Low Protein Consumption Research Articles

Impact of Dietary Patterns and Serum Amino Acid Profile on Metabolic Syndrome Development in Mexican Women with Polycystic Ovary Syndrome.

Polycystic ovary syndrome (PCOS) is the main endocrine disorder in women of reproductive age worldwide. This condition is often associated with various metabolic alterations that contribute to the development of metabolic syndrome (MetS). Recent research suggests that branched-chain amino acid (BCAA) dysregulation is observed in PCOS. This study aims to investigate the relationship between dietary patterns, body composition, metabolic analytes, and serum amino acid levels in Mexican women with PCOS. Utilizing a cross-sectional design, we found that both study groups, PCOS (n = 24) and PCOS + MetS (n = 21), exhibited increased relative fat mass and dietary habits characterized by high simple sugar intake and low protein consumption, correlating with levels of relative fat mass and leptin. Notably, serum concentrations of BCAAs and glutamic acid were significantly elevated in the PCOS + MetS group. Our findings suggest that a metabolic approach may enhance the prediction and management of MetS in women with PCOS, highlighting the importance of dietary interventions in this population.

Metode Certainty Factor Untuk Mengidentifikasi Gizi Buruk Pada Balita

Malnutrition is a condition of malnutrition caused by low consumption of energy and protein in daily food intake. Malnutrition disease has claimed so many lives and what is even more ironic is that most of these victims are babies under five years old (toddlers). The Expert System Application for Identification of Malnutrition in Toddlers using the Certainty Factor method is a knowledge management system that is easy to use and dynamic. This means that experts can add, change, and remove new knowledge or rules without having to start from scratch. System design was carried out using the Waterfall model and modeling language using UML. Meanwhile, the programming language used is PHP using a MySQL database. This expert system was built to identify malnutrition in toddlers. This expert system uses the Forward Chaining inference method and the Certainty Factor method. The results of consultation tests with this system show that the system is able to determine the type of disease along with initial countermeasures and solutions that must be implemented, based on the symptoms previously selected by the user.

Physical activity, protein consumption, and loss of muscle mass in older adult participants of the ELSA-Brazil study

Objective: The objective was to evaluate the relationship between protein consumption, physical activity, and muscle mass in individuals aged ≥ 60 years. Methods: This prospective study was based on the baseline and second wave of the ELSA-Brazil study. Protein consumption was assessed using a semiquantitative food frequency questionnaire. Physical activity was measured using the International Physical Activity Questionnaire. Muscle mass was estimated using a prediction equation, and the difference in MM between the first and second waves was calculated. Bivariate analyses were performed, with p < 0.05 considered significant. Multivariate analysis consisted of 4 Poisson regression models including covariates with p < 0.20. The statistical analysis was performed in IBM SPSS Statistics 21. Results: The sample included 2216 older adults, 55.10% of whom were women, with a mean age of 65.20 (SD, 4.15). Participants whose muscle mass decreased between the waves were in the first quartile of protein consumption. Mean physical activity significantly differed between the groups, while leisure-time physical activity differed only for women (p < 0.05). After adjusting for sociodemographic, health, and lifestyle variables, participants with lower protein intake had a 1.45 (1.29–1.63) relative risk of muscle mass loss. Conclusions: Lower protein consumption and higher physical activity were associated with decreased muscle mass, and those with protein consumption in the first and second quartiles are at higher risk of muscle mass loss.

Relationship of protein, calcium and vitamin D consumption with body composition and fractures in oldest-old independent people

