Micronutrient Consumption Research Articles

Associations between maternal health literacy and prenatal micronutrient intake in Hungarian women

Abstract Background Adequate level of health literacy (HL) is an important factor in pregnancy. Low HL may increase the risk of maternal and fetal complications (e.g., gestational diabetes mellitus, low birth weight). This study aimed to measure the levels of maternal HL and its associations with the consumption of folic acid (FoA), vitamin D (VD), and omega-3 fatty acids (FAs) during pregnancy in Hungarian women. Methods The questionnaire-based study was conducted at the Department of Obstetrics and Gynecology, University of Szeged among women who gave birth between June and September 2023 (N = 294). Sociodemographic, lifestyle, conception and pregnancy related questions were asked. HL was measured by the Maternal Health Literacy Inventory in Pregnancy (MHELIP) questionnaire (after the Hungarian adaptation); it contains 48 items representing four subscales (maternal health knowledge, search for maternal health information, assessment of maternal health information, and maternal health decision making and behavior). Data analysis was performed by SPSS 29.0. (Ethical permission: 5351) Results The mean age of women was 31.53 +-4.75 years. During pregnancy 84.5% of women consumed FoA, 61.8% VD and 41.8% omega-3 FAs. The total mean score of MHELIP on a scale 0-100 was 78.93 (95%CI: 77.77-80.08); the score of “search for maternal health information” subscale was the lowest [57.68 (95%CI: 56.20-59.16)], and the score of “maternal health decision making and behavior” was the highest [86.75 (95%CI: 85.62-87.87)]. Omega-3 FAs and VD consumption was significantly higher in women with higher total and subscales mean scores (except “search for maternal health information”), while FoA consumption was significant in case of “assessment of maternal health information”. (The results are preliminary.) Conclusions The association between micronutrient consumption and HL supports that using this tool during pregnancy the mothers who needs more support and health information can be identified. Key messages • The Maternal Health Literacy Inventory in Pregnancy questionnaire is a reliable tool for measuring health literacy in Hungarian pregnant women. • Maternal health literacy plays an important role in the healthier lifestyle, including prenatal vitamin/micronutrient consumption.

Problematic behaviors at mealtimes and the nutritional status of Brazilian children with Autism Spectrum Disorder.

The aim of this study was to explore problematic behaviors and their association with the food consumption and nutritional status of children with Autism Spectrum Disorder (ASD). This is a cross-sectional study which enrolled 90 Brazilian children (aged 2-10 years) with ASD. A sociodemographic questionnaire, the ASD Eating Behavior Assessment Scale, and the 24-h recall were used. Age, height, total body weight, and Body Mass Index (BMI) were accessed to estimate nutritional status (BMI/Age). Consumption of fruits, vegetables, total calories, macro and micronutrients (calcium, iron, zinc, omega 3 and omega 6), and Body Mass Index (BMI) were assessed. The regression models were adjusted for covariates (prevalence ratio - PR, α = 0.05). All studied children presented problematic behaviors at mealtimes, with a predominance of food selectivity (57.8%), followed by changes in mealtime skills (34.4%), changes in masticatory motor skills (25.6%), oppositional eating behaviors (20.4%), and rigid eating behaviors (20.0%). Food selectivity was associated with excess body weight (PR: 1.94; 95% CI: 1.08-3.51) and absence of vegetable consumption (PR: 0.61; 95% CI: 0.46-0.81). Rigid eating behaviors was associated with low consumption of fiber (PR: 1.42; 95% CI: 1.15-1.75) and zinc (PR: 2.15; 95% CI: 1.33-3.45), and with excessive caloric (PR: 1.14; 95% CI: 1.02-1.29) and lower calcium intake (PR: 0.52; 95% CI: 0.29-0.91). Selectivity and rigidity behaviors have different relationships with food consumption and are associated with a higher prevalence of inadequacies, which may lead to nutritional risks for children. Further studies may investigate the influence of problematic behaviors and excess body weight in ASD.

