Milk Intake Research Articles

Eosinophilic gastroenteritis and colitis related to cow’s milk allergy: A case report

Objective: To provide evidence on clinical, laboratory, histopathological features, diagnostic and treatment of primary eosinophilic gastroenteritis in children. Case presentation: A 7-year-old boy admitted to the 108 Military Central Hospital with symptoms of abdominal pain, nausea and vomiting, recurrent diarrhea related to cow's milk intakes. The child was diagnosed with eosinophilic gastroenteritis, combined with increased serum IgE. The disease was stabilized with corticosteroids, oral proton pump inhibitors (PPIs) combined with the elimination of cow's milk from the daily diet. Conclusion: Primary eosinophilic gastroenteritis in children was definitively diagnosed based on exclusion of other causes of eosinophilia and 3 features: Gastrointestinal symptoms, endoscopy showed gastrointestinal eosinophilic infiltration, peripheral eosinophilia. Corticosteroids are the most effective and useful symptom control drugs in most cases in combination with a diet, eliminating the allergic component.

Dairy consumption and incident prediabetes: prospective associations and network models in the large population-based Lifelines Study

BackgroundEvidence on associations between dairy consumption and incident prediabetes is inconsistent. One potential explanation for heterogeneity is that health behavior and food intake covary with the consumption of various high-fat and low-fat dairy types. ObjectiveThe objective was to investigate the associations of total dairy and dairy types with incident prediabetes and to assess how dairy intake is linked with metabolic risk factors, lifestyle behaviors, and foods, as potential explanations for these associations. MethodsOverall, 74,132 participants from the prospective population-based Lifelines study were included (mean age, 45.5 ± 12.3 y; 59.7% female). Baseline dairy intake was measured using a validated food frequency questionnaire. Prediabetes at follow-up was defined based on the World Health Organization/International Expert Committee criteria as fasting plasma glucose of 110–125 mg/dL or glycated hemoglobin concentrations of 6.0%–6.5%. Associations were analyzed using Poisson regression models adjusted for social demographics, lifestyle behaviors, family history of diabetes, and food group intake. Interconnections were assessed with mixed graphical model networks. ResultsAt a mean follow-up of 4.1 ± 1.1 y, 2746 participants developed prediabetes (3.7%). In regression analyses, neutral associations were found for most dairy types. Intake of plain milk and low-fat milk were associated with a higher risk of prediabetes in the top compared with bottom quartiles (relative risk [RR]: 1.17; 95% confidence interval [CI]: 1.05, 1.30; P-trend = 0.04 and RR: 1.18; 95% CI: 1.06, 1.31; P-trend =0.01). Strong but nonsignificant effect estimates for high-fat yogurt in relation to prediabetes were found (RRservings/day: 0.80; 95% CI: 0.64, 1.01). The network analysis showed that low-fat milk clustered with energy-dense foods, including bread, meat, and high-fat cheese, whereas high-fat yogurt had no clear link with lifestyle risk factors and food intake. ConclusionsIn this large cohort of Dutch adults, low-fat milk intake was associated with higher prediabetes risk. Heterogeneous associations by dairy type and fat content might partly be attributed to confounding caused by behaviors and food intake related to dairy intake.

THU179 Lifestyle Practices Elicited Different Responses To Growth Velocity Among Adolescents Depending On Different Levels Of Genetic Risk Score

Abstract Disclosure: N. Nguyen: None. H. Fan: None. Y. Chen: None. Context: The evidence regarding effects of different lifestyle pratices, such as sun bathing, exercising, rope jumping, sleep duration, and milk intake, on growth velocity remain controversial and the influence of genetically determined characteristics on this association is less studied. Objective: To assess the impacts of different lifestyle pratices on annualized growth velocity and evaluate the role of several combined height-related alleles, mirrorred by the genetic risk score, on the association between lifestyle practices and growth among adolescents. Design: Prospective cohort study (mean follow-up duration: 2 years) Setting: Primary Care Participants: The Taiwan Puberty Longitudinal Study cohort, including male and female adolescent aged 6-17 (N = 1036) who were examined at both baseline and follow-up clinic visits. Main Outcome Measures: The effects of regular lifestyle practices (sun soaking, exercise habit, jumping rope, milk intake and sleep duration) on changes in height measurements. Participants will be stratified by either low or high genetic risk score. Results: Among lifestyle practices, sleep duration was significantly associated with growth velocity. Sleeping hours ranging between 7-8 hours per night were linked with a greatest growth. This relation was mainly driven by differences in males and was more obvious during Tanner’s stage II-III. The positive association between sleep duration and growth velocity was driven by significance in participants with low genetic risk score but not in those with high genetic risk score. Meanwhile, milk intake of greater than or equal to one cup per day had a modest effect on height velocity in male during Tanner’s stage I. Conclusions: Sleep duration was associated with growth velocity, in which 7-8 hours per night was optimal. The benefit of adequate sleep was greater in individuals having low genetic risk score. Milk intake may have modest effect on growth velocity. Presentation: Thursday, June 15, 2023

