Intake Score Research Articles

Demographic, socioeconomic and dietary factors are associated with double burden of malnutrition among indigenous communities in Sarawak

Introduction: Double burden of malnutrition (DBM), encompassing both overnutrition and undernutrition, is a growing global public health issue. Indigenous people are one of the marginalised populations experiencing DBM at varying severity. This study aimed to identify factors contributing to DBM in indigenous households in Sarawak. Methods: This cross-sectional study utilised multistage random sampling to include 286 indigenous households from six administrative divisions in Sarawak. Mothers aged 20–49 years who had at least one child aged 2–12 years were recruited. Trained interviewers obtained information on demographic and socioeconomic characteristics, food security, and dietary intake via a two-day, 24-hour dietary recall. Height and weight measurements followed World Health Organization protocols. DBM household was identified as having an overnourished (overweight/ obese) mother with an undernourished (underweight/stunting/wasting) child within the same household. Simple and multiple binary logistic regression analyses were performed. Results: Prevalence of DBM among the indigenous communities in Sarawak was 25.2%. Households with an overweight/obese mother and a stunted child was 12.9%, wasted child (11.9%), and underweight child (9.4%). Households with younger mothers, a household size of >4 persons, and higher income per capita (relative to sample population) were significantly more likely to have DBM. Conversely, households with higher monthly non-food expenditure and greater fish and seafood intake scores in children were significantly less likely to have DBM. Conclusion: DBM is prevalent among Sarawak’s indigenous communities, affecting 25.2% of households. Further research and targeted interventions are needed to address socioeconomic and dietary factors in these populations.

Supplementation of lysophospholipids in calf starter: effects on growth performance, blood metabolites, health, and ruminal ammonia nitrogen concentration

The aim of the current study was to evaluate the effects of a commercial mixture of Lysophospholipids (LPL) in calf starter on performance, blood metabolites, antioxidant capacity, liver enzymes concentration, and health status of pre-weaning dairy calves. Forty-eight newborn female Holstein calves (37.5 ± 2.9kg of body weight) were randomly assigned to four treatments (12 replicates), which included the control (CON, without additive) and a commercial blend of LPL at 0.5, 1, and 1.5g/kg of starter feed. The body weight of the calves was measured using a digital scale on days 15, 30, 45, and d 63 of the experimental period to calculate the average daily gain (ADG). The individual starter intake and fecal score were measured daily. Blood samples were collected at 30 and 63 days, while fecal samples were collected for four consecutive days after weaning to measure nutrient digestibility. The treatments did not significantly afffect the total dry matter and starter intake. However, the supplementation of LPL resulted in an increase in the ADG and improved feed efficiency (FE, from1-63 d) compared to the CON group. The addition of LPL did not have any significant impact on the apparent digestibility of dry matter (DM), and organic matter (OM). Eether extract (EE) digestibility tended to increase with the addition of LPL. Calves that received starter feed containing 0.5g/kg of LPL had higher superoxide dismutase activity at 30 d of age compared to the intake.CON group. Additionally, the average fecal score significantly decreased in calves fed 0.5 and 1.5g/kg LPL compared with the CON group. These findings suggest that the inclusion of LPL at an average dose of 1g/kg of calf starter can improve the performance of pre-weaning Holstein dairy calves.

Effect of a dietary iron education programme on iron status and intelligence quotient score among schoolchildren in Phatthalung province, southern Thailand

Introduction: The aim of the study was to determine the effect of a dietary iron education programme (DIEP) on children’s iron status and intelligence quotient (IQ) score. Methods: This pre-test post-test quasi-experimental study with followup utilised the Health Belief Model (HBM). Participants were children who had iron deficiency (ID) (serum ferritin <30 µg/L), with anaemia (haemoglobin 80.0 – 114.0 g/L) or without, and their caregivers. The DIEP incorporated group talks, presentations, game-based learning, and cooking. Knowledge of ID and dietary iron, caregivers’ perceptions of preventing anaemia and ID in their children, and children’s dietary intake, iron status, and IQ score (based on 60-question items adjusted for age) were determined. Statistical tests (one-way MANOVA, Friedman’s two-way ANOVA by ranks, Wilcoxon signed-rank test, Monte Carlo exact test) determined differences between pre-test, post-test, and follow-up. Results: A total of 32 child-caregiver dyads completed the study; 6.3% (n=2) of children met the Thai dietary reference intake for iron at pre-test versus 28.1% (n=9) at post-test (p=0.039) and 31.3% (n=10) at follow-up (p=0.021). Almost half of the children (n=15) who had ID at pre-test were iron replete at post-test and half (n=16) were iron replete at follow-up (p<0.001). Median IQ scores improved from pre-test to posttest (109.0 vs. 116.0; p=0.010) and were similar at post-test and follow-up (116.0 vs. 117.0; p=0.952). Conclusion: Iron status and IQ score improved following the implementation of DIEP. We recommend that this programme serves as a model for similar interventions in other schools.

