Energy Intake Research Articles

한국 청소년의 아침 식사 유형에 따른 영양소 섭취 상태 및 아침식사의 질 평가

Objectives This study is to evaluate the quality of breakfast and compare the nutritional intake by breakfast type of Korean adolescents. Methods This study analyzed data from 3,779 adolescents aged 12 to 18 who participated in the National Health and Nutrition Survey conducted from 2016 to 2019. Breakfast was classified as ‘rice’, ‘bread’, ‘noodles’, ‘cereal’, and ‘others’ based on the main food consumed. Differences in general characteristics by breakfast type were ana-lyzed, and nutrient intake and nutrient intake ratio relative to daily nutrient intake standards were used for the analysis. Additionally, the study derived the contribution rate and nutrient density of daily nutrient intake from breakfast. Results Regarding the type of breakfast consumed by adolescents, rice ranked first at about 45%, followed by bread, cereal, and noodles. The breakfast skipping rate was higher among female adolescents at 43.03% com-pared to males at 35.57%. Rice and bread tended to account for most of the energy and protein intake, and cereals accounted for the highest daily intake of vitamins and minerals. The contribution rate of breakfast to daily energy intake was about 23-24% for rice and noodles, about 18% for bread, and about 14% for cereal. Conclusions The results of this study suggest that rice is an excellent breakfast diet for Korean adolescents. However, the high rate of breakfast skipping among adolescents suggests the need for efficient and continuous nutritional education about regular breakfast.

Gender differences in dietary intake and physical activity among university students: a post-COVID-19 pandemic study

Purpose Malaysia transitions from a pandemic to an endemic state, beginning on April 1, 2022. The dietary intake and physical activity of university students were altered during the COVID-19 pandemic confinement period, but there is limited information on this topic in the post-COVID-19 period. This cross-sectional study aims to understand gender differences in dietary intake and physical activity among university students and investigate the factors influencing their body mass index (BMI) in the post-COVID-19 period. Design/methodology/approach The questionnaire used in this study comprised three main segments: sociodemographic information, a semiquantitative food frequency questionnaire and the International Physical Activity Questionnaire. Findings Results indicated that males exhibited significantly higher (p < 0.05) mean intakes of total dietary energy and macronutrients compared to females. Compared to the Malaysian Recommended Nutrient Intakes 2017, 76.4% of males and 68.8% of females had a sufficient daily energy intake. The majority of males (52.7%) and females (46.4%) were moderately physically active. Regression analysis revealed that male university students with lower fiber intake (ß = −0.309, p = 0.002) were significantly associated with higher BMI reading after confounding adjustment. However, a similar trend was not observed in female university students. Practical implications Understanding the gender differences in dietary intake and physical activity can provide insights into the development of effective gender-specific health promotion strategies and the formulation of policies aimed at promoting healthier lifestyles among university students in the post-COVID-19 pandemic era. Originality/value This study provides insights into the gender differences in the dietary and physical activity habits of university students, as well as the factors influencing their BMI in the post-COVID-19 pandemic era.

Health Outcome Comparison Based on Dietary Inflammatory Levels among Sample of Korean Elderly

The aim of this study was to investigate the effect of a senior-friendly diet based on the dietary inflammatory index (DII) on the nutritional status and health indicators of older people. A total of 256 participants were classified into tertiles based on their DII values and split into intervention (n = 201) and control (n = 55) groups. The intervention group was provided with a senior-friendly diet, and the control group was allowed to eat their usual diet. Before and after the trial, anthropometric measurements, blood analyses, and questionnaires were completed for both groups. The mean age of the participants was 82.49 years, and 66.4% were female. On average, participants had 2.5 medical conditions, with a notable prevalence of cardiovascular disease. Following the intervention, the energy, carbohydrate, protein, and fat intakes significantly increased in the intervention group compared to pre-intervention levels. Tertile 3 exhibited substantial improvements in total nutrition score, NQ-E balance, and DII total score, as well as in triglycerides and blood glucose, attributed to this dietary intervention compared to other groups. In comparison with Tertile 1, nutrient intake and nutritional status in Tertile 3 were closely associated with significant influencing factors of the dietary intervention. For the group with the worst DII (Tertile 3), this dietary intervention greatly improved nutritional status, nutrient intake, and clinical indicators; thus, this senior-friendly diet appears to be beneficial for elderly people with nutritional vulnerabilities.

Breakfast skipping and risk of all-cause, cardiovascular and cancer mortality among adults: a systematic review and meta-analysis of prospective cohort studies.

