day (p = 0.738), respectively. Men had higher consumption of these nutrients than women. Compared to non-hypertensives, hypertensive subjects had higher consumption of salt (8.23 ± 4.89 vs. 6.84 ± 3.59 g/day, p = 0.002) and potassium (1.51 ± 0.63 vs. 1.38 ± 0.55 g/day, p = 0.024), however, no difference were found in protein and phosphorus intakes. In terms of performance of equations used to estimate 24-h sodium intake from spot urinary sodium concentration against the measured 24-h urinary sodium excretion, INTERSALT 2 equation exhibited the least bias [1.08 (95% CI, -5.50 to 7.66)]. The study shows higher-than-recommended salt and lower-than-recommended potassium intake in the north Indian population compared to those recommended by guidelines. The dietary protein intake is below the recommended dietary allowance. These findings help the development of targeted policies for dietary modification to reduce the risk of the development and progression of CKD.

Consumer knowledge and understanding of food labelling information in Klipgat region, of South Africa

Food labels are the first source of information customers come across when sourcing a food product. Labels provide information about the ingredients, nutritional content, allergens, as well as the origin and advice on the food’s processing and preservation conditions. This information allows the consumer to make informed food choices. Although food labels are provided to help consumers choose healthy foods, it is not established whether they know and understand the information to use to their advantage. The need to comprehend consumer knowledge, understand food labelling information, and whether it could influence consumer choices are vital to researchers, policymakers, and the food industry. The study investigated the knowledge and understanding of food labelling information among Klipgat consumers. In a cross-sectional community-based study with a structured questionnaire, 400 participants were conveniently interviewed on consumer knowledge, understanding of information, and utilization of labelling information. A chi-square for the association of variables compared differences in the districts, and p-value &lt;0.05 was regarded as significantly different. Overall, 79.9% of the study group from all three regions knew that processed food must have a label. Most respondents in the three regions were males (64%). There was a general lack of knowledge about food labelling information (x2=10.726; p=0.03), especially with terms such as trans-fatty acids (23.1%), monounsaturated fat (5.3%), Recommended Dietary Allowances (RDA) (15.3%) and Genetically Modified Organism (GMO), (14.7%). Socio-demographic characteristics including gender (p=0.030), age (p=0.030), language (p=0.030) and educational level (p=0.030) were significantly associated with consumers’ knowledge and understanding of the labels. The results from this study are useful for the development of communication and awareness strategies of food labelling information, with special emphasis on the use of simpler terminologies. This paper advocates for the development of a “food labelling forum,” consisting of relevant stakeholders with a mandate to; establish, implement, and maintain food labeling strategies, community engagement and general food labeling awareness programs especially in typical communities of South Africa. Key words: communities, food labelling information, labelling terminology, consumer label understanding

Requirements for essential micronutrients during caloric restriction and fasting.

Caloric restriction (CR) or energy restriction, when carefully designed, monitored, and implemented in self-motivated and compliant individuals, proves to be a viable non-pharmacologic strategy for human weight control and obesity management. Beyond its role in weight management, CR has the potential to impede responses involved not only in the pathogenesis of various diseases but also in the aging process in adults, thereby being proposed to promote a healthier and longer life. The core objective of implementing caloric restriction is to establish a balance between energy intake and expenditure, typically involving a reduction in intake and an increase in expenditure-a negative balance at least initially. It may transition toward and maintain a more desired equilibrium over time. However, it is essential to note that CR may lead to a proportional reduction in micronutrient intake unless corresponding supplementation is provided. Historical human case reports on CR have consistently maintained adequate intakes (AI) or recommended dietary allowances (RDA) for essential micronutrients, including vitamins and minerals. Similarly, longevity studies involving non-human primates have upheld micronutrient consumption levels comparable to control groups or baseline measures. Recent randomized controlled trials (RCTs) have also endorsed daily supplementation of multivitamins and minerals to meet micronutrient needs. However, aside from these human case reports, limited human trials, and primate experiments, there remains a notable gap in human research specifically addressing precise micronutrient requirements during CR. While adhering to AI or RDA for minerals and vitamins appears sensible in the current practice, it's important to recognize that these guidelines are formulated for generally healthy populations under standard circumstances. The adequacy of these guidelines in the setting of prolonged and profound negative energy balance remains unclear. From perspectives of evidence-based medicine and precision nutrition, this field necessitates comprehensive exploration to uncover the intricacies of absorption, utilization, and metabolism and the requirement of each hydrophilic and lipophilic vitamin and mineral during these special periods. Such investigations are crucial to determine whether existing daily dietary recommendations for micronutrients are quantitatively inadequate, excessive, or appropriate when energy balance remains negative over extended durations.

