Feeding Nutrition Research Articles

Nutritional status, feeding behavior, and oral conditions in preschool children exposed to secondhand smoke

ABSTRACT This study evaluated whether the nutritional status of preschoolers is influenced by secondhand smoke. Pairs of mothers-children (N = 201) were allocated in “children exposed to secondhand smoke (ESHS)” or “not exposed (N_ESHS).” Mothers answered, “The Parental Feeding Style Questionnaire (PFSQ).” The nutritional status and oral conditions were evaluated using WHO criteria. ESHS was 3.5 more likely to have a high BMI and their mothers had 10 kg more than N_ESHS. The probability of having dental caries was 2.28 and 3.68 times greater when the mother’s BMI increases and when family/mothers were smokers, independently whether they smoke in the child’s presence.

Insights into Analytical Precision: Understanding the Factors Influencing Accurate Vitamin A Determination in Various Samples

The accurate assessment of vitamin A in animal feed and tissues is vital for safeguarding animal well-being and ensuring high-quality nutritional feed. However, challenges in achieving precise results persist, necessitating a comprehensive understanding of the influencing factors. This review delves into the historical progression of analytical techniques, from colorimetric assays and spectrophotometry to advanced chromatographic methods and non-destructive spectroscopic approaches. Factors influencing analytical precision are scrutinized, encompassing sample preparation, storage conditions, interfering substances, and human errors. The crucial role of quality control and standardized protocols in ensuring the reproducibility and reliability of results is emphasized. Moreover, this review highlights the need for tailored analytical approaches to account for the complexities of sample matrices and the significance of cutting-edge technologies, including on-site analysis and data science integration, in enhancing analytical precision. By acknowledging the challenges and prospects in vitamin A analysis, this paper provides insights for optimizing analytical methodologies and promoting animal welfare and product safety.

Magnitude, Associated Factors and Morphological Types of Anemia Among Hospitalized 6-59 Months Age Children at Jimma Medical Center, Southwest Ethiopia - A Hospital-Based Cross-Sectional Study.

Anemia is among the major public health problems that cause significant morbidity and mortality among children around the world. Anemia in children of age 6 months to 5 years is a major health problem in most developing world countries with estimated prevalence of about 43%. To determine the magnitude, associated factors and morphological types of anemia among hospitalized 6-59 months age children from June 15 to October 15, 2022 at Jimma Medical Center, southwest Ethiopia. Hospital-based cross- sectional study design was conducted from June 15 to October 15, 2022 at Jimma Medical Center, involving 383 hospitalized children aged 6-59 months by employing convenient sampling technique. Data of sociodemographic characteristics and other associated factors of the study individuals waere collected using a pre-structured questionnaire. Clinical data were collected by physical examination and from history of client by medical interns and nurses. Then 3 mL venous blood was collected and analyzed for complete blood count. Data were coded, cleared and entered into EpiData version 4.6 and exported to SPSS version 25 for analysis. Bivariable and multivariable binary logistic regression was used to identify associated factors. The overall prevalence of anemia among hospitalized 6-59 months age children was 57.2%; out of them 30.82% were moderate. In the present study children with malaria infection, AOR = 1.15 (95% CI: 0.017, 0.781), Cchildren with severe malnutrition, AOR = 2.046 (95% CI: 0.306, 1.366), and children with low family income, AOR = 2.6 (95% CI 0.475, 0.894) were independent variables associated with anemia. Anemia among study participants is found to be a severe public health problem. Based on this finding, more intervention is needed with health education on nutrition and child feeding.

The Impact of Nutritional School Based Feeding Program on Academic Achievement of Selected Elementary Learners in West Philippines

This study investigates the impact of nutritional school-based feeding programs on the academic performance of 45 elementary learners. This research method uses a quasi-experimental design with a pretest and posttest structure; a two-part questionnaire was the primary research tool. The first part gathered demographic information, while the second assessed participating students’ nutritional status and academic performance. Researchers administered the questionnaire to parents or caregivers, selected students systematically, traced household addresses, and conducted home interviews. The study results showed that the general weighted average increased noticeably and statistically significantly after implementing school-based feeding programs. Subsequent investigation, however, revealed a fascinating finding: the gains in academic achievement did not correspond consistently with the varied profiles of respondents, including age, gender, socioeconomic status, and educational attainment. The research highlights the necessity for additional investigation into the impact of nutrition on academic achievement.