Background: Numerous studies reported inconsistent association between breakfast skipping and all-cause, cardiovascular disease (CVD) and cancer mortality. Therefore, we conducted a systematic review and meta-analysis to elucidate these associations. Methods: PubMed, Embase, and Web of Science databases were searched up to July 2023 for prospective cohort studies that assessed the association between breakfast skipping and all-cause, CVD and cancer mortality in general adults. A random effect model was used to estimate the pooled hazard ratio (HR) and 95% confidence intervals (CIs), with subgroup analysis and sensitivity analysis performed. The Newcastle-Ottawa Scale (NOS) was used to assess the study and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) tool was used to assess the risk of bias. Results: The final analysis included 9 cohort studies including 242 095 participants, with 6 studies for all-cause mortality, 4 studies for CVD mortality, and 2 studies for cancer mortality. Compared to regular breakfast consumption, skipping breakfast was associated with a higher risk of all-cause (HR: 1.27, 95% CI, 1.07-1.51, I2 = 77%), CVD (HR 1.28, 95% CI 1.10-1.50, I2 = 0), and cancer (HR: 1.34, 95% CI: 1.11-1.61, I2 = 0%) mortality. Sensitivity analysis revealed inconsistent results in all-cause and CVD mortality. Subgroup analysis showed significant association in studies with larger participants, longer follow-up, adjustments for energy intake, and high-quality articles. GRADE showed very low evidence for all-cause mortality and low evidence for CVD and cancer mortality. Conclusion: The findings underscore the importance of regular breakfast habits for health and longevity. However, these results require careful interpretation due to geographic limitations, potential heterogeneity, and instability.

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.

Predicted impact of banning nonessential, energy-dense food and beverages in schools in Mexico: A microsimulation study.

Childhood obesity is a growing concern worldwide. School-based interventions have been proposed as effective means to improve nutritional knowledge and prevent obesity. In 2023, Mexico approved a reform to the General Education Law to strengthen the ban of sales and advertising of nonessential energy-dense food and beverages (NEDFBs) in schools and surroundings. We aimed to predict the expected one-year change in total caloric intake and obesity prevalence by introducing the ban of NEDFBs sales in schools, among school-aged children and adolescents (6 to 17 years old) in Mexico. We used age-specific equations to predict baseline fat-free mass (FFM) and fat mass (FM) and then estimated total energy intake (TEI) per day. The TEI after the intervention was estimated under 4 scenarios: (1) using national data to inform the intervention effect; (2) varying law compliance; (3) using meta-analytic data to inform the intervention effect size on calories; and (4) using national data to inform the intervention effect by sex and socioeconomic status (SES). We used Hall's microsimulation model to estimate the potential impact on body weight and obesity prevalence of children and adolescents 1 year after implementing the intervention in Mexican schools. We found that children could reduce their daily energy intake by 33 kcal/day/person (uncertainty interval, UI, [25, 42] kcal/day/person), reducing on average 0.8 kg/person (UI [0.6, 1.0] kg/person) and 1.5 percentage points (pp) in obesity (UI [1.1, 1.9] pp) 1 year after implementing the law. We showed that compliance will be key to the success of this intervention: considering a 50% compliance the intervention effect could reduce 0.4 kg/person (UI [0.3, 0.5] kg/person). Our sensitivity analysis showed that the ban could reduce body weight by 1.3 kg/person (UI [0.8, 1.8] kg/person) and up to 5.4 kg/person (UI [3.4, 7.5] kg/person) in the best-case scenario. Study limitations include assuming that obesity and the contribution of NEDFBs consumed at school remain constant over time, assuming full compliance, and not considering the potential effect of banning NEDFBs in stores near schools. Even in the most conservative scenario, banning sales of NEDFBs in schools is expected to significantly reduce obesity, but achieving high compliance will be key to its success. - School-based interventions have been recognized as effective means to improve nutritional knowledge and prevent obesity-related diseases.- In December 2023, the Chamber of Representatives of Mexico approved an amendment that strengthens and updates the General Education Law (Article 75) and nutritional guidelines to ban the sales and advertising of nonessential energy-dense food and beverages (NEDFBs) in schools. - We used age-specific equations to predict baseline fat-free mass (FFM) and fat mass (FM) and total energy intake (TEI) per day.- We used microsimulation modeling to predict body weight and obesity prevalence of children and adolescents 1 year after implementing the intervention in Mexican schools.- Our modeling study suggests that an important impact on obesity prevalence can be expected if the law is implemented and enforced as intended. - If successful, this law could serve as an example beyond Mexico on how to achieve changes in body weight through school food regulation.- An important limitation of our main scenario is that we assumed full compliance of schools with the law, yet lower compliance will reduce its impact. We also did not consider historical trends on obesity or NEDFBs consumed in schools during our 1 year simulation, and we considered only the ban impact inside schools, excluding effects near and outside schools.