Association between micronutrient intake and cognitive performance of school-aged children attending selected private schools in Lagos State

Background: It has been reported that the academic performance of school-aged children has been on the decline in recent years. Feeding pattern determines micronutrient consumption and plays an important role in cognitive performance. Objectives: This research assessed the micronutrient consumption, feeding pattern, and cognitive performance of school-aged children in selected private schools in Lagos State. Methods: The socio-demographic characteristics of the parents and children, knowledge of parents on micronutrients, feeding pattern of the children, and identifying micronutrient-rich food among consumed foods were obtained using a semi-structured questionnaire. The micronutrient intake was assessed using twenty-four-hour dietary recall and the cognitive performance of the respondents was evaluated with structured questions from Slosson’s intelligence test revised third edition after which the micronutrient consumption was correlated against overall cognitive performance using Pearson’s multiple correlation range test. Results: The results indicated that the feeding pattern of the children showed that 51.3% were fed three times a day, 47.3% took snacks at least once a day and more than half (52.0%) took fruits and vegetables once a day. The micronutrient-rich foods among consumed foods were identified and they include efo and egusi, ewedu, okro, apple, orange, and milk, among others. There was a negative correlation (p<0.05) between micronutrient consumption and cognitive performance among the students studied. Conclusion: This study concludes that an increase in micronutrient consumption alone does not increase cognitive performance.

Pain's impact on eating patterns and inflammation: A case-control study.

Pain is a widespread and troubling clinical and social problem with important effects on society and individuals. The purpose is to assess the relationship between pain and eating behavior, macro-micronutrient intake, and dietary inflammation index. The study was carried with a total of 80 patients, consisting of 40 patients diagnosed with pain and 40 patients not diagnosed with pain, who applied to a private hospital in Istanbul as outpatients with a questionnaire face-to-face consisting of questions about sociodemographic characteristics, anthropometric measurements, pain-related information, Eating Attitude Test (EAT-19), and 24-hour food consumption record. The statistical analysis of the data was conducted with SPSS v27 package program. People who had pain had higher levels of disrupted eating attitudes than those who did not have pain. The "Bulimia" subfactor mean score of the EAT-19 was higher in those with pain (P < .05). No difference was found between the case-control groups regarding the mean dietary inflammation index (DII) score and energy, macro- and micronutrient consumption values (P > .05). No difference was detected between the case-control groups with disrupted eating attitudes regarding the median DII score (P > .05). The median DII score was significantly higher in individuals with pain and normal eating attitudes than in those without pain and with disrupted eating attitudes (P < .05). There is a relationship between pain, eating attitudes, and DII, the median DII score of those who had pain and had normal eating attitudes was higher.

Nutritional status and dietary pattern of government school going adolescents of Lucknow city with reference to recommended dietary allowances- ICMR 2024, India

BackgroundAdolescent is the second growth spurt and transitional phase in individual's life. Malnutrition is prevailing highly in adolescents. This study aims at studying the actual nutritional intake and the consumption pattern and its comparison with the newly formulated RDA 2024 among the school going Adolescents of the Lucknow City. Methods607 students of age 13–19 years from various government schools of Lucknow city were selected as early and late adolescents. Daily consumption of various macronutrients and micronutrients was obtained and compared with Recommended Dietary Allowance (RDA) 2024. Data was analysed using IBM SPSS software version 20. ResultsThe revised Dietary Guidelines-ICMR India (2024) talks about Estimated Energy Requirement (EER) rather than Recommended Dietary Allowance (RDA), the caloric intake as compared to Estimated Average Requirement (EAR) was found to be at lower side. Protein consumption was lower than Recommended Dietary Allowance (RDA). Whereas fat consumption was high. The study concluded that consumption of micronutrients in Early and Late adolescents was below Recommended Dietary Allowance (RDA). ConclusionThis results to conclusion that population had lower amount of nutrients intake as compared to the guidelines. Therefore, robust nutritional intervention approach is needed to address malnutrition prevailing in this area.

Unveiling the causal relationship between circulating levels of micronutrients and risk of facial aging: A Mendelian randomization study.