Starch intake and caries increment: A longitudinal study in Finnish adults.

To evaluate whether changes in starch intake (in terms of amount and food sources) were associated with increments in dental caries among adults. 11-year longitudinal study (2000-2011) with duplicate assessments for all variables. A 128-item food frequency questionnaire was used to estimate intake of starch (g/day) and six starch-rich food groups (potatoes, potato products, roots and tubers, pasta, wholegrains, and legumes). Dental caries was assessed through clinical examinations and summarised using the number of decayed, missing and filled teeth (DMFT score). The relationship between quintiles of starch intake and DMFT score was tested in linear hybrid models adjusting for confounders. Northern and Southern regions of Finland. 922 adults, aged 30-88 years. Mean starch intake was 127.6 (SD: 47.8) g/day at baseline and 120.7 (55.8) g/day at follow-up. Mean DMFT score was 21.7 (6.4) and 22.4 (6.2) at baseline and follow-up. Starch intake was inversely associated with DMFT score cross-sectionally (rate ratio for highest versus lowest quintile of intake: -2.73, 95%CI: -4.64, -0.82) but not longitudinally (0.32, 95%CI: -0.12, 0.76). By food sources, the intakes of pasta (-2.77, 95%CI: -4.21, -1.32) and wholegrains (-1.91, 95%CI: -3.38, -0.45) were negatively associated with DMFT score cross-sectionally but not longitudinally (0.03, 95%CI: -0.33, 0.39 and -0.10, 95%CI: -0.44, 0.24, respectively). Changes in the amount and sources of starch intake were not associated with changes in dental caries. Further studies should be conducted in different settings and age groups while focusing on starch digestibility and specific sources of starch.

Identifying slow-growing commercial pigs using growth performance and health indicators

This study aimed to evaluate the growth performance and health status of commercial pigs in different body weight (BW) groups and develop methods for identifying slow-growing pigs. The research observed 79 commercial pigs grouped from 104 to 202 days of age, collecting data on BW, feed intake, and body condition score (BCS) from caliper. Results showed that BCS were highly correlated with BW (r > 0.85, P < 0.001), providing a simple method for assessing commercial pig BW. Commercial pigs with slaughter BWs below 114 kg at approximately 200 days old were identified as slow-growing individuals. White blood cell count, insulin-like growth factor binding protein-3, and blood urea nitrogen were identified as potential biomarkers for identifying slow-growing pigs. Economic analysis revealed that profitability across all BW groups was highly sensitive to market conditions, with feed costs being the most significant factor. Low BW groups performed better in low-price markets but reach break-even points later under medium to high-price scenarios.

Interaction between Dietary Magnesium Intake and Genetic Risk Score on the Risk of Gestational Diabetes.

We aim to assess the interaction between genetic risk and magnesium (Mg) intake during pregnancy on the development of gestational diabetes mellitus (GDM). Three thousand ninety-six pregnant women from Tongji Maternal and Child Health Cohort are involved in our study. One hundred twelve susceptibility genetic variants of diabetes are selected and genotyped through Asian Screening Array bead chip. Mg intake were assessed by a validated food frequency questionnaire conducted at gestational weeks 25.1 ±2.7 before GDM diagnosis. The study identifies 22 variants associated with GDM. Weighted genetic risk score (GRS) based on these 22 SNPs is associated with higher occurrence of GDM. There is an interaction between GRS and Mg intake on GDM risk (p-interaction = 0.019). Pregnant women with high GRS (≥23.48) and insufficient Mg intake (<370.0mgd-1) have a 1.74 (95% confidence interval [CI]: 1.02, 2.98) fold risk of GDM after adjusting for potential confounders. No such relationship exists among pregnant women with low GRS (<23.48) (adjusted relative risk [RR] = 1.18; 95% CI: 0.73, 1.92). Genetic predisposition to GDM is modified by Mg intake. This suggests that clinical nutrition guidance may benefit from being tailored by screening women with high diabetic genetic risk.

