Milk Food Research Articles

Diffusion of knowledge in the family milk production chain in the state of Rio de Janeiro

The milk food production chain is present throughout the country and has undergone many changes over time. It is extremely important to know and understand the current scenario of milk production, identifying the potential, limits and needs of this sector. The aim of this work is to research the family milk production chain in the state of Rio de Janeiro and analyze the actions taken to disseminate knowledge to small producers and the processes that could be optimized in terms of management and communication. The methodological approach used in this work is qualitative, bibliographical and exploratory. As this research is linked to the field of management, the qualitative approach was chosen because it is considered the most appropriate for understanding the subject. It is exploratory because it set out to research the family dairy chain, its characteristics, the state of the art and the diffusion and dissemination of knowledge. It was concluded that there is a need for training and capacity building in the face of the growing amount of information and knowledge that needs to be managed between the different players in the production process.

A smartphone-enabled colorimetric platform based on enzyme cascade amplification strategy for detection of Staphylococcus aureus in milk

Staphylococcus aureus is a pathogenic bacterium contaminating milk and dairy foods causing food poisoning and foodborne pathogens. In this work, a smartphone-enabled enzyme cascade-triggered colorimetric platform was constructed using a cascade bio-nanozyme formed by immobilized glucose oxidase (GOx) on Fe3O4@Ag for rapid detection of S. aureus. Benefiting from reasonable experimental design, a bio-nanozyme cascade-triggered reaction was achieved through H2O2 produced by GOx oxidation of glucose, followed by in situ catalysis of 3,3',5,5'-tetramethylbenzidine (TMB) by the inherent peroxidase-like activity of Fe3O4@Ag to produce color signals. Staphylococcus aureus detection could be performed through naked-eye observation and smartphone measurement, and the developed assay can achieve quantitative and qualitative detection of S. aureus. The on-site nanoplatform had satisfactory specificity and sensitivity with a low detection limit of 6.9 cfu·mL-1 in 50 min. Moreover, the nanoplatform has good practicality in the detection of S. aureus in milk samples. Therefore, the assay has potential application prospects in food safety inspection.

Therapeutic Effect of Synbiotics (Lactobacillus reuteri, Lactobacillus rhamnosus, Bifidobacterium infantis, and Fructooligosaccharides (FOS)) on Acute Non-bloody Diarrheal Episodes in Hospitalized Children Aged Between 6 - 24 Months: Randomized Double-Blind Placebo-Controlled Trial

Background: Regarding the appropriate effect of probiotics in treating acute diarrhea and the high prevalence of non-bacterial acute diarrhea among children in the population. Objectives: The present study evaluates the effect of synbiotic drops in children with acute diarrhea, including the number of hospitalization days, daily excreted diarrhea volume, duration of diarrhea, and reduction in the number of excretions between the case and control groups. Methods: This was a prospective double-blinded and randomized-controlled clinical trial on children aged 6 - 24 months with non-bloody acute diarrhea were included. The reason for hospitalization was diarrhea. In the case group, the patients consume PediLact (Zisttakhmir, Tehran, Iran) drop (Lactobacillus rhamnosus, Lactobacillus reuteri, and bifidobacterium infantis) 109 CFU and fructooligosaccharides. PediLact drop was used with milk or lukewarm food for five days along with other routine hospital cares. The number of hospitalization days, the daily excreted diarrhea, diarrhea duration, and decreasing numbers of excretion in patients were compared. Results: In the current study, 114 children were included. The duration of hospitalization was 3.87 ± 0.9 days in the synbiotic group and 4.26 ± 0.12 days in the placebo group (P-value = 0.001). The time between the onset of diarrhea and recovery was significantly higher in the placebo group than in the synbiotic group (P = 0.032). The number of evacuations was 1.89 ± 0.13 in the synbiotic group and 2.52 ± 0.18 in the placebo group (P = 0.014).