Nutritional status and feeding difficulties in children up to 2 years of age with cow's milk allergy.

To assess the nutritional status and incidence of feeding difficulties in Polish children up to 2 years of age with cow's milk allergy (CMA) on cow's milk proteins-free diet. A cross-sectional, multi-center study included children aged 6 months to 2 years with confirmed or suspected (without oral food challenge) diagnosis of CMA on the elimination diet for at least 1 month. The primary outcomes were an assessment of proportion of children with impaired nutritional status (with the weight for length and body mass index (BMI) z-score > 1 and <-1), and feeding difficulties according to the Montreal Children's Hospital Feeding Scale. Children with confirmed and suspected CMA were assessed separately. A 144 children with confirmed CMA and 88 with suspected CMA were included (57 and 78% with multiple food allergies, respectively). Among children with confirmed CMA, one-third (35.5%) of participants had any nutritional status impairment regardless of definition. Among those, most of children had mild malnutrition (10.4 vs. 9%) and possible risk of overweight (11.1 vs. 9.7%; following respectively BMI for age and weight for length z-scores). Only 16.0% of children had feeding difficulties. Feeding difficulties was identified to be a risk factor for moderate malnutrition compared to children without feeding difficulties (odds ratio 10, 95% confidence interval: 4-27). Mild malnutrition and possible risk of overweight are concern in children up to 2 years of age on cow's milk proteins-free diet. Feeding difficulties are less common, however, may affect the nutritional status.

Reducing Procedural Pain and Avoiding Peripheral Intravenous Catheters by Implementing a Feeding Protocol for Late Preterm Infants: A Quality Improvement Project.

Late preterm births account for a large portion of preterm births, yet the optimal method of nutrition and enteral feeding in this population remains unclear and often involves intravenous (IV) fluids. To develop and implement a late preterm feeding protocol in order to decrease the necessity of IV access, decrease the use of starter parenteral nutrition (PN), and reduce the pain endured by an infant in the neonatal intensive care unit. The Plan-Do-Study-Act quality improvement model was utilized as a framework for the implementation of this quality improvement project. A literature review was conducted and subsequently, a feeding protocol was developed and included the more judicious use of starter PN. This protocol was implemented, evaluated, and adopted. A second Plan-Do-Study-Act cycle was completed with the addition of an auto-text reminder incorporated into admission notes in the electronic medical record. The implementation of the protocol significantly reduced placement of IV access and the use of starter (PN) in late preterm infants without considerable differences in balancing measures. The percentage of infants who received peripheral IV access declined considerably from 70% to 42% ( P = .0017) subsequently, less pain endured by the infants. There was a decrease in the initiation of starter PN from 55% to 7% ( P < .00001). Administering enteral feedings on admission to stable, late preterm infants reduced the need for peripheral IV access and thus decreased pain from this procedure.

Awareness of Safe Feeding Practices among Expecting and New Indian Mothers: A Survey

The government of India has been conducting focused programs for ensuring child and maternal nutrition, health, and well-being. A major mission in this regard is creating public awareness of importance of adequate nutrition from early on. Medical professionals have also compiled scientific recommendations that guide parents toward the timelines and type of foods to be fed in the first 24 months. However, from various research publications, child mortality rate secondary to pneumonia and obesity continues to be a major concern in India. One possible reason could be the actual household feeding practices. This study aimed to verify the understanding of pediatric feeding guidelines among expectant and new Indian mothers. Two close-ended multiple-choice questionnaires were developed and validated for expecting and new mothers. Responses were obtained from 100 participants through social media platforms using snowball paradigm. Response analysis revealed that understanding of breastfeeding guidelines was better compared to complementary feeding. While timeline-related questions received more accurate responses, most participants responded inaccurately towards safety and strategy-related information. Perceptions on feeding methods were different across the two participant groups. Developmentally normal behaviors such as gagging were considered as problem behavior by both groups. Interestingly, safety concerns were better identified by expecting mothers than new mothers. The results implied that public awareness programs need to broaden the focus from breastfeeding to include methods, strategies, and safety of complementary feeding for adequate nutrition and health. The guidelines developed in this regard need to be effectively communicated to the public for better impact on social health.