Vertical Association Between Dietary Total Choline and L-alpha-glycerylphosphorylcholine and the Cognitive Function in Chinese Adults Aged over 55, Result from China Health and Nutrition Survey 1997-2018.

With the aging process in China showing an accelerated trend, cognitive decline and impairment have become a major issue in older people. Dietary choline supplement may be a changeable lifestyle to improve this situation. We analyzed 7659 adults aged over 55 in the China Health and Nutrition Survey (CHNS), evaluated cognitive function by the global cognition score, and found the association between cognitive function and dietary intake of total choline or L-alpha-glycerylphosphorylcholine (GPC). Linear and logistic mixed models with three levels were applied to analyze the association between dietary total choline/GPC intake and global cognition score, and the risk of poor cognition. The average dietary intake at baseline was 178.8 mg/d for total choline, and 16.3 mg/d for GPC. After an average follow up of 6.8 years, we found that higher intake of total choline (β = 0.083, 95%CI: 0.046,0.119, p < 0.001) and GPC (β = 0.073, 95%CI: 0.034-0.111, p < 0.001) had positively associated with global cognitive scores. Additionally, higher intake of total choline had a better effect on improving the cognitive function of women (β = 0.092, 95%CI: 0.042-0.142, p < 0.01) and individuals between 55-65 years old (β = 0.089, 95%CI: 0.046-0.132, p < 0.01). However, higher GPC intake had a better effect on the cognitive function of men (β = 0.080, 95%CI: 0.020-0.141, p < 0.05). Higher total choline intake had a protective factor against poor cognition (OR = 0.762, 95%CI: 0.676,0.860, p < 0.001); the protective effect was more pronounced for women (OR = 0.750, 95%CI: 0.639,0.879, p < 0.001) and individuals aged 55-65 (OR = 0.734, 95%CI: 0.636-0.848, p < 0.001). higher dietary choline and GPC intake were beneficial for cognitive function, although we found that higher dietary choline was more effective in improving global cognitive scores at older ages; dietary choline should be supplemented as early as possible in old age to prevent poor cognition.

Relationship between Low Carbohydrate Diet and Postpartum Anxiety and Depression: Iranian Maternal and Child Health Cohort Study

Introduction: Postpartum depression, a form of depression, is a relatively common but serious medical condition that occurs following the birth of a baby. This study aimed to determine the relationship between the carbohydrate diet and the occurrence of anxiety and postpartum depression symptoms in women participating in the initial phase of the Maternal and Child Health Cohort Study, Yazd, Iran. Methods: This study was conducted on the data of 1028 pregnant women from the Yazd Maternal and Child Health Cohort Study. The study tools were food frequency questionnaire (FFQ) and postpartum depression questionnaire. Data related to dietary intake at the beginning of the study were collected in the first visit after pregnancy diagnosis and data related to depression in the second month after delivery. Carbohydrate intake score was calculated for each person according to summing up assigned scores to deciles of percentages of energy from macronutrients. Multivariable logistic regression models were used to estimate the odds ratio (ORs) and 95% confidence interval (CI) of postpartum depression and anxiety across quartiles of low carbohydrate diet scores. Results: Based on the multivariable-adjusted model, there was no significant association between low carbohydrate diet score and odds of postpartum depression (P=0.08). However, multivariable-adjusted model significantly indicated an association between low carbohydrate diet score in second tertile and the odds of postpartum anxiety (P=0.02) (OR: 0.36, 95% CI: 0.15-0.86). Conclusion: After adjusting the confounders, women in the second tertile of low carbohydrate diet score might have 64% lower chance of depression versus those in the first quartile. While low or high carbohydrate intake does not affect postpartum anxiety and depression, moderate carbohydrate intake might be anxiety protective.