Facial aging involves a continuous sequence of complex, interrelated events that impact numerous facial tissues. The aim of the study was to elucidate the casual relationship between circulating micronutrients and risk of facial aging. A two-sample Mendelian randomization analysis was performed using genetic data from genome-wide association studies. The inverse-variance weighted method is used for causal effect estimation, and additional tools such as Mendelian randomization-Egger, weighted median, simple mode, and weighted mode were used to refine the analysis. We conducted an in-depth examination of the correlation between several micronutrient blood levels and the risk of facial aging, and identified 3 key micronutrients (selenium, carotene, and iron) that may have a significant impact on skin health. Inverse-variance weighted results indicate that selenium levels were positively correlated with the risk of facial aging (odds ratio [OR] 1.005, P = .027), while a negative causal effect of carotene (OR 0.979, P = .024) and iron (OR 0.976, P = .009) on age-related facial alterations was observed. This study offers a new and insightful perspective on the current understanding of antiaging strategies, particularly the importance of appropriate consumption of essential micronutrients to maintain healthy skin condition.

Homocysteine, blood pressure and gene–diet interactions in relation to vascular function measures of black South Africans

Background and AimsWe investigated circulating homocysteine (Hcy), a cardiovascular disease (CVD) risk factor, examining its dietary associations to provide personalized nutrition advice. This study addressed the inadequacy of current dietary interventions to ultimately address the disproportionately high incidence of CVD in Black populations. Methods and Results: Cross-sectional analyses of 1,867 Black individuals of the PURE-SA study allowed the identification of dietary intake and cardiovascular measure interactions on three sub-categories: (1) normal blood pressure (BP), hypertension or Hcy-related hypertension (H-type), (2) low, normal or high Hcy concentrations, and (3) Hcy-related genetic combinations. Favorable body composition, but adverse dietary intake and cardiovascular determinants, were observed in higher Hcy categories. H-types, compared to regular hypertensives, had higher alcohol and lower macronutrient and micronutrient consumption. Inverse associations with carotid-radial pulse wave velocity were evident between monounsaturated fatty acid (FA) consumption and H-type hypertension as well as polyunsaturated FA and CBS883/ins68 TT carriers. Energy intake was positively associated with vascular cell adhesion molecule-1 (VCAM-1) in variant CBST883C/ins68 and CBS9276 GG carriers. VCAM-1 was also positively associated with plant protein intake in CBS9276 GG and MTR2756 AA carriers and negatively with total protein intake and CBS9276 GG carriers. Alcohol intake was positively associated with intercellular adhesion molecule-1 in MTR2756 minor allele carriers. Conclusion: Because Hcy gene-diet interactions are evident, personalized nutrition, by adjusting diets based on genetic profiles (e.g., CBS and MTR variations) and dietary interactions (e.g., FAs and proteins), can enhance cardiovascular outcomes by managing Hcy and related hypertension in genetically susceptible individuals.

Economic and Social Determinants of Micronutrient Consumption and Supplementation Among Children Under Five Years in Cameroon

Malnutrition among children less than five years is an important public health challenge in resources limited countries. This study analyzes the economic and social determinants of micronutrient consumption and supplementation among Cameroonian’s children under five years. A cross-sectional study design was undertaken using a stratified nationwide, two-level sampling with a sample of 4,074 children under five years and their mothers. Data were analyzed using a logistic regression model with the level of statistical significance set at p&amp;lt;0.05. The slightly majority of children were male (50.8%). Children in age groups older than 23 months were less likely (OR&amp;lt;1; p&amp;lt;0.01) to be consuming and/or supplemented with micronutrients compared to children aged 6 to 23 months. Children of mothers of middle and high income quintiles were more likely to be consuming and/or supplemented with micronutrients compared to children of mothers of low and very low income quintiles, while those in the very high income quintiles were less likely (OR=0.994 p&amp;gt;0.05). Children of mothers with low (primary) and average (secondary) education were likely (OR=0.854 and 0.870 respectively), while children of mothers with high (tertiary) education were non-significantly more likely (OR=1.093; p&amp;gt;0.05) to be consuming and/or supplemented with micronutrients compared to children of non-educated mothers. Overall, these study’s findings showed that the gender of the child, the child&amp;apos;s birth order, the children from married mothers, the education’s level of mothers, standard of living, the non-use of any contraceptive method by mothers with intention to use one, employment, religion, and the children from mothers in the low, middle and high income quintiles were significant determinants associated with the function of micronutriments’ consumption and/or supplementation in children under five in Cameroon. Policy makers should therefore strive to improve the socio-economic conditions of women while raising their awareness of the harmful effects of child malnutrition.