Intake Biomarkers for Nutrition and Health: Review and Discussion of Methodology Issues

Metabolomics profiles from blood, urine, or other body fluids have the potential to assess intakes of foods and nutrients objectively, thereby strengthening nutritional epidemiology research. Metabolomics platforms may include targeted components that estimate the relative concentrations for individual metabolites in a predetermined set, or global components, typically involving mass spectrometry, that estimate relative concentrations more broadly. While a specific metabolite concentration usually correlates with the intake of a single food or food group, multiple metabolites may be correlated with the intake of certain foods or with specific nutrient intakes, each of which may be expressed in absolute terms or relative to total energy intake. Here, I briefly review the progress over the past 20 years on the development and application intake biomarkers for foods/food groups, nutrients, and dietary patterns, primarily by drawing from several recent reviews. In doing so, I emphasize the criteria and study designs for candidate biomarker identification, biomarker validation, and intake biomarker application. The use of intake biomarkers for diet and chronic disease association studies is still infrequent in nutritional epidemiology research. My comments here will derive primarily from our research group’s recent contributions to the Women’s Health Initiative cohorts. I will complete the contribution by describing some opportunities to build on the collective 20 years of effort, including opportunities related to the metabolomics profiling of blood and urine specimens from human feeding studies that approximate habitual diets.

The association between healthy eating index-2015 with anthropometric, cardiometabolic and hepatic indices among patients with non-alcoholic fatty liver disease

BackgroundObesity, cardiovascular diseases, and metabolic disorders are common problems among participants with non-alcoholic fatty liver disease (NAFLD). However, the association between these problems and the healthy eating index-2015 (HEI-2015) remains unknown. Although the HEI-2015 originated from American dietary guidelines, its comprehensive evaluation of diet quality provides valuable insights for various populations, including Iranians. Therefore, the objective of this study was to investigate the association between anthropometric, hepatic, and cardio-metabolic indices with HEI-2015 scores in participants with NAFLD.MethodsWe conducted a cross-sectional analysis of data from the Hoveyzeh Cohort Study, which included adults aged 35 to 70 years between 2016 and 2018. A total of 664 participant with NAFLD (452 females and 212 males) were included in the analysis. The HEI-2015 was assessed using the Food Frequency Questionnaire (FFQ). Various indices, including the body shape index (ABSI), atherogenic index of plasma (AIP), visceral adiposity index (VAI), lipid accumulation product (LAP), cardiometabolic index (CMI), lipoprotein combine index (LCI), AST/ALT ratio, ALD/NAFLD index, and hepatic steatosis index (HSI), were calculated.ResultsNo significant differences were observed in anthropometric, cardio-metabolic, and hepatic indices across the quartiles of HEI-2015. However, among participants with NAFLD, men had significantly higher AIP and LCI levels, while women had significantly higher BMI, ABSI, VAI, LAP, and CMI levels. Additionally, women with NAFLD exhibited higher AST/ALT and HSI levels but lower ALD/NAFLD levels compared to men with NAFLD. Linear regression analysis among men with NAFLD revealed a significant negative correlation between HEI-2015 score and HSI in both the unadjusted model (β=-0.131, SE = 0.058, p = 0.024) and the adjusted model for energy intake (β=-0.129, SE = 0.058, p = 0.028).ConclusionThe present study demonstrated a correlation between lower HEI-2015 scores and an increased risk of steatosis in men with NAFLD. Moreover, our findings highlighted gender-related differences in NAFLD and cardio-metabolic disorders.