The impact of childhood abuse on future military sexual assault and PTSD symptomology in Australian veterans.

The trauma most commonly associated with the military is combat-related trauma. It is increasingly recognised that childhood sexual and physical abuse and military sexual assault may influence or exacerbate posttraumatic stress disorder (PTSD) when military members are exposed to combat. The study aimed to determine whether a history of childhood sexual and physical abuse would increase the likelihood of military sexual assault (MSA) and determine whether a history of sexual abuse (childhood or military) impacted the incidence and severity of post-trauma sequelae compared to veterans without this history. A retrospective correlational analysis was performed on baseline data collected from clinical case records of a cohort of 134 Australian veterans with PTSD who had attended an outpatient Military Service Trauma Recovery Day Programme between October 2020 and May 2022. Almost half (48.5%) of veterans reported a history of abuse. Prevalence rates of military sexual abuse, child sexual abuse and child physical abuse were 14.9%, 13.4% and 23.1% respectively. The relationship between those who experienced childhood abuse and those who experienced military sexual abuse was not significant. No significant differences were observed between those who experienced any sexual abuse and those who did not on intake scores of psychological symptoms. This is the first Australian study to investigate the prevalence of childhood abuse and military sexual abuse and its impact on PTSD and associated psychopathology in a sample of veterans seeking mental health treatment. No additional risks of experiencing military sexual assault were found for those who had survived childhood sexual abuse.

Role of residual mandibular teeth after computer-assisted mandibular reconstruction using a fibular flap

Computer-assisted mandibular reconstruction after mandibulectomy enables accurate reconstruction of the occlusal positions between the maxilla and mandible. Understanding the remaining teeth condition is essential for sensory mastication in patients with numerous tooth loss. However, no studies have examined the dental status of the remaining mandible after computer-assisted mandibular reconstruction using a fibular flap. This study evaluated the role of residual teeth and other factors in effective acquisition of oral intake after computer-assisted mandibular reconstruction using a fibular flap. Postoperative oral intake and associated factors were retrospectively examined in 57 consecutive patients. Oral intake was assessed using the Functional Oral Intake Scale. Multivariate analysis was performed to evaluate the remaining teeth arrangement (Eichner's classification), mandibular dentures, extent of resection (Brown's classification), age, performance of glossectomy, history of radiation therapy, and computer-assisted methods. Multivariate analysis revealed that Eichner's classification had a positive (p<0.001) and radiation therapy had a negative (p<0.05) impact on oral intake. The patients with dentures anchored to the remaining teeth in the occlusal support area (i.e., premolar and molar) had higher Functional Oral Intake score than those with dentures anchored to the remaining teeth in the non-occlusal support area (6.78±0.03 vs. 6.10±0.07, p<0.005). In computer-assisted mandibular reconstruction with accurate occlusion, the residual teeth in the occlusal support area are essential for good postoperative oral intake with dentures. During mandibulectomy, if oncologically acceptable, these teeth should be preserved, and selective placement of dental implants in the occlusal support area should be considered.

Association Between Dietary Flavonoid Intake and Cardiovascular Health in Cancer Survivors: A Cross-Sectional Study.