A comparison of nutritional contents and price differential between dairy and plant-based milk in Fijian supermarkets

Plant-based milk import has been increasing in the Fijis supermarkets. While this milk may cater for vegans(1) and people with allergies from dairy milk, the question always remains that if the plant-based milk are equally nutritious and available at reasonable price in comparison to the dairy milk. Dairy milk is commonly consumed by the Fijian population while the plant-based milk is positioning itself into the market as alternatives. Therefore, this paper is aimed at comparing the nutrient content and price of milk from dairy cows and plant milk sources available in the supermarkets in Fiji. This study examines different brands of dairy and plant-based milk in 6 major supermarket chains in the central part of Fiji. There was 22 dairy milk, 6 soya milk, 5 almond milk and 4 oat milk sampled from these supermarkets. The median value of milk nutrient composition and price for dairy milks and different plant-based milks were calculated as the data was not normally distributed. The Kruskal- Wallis test was conducted to further analyse the difference between the nutrient composition and price of dairy milks and plant-based milk. The energy composition in the dairy milk was significantly higher (p < 0.01) when compared with plant-based milks soya almond milk and oat. There was a significant difference (p < 0.01) in dairy milk protein, fat and saturated fat when compared to plant-based milks. The result indicated that the protein, fat, and saturated fat are both significantly higher in cow’s milk. Milk carbohydrate analysis indicate higher composition in dairy milk therefore a significant difference (p < 0.01) was noted when compared to almond milk(except soya and oat milk). There is a significant difference (p < 0.01) in sugar indicating cow’s milk having higher sugar when compared to plant-based milk (except soya milk The sodium composition in the dairy milk and all the plant- based milk showed no significance difference (p > 0.05) in the composition. There was also significant difference (p < 0.05) in comparison of calcium composition of dairy milk and plant-based milk indicating almond milk with lower calcium. The phosphorus composition in dairy milk and plant-based milk indicates that there is a strong significant difference (p < 0.01) (except soya and oat milk). The riboflavin composition was significantly higher (p < 0.01) in dairy milk compared to soya and oat milk. Lastly, there was significant difference (p < 0.01) between price of dairy milk when compared to plant-based milk. The study concludes that there is more nutrient in dairy milk and the price is significantly lower than plant-based milk at which these nutrients are available in dairy milk.

THE ROLE OF DAIRY FOODS FOR HEALTHY AGING

Nutrition is a variable risk factor that may be associated with aging. As individuals age, they may experience various nutritional deficiencies and health issues related to inadequate and excessive nutrition. These can include problems with the musculoskeletal system, diminished immune function, metabolic disorders, and cognitive decline. The World Health Organisation has developed a model of healthy aging that focuses on optimizing many aspects of individuals’ intrinsic ability, such as cognition, psychological well-being, sensory function, vitality, and movement. Milk and dairy foods have the potential to help prevent physical and cognitive decline. Milk and dairy foods play a crucial role in providing a variety of essential nutrients, especially during specific stages of life. Dairy products have a significant opportunity to play a vital role in reducing geriatric malnutrition and the loss of muscle mass, bone strength, and functionality. This review aims to comprehensively analyze the potential health benefits of milk and dairy foods. By examining the evidence of associations between these products and the reduction in the incidence of chronic diseases, this study highlights the potential for older adults to lead longer and healthier lives.

Pelatihan Pijat Oketani Ibu Post Partum pada Kader Kesehatan di Wilayah Kerja Puskesmas Tulehu Kabupaten Maluku Tengah

Tulehu Community Health Centers is one of the community health centers in these work areas of the Central Maluku Regency Health Services. has 17 Posyandu with 85 active health cadres. There are IYCF Cadres who are representatives of the 17 Posyandu Health cadres. they were formed and trained in 2019. Exclusive breastfeeding coverage in the Tulehu Health Center working area is 32%, which is not yet according to the target of 40%. There were 129 babies, but only 41 people received breast milk. This happens because some mothers say that breast milk production is lacking (insufficient breast milk syndrome), so they give formula milk and additional food before 6 months, the activity aims is to increase the knowledge and skills of cadres in helping overcome breastfeeding problems in postpartum mothers. 20 cadres were targeted in the activities. The activities carried out consisted of providing oketani massage material demonstrations and re-demonstrations followed by independent practice a home using the learning models/media provided. The post-test results showed that there was an increase in knowledge from 7.1 to 92.26 and the skills assessment results were very good, namely 97.1. This indicates a very good achievement for the participants. It is hoped that regular monitoring and evaluation by midwives of the results of the oketani massage carried out by cadres will result in the problem of breastfeeding being resolved and the coverage of exclusive breastfeeding increasing.

Development of IgE-mediated food allergies in children with history of food protein-induced allergic proctocolitis: a series of five cases.