Nutritional quality and microbial diversity of Chhurpe from different milk sources: an ethnic fermented food of high-altitude regions of the Western Himalayas

Chhurpe is a naturally fermented traditional dairy food of high altitude Western Himalayan region. They are generally prepared from cow or yak milk and are consumed during harsh winters. The present study was conducted to characterize the different Chhurpe samples traditionally prepared by the ethnic groups utilizing milk from different animal breeds such as cow, yak, Zomo (cow × yak), and Germo (Zomo × yak). Nutritional characterization revealed that 100 g of Chhurpe could completely meet the dietary protein requirements of children and adults with high concentrations of methionine and lysine. Tryptophan and valine were the limiting amino acids among all the Chhurpe samples. Palmitic, stearic, and oleic acids were the predominant fatty acids. The Chhurpe samples were a rich source of micronutrients such as calcium, iron, and zinc meeting above 70% of recommended dietary allowances (RDA) among children (3–10 years) and up to 20% RDA for adults. Culture-independent metagenomic analysis revealed that lactic acid bacteria were the predominant group, consisting of genera such as Lactobacillus, Leuconostoc, Lactococcus, and Streptococcus followed by acetic acid bacteria, mainly Acetobacter. At the species level, Lactobacillus delbrueckii was the abundant strain among all the Chhurpe samples. Species diversity was significantly higher in Chhurpe prepared from Zomo milk. Probiotic bacterial strains such as Lactobacillus helveticus, L. delbrueckii, L. brevis, and Leuconostoc mesenteroides were identified in the Zomo Chhurpe indicating their superior quality. The present study was an attempt to popularize Chhurpe and promote its wider consumption by highlighting its nutritional properties.

Elemental Fingerprinting of Pecorino Romano and Pecorino Sardo PDO: Characterization, Authentication and Nutritional Value.

Sardinia, located in Italy, is a significant producer of Protected Designation of Origin (PDO) sheep cheeses. In response to the growing demand for high-quality, safe, and traceable food products, the elemental fingerprints of Pecorino Romano PDO and Pecorino Sardo PDO were determined on 200 samples of cheese using validated, inductively coupled plasma methods. The aim of this study was to collect data for food authentication studies, evaluate nutritional and safety aspects, and verify the influence of cheesemaking technology and seasonality on elemental fingerprints. According to European regulations, one 100 g serving of both cheeses provides over 30% of the recommended dietary allowance for calcium, sodium, zinc, selenium, and phosphorus, and over 15% of the recommended dietary intake for copper and magnesium. Toxic elements, such as Cd, As, Hg, and Pb, were frequently not quantified or measured at concentrations of toxicological interest. Linear discriminant analysis was used to discriminate between the two types of pecorino cheese with an accuracy of over 95%. The cheese-making process affects the elemental fingerprint, which can be used for authentication purposes. Seasonal variations in several elements have been observed and discussed.

Anti-Oxidant and Vitamin C Activity Test of Horseganik Clay Mask Products, Sumbawa Horse Milk

The growth of the cosmetics market in Indonesia is also projected to increase by 7% in 2021 (Databoks, 2021). "The growth of the cosmetics industry in 2017 grew 6.35%, which originally increased from 153 companies to 760 companies, and exports reached US$519.99 million compared to the previous year which was US$470.3 million. Currently, many consumers are interested with a wide selection of cosmetic products to support their appearance. The content of Sumbawa Wild Horse Milk contains probiotics and lactic acid bacteria in horse milk which can kill bad bacteria that cause acne on the face. The results of the study proved that the milk of the Sumbawa wild horse was effective as an anti-bacterial against Staphylococcus epidermidis (one of the bacteria that causes acne). The results of the study, the content of Vitamin C horse clay mask is 64.8% which corresponds to the daily requirement of vitamin C commonly known as the RDA (Recommended dietary allowance) of vitamin C which is 60 mg or the equivalent of an orange, for anti-oxidant activity IC50 10.88 ppm contained in the horsegenic mask able to reduce aging and other skin diseases caused by a lack of nutrient intake for the skin.