Some studies state that the protein intake has a protective effect against bone mass loss, while others show that the combination of low calcium intake and high protein consumption increases the risk of fractures. Perhaps this phenomenon is also altered by the consumption of vitamin D after the age 80 years. This study aimed to identify if there is an association of protein, calcium and vitamin D intake with body composition and fractures in community dwelling 80 years or older independent people. This is a cross-sectional observational analytic study. We invited community dwelling 80 years or older independent people, with chronic diseases under control, according to the scientific guidelines. The food intake was obtained through a one-day food record (FR) and Avanutri software (4.1 version) was used to calculate the intake of total calories, calcium, protein, and other food nutrients. The body composition and bone densitometry were evaluated by whole-body Dual Energy X-ray Absorptiometry (DXA). The morphometric vertebral fractures were assessed through conventional X-ray of the vertebral, level T4 to L4, on side face position - semi quantitative technique. One hundred and fifty-nine 80 years or older independent people, mean age 87.0±3.9 years old were studied. The mean calcium intake was 834.6±374.7mg/day and vitamin D was 6.1±24.3μg/day, in both cases they were complemented by supplements to reach the recommendations. The mean protein intake was 72.9±26.8g/day, we found that 48.4% had low muscle mass; there was a frequency of 45.3% of osteoporosis; and vertebral fractures in 24.7% of them. The estimates of the logistic regression model with the outcome variable obesity and low muscle mass with reference to "low muscle mass" showed that the 80 years or older independent people who have a fracture are more likely to be obese with low muscle mass compared to those with only low muscle mass. In the studied population of 80 years or older independent people, we observed that among all the nutrients studied, only dietary protein per g/kg/day was associated with body composition and bone mineral density, but not with fracture, although the elderly who have fracture are more likely to be obese with low muscle mass compared to those not obese with low muscle mass. More studies about nutrients intakes and its relationship with muscle and bone health in this population is necessary.

Factors Affecting Patterns of Fast Food Consumption in Students of Medical Study Program Faculty of Medicine Tanjungpura University

Medical students who are in their late teens and are affected by high stress due to academic loads experience changes in nutritional intake behavior, namely changes in eating patterns with a tendency to consume fast food (fast food). The purpose of this study was to determine the factors that influence fast food consumption patterns in students of the Medical Study Program, Faculty of Medicine, Tanjungpura University. This study uses a type of observational analytic research with a cross-sectional design. This study used data on weight and height measurements, a 3x24-hour Food Record, and a questionnaire on 46 students of the Medical Study Program class of 2022. The results showed low consumption of calories, protein and carbohydrates, and high consumption of fat. The overall average intake of energy, fat and carbohydrates is normal, while protein intake is low. There is no effect of all variables on consumption of energy, protein, fat, carbohydrates, and nutritional status. However, action on fast food has a significant effect on energy consumption. Students often consume fast food which is processed by frying process. Low protein intake and high fat consumption indicate the need for education for food selection in reducing the negative impact on the health of medical students.
 Keywords: Fast food, medical students, consumption patterns, factors

Enhancing Metabolism and Milk Production Performance in Periparturient Dairy Cattle through Rumen-Protected Methionine and Choline Supplementation.

For dairy cattle to perform well throughout and following lactations, precise dietary control during the periparturient phase is crucial. The primary issues experienced by periparturient dairy cows include issues like decreased dry matter intake (DMI), a negative energy balance, higher levels of non-esterified fatty acids (NEFA), and the ensuing inferior milk output. Dairy cattle have always been fed a diet high in crude protein (CP) to produce the most milk possible. Despite the vital function that dairy cows play in the conversion of dietary CP into milk, a sizeable percentage of nitrogen is inevitably expelled, which raises serious environmental concerns. To reduce nitrogen emissions and their production, lactating dairy cows must receive less CP supplementation. Supplementing dairy cattle with rumen-protected methionine (RPM) and choline (RPC) has proven to be a successful method for improving their ability to use nitrogen, regulate their metabolism, and produce milk. The detrimental effects of low dietary protein consumption on the milk yield, protein yield, and dry matter intake may be mitigated by these nutritional treatments. In metabolic activities like the synthesis of sulfur-containing amino acids and methylation reactions, RPM and RPC are crucial players. Methionine, a limiting amino acid, affects the production of milk protein and the success of lactation in general. According to the existing data in the literature, methionine supplementation has a favorable impact on the pathways that produce milk. Similarly, choline is essential for DNA methylation, cell membrane stability, and lipid metabolism. Furthermore, RPC supplementation during the transition phase improves dry matter intake, postpartum milk yield, and fat-corrected milk (FCM) production. This review provides comprehensive insights into the roles of RPM and RPC in optimizing nitrogen utilization, metabolism, and enhancing milk production performance in periparturient dairy cattle, offering valuable strategies for sustainable dairy farming practices.