PENGETAHUAN DAN SIKAP PERAWATAN PAYUDARA DENGAN PRODUKSI ASI IBU NIFAS

Lack of calories and protein in toddlers, toddlers and young children is a nutritional problem that is currently the biggest problem in Indonesia. The most common nutritional problem in infancy is due to a lack of intake of Mother's Milk (ASI). Based on the results of the initial interview, 6 out of 10 postpartum women respondents who were interviewed did not know how to care for the breast, the benefits of breasts and during the postpartum period there were problems experienced, namely the nipples were not protruding/immersed so that the milk did not come out and after a few days it just came out. The purpose of this study was to find out whether knowledge and attitudes in breast care affect milk production in postpartum mothers. The design and type of this research is cross-sectional analytic. The population in this study were all postpartum mothers who visited the Bojong Community Health Center, Tegal Regency. Acidental sampling was used as a technique for sampling, namely the number of samples used was 30 respondents. Primary data obtained from filling out the questionnaire. The Chi Square test was used to analyze the bivariates in this study.Analysis of the results of the study obtained a p-value of 0.002, which indicates that knowledge and attitudes of breast care in postpartum mothers have an effect on milk production.

Types of dairy foods and risk of fragility fracture in the prospective Nurses’ Health Study cohort

BackgroundFragility fractures present enormous health challenges for women. Dairy products provide many bone-beneficial nutrients, such as calcium and vitamin D. Individual dairy foods may exert different effects on bone health. ObjectivesThe aim of this study was to investigate the associations between total dairy, yogurt, milk, and cheese and fragility fracture risk among females in the prospective Nurses’ Health Study (NHS) conducted in the United States. MethodsIn the current analysis, 103,003 females with mean age of 48 y were followed from 1980–2004. Proportional hazards models were used to estimate risk of first fracture (of the wrist, hip, or vertebrae) by intakes of dairy foods (total dairy, milk, yogurt, or cheese) obtained from a food frequency questionnaire. Fractures that were caused by high-trauma events were not included. We relied on self-reported data for wrist and hip fractures whereas for vertebral fractures, medical records were used to confirm cases. ResultsA total of 5495 incident fracture cases were documented during follow-up. After controlling for relevant confounding variables, consumption of ≥2 servings/d of total dairy (compared with <1 serving/d) was associated with lower fracture risk (hazard ratio [HR]: 0.74; 95% confidence interval [CI]: 0.61, 0.89). More than 2 servings of milk per day (compared with <1 serving/d) were associated with a lower fracture risk (HR: 0.85; 95% CI: 0.77, 0.94). Intakes of calcium, vitamin D, and protein from nondairy sources did not modify the effects of total dairy or milk on fracture risk. There was no association between yogurt intake and fracture risk. Intake of cheese (≥1 servings/d compared with <1 serving/wk) was weakly associated with lower fracture risk (HR: 0.89; 95% CI: 0.79, 0.99). ConclusionsHigher total dairy, milk, and cheese intakes are associated with lower risks of fracture in females in the NHS.

Lead, Cadmium, and Arsenic in Raw Cow's Milk in a Central Andean Area and Risks for the Peruvian Populations.

Milk and its derivatives are basic foods in Peru, especially for children. The Junín region, in the central Andes, is one of the leading dairy basins. However, the safety of milk is affected by mining-metallurgical activities, wastewater dumping, organic residues, and inappropriate use of organophosphate fertilizers in agriculture whose contaminants reach the food chain, putting human health at risk. The purpose of this study was to evaluate the bioaccumulation of lead (Pb), cadmium (Cd), and arsenic (As) in milk produced on a representative farm in central Peru, which uses phosphorous agrochemicals and is adjacent to a small mineral concentrator and a municipal solid waste dump, and to evaluate the potential risk for the Peruvian population of 2-85 years considering three levels of daily intake by age, which constitutes the innovative contribution of the study. These three elements were quantified by flame atomic absorption spectrometry following standardized procedures. The mean contents of Pb (0.062 mg/kg), Cd (0.014 mg/kg), and As (0.030 mg/kg) in milk exceeded the maximum limits allowed by international standards. At all ages, the target quotient hazard followed a descending order of As > Pb > Cd, being > 1 in the case of As. The hazard index was >1 for children under 7, 9, and 11 years of age in the scenarios of low, medium, and high milk intake. The information is valid for formulating policies to prevent adverse health effects and develop standards and awareness programs, monitoring, and control of heavy metals in milk in Peru.

Associations between Milk Intake and Sleep Disorders in Chinese Adults: A Cross-Sectional Study.