Associations of body composition with physical activity, nutritional intake status, and chronotype among female university students in Japan

BackgroundHaving higher muscle mass in early adulthood is an important factor in preventing sarcopenia. However, university students undergo lifestyle changes compared to their high school years, which may lead to changes in body composition, such as an increase in body fat and a decrease in muscle mass. The study aimed to investigate the association between body composition and lifestyle behaviors, including chronotype, among Japanese female university students, due to the prevalence of underweight among young females in the country.MethodsThe physical activity level (PAL), daily dietary intake status, morningness-eveningness questionnaire (MEQ) score, and body composition of 230 students were assessed in this cross-sectional study. Body composition was measured using a multifrequency bioelectrical impedance analyzer, and body mass index (BMI), body fat percentage (%BF), and skeletal muscle mass index (SMI) were determined.ResultsIndividuals who were evening type (ET) had a higher %BF and lower SMI than those who were non-ET, but no differences in body weight or BMI were found. Although ET individuals had lower total energy intake, protein intake, and PALs than non-ETs, the differences were small. However, multiple regression analyses showed that SMI was significantly positively associated with MEQ and PAL, and %BF was significantly negatively associated with MEQ and PAL.ConclusionThese results suggest that female university students with lateness of chronotype and low physical activity have a body composition imbalance resulting in higher body fat and lower muscle mass. Therefore, young females may need to take chronotype-specific measures (especially ET individuals) to help them maintain an appropriate body composition.

Is the MIND diet useful for polycystic ovary syndrome? A case-control study

BackgroundPolycystic ovary syndrome (PCOS) is the most prevalent cause of ovulatory infertility and endocrine abnormalities in reproductive-age women. Although the MIND diet has been introduced to improve brain function, evidence shows that the MIND diet is rich in beneficial food groups that can have a preventive effect on other metabolic disorders. The present study was conducted to investigate the association between adherence to the MIND diet and PCOS.MethodsThis age and BMI frequency-matched case-control study was conducted on 216 women between January 2018 and March 2019 in Yazd, Iran. PCOS was diagnosed based on Rotterdam criteria. Participants were selected by convenience sampling method. The validated 178-item food frequency questionnaire was used to assess the usual dietary intake. Logistic regression was used to estimate the association between the MIND diet and PCOS.ResultsThe findings of the present study showed a significant inverse association between adherence to the MIND diet and PCOS in the crude model (OR for T3 vs. T1: 0.12 (95% CI: 0.05–0.25), P-value < 0.001) and multivariable-adjusted model including energy intake, age, BMI, waist circumference, marital status, pregnancy history, drug use history, education and physical activity (OR for T3 vs. T1 = 0.08 (95% CI: 0.03–0.19), P-value < 0.001). Adherence to the MIND diet had a protective effect of 92%.ConclusionAlthough the results of the present study showed that higher adherence to the MIND diet is associated with a lower risk of PCOS, more studies are needed to confirm these findings in the future.

A prospective 12-month structured weight loss intervention in women with severe obesity and polycystic ovary syndrome: Impact of weight loss on eating behaviors.

The knowledge regarding eating behavior and disorders in women with polycystic ovary syndrome (PCOS) and severe obesity is limited. This study aimed to assess eating behavior and lifestyle factors in women with severe obesity (BMI ≥35 kg/m2), with and without PCOS, and the effect of weight loss on these behaviors. A prospective clinical trial with participants screened for PCOS using National Institutes of Health criteria. Participants completed the Food Frequency Questionnaire, International Physical Activity Questionnaire, Three-Factor Eating Questionnaire, and Questionnaire of Eating and Weight Patterns-revised, and were evaluated regarding binge eating disorder using DSM-5 criteria before and after a 12-month weight loss intervention. gov: NCT01319162. 246 women were included (PCOS n = 63, age 33.0 ± 8.4, BMI 39.9 ± 4.7; non-PCOS n = 183, age 37.7 ± 8.7, BMI 39.6 ± 4.3). Women with PCOS showed elevated baseline scores in cognitive restraint eating (50.0 [33.3-63.2]) compared to women without PCOS (38.9 [27.8-55.6]; p = 0.012). No differences were observed between groups in emotional and uncontrolled eating. In both groups, cognitive restraint eating was negatively correlated with energy intake (PCOS: r = -0.315, p < 0.05; non-PCOS: r = -0.214, p < 0.001), while uncontrolled eating displayed a positive correlation with energy intake (PCOS: r = 0.263, p = 0.05; non-PCOS: r = 0.402, p < 0.001). A positive correlation was found between emotional eating and energy intake only in women without PCOS (r = 0.400, p < 0.001). Baseline self-reported energy intake and physical activity did not differ between groups. At 12-month follow-up, women with PCOS reported reduced fat intake. Women without PCOS reported reduced energy intake, carbohydrates and sugar, increased protein, reduced scores for emotional and uncontrolled eating, and heightened scores for cognitive restraint eating. Comparing changes from baseline to follow-up, differences were found between groups in cognitive restraint, intake of fat, carbohydrates, and sugar. The mean weight loss was 12-14 kg, with no between-group difference (p = 0.616). Women with severe obesity and PCOS showed elevated cognitive restraint eating behaviors compared to women without PCOS. Although significant weight loss was seen in both groups, alterations in eating behavior more favorable for weight loss were only seen in women without PCOS.