Flavonoids are naturally occurring compounds with diverse health-promoting properties. The purpose of this study was to explore the associations between dietary flavonoid intake and cardiovascular health in cancer survivors. We obtained data from the National Health and Nutrition Examination Survey (NHANES) 2007-2008, 2009-2010, and 2017-2018 cycles. Weighted linear regression and restricted cubic spline (RCS) were used to explore the correlation between dietary flavonoid intake and cardiovascular health (Life's Essential 8 (LE8) score) in cancer survivors. Then, weighted quantile sum (WQS) regression and quantile-based g-computation (qgcomp) models were performed to assess the mixed effects of the six flavonoid subclasses and to determine the major flavonoid types. Additionally, the protective effect of high flavonoid intake on cardiovascular health was further evaluated in different subgroups, and mediation analysis was used to explore mediating factors. After adjusting for all covariates, compared to those in the first quartile, participants in the fourth quartile of total flavonoids, anthocyanidins, flavonols, flavanones, and flavones intake exhibited increases in LE8 scores of 3.24% (95% CI: 0.45-6.03, P for trend=0.030), 6.25% (95% CI: 3.14-9.36, P for trend<0.001), 3.01% (95% CI: 1.33-4.69, P for trend= 0.003), 3.23% (95% CI: 0.18-6.27, P for trend=0.030), and 5.01% (95% CI: 2.42-7.61, P for trend<0.001), respectively. Meanwhile, significant non-linear relationships were supported by the RCS models. However, the weighted linear regression and RCS models did not reveal any clear correlations between isoflavone or flavan-3-ol intake and the LE8 score. Regarding mixed effects, anthocyanidin, flavonol, flavanone, and flavone intake were positively related to the LE8 score according to both the WQS and qgcomp models, and anthocyanidin intake was the major contributor. Our study indicated that dietary flavonoid intake is positively associated with cardiovascular health in cancer survivors, among which anthocyanidin intake might provide the most benefit.

Predicting treatment success and failure using routine outcome data: The role of therapist effects in dynamic predictive modelling

AbstractBackgroundThe goal of this research was to identify how early in psychotherapy a reliable prediction regarding the probability of premature termination, treatment failure or treatment success can be made, and which variables are most predictive. This research breaks new ground by including data on each clinician's historical outcomes (therapist effects) to explore to what degree predictions and decision rules might differ with therapist effectiveness.Materials &amp; MethodsData was drawn from a large online database of clients regularly completing self‐report outcome questionnaires. The sample included clinicians (n = 1020) treating clients (n = 68,690) with an intake score in the clinical range during a treatment episode of between 2 and 10 sessions. Variables available at the first session and later sessions were tested for predictive validity for status at subsequent sessions using general linear regression models and logistic regression models.ResultsThe results suggest that therapy outcomes can be predicted as early as the second session with a good degree of accuracy, 65%. The analyses revealed that predictions made as early as the second session remain valid even for clients taking up to 10 sessions to complete treatment. Adding therapist effects to the predictive model provides a much more nuanced understanding of the results. By session two, therapists in the top quartile demonstrate effect sizes comparable to the effect sizes of bottom quartile therapists at session ten.ConclusionThe probability of client success, failure or early termination varies significantly depending on the clinician. Implications for training and supervision are discussed.

Eating Egg-Rich Diets and Modeling the Addition of One Daily Egg Reduced Risk of Nutrient Inadequacy among United States Adolescents with and without Food Insecurity

BackgroundAdolescents have the poorest dietary intake throughout their lifespan. Food insecurity worsens these nutritional risks. Eggs are a nutrient-dense strategy to increase nutrient quality. Objectives1) compare usual nutrient intakes, Dietary Reference Intake and protein compliance with recommendations and scores of micronutrient quality; and 2) analyze how adding 1 egg affects adolescents’ nutrient profiles, by food security status and egg-rich diets. MethodsDietary data of United States adolescents in the 2007–2018 National Health and Nutrition Examination Survey were analyzed (14–17 y; n = 3633). Egg-rich diet levels were categorized as 1) no eggs, 2) eggs as ingredients in dishes, or 3) primarily egg dishes. Food security status was classified using the United States Household Food Security Survey Module. The National Cancer Institute method was used to estimate usual nutrient intake and nutrient exposure scores [i.e., Food Nutrient Index (FNI) and Total Nutrient Index (TNI)]. Nutrient amounts from 1 medium egg were modeled on existing intakes. Pairwise t-tests determined significant differences. ResultsOver 60% of adolescents risked inadequate intake of calcium, choline, magnesium, vitamin D, and vitamin E regardless of food security status. Food-secure adolescents consuming primarily egg dishes had higher mean usual intakes of lutein + zeaxanthin (1544.1 μg), choline (408.4 mg), vitamin B2 (2.3 mg), selenium (128.6 μg), vitamin D (6 μg), docosahexaenoic acid (70 mg), and protein (89.1 g) than other groups (P < 0.0002). Those who were food secure and consuming eggs as ingredients in dishes demonstrated higher nutrient adequacy for magnesium (scored ∼66 out of 100), potassium (scored 81), and total scores (scored 72 and 69, respectively) for the TNI and FNI; and folate only (scored 92) for the TNI, than those who were food insecure and not consuming eggs (P < 0.0002). Adding 1 egg increased choline and vitamin D usual intakes for some groups and nutrient index scores for all groups (P < 0.0005). ConclusionsAdolescents are at substantial nutritional risk that was exacerbated by food insecurity and less egg consumption.