Food protein-induced allergic proctocolitis (FPIAP) is a non-IgE-mediated allergic condition that presents with hematochezia in otherwise healthy infants. It is most commonly induced by cow's milk protein via breast milk or formula. The prognosis for FPIAP is generally considered favorable with most infants achieving symptomatic resolution after diet modification. Most infants go on to tolerate the offending foods by 1-3 years of age. Over 8 years at our institution, five patients were identified and noted to have FPIAP to cow's milk during infancy with subsequent development of IgE-mediated allergic reaction to cow's milk and other foods. All five cases developed other atopic disorders (atopic dermatitis in four cases). IgE-mediated cow's milk allergy has persisted beyond the preschool years in at least two patients (currently 8 and 16 years old). For three of the patients, the IgE-mediated reaction to cow's milk was severe with development of anaphylaxis or angioedema. In addition, three patients experienced anaphylaxis or angioedema to allergens other than milk. While FPIAP is a non-IgE-mediated process traditionally thought not to progress past the first year of life, some infants with FPIAP develop severe, persistent IgE-mediated cow's milk allergy. To our knowledge, this is the first detailed clinical description of such patients.

Pre-lacteal feeding practice and associated factors among mothers having children aged less than six months in Dilla town, Southern Ethiopia

BackgroundPre-lacteal feeding, the introduction of liquids or non-breast milk foods before establishing regular breastfeeding, poses significant risks to newborns, depriving them of vital nutrients and the protective benefits of colostrum while exposing them to infection hazards. Despite breast milk being a renewable and comprehensive source of infant nutrition for the first six months of life, prevalent in many low income country are pre-lacteal feeds such as honey, sugar-water, jiggery water, castor oil, and goat’s milk. These practices, widespread in such regions, carry potential risks of infection and aspiration. The objective of this study is to assess the prevalence of pre-lacteal feeding and identify associated factors among mothers with children under six months in Dilla Town, Southern Ethiopia.MethodA community-based cross-sectional study took place in Dilla town, southern Ethiopia, spanning from June 20 to August 20, 2022. The study included a total of 372 participants, selected through simple random sampling for kebele and systematic random sampling for individual participants. Data was collected using interviewer-administered structured questionnaires and subsequently coded, entered, cleaned, and edited using SPSS version 23.0 software. The presentation of data utilized tables and figures, followed by a logistic regression analysis to identify potential factors associated with pre-lacteal feeding. The significance level was set at a p-value less than 0.05 for the final model.ResultThe prevalence of pre-lacteal feeding practice was 176 (47.3%) in the study area and having no maternal education (AOR = 3.68, 95% CI; [1.01–5.84] colostrum avoidance (AOR = 4.20, 95% CI; [2.03–6.86] and lack of breast feeding counseling (AOR = 2.00, 95% CI; 1.40–2.57), were factors associated with pre-lacteal feeding practices.Conclusion and recommendationPre-lacteal feeding practice among mothers of children aged less than 6 months in Dilla town was found to be higher than the national prevalence. No formal education, colostrum avoidance, lack of breastfeeding counseling, were factors associated with pre-lacteal feeding practices. So awareness creation activities on the risks of PLF (pre-lacteal feeding) and improving breastfeeding counseling targeted to all mothers and care givers including their families within the study area is vital.

Understanding Maternal Nutrition Insights from Pregnant Women in Bamenda, Cameroon

The foundation for good physical health is good nutritional status. Nutritional status of pregnant women is directly affected by the foods they eat and their nutrient content. Nutritional knowledge is positively associated with diet quality. The aim of this study was to assess nutritional status and nutrition education knowledge of pregnant women attending antenatal clinics in Bamenda Health District (BHD). 
 Study Design: This study was carried conducted in BHD in the North West Region of Cameroon, with pregnant women aged 13 to 49 years recruited from public hospitals.
 Place and Duration of Study: BHD including (Bamenda Regional Hospital, Azire Integrated Health centre, Atuakom Integrated Health Centre, Ntambag Integrated Health Centre) between April 2022 to September 2022.
 Methodology: This was a cross sectional study carried out in four health facilities BHD. Random sampling technique was done to target the sample size of 354 pregnant women. A questionnaire was developed to collect socio-demographic information and clinical records of the pregnant women. Anthropometric parameters, biochemical and dietary assessments of the women were determined using standard techniques. Data collected was analysed by MS excel and SPSS Statistics version 20.0. Results were considered at significance level P ≤ 0.05. 
 Results: The mean age of the study population was 26.4±5.5years and the average intake of servings of meals per day was suboptimal in the consumption of vegetables (2±1.9), fruits (0.6± 1.3) and milk (0.4 ±0.6) food groups. Women consumed diets that met less than 50% of energy needs. There exists a significant difference in mean energy requirements 1828.8 ± 152.9 Kcal compared to mean energy intake 1192.0 ± 344.6 Kcal which is below the Recommended Daily Allowances (RDA) of 2400 kcal for pregnant women. Ignorance still existed in dietary knowledge and 18.1% of the women were anaemic. 
 Conclusion: There was an overall suboptimal approach to dietary intake among the pregnant women, inadequate food intake, poor food choices and limited healthy dietary knowledge. Thus pregnant women in BHD still need more access to information on dietary information.