Dietary consumption patterns in breast cancer survivors: Pilot evaluation of diet, supplements and clinical factors

PurposeAdherence to dietary intake guidelines is recommended for optimal nutrition and outcomes in breast cancer survivors. The purpose of this study was to examine dietary quality in a cohort of breast cancer survivors related to current guidelines, guiding further education-based research. MethodsThis exploratory evaluation examined compliance with current dietary guidelines. Data collected included demographics, medical histories and repeated, three-day 24-h dietary recalls. Women with early-stage breast cancer (n = 97) who completed breast cancer treatment between 6 and 24 months were recruited. Descriptive statistics and frequencies were calculated for demographic and lifestyle characteristics, reported fish consumption, body mass index categories, supplement consumption, and adequacy of macronutrient and micronutrient consumption (classified as below, meeting, or exceeding needs). ResultsIn this cohort, 28.9% were classified as overweight and 35% were obese. The mean dietary macronutrient consumption was 44.3% (±8.9%) carbohydrates, 36.6% (±7.3%) fat, and 17.3% (±4.7%) protein. Additionally, 32.3% participants consumed >45 g sugar/d. The mean n-6 to n-3 ratio was 8.0 (±3.3):1. Further, 38% of survivors reported consuming less than 1 serving of fish per week. Participants consumed between 0 and 1.03 servings of fish per day, with an average consumption of 0.16 (±0.26) servings per day and 61.5% (n = 59) consuming 0 servings per day. The mean daily combined dietary and supplement consumption of multiple micronutrients was below the Recommended Daily Allowance for Vitamin D (30%), Calcium (52.6%), Magnesium (42.1%), and Vitamin E (80%). ConclusionBreast cancer survivors 0.5–2 years post-treatment are not meeting recommended nutrition consumption guidelines for a number of nutrients. Findings suggested that nutrition therapy targeting weight loss through reduced sugar, total and saturated fat, while increasing foods rich in omega-3, and ensuring adequate micronutrient consumption would promote better nutritional consumption patterns and improve overall health during survivorship.

Consumption Of Zinc (Zn) And Iron (Fe) And Hemoglobin Levels In Female Students Of Senior High School 1 Gianyar

Young women are susceptible to nutritional problems, one of which is anemia. The cause of anemia is the lack of consumption of macro and micronutrients, such as iron and zinc. The problem of anemia in adolescent girls will cause adverse effects such as causing babies born with low weight, stunting babies, and high prenatal mortality. The purpose of this study was to determine the relationship between zinc and iron consumption and hemoglobin levels in high school students Negeri 1 Gianyar. The type of data in this study is analytical using a cross sectional design. The population in this study was grade 11 and 12 students with a sample of 60 people selected by random sampling. Data on zinc and iron consumption were obtained using a 24-hour food recall questionnaire processed using the 2007 Nutri Survey program, and hemoglobin levels were obtained by digital multicheck method, namely with GCHb Easy Touch. Data were analyzed using bivariate analysis using the Spearman rank test. The results showed the level of zinc and iron consumption was still lacking. The average consumption of zinc and iron after the data was processed was zinc consumption which was 4.3 mg and iron consumption was 4.5 mg.

Dietary Intake and Oral Glucose Tolerance Test Results in Women with Gestational Diabetes

Background/Objective: Diet is a risk factor for gestational diabetes mellitus (GDM). There are few studies on women’s diet and glucose tolerance test (GTT) results during pregnancy. The objective of this study was to evaluate the relationship between one’s previous diet and the number of abnormal values on the diagnostic GTT in women with GDM. We hypothesized that there would be an inverse relation between antioxidant micronutrient consumption and the number of abnormal GTT values. Methods: This cross-sectional study included 60 women diagnosed with GDM (2-h, 75 g-GTT), divided in two groups as follows: 1 abnormal glucose value and 2–3 abnormal values. Shortly after the diagnosis, participants answered a validated food frequency questionnaire to assess their food consumption in the last 6 months. The Mann–Whitney test was used to compare the dietary intake of the participants in the two groups. Results: The participant characteristics were similar. The median intake of total calories, carbohydrates, lipids, and proteins did not differ significantly between groups. Participants with 1 abnormal GTT value had significantly higher intakes of fiber (11.9 vs. 11.0 g/day p = 0.049), vitamin D (40.6 vs. 40.4 mcg/day p = 0.049), and vitamin C (180.0 vs. 151.0 mg/day p = 0.008) than those with 2–3 abnormal values. Conclusions: Our results suggest a possible association between the consumption of fiber and antioxidant micronutrients and the number of abnormal GTT values.