Literature Study: Decreased Productivity in Adolescents Due to Undernutrition

Malnutrition is a nutritional deficiency, and lack of nutritional intake due to low consumption of energy and protein in food so it does not meet nutritional intake needs. Problems that can arise from malnutrition are stunting, wasting, and underweight. The purpose of this study was to determine the relationship between adolescent productivity and malnutrition. The method used in this research is a literature review using databases in PubMed/NCBI, Google Scholar, ScienceDirect, ResearchGate, and BMC Research Notes, with keywords using English and Indonesian. Five journals were obtained with details of two international journals and three national journals, which discussed malnutrition in adolescents which affected productivity in the academic, physical, mental, nutritional intake, and social environment. The nutritional status of adolescents can be influenced by several factors, one of which is diet. Erratic eating patterns can lead to undernutrition which results in a lack of nutrition knowledge. The importance of following health education and nutrition education to increase knowledge about balanced nutrition.

Association of Diet Consumption with Gallbladder Changes in Females After Birth of Child

The postpartum period is characterized by remarkable physiological adaptations to accommodate the demands of childbirth and lactation. These physiological changes, coupled with the unique nutritional needs of both the mother and newborn, can lead to gallbladder stasis and increased cholesterol absorption in the gallbladder. Objective: To assess the correlation between diet consumption and gallbladder changes in females after childbirth. Methods: This observational study was conducted at the department of Gastroenterology, Jinnah Medical and Dental College, Sohail University, Karachi, Pakistan from December 2022 to June 2022. Females of reproductive age who had normal child delivery were evaluated after 6 weeks of delivery. The medical examination, anthropometric measures, nutritional assessment, and laboratory testing were performed in all eligible females. An ultrasonographic was done after a typical fatty food in order to assess gallbladder changes. SPSS version 21.0 was used to do statistically analysis. Results: The mean age was 28.89 ± 4.73 and mean BMI was 22.78 ± 4.09 kg/m2. Of 100 females, 17% had gallbladder stasis, 26% had gallstones, and 17% had sludge. The females with low protein consumption had significantly higher proportion of gallbladder stasis as compared to females with high protein consumption in diet (76.5% vs 23.5%, p=0.001). Furthermore, females with high carbohydrate (61.5% vs 38.5%, p=0.011) and fructose (53.8% vs 46.2%, p=0.037) consumption had significantly higher proportion of gallstones as compared to females with low consumption. Conclusions: High protein consumption was linked to gallbladder stasis, while high carbohydrate and fructose intake were associated with an increased proportion of gallstones.

Dietary vitamin D intake and sun exposure are not associated with type 1 diabetic schoolchildren and adolescents: A first report in Algeria1

BACKGROUND: A large number of children and adolescents worldwide suffer from physiological vitamin D (VD) deficiency, which has been associated with sun exposure and, consequently, the risk of developing various autoimmune diseases, including type 1 diabetes (T1D). However, the association of the disease with VD intake and sun exposure has yet to be explored. MATERIALS AND METHODS: We conducted a food frequency questionnaire and a 24-hour food recall survey, using “Ciqual table 2016” in 335 type 1 diabetic and age- and gender-matched healthy Algerian school children and adolescents from sunny Saharan and relatively less sunny Northern regions, aged between 5 and 19 years. RESULTS: Both dietary VD intake and VD levels were similar in T1D patients when comparing northern and southern regions (for both comparisons, p > 0.05). Neither sun exposure nor VD intake was associated with the disease (respectively, relative risk [RR] = 1.050, p = 0.680; RR = 1.082, p = 1.000. For Cochran and Mantel-Haenszel analysis; RR = 0.841, p = 0.862). VD intake showed a significant difference between diabetics and non-diabetics in the sunny region (p = 0.022). Additionally, significant differences were found between normal and T1D schoolboys (p = 0.038), and when comparing the two groups according to the dry areas (p = 0.016). Moreover, in contrast to circulating VD levels, which were lower in T1D patients than in healthy controls, those of VD intake were significantly higher (p < 0.05), especially in male patients and in those with balanced diet, low protein or carbohydrate consumption, specific food intolerances, and regular meals (p < 0.05), as well as in patients with a moderate or low consumption of cooked meals or steamed foods (p < 0.01). Conversely, VD intake was markedly lower in type 1 diabetics than in controls for dry and sunny areas, including the region of Adrar, as well as for consumption of low-fat foods and eggs (p < 0.05 for all comparisons). Nevertheless, the relative risk of sun exposure and dietary vitamin D intake according to the World Health Organization (WHO) standard did not show a significant association with T1D (common Mantel-Haenszel estimation, RR = 0.841, 95% CI 0.118–5.973, p > 0.05). CONCLUSIONS: T1D does not appear to be associated with VD intake and sun exposure in the Algerian Sahara region. Therefore, the consumption of VD in T1D patients in the Algerian Sahara would suspect that its association with the disease would be related to its synthesis alteration.