Microbiome: Mammalian milk microbiomes: sources of diversity, potential functions, and future research directions.

Milk is an ancient, fundamental mammalian adaptation that provides nutrition and biochemical communication to offspring. Microbiomes have been detected in milk of all species studied to date. In this review, we discuss: (a) routes by which microbes may enter milk; (b) evidence for proposed milk microbiome adaptive functions; (c) variation in milk microbiomes across mammals; and (d) future research directions, including suggestions for how to address outstanding questions on the viability and functionality of milk microbiomes. Milk microbes may be sourced from the maternal gastrointestinal tract, oral, skin, and mammary gland microbiomes and from neonatal oral and skin microbiomes. Given the variety of microbial sources, stochastic processes strongly influence milk microbiome assembly, but milk microbiomes appear to be influenced by maternal evolutionary history, diet, environment, and milk nutrients. Milk microbes have been proposed to colonize the neonatal intestinal tract and produce gene and metabolic products that influence physiology, metabolism, and immune system development. Limited epidemiological data indicate that early-life exposure to milk microbes can result in positive, long-term health outcomes. Milk microbiomes can be modified by dietary changes including providing the mother with probiotics and prebiotics. Milk replacers (i.e. infant formula) may benefit from supplementation with probiotics and prebiotics, but data are lacking on probiotics' usefulness, and supplementation should be evidence based. Overall, milk microbiome literature outside of human and model systems is scarce. We highlight the need for mechanistic studies in model species paired with comparative studies across mammals to further our understanding of mammalian milk microbiome evolution. A broader study of milk microbiomes has the potential to inform animal care with relevance to ex situ endangered species. Milk is an ancient adaptation that supports the growth and development of mammalian neonates and infants. Beyond its fundamental nutritional function, milk influences all aspects of neonatal development, especially immune function. All kinds of milks so far studied have contained a milk microbiome. In this review, we focus on what is known about the collection of bacterial members found in milk microbiomes. Milk microbiomes include members sourced from maternal and infant microbiomes and they appear to be influenced by maternal evolutionary history, diet, milk nutrients, and environment, as well as by random chance. Once a neonate begins nursing, microbes from milk colonize their gut and produce byproducts that influence their physiology, metabolism, and immune development. Empirical data on milk microbiomes outside of humans and model systems are sparse. Greater study of milk microbiomes across mammals will expand our understanding of mammalian evolution and improve the health of animals under human care.

Asupan Gizi Anak Usia Dini Melalui Program Kerja Di Wilayah Kerja Puskesmas Tamalanrea Makassar

In Indonesia, nutritional problems, especially for early childhood, are a big problem because they are closely related to general health indicators such as morbidity and mortality rates. One effort to improve the level of public health can be done by improving the nutritional status of all family members with the support of various factors in a coordinated manner and is part of development to improve community welfare. The aim of efforts to improve nutritional status is to improve the nutritional condition of all members of society through participation and equal distribution of activities, changes in behavior that support the achievement of improved nutrition. Nutrition, which plays a big role in children's growth and development, must be a supervised and programmed part. Nutritional intake in early childhood cannot be separated and is closely related to children's health and intelligence. Apart from that, the nutritional intake the child receives will be a supporting factor in the child's growth and development. An unbalanced diet and inadequate or excessive nutritional intake can cause stunted growth and development in children. Monitoring of nutritional status is carried out every month in the Tamalanrea Community Health Center Work Area, there are 6 young children who have normal nutritional status and 18 young children still have malnutrition status, one of which is malnourished. Thirteen Early Childhood Children can no longer be monitored because they are not actively attending. The quality and quantity of complementary foods for breast milk really determines the nutritional status of young children. For this reason, mothers need to be given knowledge and skills in processing food by paying attention to the quality and quantity of complementary breast milk foods. Quality is seen from the type and diversity of food, while quantity is seen from the frequency of feeding. In connection with this, community service activities were carried out involving malnourished mothers of young children in making nutritious and varied complementary foods for breast milk.