We aimed to examine the association of milk intake with sleep disorders and their specific indicators. The current study included 768 adults aged 28-95 from Wenling, China. Milk intake was assessed using a food frequency questionnaire with ten food items, while sleep disorders were measured using the Pittsburgh Sleep Quality Index (PSQI), with higher scores indicating poorer sleep. The participants were divided into two groups according to the average intake of milk per week: rare intake (≤62.5 mL/week) and regular intake (>62.5 mL/week). Primary measurements were multivariate-adjusted odds ratios (ORs) with 95% confidence intervals (CIs) for the prevalence of sleep disorders concerning regular milk intake compared with rare intake. In secondary analyses, linear regression analyses were performed to assess the effects of milk intake on sleep disorders and their specific dimensions. Regular intake of milk did not have a significant association with sleep disorders compared with rare intake (adjusted OR: 0.72, 95%; CI: 0.51, 1.03), but this association was found to be pronounced with sleep disturbances (OR: 0.49, 95%; CI: 0.28, 0.87). Increased intake of milk was significantly associated with the lower scores of PSQI for sleep quality (β: -0.045, 95%; CI: -0.083, -0.007) and sleep disturbances (β: -0.059, 95%; CI: -0.090, -0.029), respectively. When stratified by age and gender, the benefits of milk intake for sleep disorders and sleep disturbances were more significant in older adults (≥65) and men than in younger persons and women. In summary, regular milk intake benefits sleep quality, which may contribute to nutritional psychiatric support for prevention against sleep disorders.

Analisa Faktor yang Mempengaruhi Kejadian Ikterik pada Neonatus

Jaundice is a symptom that is common in newborns. This jaundice usually disappears by the end of the first week or no later than the first ten days. This study aims to analyze the factors that influence the incidence of jaundice in neonates. This study used the literature review method by searching journals using three databases: PubMed, Google Scholar, and SpringerLink. Journal inclusion criteria published 2016 - 2021. Research results of jaundice in neonates. Factors that influence the incidence of neonatal jaundice in the Asian region, especially Southeast Asia, are maternal and perinatal. Maternal factors include gestational age, complications, pregnancy (incompatibility, ABO blood group, Rh and DM), type of delivery, and race. Perinatal factors include neonatal asphyxia, infection, birth trauma, low intake of breast milk, low birth weight (LBW), gender, and medication. The management of neonatal jaundice includes exposing the baby to the sun, phototherapy, adequate nutritional intake, and adequate breastfeeding. For this reason, health education and support from the husband and family are needed for the mother so that the baby does not experience jaundice.

Lead, Cadmium, and Arsenic in Raw Milk Produced in the Vicinity of a Mini Mineral Concentrator in the Central Andes and Health Risk

The bovine milk quality, safety, and security are of great concern mainly due to the dispersion of toxic substances from various anthropogenic activities and poor practices for organophosphates in agriculture use. This study evaluated the potential risk to human health from lead (Pb), cadmium (Cd), and arsenic (As) from the consumption of milk produced in an area of the Central Andes valley near a mini mineral concentrator by estimating the weekly intake (WI), dietary risk quotient (DRC), hazard quotient (THQ), and hazard index (HI) for the Peruvian population aged 2 to 85 years, in three scenarios of milk consumption by age (minimum, average, and maximum). Toxic element quantification was performed by flame atomic absorption spectrometry following standardized procedures. The mean amount ± standard deviation of Pb, Cd, and As in soils was 292±60.90, 3.54±1.58, and 5.60±2.20 mg/kg, the order of importance being Pb>As>Cd. The contents of Pb, Cd, and As in pastures were 23.17±10.02, 0.25±0.57, and 0.06±0.09 mg/kg, being from highest to lowest Pb>Cd>As. The means of Pb, Cd, and As content in 19 milk samples were 0.029±0.022, 0.007±0.006, and 0.010±0.004 mg/kg. Pb and Cd exceeded the maximum permissible limits (MPL), and the As was below the MPL. At all ages and milk consumption levels, the WI for Pb and Cd were below the estimated tolerable intake (TWI). The WI for As in < 19 years was higher than the TWI. The DRC for Pb and Cd at all three milk intake levels and all ages was < 1, and for As, it was > 1 in < 19 years, being the risk group. The TQH and HI for Pb and Cd were also > 1, signifying no health risk, and for As, the values were > 1 in < 11 years. Our results are valuable for preventing adverse health impacts from safe and innocuous milk consumption.