Effect of short time precise dietary energy-protein in reproductive parameters of local crossbred dairy goats.

This study aimed to establish and focus on the implications of precise energy and protein levels on reproductive performance. This study based on field facts showed that excessive feed intake, especially protein intake, to increase productivity will lead to some decreased reproductive efficiency through disruption of reproductive hormonal compound biosynthesis or increasing blood urea nitrogen (BUN), which has rarely been studied. Healthy and mature Saanen crossbred goats raised by traditional farmers (2-4 years old; ± 45 kg) were divided into three experimental groups [T0 = basal feed according to the feed provided by farmers, T1 = protein and energy balanced feed according to National Research Council (NRC) (±5%), T2 = feed >20% excess protein, and excess energy from NRC] (n = 75). The factorial method was used in the experimental design with a post-hoc least significant difference test. The data showed a significant difference (p < 0.05) in the biochemical or hormonal parameters between the control and the treatment groups. Also, T1 showed leads in any blood profile and reproductive hormone parameters such as total protein (79.6 ± 5.3 gm/dl), cholesterol (3.26 ± 0.47 mmol/l), progesterone (1.79 ± 2.21 ng/ml), and estrogen (47.85 ± 5.51 pg/ml), as well as the lowest levels of BUN (11.6 ± 1.59 mmol/l) and cortisol (25.07 ± 14.85 ng/ml) levels. T1 had the highest reproductive potential after treatment. The adverse effects of high and low protein consumption on reproductive hormones seem to be related to the blood profile and ovarian function, as hormone concentrations change significantly and lead to reproductive impairment. The data showed that balanced nutrient levels (5%/T1) resulted in excellent blood and hormone parameters.

Extension And Behaviour of Fisherwomen in Supporting Household Food Security in West Lombok District

The behaviour of women in providing, obtaining, and utilizing food can determine the status of household food security. Consumption of diverse food including animal protein is very important to prevent stunting. The level of energy consumption which is still below the national standard and the low consumption of animal protein by the people of West Nusa Tenggara Province contribute to the high number of stunting cases in West Nusa Tenggara Province, especially West Lombok Regency. To reduce it, the Government of West Lombok has provided guidance to coastal communities through extension activities on optimizing the marketing and processing of fish caught to fisherwomen. This study aims to find out about the role of extension workers in supporting household food security, analyse the influence of the role of extension workers on the behaviour of women fishermen and analyse the effect of women’s behaviour on the status of household food security. The research was conducted in Batu Layar District, in Meninting Village and Senteluk Village and Lembar District, Sheet Village and South Sheet Village. The research was conducted using an explanatory survey method with data collection through interviews with 60 respondents, observations, and in-depth interviews with several fisherwomen informants and key informant. Then the data was analysed by regression analysis. The results of the analysis indicate that the higher the role of the extension worker will be able to change the behaviour of fisherwomen, and changes in the behaviour of fisherwomen will improve the status of household food security. Thus, increasing the competence of extension workers must be comprehensive, not only focusing on the production aspect but also on the importance of food and nutrition aspects. Then, it is necessary to encourage an increase in the role of extension workers in conducting counselling and mentoring to change the behaviour of fisherwomen in processing, selecting, providing, and distributing diverse and nutritious food to each household member.

Managing Future Meat Consumption Fulfilment in Indonesia

Peer level of animal proteins for Indonesians reach low level of consumption-per-capita (CPC), this low protein consumption is strongly associated with malnutrition. Supply and demand take a part in several studies, supply-side approval meets consumption needs. Herd size, livestock shed, and production efficiency impacting the land mass area and environment. Beef meat consumption is inherently dependent on several interlinked and dynamic system modelling. One such methodology like modelling interactive systems in multivariate impact will yield the greatest overall increase in beef supply consequently. Using systems modelling tools, the researcher tries to simulate how beef consumption patterns are a dependent factor of several interrelationships with systems thinking. The alternative cluster structure is divided into 2 parts, tax policy and budget policy, which are the source of the budget scheme. Two of the six alternative policies were selected as the best choices with acceleration of output achievement. The higher tax rate is a consequence of a depressed level of demand, which has implications for national per capita consumption.