Nutritional assessment among patients undergoing bariatric surgeries

Background Bariatric surgery is currently the most effective treatment for morbid obesity. It aims to reduce dietary intake; it could lead to nutritional deficiencies as a consequence of decreased oral intake or decreased absorption of nutrients. Aim To assess the nutritional status of patients undergoing bariatric surgeries. Design A descriptive exploratory research design was utilized in the current study. Sample A convenient sample of 60 adult male and female patients who performed bariatric surgeries was enrolled in the current study within 1 year. Tools Two tools were utilized to collect data: Personal &amp; Medical data Form and Nutritional Assessment Form. Results The age of the study sample ranged between 19 to more than 50 years old, with a mean age of 36.81±10.09 years. There were 86.7% females, 73.3% married, and 71.7% performed gastric sleeve. There was a statistical significant difference in BMI (χ 2=35.29, P=0.000). Also, there were statistically significant differences in macronutrient and micronutrient consumption of recommended dietary allowances (P=0.000) among the study sample before surgery and after 1 and 3 months of surgery also, most of them complained of gastrointestinal tract upset and change in nutritional status beside micronutrient and macronutrient disturbance. Conclusion There were changes in the nutritional status 1 and 3 months after bariatric surgery. Recommendations Further studies should be conducted to assess and compare long-term follow-up nutritional status among different types of bariatric surgeries.

Role of Micronutrients (Vitamins &amp; Minerals)

Micronutrients are essential nutrients. Micronutrients are needed mostly below 100 milligrams per day for human nutrition, although macronutrients are needed in grams daily. Essential nutrients cannot be produced in human beings and, therefore needed by the diet. Micronutrients play a fundamental role in digestion and tissue maintenance but effects in inhibiting or medication of sickness which is not caused by lack of nutrients cannot be predictable from increasing the consumption. Medical insufficiency of nutrients is unfamiliar in industrialized nations i.e. High consumption of micronutrients such as folic acid and b-carotene is linked with a high threat of long-term illnesses for example cardiovascular disease, and inferior threat of congenital heart disease and cancer at different places. Above 2 billion persons in both developing and industrial Countries are disturbed by deficiencies. The actions or absorption of vitamins is slowed down by Anti-vitamins i.e., enzymes that use vitamin B1 are suppressed by Pyrithiamine. Biotin absorption is inhibited by avidin, although by cooking it is inactivated. In the human body four main basic elements (O, H, C, and N) by weight, are often not involved in the tilts of main minerals. For plants, nitrogen is a “mineral" because it is normally involved in manures. 96% of the weight of the human body is composed of these elements, and the remaining percent is composed of trace elements and macrominerals. Phosphorus, Calcium, sodium, potassium, and magnesium (macro minerals, microelements) are the five main elements in the human body. Sulfur, manganese, molybdenum, copper, iodine, selenium zinc, chlorine, cobalt, and iron are microelements, with specific biological functions in the human body. The current review analyzes the different methodologies for the study of nutritive consumption of micronutrients and will reflect the indication of the valuable influence of the supplements of micronutrients on health.

Cancer and Food-Related Risks: A Review

This review presents the most current scientific evidence related with the interaction between diet and cancer risk. For the purpose of ensuring the food's microbiological and chemical safety, as well as improving its palatability, numerous food processing techniques have been utilized. Innovations and advancements in food processing are being driven by the growing demand for food that are not only nutritious but also convenient and healthy. When new processes and compounds are discovered as a result of improvements in analytical capabilities, it is necessary to conduct a thorough analysis of the potential effects on human health. In this review, the most recent scientific findings concerning the influence of the foods we eat and the risk of developing cancer are presented. Therefore, there is a pressing need for ongoing research as well as the development of comprehensive strategies to address these preventable causes of cancer and to encourage healthier lifestyle choices. This review presents an analysis of the most recent scientific data concerning the correlation between dietary habits and the likelihood of developing cancer. In addition to an increase in the consumption of refined sugars and foods that are high in carbohydrates, these patterns also demonstrates a decrease in the consumption of macronutrients and micronutrients. In addition to this, this review investigates the impact of certain dietary regimens, such as the Mediterranean diets, as well as the intake of meat and dairy items, on the likelihood of developing cancer. Epidemiological studies, molecular mechanisms, and emerging perspectives in the field of personalized nutrition were also been reviewed. It is the objective of this review to present a comprehensive analysis of relevant studies, offering the latest scientific insights regarding the correlation between diet and the likelihood of cancer development.