Evaluating the Efficacy of Wrist-Ankle Acupuncture Combined With Patient-Controlled Intravenous Analgesia for Managing Post Uvulopalatopharyngoplasty.

The aim of this study is to investigate the impact of combining wrist-ankle acupuncture with patient-controlled intravenous analgesia (PCIA) on active pain and food intake in patients with obstructive sleep apnea-hypopnea syndrome (OSAHS) after undergoing uvulopalatopharyngoplasty (UPPP). Sixty patients with OSAHS who underwent UPPP at our hospital's Department of Otorhinolaryngology from January 2020 to October 2023 were selected and randomly divided into 2 groups of 30 each: an observation group and a control group. The control group received general anesthesia administered by an anesthesiologist and used a PCIA pump. In addition to this treatment, the observation group received the combined intervention of wrist-ankle acupuncture. Active pain levels were monitored at 0, 6, 12, 24, 36, and 48 hours after UPPP, and food intake was observed at 24, 36, and 48 hours postoperation. The results were compared and recorded for both groups. The analgesic effect on active pain in the observation group was significantly greater than in the control group at 6, 12, 24, 36, and 48 hours postoperation, and the differences were statistically significant (P<0.05). In addition, when comparing food intake scores at 24, 36, and 48 hours postoperation, the observation group had significantly higher food intake than the control group, and the differences were statistically significant (P<0.05). The combined intervention of wrist-ankle acupuncture and PCIA provides effective pain relief for OSAHS patients after UPPP, enhances their food intake, improves their quality of life, and supports early recovery.

330 Growth performance, incidence of scours, and plasma metabolites in beef × dairy crossbred calves transported at 2, 4, 8 and 14 d of age

Abstract Transportation can compromise health and production performance in young calves. Although widely accepted that the younger calves are, the greater the probability of negative outcomes, there still is a lack of evidence-based recommendations on the minimum age at transportation. Our objective was to evaluate the impact of transport age on growth performance, incidence of scours, and plasma metabolites over the first 28 d post-transport in Charolais × Holstein crossbred calves. Calves (n = 36) ages 2, 4, 8 and 14-d old were transported in summer from a commercial farm to an on-campus calf rearing facility (410 miles). Calf body weight (BW) was recorded before departure, on arrival and d 28 post-transport. Dry matter intake (DMI) and fecal scores were recorded daily. Blood samples collected prior to transportation, on arrival, and d 7 and 28 post-transport were used for targeted metabolomics analysis (Biocrates MxP Quant 500 kit). Growth performance and fecal score data were analyzed using PROC MIXED (SAS) whereas R was used for predictive modeling of metabolomics data. Over the 28-d period post-transport, DMI was greater (P &amp;lt; 0.01) for 14 d than 2 and 4 d old calves; however, it did not differ between 2, 4, and 8 d old calves. Average daily gain (ADG) and feed efficiency (FE) were also greater (P &amp;lt; 0.01) for 14 d than 2, 4, and 8 d old calves. During wk 1 post-transport, the total number of days calves had scours was least (P &amp;lt; 0.01) for 2 and 14 d, intermediate for 4 d, and greatest for 8 d old calves. During wk 2, the total number of days with scours was less (P &amp;lt; 0.01) for 8 and 14 d (average of 2 d) compared with 2 and 4 d old calves (5 d). Additionally, the total number of days calves had scours during the first 2 wk post-transport tended (P = 0.08) to be greater for 2, 4, and 8 d than 14 d old calves. However, during wk 3 and 4 post-transport, there were no differences (P ≥ 0.58) in the total number of days with scours across transport age. Arginine methylation, d 7 of measurements, carnitine uptake defect, phosphatidic acid 16:0:18:2, methylenetetrahydrofolate reductase, sodium, triglyceride 18:2:34:4, threonine, α-aminobutyric acid, and glycolithocholic acid 3-sulfate were the most important features in terms of predicting the occurrence of scours. Overall, DMI, ADG and FE were less for calves transported at 2, 4, and 8 d than at 14 d of age, which could partially be attributed to differences in the incidence rate of scours. In addition, several plasma metabolites could be good predictors of scours in transported calves.