Similar body composition, muscle size and strength adaptations to resistance training in lacto-ovo-vegetarians and non-vegetarians.

There is a popular belief that meat consumption is necessary to optimize adaptations to strength training (ST), but evidence to support this hypothesis is scarce. Therefore, this study aimed to compare ST adaptations in lacto-ovo-vegetarians (LOV) and non-vegetarians (NV) with adjusted protein intake per meal. Sixty-four LOV and NV performed 12 weeks of ST and were instructed to ingest at least 20 g of protein, in each main meal during the experimental period. Quadriceps femoris muscle thickness (QFMT), knee extension one-repetition maximum (1RM) and isometric peak torque (PT), as well as participants' body composition were assessed before and after the intervention. Dietary intake was assessed throughout the study. After 12 weeks similar increases in QFMT (LOV: 9.2 ± 5.4; NV: 8.1±5.5mm), knee extension 1RM (LOV: 24.7±11.1; NV: 21.6±9.8 kg) and PT (LOV: 29.8±33.4; NV: 17.5±19.4 N.m) and lean body mass (LOV: 1.3±0.9; NV: 1.4±1.4 kg), alongside a decrease in body fat mass (LOV: -0.5±1.6; NV -0.8±1.6 kg), were observed in both groups at the end of the training period (p<0.05). LOV had lower protein consumption than NV throughout the study (p<0.05), but participants reached intake of at least 1.2 g of protein/kg/day during the experimental period. In conclusion, LOV and NV displayed similar improvements in muscle mass, strength and in body composition after 12 weeks of ST, suggesting that meat consumption and higher protein intake in NV did not bring about further benefits to early adaptations to ST.

Malnutrition, Eating Habits, Food Consumption, and Risk Factors of Malnutrition among Students at the University of Maroua, Cameroon.

Methods Three hundred and thirty students of both sexes, aged between 17 and 35 years old, were recruited from January to February 2018. Anthropometric parameters (weight, height, waist and hip circumference, and BMI) were measured, and an eating and lifestyle questionnaire was administered to each participant, as well as a 24-hour dietary recall. Results The mean age of participants was 23.95 ± 3.67 years and BMI was 22.19 ± 2.78 kg/m2. Approximately 6.1% were underweight, 12.1% overweight, and 0.9% obese, and all age groups were affected. Concerning eating habits, low protein, fruit, and vegetable consumption were recorded among students. Cereals were the main source of carbohydrates consumed. Besides, 6% of them had a low dietary intake, 21% had a poorly diversified diet, and 2% were highly food insecure. The students' daily macronutrient intake was within the recommended reference values, except for carbohydrates, which exceeded and represented 62.69± 13.84% of daily energy intake. Also, only 32.2% of respondents had adequate energy intake. A poorly diversified diet was associated with a high incidence of overweight. Conclusions Both forms of malnutrition are indeed present among the students of the University of Maroua, and nutritional education for this young segment of the population will be essential to prevent complications associated with malnutrition in the working life.

PEMBERDAYAAN MASYARAKT MELALUI PENGELOLAAN BUDIDAYA IKAN LELE SISTEM BIOFOLOK PADA KELOPOK POKDAKAN DI KABUPATEN PINRANG

People's low consumption of animal protein needs to be increased by providing a quality and affordable source of protein. Catfish, with intensive system cultivation, can answer 2 such oppositions, a source of quality and cheap protein.. The purpose of community empowerment through the management of catfish farming in the biofloc system is that pokdakan partner groups can apply catfish biofloc technology effectively and efficiently. This service was carried out for three months from July 10, 2020 to August 17, 2020 in Langnga Village, Mattiro Sompe District, Pinrang Regency. This pagabdian uses the sausageization method, discussion and demonstration or simulation. The cultivation of the biofloc system is carried out by growing microbes that will decompose the ammonnia from feces and the rest of the feed which is then useful as a source of natural feed for fish. Analysis of the biofloc system catfish business if carried out on 1 pond with a diameter of 3 meters with a water level of 1 meter with an initial investment of RP 1,350,000 and the cost of producing seeds and feed around IDR 1,780,000, the estimated income and profit of 1 period is around IDR 940,000 or a monthly profit of IDR 313,300. presumably the management of biofok system cultivation can be developed even better

Participation in a food assistance program and excessive weight gain: an evaluation of the Brazilian Worker’s Food Program in male and female manufacturing workers