Changes in UK price disparities between healthy and less healthy foods over 10 years: An updated analysis with insights in the context of inflationary increases in the cost-of-living from 2021

Food prices and affordability play an important role in influencing dietary choices, which in turn have implications for public health. With inflationary increases in the cost-of-living in the UK since 2021, understanding the dynamics of food prices becomes increasingly important. In this longitudinal study, we aimed to examine changes in food prices from 2013 to 2023 by food group and by food healthiness. We established a dataset spanning the years 2013–2023 by combining price data from the UK Consumer Price Index for food and beverage items with nutrient and food data from the UK nutrient databank and UK Department of Health & Social Care's National Diet and Nutrition Survey data. We calculated the price (£/100 kcal) for each food item by year as well as before and during the period of inflationary pressure, and classified items into food groups according to the UK Eatwell Guide and as either “more healthy" or “less healthy" using the UK nutrient profiling score model. In 2023, bread, rice, potatoes and pasta was cheapest (£0.12/100 kcal) and fruit and vegetables most expensive (£1.01/100 kcal). Less healthy food was cheaper than more healthy food (£0.33/100 kcal versus £0.81/100 kcal). Before the inflationary pressure period (from 2013 to late 2021), the price of foods decreased by 3%. After this period, the price of food increased by 22%: relative increases were highest in the food group milk and dairy food (31%) and less healthy category (26%). While healthier foods saw smaller relative price increases since 2021, they remain more expensive, potentially exacerbating dietary inequalities. Policy responses should ensure food affordability and mitigate price disparities via, for example, healthy food subsidies.

The association of milk and multiple food avoidance with growth parameters in infants and children

BackgroundRecent studies reported that strict avoidance of milk products in cow's milk allergy (CMA) affects growth and bone turnover, causing negative calcium balance and changes in bone metabolism. ObjectiveTo investigate biochemical parameters to predict bone turnover and its relations with height and weight measurements and nutritional intake. MethodsHeight, weight, and body mass index z scores were plotted for age according to the World Health Organization. A 3-consecutive day food record was analyzed for nutritional values of foods. The blood levels of calcium, phosphorus, alkaline phosphatase, vitamin D, and parathyroid hormone (PTH) were determined. ResultsThe study included 69 controls, 66 children with isolated CMA, and 59 children with multiple food allergy (FA). The z scores for weight, height, and body mass index were lower in isolated CMA and multiple FA groups than controls (P < .001, P = .004, and P = .002, respectively). The nutritional intakes of protein, fat, carbohydrates, vitamins B2 and B12, niacin, calcium, and phosphorus were significantly lower in isolated CMA and multiple FA than controls. In infants (≤2 years of age), although blood calcium level was in normal range, it was significantly lower in isolated CMA and multiple FA than in controls (P < .001). In children older than 2 years, PTH level was significantly higher in isolated CMA and multiple FA groups than in controls (P = .003). ConclusionOur study revealed that children with isolated CMA and multiple FA had a high nutrition gap, growth deceleration, and unbalanced bone metabolism, as illustrated by low blood calcium and elevated PTH levels.