How Can We Improve the Appetite of Older Patients on Dialysis in Japan?

It is necessary to ensure adequate energy and protein intake in dialysis patients. However, in addition to the decline in dietary intake in older dialysis patients due to aging, the rate of anorexia is high in dialysis patients, which increases the risk of protein–energy wasting (PEW), sarcopenia, and frailty. There are many causes of anorexia in dialysis patients, including older dialysis patients, and approaches to improve the appetite of such patients have been reported; however, there has been no established approach to improve appetite adequately. Therefore, a key practical goal is to identify anorexia early and implement timely interventions before weight loss occurs. Appetite assessment tools and weight loss assessments are helpful for the screening and early identification of anorectic signs. Nutritional interventions include reducing dietary restrictions, using oral nutritional supplements, and intradialytic parenteral nutrition, as well as replenishing energy, protein, and zinc to prevent the development of nutritional disorders among older dialysis patients. Appetite assessments, early intervention, and dietary and nutritional counseling are key to improving appetite in these patients. The aging rate of dialysis patients in Japan is unprecedented globally, and I believe that this is a situation that will eventually occur in other countries as well. I discuss the factors that contribute to anorexia, especially in older dialysis patients, and Japan’s efforts to address this problem, such as the relaxation of dietary restrictions and the use of oral nutritional supplements.

Nutrition status of elite Jiu-Jitsu athletes during training season

Optimizing high-intensity Jiu-Jitsu requires careful nutritional consideration, impacting body composition and performance. Balancing dietary intake with expenditure enhances athlete performance. This study, conducted with ten healthy Jiu-Jitsu athletes from the Jiu-Jitsu Association of Thailand, scrutinized their dietary intake compared to recommendations and its correlation with body composition to enhance performance and training adaptations. Participants completed three days of 24-hour dietary recalls. body composition was assessed using bioelectrical impedance analysis. Across both genders, total energy intake is inadequate, with carbohydrate consumption falling significantly below the recommended levels (p &lt; .05). Female athletes showed significant positive correlations between dietary intake and body composition, notably with protein intake and skeletal muscle mass percentage and the skeletal muscle mass index (r = .895, and .963, respectively, p &lt; .05). Conversely, male athletes displayed no significant correlations, but a broader analysis across genders revealed a strong positive correlation between protein consumption and muscle mass (r = .685, p &lt; .05). The study highlights inadequate dietary intake, particularly in carbohydrates, among Jiu-Jitsu athletes during training, potentially compromising competition performance due to insufficient energy sources. Addressing these nutritional deficiencies is crucial to optimizing performance and body composition, emphasizing the need for dietary practice improvements among Jiu-Jitsu athletes.

Original Investigation: Manipulating energy availability in male endurance runners: a randomised controlled trial.

This study investigated the effect of four days low energy availability (LEA) on physiological markers and mood states in male endurance runners. Twelve participants (mean (standard deviation)); age: 25.8 (3.8) years; fat free mass (FFM): 52.8 (5.5) kg) completed three 4-day conditions: Adequate Energy Availability, AEA: 45 kcal/kgFFM/day; LEA1: 30 kcal/kgFFM/day; and LEA2: 15 kcal/kgFFM/day), in a randomized order. Participants ran on a treadmill at 65% of V̇O2max until they expended 15 kcal/kg FFM/day of energy. Energy intake was adjusted to achieve the desired EA. Pre- and post- measurements of bone turnover, metabolism, testosterone and estradiol (plasma), resting metabolic rate (indirect calorimetry), and mood states (Brunel Mood Scale) were assessed. The results reported a significant decrease in testosterone (condition × time interaction, p=0.03) occurred on LEA2 (Pre: 23.8 (7.0) nmol/L vs Post: 20.3 (7.7) nmol/L) compared with AEA (Pre: 22.9 (5.5) nmol/L vs Post: 23.3 (6.1) nmol/L) or LEA1 (Pre: 23.6 (8.6) nmol/L vs Post: 20.9 (8.8) nmol/L). Fatigue level significantly increased (condition × time interaction, p=0.02) in LEA2 (Pre: 3.5 (1.7) vs Post: 6.5 (2.9)) but did not change in AEA (Pre: 2.8 (1.5) vs Post: 2.5 (2.7)) or LEA1 (Pre: 2.8(2.4) vs Post: 2.9 (2.0)). Other measures were unaffected by the interventions. In conclusion, this study suggests testosterone and fatigue may serve as early indicators of LEA in male runners. However, other physiological markers and mood states appeared largely unaffected, aligning with existing literature indicating minimal disruption of physiological functions during acute LEA in male athletes.