Adverse Metabolic Phenotypes in Parenterally Fed Neonatal Pigs Do Not Persist into Adolescence

BackgroundNutrition during fetal and neonatal life is an important determinant for the risk of adult-onset diseases, especially type 2 diabetes and obesity. ObjectivesWe aimed to determine whether total parenteral nutrition (TPN) compared with enteral formula feeding [enteral nutrition (EN)] in term piglets during the first 2 wk after birth would increase the long-term (5-mo) development of metabolic syndrome phenotypes with adverse glucose homeostasis, fatty liver disease, and obesity. MethodsNeonatal female pigs were administered TPN (n = 12) or fed enterally with a liquid enteral milk-replacer formula (EN, n = 12) for 14 d. After transitioning TPN pigs to enteral feeding of liquid formula (days 15–26), both groups were adapted to a solid high-fat diet (30% of the total diet) and sucrose (20% of the total diet) diet (days 27–33), which was fed until the end of the study (140 d). Body composition was measured by dual-energy X-ray absorptiometry at 14, 45, and 140 d. Serum biochemistry and glucose-insulin values (after a fasting intravenous glucose tolerance test) were obtained at 140 d. Liver and muscle were analyzed for insulin receptor signaling and triglycerides. ResultsBody weight was similar, but percent fat was higher, whereas percent lean and bone mineral density were lower in TPN than in EN pigs (P < 0.01) at 45 d of age but not at 140 d. At 140 d, there were no differences in serum markers of liver injury or lipidemia. Intravenous glucose tolerance test at 140 d showed a lower (P < 0.05) AUC for both glucose and insulin in TPN than in EN pigs, but the ratio of AUCs of insulin and glucose was not different between groups. ConclusionsAdministration of TPN during the neonatal period increased adipose deposition that transiently persisted in early adolescence when challenged with a high-fat diet but was not sustained or manifested as glucose intolerance.

Fathers Nutrition Knowledge and Child Feeding Practices Associated with Childhood Overweight and Obesity: A Scoping Review of Literature From 2000 to 2023.

Objective. Childhood overweight/obesity is a serious global public health issue, demanding parental involvement to reverse trends. Despite fathers' crucial parenting roles, research on fathers and childhood overweight/obesity is limited. This scoping review examines the literature on fathers' nutrition knowledge and feeding practices with childhood overweight/obesity. Methods. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, and Arksey and O'Malley (2005) framework, multiple databases were searched. Eligible father-child related studies focused on fathers' nutrition knowledge, feeding practices, and childhood overweight/obesity. Results. Of 26 eligible articles, 52% originated from the United States, and 44% focused on father-child dyads. Most studies were cross-sectional (64%) and survey-based (68%). Further, 11.5% assessed fathers' nutrition knowledge, and child feeding practices (53.4%). Conclusion. Literature on fathers' nutrition knowledge and feeding practices concerning childhood overweight/obesity is limited. Scaling-up fathers' inclusion in childhood nutrition research is encouraged for the design of holistic interventions.