87 Functional rumen microbiological survey of triplet-bearing Polypay ewes from parturition to weaning

Abstract Ewes transitioning from late gestation to early lactation face a number of challenges including physiological stress, dietary changes, and metabolic adaptations, particularly when bearing and rearing multiple offspring. Furthermore, rumen microbial composition and function has been correlated with milk production and nutrient density in transitioning dairy cows. However, limited research has evaluated the rumen microbial community of ewes during early lactation. The objective of this study was to conduct a functional microbiological survey of the ewe rumen from parturition to weaning. We hypothesized that ewes would experience fermentative disturbances post-parturition and that the rumen microbiota, and consequently, circulating metabolites, would recover over time. Nine multiparous Polypay ewes bearing triplets were fed a lactation diet consisting of alfalfa hay and concentrate mix to meet protein and energy requirements. One lamb of each triplet set was randomly selected and placed on milk replacer 24 h after birth. The two lambs remaining on the ewe were weaned at 56 d of age. Blood and rumen samples from ewes were collected via jugular venipuncture and oral intubation, respectively, at 2, 7, and 15 d of lactation in addition to at the time of weaning. Rumen bacterial functional guilds were enumerated via serial dilution. Ruminal short-chain fatty acids (SCFA) were quantified via HPLC and serum metabolites by LC-MS. All data were analyzed using PROC Mixed with repeated measures in SAS (v. 9.4, SAS Inst. Inc., Cary, NC). Total starch-utilizing bacteria remained steady during early lactation but increased 100-fold by weaning (P = 0.03). In contrast, the starch-utilizing guild sub-population lactobacilli increased 10-fold by d 15 of lactation (P &amp;lt; 0.01) and remained constant through weaning (P &amp;gt; 0.05). No differences were found in the viable number of rumen cellulolytic bacteria (P = 0.37) throughout the study. Ruminal propionate concentrations increased 35% (P = 0.04) from d 2 to weaning and serum propionate (36.8 ± 4.42 µM; P = 0.08) and glucose (59.8 ± 2.97 mg dL-1; P &amp;lt; 0.01) peaked on d 15 of lactation. While ruminal acetate did not fluctuate in early lactation, it increased 58% by weaning (P &amp;lt; 0.01) leading to an 88% increase in serum acetate (P &amp;lt; 0.01). Ruminal butyrate increased 49% by d 15 (P = 0.01) and this was reflected in a 7-fold increase in serum butyrate (P = 0.02). However, serum β-hydroxybutyrate did not differ from parturition through weaning (P = 0.51). Results of this experiment demonstrate that rumen bacterial functional guilds, as well as rumen and serum metabolites, were lowest two days post-parturition and increased over the course of lactation. This may suggest that ruminal fermentation is suppressed post-parturition, which could have implications for early lactation management strategies of triplet-bearing ewes.

Children's dietary patterns and dietary networks in five regions in China

To analyze the dietary patterns and dietary networks of children in China, explore regional differences in dietary habits in each region. The subjects of the study were children aged 3-17(n=5824) in North Coast Economic Zone, Northeast, Central China, East Coast Economic Zone and Southwest Economic Zone who participated in the China Health and Nutrition Survey. The dietary pattern was obtained by factor analysis. Using mutual information, a measure to detect both linear and non-linear correlations between food groups constructed the dietary networks. Factor analysis resulted in five dietary patterns. Pattern 1 was related to high intakes of wheat and other cereals, pattern 2 was related to high intakes of fruits, milk, eggs and fast foods, pattern 3 was associated with high intakes of tubers, snacks, cakes, beverages and fast foods. The Northeast, Central China and North Coast Economic Zone regions had higher pattern 1 score. Pattern 2 scored higher for North Coast Economic Zone and East Coast Economic Zone regions. Pattern 3 scores in the Northeast region were higher than North Coast Economic Zone and East Coast Economic Zone regions. North Coast Economic Zone, Central China and Southwest Economic Zone regions had focused networks. The network of Northeast and East Coast Economic Zone regions were multiple. All regions were characterized by vegetables, or cereals as the hub. The dietary patterns and networks of children in the five regions of China exhibit regional differences.

Dietary Changes of Youth during the COVID-19 Pandemic: A Systematic Review

BackgroundThe coronavirus disease 2019 (COVID-19) pandemic has taken the lives of millions and disrupted countless more worldwide. Simply living through the pandemic has had drastic effects on the health of citizens. Diet, an important aspect of health, has been uniquely affected by the pandemic, although these changes have not been sufficiently studied among youth. ObjectivesThe objective of this systematic review was to investigate dietary changes of youth during COVID-19. MethodsA prespecified literature review was conducted using MEDLINE, EMBASE, Scopus, and CINAHL to identify studies from January 2020 to May 2023 that assessed dietary changes among youth aged ≤20 y compared with before the pandemic. Only quantitative observational studies that were published in English were included. Two authors completed all screening/study selection independently, with disagreements being resolved via discussion. Data extraction was completed by 1 author. Dietary changes were categorized into food groups and habits for analysis purposes. ResultsIn total, 67 studies met inclusion criteria. Most studies used recall to assess changes (48/67; 71.6%). Most studies found an increase in fruits and vegetables (24/46; 52.2%), grain products (6/11; 54.5%), meat, poultry, and eggs (4/8, 50.0%), diet quality indices and/or overall dietary assessments (7/13, 53.8%), and the frequency of snacking (9/12; 75.0%), whereas generally finding a decrease in ultraprocessed foods (32/53; 60.4%), compared with before the COVID-19 pandemic. Mixed findings or primarily no changes were found for fish and aquatic products, legumes, beans, seeds and nuts, milk and milk products, breakfast consumption, and nutrient intake. ConclusionsMostly favorable dietary changes appear to have occurred among youth during COVID-19, although there were several mixed findings and unclear takeaways among the foods and habits under study. The heterogeneity of defining food groups was a noted limitation in the current review.