Do Iranian Female Dancers Face a Risk of Chronic Negative Energy Balance? A Study on Energy Intake and Expenditure Among Non-professional Female Dancers

Background: Female dancers are at risk of negative energy balance and its adverse effects. However, there is no evidence regarding the energy balance of Iranian female dancers in the literature. Methods: In a cross-sectional study of 25 female nonprofessional dancers, dietary intake was assessed using self-reported food diaries and recall interviews on three different days: One dance day, one workday without dance, and one weekend day without dance. Nutrient intake was analyzed and converted into protein, carbohydrate, and fat components, and subsequently into energy equivalents. Total energy expenditure was calculated based on physical activity measurements taken on dance, work, and rest days. The average daily energy intake and expenditure over a 7-day period were then compared. Results: Significant daily energy deficiency was observed based on the average over 7 days (- 772.7 kcal +/- 450 kcal, P-value &lt; 0.05). Dancers consumed less protein and carbohydrates and more fat than the recommended daily values (P-value &lt; 0.05). Conclusions: It appears that Iranian female dancers suffer from negative energy balance and nutritional malpractice. This may be related to underlying eating disorders or perceptions of body image, as well as inadequate nutritional knowledge. Consulting experienced sports nutritionists and other necessary specialists is recommended.

Food Sales Activities Associated to Family Survival Strategies During Covid-19 Lockdown in Brazzaville, Congo

The COVID-19 pandemic has a negative impact on people's living conditions, particularly in sub-Saharan Africa in vulnerable and low-income families. The aim of this work is to analyze the socio-demographic profile of people who engaged in food sales activities during the COVID-19 lockdown in Brazzaville, as well as their coping and survival strategies. The study, which used a mixed (qualitative and quantitative) approach, included 716 people (241 men and 475 women) aged 18 to 72 years residing in four communes in the southern zone of Brazzaville, Republic of Congo. The main study inclusion criterion was the practice of selling food during COVID-19 lockdown. However, we did not include people whose profession had been selling these products prior to the health crisis. The qualitative data collected during the interviews concerned information on vendors, sales locations, coping strategies used to find the products sold, and sales prices. As for the qualitative data assessed using a food questionnaire, they were summarized in terms of the quality and quantity of food consumed, which made it possible to assess daily energy intake and therefore the level of food security. The results showed that the sellers, with an average age of 42.7, had a relatively low level of education and lived in a medium-sized family (8). Of these, 21.8% were food insecure. Foodstuffs sold were dominated by miscellaneous products (48.2%), street foods (26.7%), ready-made meals (22.3%), cassava flour (17.4%) and fruit and vegetables (7.5%). Salted fish, smoked fish and frozen (imported) meat products were also sold. As far as prepared dishes were concerned, grilled meats of various kinds were the most popular. Sales outlets included state markets, neighborhood markets, storefronts and street markets for auctions. The use of rickshaws and wheelbarrows by a few money-seeking youngsters enabled the products purchased to be transported from the places of purchase to the various markets or sales sites. In short, given the absence of an effective distribution and marketing policy in the food system in times of crisis in the Congo, our results call into question the resilience of vulnerable populations in the face of the country's sociosanitary crises.