A longitudinal study among female college students' eating behaviors and food group intake based on the change in eating habit stages

Objectives This study aimed to longitudinally determine the eating behavior and food group intake of female students to examine the relationship between eating behaviors and intention to improve eating habits (change in eating habits stages) and help health education use the behavior change theory.Methods This one-year longitudinal study included 130 female students from Japanese colleges. The stage at which eating habits and behaviors (skipping breakfast, eating out, instant food intake, and snacking) and intake of food groups rich in protein, calcium, vitamins, minerals, carbohydrates, and fats and oils were assessed. The stages were as follows; pre-contemplation or contemplation (lower group), preparation (middle group), and action or maintenance (upper group). A self-assessment questionnaire was administered to evaluate eating behaviors and food group intake frequencies using a 5-point Likert scale. P-values of <.05 were considered statistically significant.Results A cross-sectional comparison of eating behaviors and food group intake scores demonstrated significant differences between the stages only in snacking behavior. The upper group consumed snacks significantly less frequently than the middle and lower groups. After one year, a longitudinal comparison of eating behaviors and food group intake scores revealed significant differences in the intake of food groups rich in vitamins and minerals (green and yellow vegetables), fats and oils in the pre-contemplation stage, intake of food groups rich in vitamins/minerals (green and yellow vegetables) and frequency of skipping breakfast in the preparation stage, and frequency of eating out and snacking in the action stage. Each stage demonstrated a decreasing trend in food intake and an increasing trend in the frequency of skipping breakfast, eating out, and snacking. The percentages of students whose eating habits stage dropped during the second year were 49.0%, 100%, and 77.8% in the preparation, action, and maintenance stages, respectively. This indicates that there are cases in which readiness reverses in stages with improved eating habits.Conclusion In health education on eating habits, it is vital to understand the changes in eating habit stages for each eating behavior and details of actual eating behaviors and habits. Thus, health education should align to the needs of each individual to support them in transforming and maintaining a higher stage of change in their eating habits.

The administration route of indigestible gut permeability markers modulates urinary marker recovery in calves

Indigestible gut permeability markers are used to assess gut integrity and can be administered to calves via a milk meal (MM) or orally pulsed (OP). This study investigated how marker administration route (ADM_R) affects the estimation of gut permeability in relation to MR fat inclusion. Thirty-two male Holstein calves were blocked based on their arrival sequence at the facility. Within each block of 4 calves, calves were randomly assigned to one of 2 treatments (n = 16/ treatment): a MR high in lactose (HL) and a MR high in fat (HF). During the first 5 d, calves were fed 6.0 L/d followed by 7.0 L/d offered in 2 meals per day at 15% solids. To evaluate gut permeability, indigestible markers (lactulose, D-mannitol, and chromium (Cr)-EDTA) were administered in 2 periods, on Tuesday and Thursday in the third week after arrival. Within each block, calves with different MR treatments were randomly assigned to a different marker ADM_R order: MM in the first period and OP in the second (n = 16) or the opposite order (n = 16). Thus, one block of 4 calves included all combinations of MR and ADM_R. Following marker administration, urine was collected over 2 sampling periods: the first from 0 to 6 h and the second from 6 to 24 h. Measurements included weekly BW and daily MR intake and fecal scoring. Intake, growth, and fecal consistency were not affected by dietary treatments nor by ADM_R. The urinary recovery of lactulose was greater in calves fed HF during the 6–24 h and the overall 24-h collection period. Consistently, D-mannitol recovery tended to be greater in calves fed HF during the 24-h collection. With OP administration, the urinary recovery of all markers was greater between 0 and 6 h, whereas in the 6–24 h period, the recovery of lactose and D-mannitol were lower. Over 24-h of collection, Cr-EDTA recovery was greater with OP. No interaction between ADM_R and MR composition was detected. This suggests that both ADM_R were equivalent in assessing the effects of dietary interventions on gut permeability. However, different ADM_R affected the trajectory and time spent by the markers in each section of the gut.