Prevalence of Children Aged 6 to 23 Months Who Did Not Consume Animal Milk, Formula, or Solid or Semisolid Food During the Last 24 Hours Across Low- and Middle-Income Countries

The introduction of solid or semisolid foods alongside breast milk plays a vital role in meeting nutritional requirements during early childhood, which is crucial for child growth and development. Understanding the prevalence of zero-food children (defined for research purposes as children aged 6 to 23 months who did not consume animal milk, formula, or solid or semisolid food during the last 24 hours) is essential for targeted interventions to improve feeding practices. To estimate the percentage of zero-food children in 92 low- and middle-income countries. This cross-sectional study analyzed nationally representative cross-sectional household data of children aged 6 to 23 months from the Demographic and Health Surveys and the Multiple Indicator Cluster Surveys conducted between May 20, 2010, and January 27, 2022. Data were obtained from 92 low- and middle-income countries. Standardized procedures were followed to ensure data comparability and reliability. Both percentage and number of zero-food children were estimated. The outcome studied was defined as a binary variable indicating children aged 6 to 23 months who had not been fed any animal milk, formula, or solid or semisolid foods during the 24 hours before each survey, as reported by the mother or caretaker. A sample of 276 379 children aged 6 to 23 months (mean age, 14.2 months [95% CI, 14.15-14.26 months]) in 92 low- and middle-income countries was obtained, of whom 51.4% (95% CI, 51.1%-51.8%) were boys. The estimated percentage of zero-food children was 10.4% (95% CI, 10.1%-10.7%) in the pooled sample, ranging from 0.1% (95% CI, 0%-0.6%) in Costa Rica to 21.8% (95% CI, 19.3%-24.4%) in Guinea. The prevalence of zero-food children was particularly high in West and Central Africa, where the overall prevalence was 10.5% (95% CI, 10.1%-11.0%), and in India, where the prevalence was 19.3% (95% CI, 18.9%-19.8%). India accounted for almost half of zero-food children in this study. In this cross-sectional study of 276 379 children aged 6 to 23 months, substantial disparities in the estimates of food consumption across 92 low- and middle-income countries were found. The prevalence of zero-food children underscores the need for targeted interventions to improve infant and young child feeding practices and ensure optimal nutrition during this critical period of development. The issue is particularly urgent in West and Central Africa and India.

Replacing conventional concentrates with sprouted barley or wheat: Effects on lactational performance, nutrient digestibility, and milk fatty acid profile in dairy cows

Finite natural resources, rising human population, and climate change pose challenges to traditional crop production. Hydroponically grown fodder (i.e., sprouted grains) can be an alternative feed source for dairy cows; however, only sprouted barley has been investigated in low-producing cows. We aimed to evaluate the effect of replacing conventional concentrates with sprouted barley or wheat, grown using hydroponics, on milk production, nutrient digestibility, and milk fatty acid profile in high-producing cows. Twenty-four multiparous Holstein cows (3.25 ± 1.33 lactations; 102 ± 23 DIM; 49 ± 4 kg/d of milk) were used in a replicated 3 × 3 Latin square design with 21-d experimental periods. Following a 2-wk covariate period, cows were fed 1 of 3 experimental diets: a TMR (1) without sprouted grains (control), or with (2) 10% sprouted barley, or (3) 10% sprouted wheat on a DM basis. Experimental diets were formulated to be isoenergetic and isonitrogenous with sprouted grains that replaced ground corn, soybean meal, canola meal, and dextrose. Sprouted grains were grown using a semi-automatic hydroponic system and harvested after 6 d of growth. Data and sample collection occurred during the last 3 d of the covariate and experimental periods. Wide ranges were observed for the DM percent of sprouted grains (12.1%-22.9% and 13.3%-25.7% for barley and wheat, respectively) and the ratio of sprouted fodder to seed (0.67-1.07 for both barley and wheat). Feeding sprouted grains did not modify the yield of milk or ECM; however, DMI were lower for barley, relative to control. Feed efficiencies were greater for barley than for control (1.49 ± 0.03 vs. 1.43 ± 0.03 for milk yield/DMI; 1.85 ± 0.03 vs. 1.73 ± 0.04 for ECM/DMI). Yields and concentrations of milk components (i.e., fat, true protein, and lactose) were not affected by treatment. Milk urea N concentrations were greater for wheat, relative to control or barley. Body weight (752 ± 3 vs. 742 ± 3 kg) and BW gains (6.53 ± 2.99 vs. -9.33 ± 2.91 kg/21 d) were higher for wheat than for control. Apparent total-tract digestibility of organic matter was greater for wheat relative to barley. Digestibilities of NDF and starch were higher for wheat and control, relative to barley, and CP digestibility was greater for wheat, relative to barley and control. Rumination and physical activity were not affected by treatment. In summary, replacing traditional concentrates with sprouted grains grown using hydroponics improved milk production efficiency (barley sprouts) or enhanced body weight gain (wheat sprouts). A life-cycle assessment needs to be conducted to determine the net effect of this feeding strategy for the dairy industry.