Boron Impact on Maize Growth and Yield: A Review

Maize (Zea mays L.) is a vital crop, contributing significantly—at least 30%—to global dietary energy intake and biofuels and ethanol production. This review article delves into the dynamic interplay between boron (B) and maize growth, yield, and agricultural sustainability. Boron, a crucial micronutrient, is pivotal in essential physiological processes such as root development, leaf expansion, and cob formation. These processes are fundamental for ensuring the vigour and productivity of maize crops. Conversely, boron deficiency manifests as thinner leaves with reduced chlorophyll content, compromising plant health, and hindering yield potential. Maintaining adequate boron levels, particularly during reproductive stages, is critical for mitigating the risk of abnormal ears and maximizing the quantity and quality of maize production. Emerging research underscores the significance of foliar boron application at various growth stages of maize, which stimulates growth, facilitates cell wall development, and increases leaf area. This translates to improved light interception and photosynthetic efficiency, ultimately contributing to increased plant vigour and biomass accumulation. Furthermore, exploring innovative approaches for sustainable boron management is crucial. This includes precision fertilization techniques and biofortification strategies to ensure optimal maize production while minimizing environmental impacts. By gaining a deeper understanding of the complex relationship between boron and maize, farmers can develop customized fertilization plans that utilize strategic foliar boron application. This approach unlocks maize's full yield potential and contributes to sustainable agricultural practices, supporting global food security.

Associations between in-hospital daily protein intake and adverse clinical outcomes in older patients with heart failure.

The adverse effects of low daily protein intake (DPI) on clinical outcomes in patients with heart failure (HF) are known; however, an optimal DPI to predict event adverse outcomes remains undetermined. Moreover, whether protein restriction therapy for chronic kidney disease is applicable in patients with HF and renal dysfunction remains unclear. In this single-centre, ambispective cohort study, we included 405 patients with HF aged ≥65years (mean age, 78.6±7.5years; 50% women). DPI was estimated from consumption over three consecutive days before discharge and normalized relative to the ideal body weight [IBW, 22kg/m2×height (m)2]. The primary outcome was a composite of all-cause mortality and HF-related readmission within the 2year post-discharge period. During an average follow-up period of 1.49±0.74years, 100 patients experienced composite events. Kaplan-Meier survival curves revealed a significantly lower composite event-free rate in patients within the lowest quartile of DPI than in the upper quartiles (log-rank test, P=0.02). A multivariate Cox proportional hazards analysis after adjusting for established prognostic markers and non-proteogenic energy intake revealed that patients in the lowest DPI quartile faced a two-fold higher risk of composite events than those in the highest quartile [hazard ratio (HR), 2.03; 95% confidence interval (CI), 1.08-3.82; P=0.03]. The composite event risk linearly increased as DPI decreased (P for nonlinearity=0.90), with each standard deviation (0.26g/kg IBW/day) decrease in DPI associated with a 32% increase in composite event risk (HR, 1.32; 95% CI, 1.10-1.71; P=0.04). There was significant heterogeneity in the effect of DPI, with the possible disadvantage of lower DPI in patients with HF with cystatin C-based estimated glomerular filtration rate <30mL/min/1.73m2. The cutoff value of DPI for predicting the occurrence of composite events calculated from the Youden index was 1.12g/kg IBW/day. Incorporating a DPI<1.12g/kg IBW/day into the baseline model significantly improved the prediction of post-discharge composite events (continuous net reclassification improvement, 0.294; 95% CI, 0.072-0.516; P=0.01). Lower DPI during hospitalization is associated with an increased risk of mortality and HF readmission independent of non-proteogenic energy intake, and the possible optimal DPI for predicting adverse clinical outcomes is >1.12g/kg IBW/day in older patients with HF. Caution is warranted when protein restriction therapy is administered to older patients with HF and renal dysfunction.