Intake of micronutrients implicated in depression amongst young adults consuming vegetarian diets: a secondary analysis of the 2011-12 National Nutrition and Physical Activity Survey

Major depressive disorder (‘depression’) is significantly more prevalent amongst young adults in Australia relative to older ages. The inefficacy of current treatment options for many individuals(1) warrants investigation of additional approaches to alleviating the burden of this illness. Incidentally, diet often becomes unhealthier during the transition from adolescence to young adulthood(2). This can result in poorer micronutrient consumption, and there is a growing body of evidence indicating that an inverse relationship exists between intake of certain micronutrients and depressive symptoms(3). Given this, diet may be an important modifiable risk factor or adjunctive means of ameliorating depression for young adults. Young adult vegetarians in particular have an increased risk of some micronutrient deficiencies which have been implicated in depression(4). In combination, their age and dietary choice suggest they may be especially vulnerable to depression and therefore benefit from clear guidance to adequately meet their micronutrient requirements. The present study aimed to elucidate the need for such guidance by comparing the proportions of vegetarian and omnivorous young adult participants in the 2011-12 National Nutrition and Physical Activity Survey (NNPAS) who had inadequate intakes of micronutrients implicated in depression. The NNPAS collected the most recent nationally-representative data pertaining to the dietary intake (via two 24-h recalls) of Australians and included 2,397 young adults (18-34 years). Participants who were pregnant, lactating, or who mis-reported intakes according to Goldberg equation-derived cut-off values were excluded (n = 791). The dietary data were used to estimate usual intakes via the Multiple Source Method. Inadequate intakes were identified according to the Estimated Average Requirement (EAR) cut-point method for all micronutrients with an EAR except iron, for which the full-probability method was applied. Survey weights allocated for inference to the total Australian population were implemented throughout the analysis. The final sample was composed of 66 vegetarians (did not report any animal tissue consumption) and 1540 omnivores. The mean intake of long-chain omega-3 fatty acids (EPA, DPA, DHA) from both diet and supplementation was significantly lower in vegetarians compared to omnivores (96.3mg/day vs. 264.5mg/day, p&lt;0.001). A significantly greater proportion of vegetarians compared to omnivores had inadequate total B12 (22.7% vs. 1.4%), iron (58.3% vs. 18.9%), selenium (30.8% vs. 3.5%) and zinc (58.8% vs. 33.3%) intakes (all p&lt;0.05). These results suggest that young adult vegetarians are likely to have significantly lower consumption of long-chain omega-3 fatty acids and an increased risk of inadequately consuming vitamin B12, iron, selenium and zinc compared to their omnivorous counterparts. These findings support the notion that young adult vegetarians may have an increased risk of depression from a nutritional standpoint, and therefore stand to benefit from tailored dietary advice on a public and individual level designed to support their mental health.

An Integrated Approach to the High-Quality, Safe and Healthy Nutrition Provision for Schoolchildren

Schoolchildren nutrition is one of the urgent problems and is currently one of the most important aspects for federal executive authorities. The study aims at the integrated approach development to ensure high-quality, safe and healthy nutrition for schoolchildren at the municipal level. The study object is the school nutrition system in Ekaterinburg. Nutrition satisfaction assessments results in 2019–2020 revealed that 81 % of headmasters, 48 % of teachers, and 62% of school medical staff believed that children liked to eat in the school canteen. At the same time, a man determined that 40 % of elementary school students, 31 % of high school students, 31 % of parents of elementary school students and 28 % of parents of high school students were satisfied with the catering at school, generally. The thesis presents the proportion data on the unsatisfactory samples of nutritional value identified in the course of inspections in schools in Ekaterinburg in 2019–2022, as well as the dynamics of satisfaction with catering in the school canteen and menu. The researchers systematized data on the reasons for nutrition refusal and (or) limited nutrition in the school canteen; on the attainment of the macro- and micronutrients consumption norms compared to the actual daily rations of schoolchildren in Ekaterinburg. The proportion of children with diseases of the endocrine system in schools varies from 0 to 37 %, including those with obesity – from 0 to 15 %, with diseases of the circulatory system – from 0 to 10 %, digestive system – from 0 to 72 %, musculoskeletal system – from 0 to 65 %. The researchers interrelate the number of unsatisfactory laboratory test samples of food products in public catering enterprises in schools with the digestive diseases in schoolchildren. Based on the research results, a man developed draft municipal program.