BackgroundSeveral published studies have reported an association between participation in a food assistance program and greater prevalence of overweight/obesity. Our aim was to compare nutritional status and nutrient consumption between workers from manufacturing companies participant and non-participant in the Brazilian Workers’ Food Program (WFP).DesignCross-sectional survey, based on a probability sample of manufacturing workers in Brazil obtained by stratified two-stage sampling, comparative between WFP and non-WFP participating companies. Body mass index (BMI), waist circumference (WC), and nutrient consumption (24-hour recall) were collected by trained nutritionists. Statistical analysis was done separately in each sex with mixed effects multilevel linear regression model including sampling weights and covariate adjustment.ResultsThirty-three companies were randomly selected from all companies in three different economic activity sectors (food and beverages, non-metallic minerals, and textiles) in North-eastern Brazil, with stratification by company size, and a random sample of 929 workers (484 from non-WFP and 445 from WFP companies) was obtained from those companies. In males, the WFP group had higher BMI (+ 1.08 kg/m2, p < 0.001), greater WC (+ 3.27 cm, p < 0.001) and greater prevalence of obesity (OR 1.67, p < 0.001). In females, no statistical significant differences were observed in anthropometric parameters, but the WFP group had lower prevalence of obesity (OR 0.49, p = 0.05). Among workers in companies that provide lunch, males from WFP companies have greater consumption of carbohydrates (+ 39.5 kcal, p = 0.02) and protein (+ 11.1 kcal, p = 0.08), while females have lower protein consumption (− 14.2 kcal, p = 0.04) and also lower total daily consumption of carbohydrates (− 59.3 Kcal, p = 0.05) and total lipids (− 14.2 Kcal, p = 0.04).ConclusionsParticipation in the WFP is associated with increased BMI and WC among male workers; however, this association was not found in females. Compared to the non-WFP group, in the WFP group, males have greater consumption of carbohydrates and protein at lunch, while women have lower protein intake. These results indicate the need that proposals for public policies aimed to the improvement of the nutritional status of populations take into consideration the different effects of food assistance programs in males and females.

Transitioning to Sustainable Dietary Patterns: Learnings From the Dietary Patterns of Adults With Low Animal Protein Consumption in the Province of Quebec

ObjectivesThe sustainable diet paradigm rests, among others, on the replacement of animal proteins by plant-based proteins. Our aim was to provide insights on the food and nutrient characteristics of a dietary pattern consistent with lower intakes of animal proteins among French Canadians. MethodsAnalyses were conducted in 1147 French-speaking adults (50.2% female, mean age 42.8y) of the PRÉDicteurs Individuels, Sociaux et Environnementaux (PREDISE) study in Québec. Dietary intakes were evaluated using a validated web-based 24hr dietary recall (R24W) repeated on three unannounced occasions. Foods were classified according to the 2019 Canada’s Food Guide (CFG) food categories and consumption was expressed as reference amount (RA) or nutrient amounts (in g or mg) per 2000kcal. Diet quality was assessed using the Healthy Eating Food Index-2019, a new index that reflects adherence to the recommendations on healthy food choices in 2019 CFG. Animal protein consumption was classified into quartiles and differences in food and nutrient intakes as well as in the HEFI-2019 score between quartiles were assessed using linear regression models adjusted for age and sex as well as for multiple comparisons. ResultsCompared with those in the highest quartile of animal protein consumption, participants in the lowest quartile reported consuming more plant-based protein foods (+0.4 RA/2000 kcal; 95%CI 0.2;0.6), refined grains (+0.3 RA/2000 kcal; 95% CI 0.1;0.5), foods not recommended in CFG 2019 (+1.5 RA/2000 kcal; 95%CI 1.0;2.0), polyunsaturated fatty acids (+2.5g/2000 kcal; 95%CI 1.4;3.5) and free sugars (+20.0g/2000 kcal; 95%CI 14.0;26.0). They also consumed less monounsaturated fatty acids (–1.8g/2000 kcal; 95%CI –3.2; –0.4), saturated fats (–7.3g/2000 kcal; 95%CI –8.8; –5.9) and sodium (-349 mg/2000 kcal; 95%CI -510; -188). The HEFI-2019 score was similar among quartiles of animal protein consumption. ConclusionsThe dietary pattern of French-Canadian adults who consume lesser amounts of animal proteins is not entirely consistent with better diet quality. These results highlight some of the challenges in transitioning the dietary habits of French Canadian adults into more sustainable and healthier patterns. Funding SourcesCanadian Institute for Health Research, Centre Nutrition, Santé et Société-NUTRISS and Fonds de nutrition publique.