Formulation High Energy and Rich Iron of Granola Snackbar as a Nutritional Supplementary Feeding to Prevent Malnutrition in Pregnant Women

Background: Providing supplementary feeding from local food is one strategy to address the nutritional problems of pregnant women in Indonesia. Improper eating habits of pregnant women are one of the causes of nutritional disorders, one of which is anemia and chronic lack of energy. The aim of this research was to develop and evaluate high-energy and rich-iron granola snackbars as a nutritional supplementary feeding to prevent malnutrition in pregnant women. Granola snackbars (formulas P1, P2, P3, and P4) were prepared using the same ratios of seaweed, moringa leaves, beetroot oats, nuts (peanuts, walnuts, and almonds), cornstarch, peanut butter, fish oil, salt, sugar, and water, in addition to chicken liver formulation and snakehead fish (P1: 0 gr, 75 gr), (P2: 10 gr, 65 gr), (P3: 20 gr, 55 gr), and (P4: 30 gr, 45 gr). Methods: The method employed a fully randomized design in a pure experimental setting. Proximate testing involved determining the snackbars' color, texture, taste, and aroma, as well as their energy, protein, fat, carbohydrate, and Fe contents. Organoleptic testing covered these aspects as well. Results: Formula P2 had the highest energy (521.01 kcal), and Formula P4 had the highest Fe value at 4.34%. The organoleptic test showed that the most preferred formulation was the formulation with a proportion of Formula P2. Conclusion: This study recommends using Formula P2 as a source of energy to prevent malnutrition in pregnant women and Formula P4, which has a high iron content, to improve the hemoglobin level in pregnant women.

Feeding Behaviour and Nutritional Status among Children Aged 6 to 23 Months Old in Bahi District in Tanzania.

The survival, well-being, and development of young children depend on optimal infant and young child feeding (IYCF) practices. It is imperative to assess nutrition status and feeding behaviour practices in order to develop interventions. The objective of this study is to assess nutrition status, feeding behaviour, and its association with nutrition status among children aged 6 to 23 months old in Bahi district, Tanzania. A community-based, cross-sectional study was employed. A multistage sampling technique was used. Bahi district council, wards, and village were randomly selected, and then a systematic random sampling method was used to select participants. Anthropometric measurements were used to determine the nutrition status of children. Process for the Promotion of Child Feeding (ProPAN) manual guided assessment of feeding behaviours associated with nutrition status. Z-score was used to determine the level of malnutrition; the chi-square test and logistic regression were used as descriptive and inferential statistical tests, respectively, to determine the association between nutrition status and feeding behaviour. Out of 395 children aged between 6 and 23 months, 62.8% were stunted, 25.3% were underweight, and 6.6% were wasted. In the multivariable analysis, the results reveal that stunting was significantly associated with perception of exclusive breastfeeding (number of months) (AOR 4.24, 95%CI: 2.012-8.284) and number of feeds per day (AOR 2.02, 95%CI: 1.00-6.314). With regard to perception of exclusive breastfeeding (number of months), the children whose mothers perceived that children supposed to be breastfed for more than six months were four times more likely to be not stunted compared to those who were perceived to be breastfed less than three months, and the children whose mothers' fed them twice to three times were two times more likely to be not stunted compared to the children who were fed only two times. Bahi district council has a higher prevalence rate of stunting, underweight, and wasting among children aged 6 to 23 months. Feeding on the first colostrum, exclusive breastfeeding, and breastfeeding for more than six months are the main determinants of nutrition status.

Nutritional Status, Feeding Practices and Factors Associated to Undernutrition among 6 to 59 Months of Age Orphans in the Arusha Region

Nutritional Status, Feeding Practices and Factors Associated to Undernutrition among 6 to 59 Months of Age Orphans in the Arusha Region

Factors affecting the quality and nutritional value of donkey meat: a comprehensive review.

Donkey meat is characterized by a high content of proteins, essential amino acids, and unsaturated fatty acids and is low in fat, cholesterol, and calories. Thus, it is considered a high-quality source of meat. Based on the data from PubMed and Web of science within past 10 years, this review summarizes the factors affecting the quality of donkey meat and its nutritional value, including breed, genetics, gender, age, muscle type, feeding regimen, storage and processing conditions. Breed, gender, age, and feeding regimen mainly affect the quality of donkey meat by influencing its intramuscular fat content and carcass quality. Meanwhile, the tenderness and flavor of donkey meat depend on the muscle type, storage and processing conditions. Genetics, on the other hand, fundamentally affect donkey meat quality by influencing the polymorphism of genes. These findings provide valuable insights and guidance for producers, consumers, and decision-makers in the donkey meat industry, promoting the development of more effective marketing strategies and the improvement of meat quality, thereby enabling the expansion and progress of the entire industry.