10 Effects of different feeding levels during gestation on gilt reproductive performance during the first lactation

Abstract Our objective was to determine the effects of different feeding levels for gilts during gestation on reproductive performance during the first lactation. A total of 1,187 PIC Camborough gilts were used. Gilts were randomly allotted in a randomized complete block design based on breeding week, body weight (BW), and age to one of four treatments differing in daily metabolizable energy (ME) intakes per day during gestation. Gilts were housed in stalls throughout the entire gestation and individually fed with a gestation diet containing 2.95 Mcal of ME/kg via feed boxes that were weekly calibrated. Treatments consisted of 1) 5.0 Mcal of ME/d (1.7 kg feed/d) throughout the entire gestation; 2) 5.9 Mcal of ME/d (2.0 kg feed/d) throughout the entire gestation; 3) 6.8 Mcal of ME/d (2.3 kg feed/d) throughout the entire gestation; and 4) 5.0 Mcal of ME/d (1.7 kg feed/d) from breeding until d 90 of gestation, and then 5.9 Mcal of ME/d (2.0 kg feed/d) from d 90 to d 112 of gestation. Gilt was the experimental unit and data were analyzed using generalized linear mixed models with the lmer and glmer functions of R. There was no evidence (P &amp;gt; 0.10) for treatment differences on gilt BW and age at breeding, with gilts averaging 156.7 kg at 210 d of age (Table 1). Gilts receiving 6.8 Mcal of ME/d during gestation were heavier (P &amp;lt; 0.05) at farrowing compared with all other treatments; however, these gilts lost (P &amp;lt; 0.05) more BW during lactation. Gilts receiving 5.0 Mcal ME/d throughout the entire gestation had less (P &amp;lt; 0.05) maternal net BW gain from breeding to weaning compared with gilts receiving 6.8 Mcal ME/d. Gilts receiving 6.8 Mcal of ME/d gained more (P &amp;lt; 0.05) caliper scores (CS) from breeding to d 90 of gestation compared with gilts receiving 5.0 Mcal ME/d. Regardless of feeding level, gilts lost an average of 0.85 CS from d 90 to d 112 of gestation. Overall, gilts receiving 6.8 Mcal of ME/d gained more CS during gestation, but lost more CS during lactation (P &amp;lt; 0.05). There was no evidence for differences in gilt backfat depth measurements (P &amp;gt; 0.10). Gilt feeding levels did not impact (P &amp;gt; 0.10) total piglets born, percentage sillborn, or percentage of mummified fetuses. Gilts receiving 5.0 Mcal of ME/d had greater (P &amp;lt; 0.05) percentage piglets born alive compared with gilts receiving 5.9 Mcal of ME/d, with other treatments intermediate. There was no evidence (P &amp;gt; 0.10) for treatment differences in average piglet BW, average piglet daily gain during lactation, piglet mortality from cross foster to weaning, or wean to estrus interval in the next cycle. In summary, increasing energy intake of gilts during the first gestation did not impact reproductive performance during the first lactation, but gilts receiving 5.0 Mcal of ME/d throughout the entire gestation had less maternal net BW gain.

PSV-19 Impact of precision feeding and bump feeding strategy during gestation on the performance of post-weaning pigs

Abstract The objective of this study was to evaluate the post-weaning growth performance of piglets from sows of parities 1 to 3 fed with 4 different feeding programs during gestation; Flat feeding (FF, constant concentration and feed intake), Bump feeding (BF, constant concentration and variable feed intake), precision feeding by parity (PFP, variable concentration and variable feed intake using the average weight per parity), individual precision feeding (PFI, variable concentration and variable feed intake using the weight of each sow at breeding). At weaning of each parity, five litters from each of the dietary treatments were selected and five average piglets from each of these litters were transferred to a nursery building with 20 pens. All pens received the same feeding program in 3 phases of 14 d each. Piglets were weighed at the beginning and end of each feeding phase. The quantity of feed was noted for each phase. At the end of phases 1 and 3, one piglet per pen was scanned on the DXA to assess its body lean, fat, and bone mineral composition. During phase 1, average daily gain (ADG) was greater for piglets from parity 1 sows than those from parity 2 and 3 while average daily feed intake (ADFI) and feed conversion (FC) were greater for piglets from parity 3 sows (P &amp;lt; 0.05; Table). Dietary treatments during gestation did not affect performances in phase 1. In phase 2, ADG and ADFI were greater while FC was decreased for piglets from sows of parity 2 and 3 (P&amp;lt; 0.001). Piglets from FF treatment had a greater ADG and a lesser FC (P &amp;lt; 0.05) than piglets from BF, piglets from PFP and PFI being intermediate. In phase 3, piglets from parity 2 sows and those from FF treatment had greater ADG and ADFI than piglets from PFI treatment, piglets from PFP and BF treatments being intermediate (P &amp;lt; 0.005). For all post-weaning period, piglets from parity 2 sows had greater ADG, ADFI and body weight at 42 d (P &amp;lt; 0.001) while piglets from the FF treatment had better ADG and weight at 42 d (P &amp;lt; 0.05) than those from BF and PFI (P &amp;lt; 0.05), PFP being intermediate. The lean ADG was greater for piglets from FF treatment (P &amp;lt; 0.021) than piglets from PFI, piglets from BF and PFP being intermediate. Piglets from sows of parity 2 and 3 had also greater lean ADG (P &amp;lt; 0.001). Fat ADG was also higher for piglets from parity 2 sows (P &amp;lt; 0.010) than piglets from parity 1 sows, piglets from parity 3 sows being intermediate. Piglets from parity 2 sows clearly had better post-weaning performances. The FF treatment during gestation led to better post-weaning performance, suggesting that energy or nutrient intake in early gestation affects offspring growth and development in post-weaning period.