Association between magnesium depletion score and stroke in US adults with chronic kidney disease: A population-based study

BackgroundMagnesium ion metabolism disorder is pervasive in the chronic kidney disease population, which is affected by many factors. Magnesium ion plays an important role in maintaining vascular functional integrity.. The Magnesium Depletion Score (MDS), serving as a novel metric for the assessment of magnesium deficiency, has not been thoroughly investigated for its association with stroke in patients with chronic kidney disease (CKD). Therefore, this study aims to explore the relationship between the MDS index and stroke in CKD patients. MethodsWe conducted a cross-sectional population-based study using data from the National Health and Nutrition Examination Survey 2009–2016 to explore the impact of MDS on the stroke outcome of CKD patients. The primary outcome was the risk of stroke in CKD patients. Sample-weighted multivariate logistic regression was used in our analysis. ResultsIn this study of 3536 CKD patients from the database, we found an 8.6 % prevalence of stroke with higher stroke risk in older individuals and males. Lower dietary magnesium intake and higher MDS scores were significantly associated with stroke risk. Multivariate logistic regression analysis revealed a dose-dependent relationship between MDS scores and stroke likelihood, independent of demographic and clinical factors. Subgroup analysis confirmed these findings, particularly in those with hypertension, diabetes, and obesity, without significant interactions (all p > 0.05). ConclusionMagnesium depletion is independently associated with a heightened stroke risk in chronic kidney disease patients.

Incidence rate of chronic kidney disease and its association with long-term nonsteroidal anti-inflammatory drug use in ankylosing spondylitis: A nationwide population-based study.

Ankylosing spondylitis (AS) predominantly affects the spine and sacroiliac joints, with rare renal involvement. We investigated the incidence rate and risk factors for chronic kidney disease (CKD) in patients with AS and its relationship with long-term nonsteroidal anti-inflammatory drug (NSAID) use. We retrospectively analyzed data of patients diagnosed with AS from the Korean National Health Insurance service. The 3-month, 6-month, and 1-year Assessment of SpondyloArthritis International Society (ASAS) NSAID Intake Scores were categorized into four groups, as follows: =0, >0 and ≤33.3, 33.3-66.6, and >66.6. Of the 12 000 patients with AS, 150 were identified with CKD, and the incidence rate was 4.64 per 10 000 patient-years. Factors significantly associated with CKD included age ≥60 years, Charlson Comorbidity Index, hypertension, and diabetes mellitus. In the nested case-control analysis, among the ASAS NSAIDs Intake Scores for 0-365 days from diagnosis, the ≥66.6 group had a significantly lower odds ratio than those of the =0 group. The present study established the incidence rate of CKD in Korean patients with AS. Though older age and comorbidities were found to be associated with a higher CKD risk, long-term NSAID use was associated with a lower risk. Therefore, the optimal use of NSAIDs in inflammatory diseases requires extensive research.

The relationship between dietary intake of live microbes and insulin resistance among healthy adults in the US: a cross-sectional study from NHANES 2003–2020

Dietary intake of live microbes may benefit human health, but less is known about the role in insulin resistance. This study was developed with the goal of evaluating potential relationships between IR and dietary live microbes. The National Health and Nutrition Examination Survey (NHANES) dataset was leveraged to collect data from 6,333 subjects 18 + years of age. The Sanders system for the classification of dietary live microbe intake (containing Low (< 104 CFU/g), Medium (104–107 CFU/g), or High (> 107 CFU/g) levels of live microbes) was then used to separate these patients into three groups (low, medium, or high). Fasting blood glucose and insulin levels were used to approximate IR based on the homeostasis model of insulin resistance (HOMA-IR). Weighted linear regressions were used to assess the relationship between IR and live microbe intake. After fully adjusting for confounding factors, subjects in the groups exhibiting medium and high levels of live microbe intake exhibited HOMA-IR scores that were below those of subjects in the low group. The relationship between live microbe intake and HOMA-IR scores was also potentially impacted by ethnicity. In summary, a negative correlation was detected between dietary live microbe intake and HOMA-IR values.