Changes in the Concentration of fat, Protein and Carbohydrates During the Excretion of Milk by Vacuum Breast Pump and Breast Pump with Compression

Background: The purpose of the work is to investigate the contents of the main nutrients of milk (fat, protein, lactose), as well as the energy value of milk in the process of expression milk using an vacuum electric breast pump and vacuum electric breast pump with compression pulses simultaneously. Method: Surveys were conducted on 9 women 5-8 weeks of lactation. The analysis was carried out in 10 ml samples of milk, which were continuously expression with breast pump «Laktopuls»: only with vacuum stimuli, and simultaneously with vacuum and compression stimuli. The sampling continuity was ensured by a specially developed procedure. Milk analysis in the samples was performed 1-1.5 hours after gland expression on a Miris AB Uppsala, Sweden, human milk analyzer. Finding: The largest changes in milk samples were observed in fat concentration. The fat content in milk increased in each subsequent sample and in the latter samples could exceed its content in the initial samples by 3-4 times. The total amount of fat was about 25% more when milk ejected by breast pump with vacuum and compression stimuli than with vacuum stimulus only. When determining the protein concentration in milk samples, an increase in its concentration was also found during milk ejection, but on 10-20%. In contrast to the dynamics of fat and protein concentrations, the carbohydrate concentration did not change in all women during the milk ejection. Conclusion: A method has been developed that allows analyzing milk nutrients during the continuous removal of milk from the gland. Surveys have shown that ejection of milk with breast pump with vacuum and compression stimuli, increases the amount of fat and protein in breast milk.

P1183 Perception of the role of diet on symptom exacerbation in patients with Inflammatory Bowel Disease

Abstract Background A substantial proportion of patients with inflammatory bowel disease (IBD) believe that diet plays an important role in disease activity. As a result, IBD patients often change their dietary regimen in order to improve their symptoms and to prevent recurrences, however most of them choose self-imposed dietary restrictions that may lead to malnutrition and to a significant reduction in quality of life. The aim of our study was to evaluate dietary habits and the perception of the relationship between diet and symptoms in IBD patients. Methods A semi-structured questionnaire assessing demographics, clinical features, perception of the role of diet on symptom exacerbations and dietary habits including adoption of food restrictions was developed by our gastroenterologists and dietitians and was administered to patients with IBD. Results 85 patients with IBD (56 with Ulcerative Colitis and 29 with Crohn’s Disease, mean age 55.0 ± 15.9 years, 43 males) were enrolled in the study. Most IBD patients did not perceive diet as a possible cause of disease (68/85 patients, 80.0%) or relapses (70/85 patients, 82.3%), but the majority of them (55/85 patients, 64.7%) believed that certain foods and drinks could worsen disease symptoms. Alcohol, carbonate drinks, milk, spicy and fat foods were often considered as a possible cause of symptom deterioration. Although 50/85 patients (58.8%) stated that they changed their diet after the diagnosis, only 19/85 patients (22.3%) declared to adopt a "restrictive" diet by reducing or avoiding some foods. However, 64/85 patients (75.3%) showed low/intermediate adherence to Mediterranean Diet (MD) (calculated with the MediLite Score), and no patient had high adherence to MD. Finally, the majority of IBD patients declared that they would like to receive more information on diet in relation to their disease. Conclusion In our study, the majority of IBD patients perceived that certain foods and drinks could worsen disease symptoms and accordingly changed their diet after the diagnosis. The adoption of restrictive diets is probably more frequent than declared by IBD patients, as suggested by the high prevalence of low/intermediate adherence to MD. Education of healthcare providers is important to improve knowledge and quality of nutrition in IBD patients.