Dietary supplementation of Moringa leaf powder improves the productive and reproductive performance of Pekin duck

Duck production is often considered advantageous compared to other poultry species due to its lower care and management requirements. However, intensive duck farming necessitates balanced nutrition and additional feed supplements to achieve optimal profitability. In addition to high-quality proteins, vitamins, and minerals, Moringa leaves are rich in various bioactive compounds, and their dietary supplementation is proven to improve the production and reproduction performances of animals and birds. The present study was conducted to reveal the effect of Moringa leaf powder (MLP) in duck ration. The experiment was conducted with different percentages of MLP (0%, 2%, 4% and 6%) supplemented to basal ration of Pekin duck. It was observed that supplementing duck feed with 4% MLP is optimal for improving production and reproduction parameters. This supplementation boosts mature body weight and live weight gain by lowering the feed conversion ratio (FCR), increasing dressing percentage, and decreasing triglycerides and cholesterol levels in blood lipids without negatively affecting other blood parameters. Most importantly, the ducks fed with 4% MLP-supplemented diet reached sexual maturity 7-10 days earlier than other MLP-treated or control groups. Moreover, MLP supplementation enhances the fertility and hatchability of ducks. Notably, the semen volume and sperm quality parameters, including sperm total motility, progressive motility, viability and concentration with reduced sperm abnormality in drakes fed with 4% MLP compared to other MLP-treated and control groups. Therefore, it can be suggested that 4% MLP can be used in duck ration to enhance the productive and reproductive profile of ducks.

重症患者肠内营养喂养不耐受的中医治疗

重症患者肠内营养喂养不耐受的中医治疗

Constraints of Workload in Agricultural Food Production on Children Nutritional Status, Feeding and Hygiene Practices among Rural Women in Ibadan, Nigeria

Constraints of Workload in Agricultural Food Production on Children Nutritional Status, Feeding and Hygiene Practices among Rural Women in Ibadan, Nigeria

Dietary Pattern and Its Impact on Nutritional Status of Adolescent Girls among Chepang Community in Raksirang Rural-Municipality of Makawanpur District

Background: Adolescence is a period of transition between childhood and adulthood. An adolescent is defined as individuals in the 10-19year age group. The health and nutritional status of adolescent girls affects their health and their survival in future. Adolescents, particularly girls, are increasingly conscious of their body which leads to low intake of food rich with nutrients. Teenage girls may excessively restrict their energy intake, out of a desire to be thin, which has a serious threat on their nutritional status.Methods: Descriptive cross sectional study design was applied in ward number 5 of Raksirangrural municipality of Makawanpur district usingsemi-structured questionnaire and all adolescent girls (127) of aged 10-19 years were involved as the respondents of the study. The study duration was 7th June to 25th December 2017. The data was entered and analyzed with the help of software SPSS version 16.0. Results: The prevalence of underweight was found to be 27.6%. Study shows the participants consume protective fruits and vegetables group and other fruits and vegetables group in less quantity as comparison to other food groups. Though most of the participants were literate, knowledge on nutrition about 8% had adequate knowledge and 91% had poor knowledge.Conclusions: Nutritional status of adolescent girls of Raksirangrural municipality is found to be poor. The research recommends improving nutritional status and feeding habits especially intake of wheat, meat and yellow fruits focusing on adolescent girls.

Substandard feeding in children undergoing mechanical ventilation in pediatric intensive care unit: A retrospective cohort study in China.