Total and bioavailable 25-hydroxyvitamin D is not associated with improved sexual dysfunction following vitamin D supplementation in women with polycystic ovarian syndrome: a pilot study.

Vitamin D (Vit D) deficiency has been linked to symptoms of polycystic ovary syndrome (PCOS), yet little is known about Vit D supplementation as a treatment for sexual dysfunction (SDy) in women with PCOS. To explore the implications of serum total 25-hydroxyvitamin D (25[OH]D) and bioavailable 25[OH]D (bio-25[OH]D) status and replacement on women with PCOS and SDy. Reproductive-age women with PCOS who were not desiring fertility were eligible provided that they also had SDy, as assessed by the Female Sexual Function Index (FSFI), and were without severe depression, as evaluated by the Beck Depression Inventory II (BDI-II). Participants were given the recommended dietary allowance of Vit D (600IU daily) plus hormonal contraception (HC; cyclic ethinyl estradiol/drospirenone) or no HC for 6months. Comparisons between groups were analyzed by chi-square test and t-test, and Pearson's correlation coefficient analyzed correlations between FSFI with demographics, BDI-II, androgen levels, and total and bio-25[OH]D. The outcomes included SDy (FSFI <26.55), total and serum bio-25[OH]D levels, and total and free testosterone. A total of 42 women without severe depression completed the FSFI, with 28 (66.7%) having SDy. All FSFI domains, including arousal, lubrication, orgasm, and pain, were significantly lower as compared with women without SDy, with no associations with respect to demographics, total and free testosterone, or total and bio-25[OH]D. Vit D replacement was initiated with HC (n = 18) or no HC (n = 10), and for those completing the study, FSFI improved (score >26.55) in 61% (11/18) regardless of the treatment group. A time-treatment effect showed a significant change for the domain of orgasm, suggesting that HC had more of an impact than Vit D replacement. Improvement in sexual function as a dichotomous variable was not associated with age, body mass index, other demographics, total and free testosterone, total and bio-25[OH]D, or HC use. Due to the prevalence of SDy in women with PCOS, efficacious treatment options are necessary. This study is the first to analyze the effect of Vit D supplementation on SDy in women with PCOS. Limitations included the small number of participants who completed the study, thus limiting meaningful conclusions and generalizability. Vit D status was not associated with SDy and BDI-II. While HC may have played a role, standard Vit D supplementation could not account for the noted improvement in FSFI in women with PCOS.

Elemental composition and evaluation of noncarcinogenic risks of bee pollen from different Turkish areas.

Bee pollen is a complex compound formed by the honey bee through a mixture pollen, nectar, and bee saliva. It contains many elements that have importance for the human biochemical process. However, when the content of minerals in the pollen exceeds the biological limit, it can be toxic to health. This study aimed to assess and identify the presence of 16 essential (potassium [K], phosphorus [P], calcium [Ca], magnesium [Mg], sodium [Na], iron [Fe], silicon [Si], manganese [Mn], zinc [Zn], boron [B], copper [Cu], molybdenum [Mo], nickel [Ni], chromium [Cr], selenium [Se], and cobalt [Co]) and 16 nonessential elements (aluminum [Al], beryllium [Be], barium [Ba], arsenic [As], cadmium [Cd], mercury [Hg], thallium [Tl], lithium [Li], antimony [Sb], vanadium [V], lead [Pb], rubidium [Rb], strontium [Sr], cesium [Cs], titanium [Ti], and uranium [U]) in bee pollen samples from different floral sources in Turkey, while also evaluating the noncarcinogenic risks associated with bee pollen. A melissopalynological investigation was conducted to identify the plant origins of the bee pollen samples. Thereafter, the levels of 32 elements in bee pollen samples were quantified using inductively coupled plasma-mass spectrometry (ICP-MS). Finally, calculations were performed to determine the recommended dietary allowance percentage (RDA%), estimated daily intake (EDI), target hazard quotient (THQ), and hazard index (HI). The bee pollen samples had varying levels of macro, trace, and ultratrace elements, with K, P, Ca, Mg, and Na being the most abundant macro elements and Ti, Ba, Ni, Cr, and V being the least abundant ultratrace elements. The RDA% values for essential elements in bee pollen were found to vary, with Cu, Zn, Fe, and Cr having the highest levels. The results of the THQ and HI calculations demonstrated that consuming bee pollen at recommended rates did not pose a risk to the health of adults or children. Integr Environ Assess Manag 2024;20:1575-1585. © 2023 SETAC.