The Relationship of Nutritional Status and Anemia Status in Adolescent Women in Sampang District

Background: Anemia is still a cause of health problems for adolescent girls and pregnant women. Anemia prevalence for reproductive age in the world is 29.9%. Anemia is caused by low hemoglobin (Hb) so that the body does not get enough oxygen-rich blood. Adolescents' vulnerability to anemia is mainly caused by the increased need for macronutrients and micronutrients, especially iron and folic acid, which are related to physical growth. Several studies have found a relationship between nutritional status and anemia. This study aims to determine the relationship between nutritional status and anemia status in adolescents. Methods: A cross-sectional correlative analytical study with primary data from 372 samples. The sampling technique was cluster random sampling in 12 stunting locus villages in Sampang Regency in November 2023. The nutritional status variable was measured by BMI/Age and anemia status by Hb levels. Univariate data analysis in the form of frequencies and percentages and bivariate using the Spearman test. Results: The average age of respondents is 15 years. The mean z-score value based on BMI/Age was -0.45 ± 1.76, the lowest value was -2.91 and the highest was 2.12. Based on the z-score value, 173 people (46.5%) showed normal nutritional status, then 24.7% were thinness, 20.2% were underweight, 4.6% were overweight and 4% were obese. The number of teenagers who were not anemic was 66.1%, 21.5% with moderate anemia, 7.3% with mild anemia and 5.1% with severe anemia. Bivariate results showed that there was a significant relationship between nutritional status and anemia (p≤0.05). Teenage girls who have thinness nutritional status and severe anemia are 42.1%, normal nutritional status and not anemic are 50.4%, normal nutritional status and mild anemia are 40.7%, and normal nutritional status and moderate anemia are 40. %. Conclusion: There is a relationship between nutritional status and anemia. The thinness nutritional status of adolescent girls, make more severe anemia they have. Young women need to increase their consumption of macro and micronutrients, especially iron intake, to improve their nutritional status. Keywords: Nutritional Status, Anemia, Adolescents, BMI, Haemoglobin

Higher dietary methyl donor micronutrient consumption is associated with higher muscle strength in adults: a cross-sectional study.

Methyl donor micronutrients might affect muscle strength via DNA methylation. We aimed to evaluate the combined relationship of dietary methyl donor micronutrients containing betaine, choline, methionine, vitamin B12, vitamin B6 and folate on muscle strength. This cross-sectional study was conducted on 267 subjects including 113 men and 154 women. Dietary intake of micronutrients was assessed utilising a validated 168-item semi-quantitative FFQ, and methyl donor micronutrient score (MDMS) was calculated. The muscle strength of the participants was measured using a digital handgrip dynamometer. The association was determined using linear regression analysis. The mean age of participants was 36·8 ± 13·2 years. After taking into account potential confounding variables, there was no significant association between dietary methyl donor micronutrient score (MDMS) and the mean left-hand muscle strength (β: 0·07, se: 0·05, P = 0·07); however, the changes were significant in the mean right-hand muscle strength (β: 0·09, se: 0·04, P = 0·03). There was also a significant positive relationship between mean muscle strength and methyl donors' intake after fully adjusting for potential confounders (β: 0·08, se: 0·04, P = 0·04). In conclusion, our findings revealed that higher dietary methyl donor micronutrient consumption is associated with enhanced muscle strength. As a result, advice on a higher intake of methyl donor-rich foods including grains, nuts, dairy products and seafood might be recommended by dietitians as a general guideline to adhere to. Additional prospective studies are needed to confirm the findings.

Requirements for essential micronutrients during caloric restriction and fasting.

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

Assessment of calorie intake and micronutrient consumption in rural North-Central Nigeria

Assessment of calorie intake and micronutrient consumption in rural North-Central Nigeria