Enteral nutrition is a common yet vital practice in the pediatric intensive care unit (PICU). However, the status of substandard feeding of enteral nutrition in PICU children undergoing mechanical ventilation remains unclear and can be detrimental to the children's prognosis. This study aimed to evaluate the incidence, nursing care status, and influencing factors of substandard feeding in children undergoing mechanical ventilation in the PICU. This study employed a retrospective cohort design. Children undergoing mechanical ventilation and enteral nutrition in the PICU of a public hospital in China from 1 June 2021 to 31 December 2022 were selected using convenience sampling, and their characteristics were collected and evaluated. Pearson correlation analysis and multivariate logistic regression analysis were conducted to assess the influencing factors of substandard feeding in PICU children with mechanical ventilation. A total of 156 PICU children undergoing mechanical ventilation were included for analysis in this study. The rate of substandard feeding in PICU children was 65.38%. Statistically significant differences were observed in diarrhea, vomiting, the use of sedatives, and average infusion speed between the substandard feeding group and the standard group (p <0.05). Pearson correlation results indicated that diarrhea (r = 0.595), vomiting (r = 0.602), and average infusion speed (r = 0.562) were correlated with substandard feeding and characteristics of included ICU children undergoing mechanical ventilation (p <0.05). Logistic regression results found that diarrhea (OR = 2.183, 95%CI: 1.855~2.742), vomiting (OR = 3.021, 95%CI: 2.256~4.294), and average infusion speed ≤40 mL/h (OR = 2.605, 95%CI: 1.921~3.357) were independent risk factors for substandard feeding in mechanically ventilated children in the ICU (p <0.05). The rate of substandard feeding in children with mechanical ventilation in the PICU was high. Diarrhea, vomiting, and slow infusion speed are important influencing factors for substandard feeding. It is suggested that nurses and other healthcare professionals take targeted measures, including the prevention and care of diarrhea and vomiting, as well as monitoring and adjusting the infusion speed of enteral nutrition, to reduce the occurrence of substandard feeding.

Social predictors of breastfeeding and the impact of interventions on breastfeeding of preterm infants: A longitudinal study.

The multifaceted benefits of breastfeeding for mothers and infants include enhanced neurodevelopment and immune function in preterm infants. However, more research is needed to understand the unique factors affecting breastfeeding practices in preterm infants. This study aimed to identify key social predictors of breastfeeding in preterm infants and assess the effectiveness of specific interventions on their feeding practices during the first six months postpartum. A prospective, monocentric, longitudinal study involving a cohort of 201 preterm infants was executed at the Neonatology Department, Ceske Budejovice Hospital, Czech Republic, from January 2020 to January 2023. The STROBE guidelines were used. The study results elucidated a transition from breastfeeding to bottle feeding and formula within the infants' first six months. Notable social predictors of breastfeeding encompassed factors such as the number of children in the household, the mother's marital status, and the nature of housing. Certain interventions, including immediate skin-to-skin contact between mother and child, and initiation of nutritive feeding within the first half-hour post-birth, significantly influenced the probability of breastfeeding. The data underscored that social predictors and nursing interventions substantially shape the breastfeeding practices of preterm infants during the first six months postpartum. Inequities in health outcomes among premature infants can be effectively curbed through comprehensive care models that account for socioeconomic factors influencing breastfeeding.

Signaling in Legume-Rhizobia Symbiosis.

Legumes represent an important source of food protein for human nutrition and animal feed. Therefore, sustainable production of legume crops is an issue of global importance. It is well-known that legume-rhizobia symbiosis allows an increase in the productivity and resilience of legume crops. The efficiency of this mutualistic association strongly depends on precise regulation of the complex interactions between plant and rhizobia. Their molecular dialogue represents a complex multi-staged process, each step of which is critically important for the overall success of the symbiosis. In particular, understanding the details of the molecular mechanisms behind the nodule formation and functioning might give access to new legume cultivars with improved crop productivity. Therefore, here we provide a comprehensive literature overview on the dynamics of the signaling network underlying the development of the legume-rhizobia symbiosis. Thereby, we pay special attention to the new findings in the field, as well as the principal directions of the current and prospective research. For this, here we comprehensively address the principal signaling events involved in the nodule inception, development, functioning, and senescence.