IMPLEMENTASI PROGRAM DIVERSIFIKASI PRODUK PANGAN LOKAL DI DINAS KETAHANAN PANGAN PROVINSI JAWA TENGAH

In Indonesia, rice is a staple food that has high carbohydrates and is consumed by all Indonesian people. The high consumption of rice in Indonesia causes a decrease in the level of consumption of non-rice food and the low consumption of animal protein, vegetables, and fruits. Until the government made the slogan "full doesn't have to be rice" and held a program to change people's mindsets, namely with a diversification program for local food products. The purpose of this analysis is to find out the results of the implementation of the Local Food Product Diversification Program in the Women Farmers Group (KWT)/ Micro Small Medium Enterprises (UMKM) and the community at the Food Security Office of Central Java Province. The analytical methods used in the Local Food Product Diversification Program through interviews and literature studies are descriptive analysis, fishbone diagrams, and Strength Weakness Opportunity Threats (SWOT) analysis. The results of the implementation of the Local Food Diversification Program for KWT/UMKM and the community are that it can increase the income/turnover of the KWT/UMKM and direct the community to consume local food to achieve the ideal Food Hope Pattern (PPH) score so as to reduce excessive rice consumption.

Conhecimento e atitudes de pacientes portadores de nefrolitíase: estudo transversal

Nephrolithiasis is a common urinary tract disease with an increasing prevalence, mainly due to the lack of control of modifiable risk factors. The aim of this study was to assess the level of knowledge about risk factors for nephrolithiasis and patients' attitudes. This is a cross-sectional, observational, descriptive, and analytical study based on a review of medical records and through an online survey of patients diagnosed with nephrolithiasis during follow-up at a private nephrology clinic in Joinville, Brazil. Gender, age, comorbidities, laboratory values, knowledge, and attitudes were evaluated. An explanatory multivariate model was proposed to assess the effect of knowledge and attitudes on risk factors for nephrolithiasis. Of the 129 participants, 44 (34%) were men, median age 42 years and median time to diagnosis 5 years. Hypertension was the most prevalent comorbidity in 26%. In 42% of patients, there was weight gain since the first consultation. Alone, excessive salt consumption (98%), low water intake (77%) and high protein consumption (67%) were the most identified risk factors. After adjusting for confounders, greater knowledge was not associated with weight gain (OR=0.94; 95% CI 0.73-1.22; p=0.661) or lower salt intake (OR=1.26; 95% CI 0.95-1.67; p=0.106). Greater knowledge was associated with greater daily fluid intake (OR=1.50; 95% CI 1.11-2.01; p=0.008). Although there is little knowledge of all nephrolithiasis risk factors, measures to increase awareness can contribute to preventive attitudes.

Knowledge and attitudes of patients with nephrolithiasis: a crosssectional study

Nephrolithiasis is a common urinary tract disease with an increasing prevalence, mainly due to the lack of control of modifiable risk factors. The aim of this study was to assess the level of knowledge about risk factors for nephrolithiasis and patients' attitudes. This is a cross-sectional, observational, descriptive, and analytical study based on a review of medical records and through an online survey of patients diagnosed with nephrolithiasis during follow-up at a private nephrology clinic in Joinville, Brazil. Gender, age, comorbidities, laboratory values, knowledge, and attitudes were evaluated. An explanatory multivariate model was proposed to assess the effect of knowledge and attitudes on risk factors for nephrolithiasis. Of the 129 participants, 44 (34%) were men, median age 42 years and median time to diagnosis 5 years. Hypertension was the most prevalent comorbidity in 26%. In 42% of patients, there was weight gain since the first consultation. Alone, excessive salt consumption (98%), low water intake (77%) and high protein consumption (67%) were the most identified risk factors. After adjusting for confounders, greater knowledge was not associated with weight gain (OR=0.94; 95% CI 0.73-1.22; p=0.661) or lower salt intake (OR=1.26; 95% CI 0.95-1.67; p=0.106). Greater knowledge was associated with greater daily fluid intake (OR=1.50; 95% CI 1.11-2.01; p=0.008). Although there is little knowledge of all nephrolithiasis risk factors, measures to increase awareness can contribute to preventive attitudes.