Ameliorative effects of camel milk and silymarin upon aflatoxin B1 induced hepatic injury in rats

Aflatoxin B1 (AFB1) poses a major risk to both human and animal health because it contaminates food, feed, and grains. These dangerous effects can be mitigated using natural components. The purpose of this study was to examine the ameliorative effects of camel milk and silymarin supplementation upon aflatoxin B1 induced hepatic injury in rats. This improvement was assessed by measuring leukocytic and deferential counts, serum biochemical parameters, and gene expression of Tumor Necrosis Factor (TNF-α), antioxidant gene (NAD(P)H quinone oxidoreductase 1 (NQO1)), and base excision repair genes (APE1 and OGG1) in the liver tissue, in addition to liver histopathology. Sixty mature males Wister white rats were used to perform the present study; the rats were distributed in six groups (ten rats/group). The control group (without any treatment) received saline by gavage. The camel milk group received 1 ml of camel milk/kg body weight. The silymarin group received 1 ml of silymarin suspension solution at a dose of 20 mg of silymarin/kg of b.wt. The aflatoxin group received an aflatoxin-contaminated diet at a dose of 1.4 mg of aflatoxin /kg of diet and received saline. The camel milk + aflatoxin group received the same previous oral doses of camel milk and an aflatoxin-contaminated diet at the same time. The silymarin + aflatoxin group received the same previous doses of silymarin orally and an aflatoxin-contaminated diet at the same time. The obtained data indicated the deleterious effect of aflatoxin B1 on the leukocytic count, activity of AST and ALT, serum proteins, ferritin, alpha-fetoprotein, carcinoembryonic antigen, liver pathology, and the expression of the studied genes. However, these deleterious effects were mitigated by camel milk and silymarin supplementation. Thus, we could conclude that the ingestion of camel milk and silymarin mitigated the negative effects of AFB1 on the hematology, activity of AST and ALT, serum proteins, ferritin, alpha-fetoprotein, carcinoembryonic antigen, liver pathology, and gene expression in the rat model.

The Abnormal Accumulation of Lipopolysaccharide Secreted by Enriched Gram-Negative Bacteria Increases the Risk of Rotavirus Colonization in Young Adults.

Human rotavirus (HRV) is an enteric virus that causes infantile diarrhea. However, the risk factors contributing to HRV colonization in young adults have not been thoroughly investigated. Here, we compared the differences in dietary habits and composition of gut microbiota between asymptomatic HRV-infected young adults and their healthy counterparts and investigated potential risk factors contributing to HRV colonization. Our results indicated that asymptomatic HRV-infected adults had an excessive intake of milk and dairy and high levels of veterinary antibiotics (VAs) and preferred veterinary antibiotic (PVAs) residues in urine samples. Their gut microbiota is characterized by abundant Gram-negative (G-) bacteria and high concentrations of lipopolysaccharide (LPS). Several opportunistic pathogens provide discriminatory power to asymptomatic, HRV-infected adults. Finally, we observed an association between HRV colonization and disrupted gut microbiota caused by the exposure to VAs and PVAs. Our study reveals the traits of disrupted gut microbiota in asymptomatic HRV-infected adults and provides a potential avenue for gut microbiota-based prevention strategies for HRV colonization.

An eight-week randomized intervention study on Korean adults to evaluate the effect of milk intake on obesity

The anti-obesity effect of milk intake has been suggested via a variety of designed studies, but findings of obesity interventions for Korean adults are scarcely reported. The study aimed to investigate the anti-obesity effect of cow milk in Korean adults with an 8-wk randomized intervention. A total of 121 adults overweight aged 19 to 60 yr old were randomly assigned to 1 of the 2 groups: milk or control. During the intervention, both groups were encouraged 500 kcal of restriction a day, and the milk group consumed 200 mL of milk twice a day; the same energy intake as the control group, including milk intake, was recommended for 8 wk. We detected no significant differences in body weight (BW) and body mass index (BMI) between the milk and control groups during the 8-wk intervention, although the changes in BW and BMI of those within the milk group were significant. High-density lipoprotein cholesterol levels and serum calcium levels increased significantly in the milk group compared with the control group. Calcium, phosphorus, vitamin A, and riboflavin intakes increased significantly, when compared with the control. In conclusion, 8-wk milk consumption had no effect on weight loss and BMI change but improved some blood biomarkers and nutrient intake in Korean adults who were overweight. To evaluate the effect of milk on obesity reduction, well-designed, long-term, and large-scale studies are needed.

Dynamic lactation responses to dietary crude protein oscillation in diets adequate and deficient in metabolizable protein in Holstein cows

Limited research has examined the interaction between dietary crude protein (CP) level and CP feeding pattern. We tested CP level (low protein [LP], 13.8%; high protein [HP], 15.5% CP, dry matter [DM] basis) and CP feeding pattern (OF = oscillating, SF = static) using a 2 × 2 factorial in 16 mid- to late-lactation Holsteins (initially 128 ± 12 d in milk; mean ± SD). Cows ate total mixed rations formulated by exchanging soy hulls and ground corn with solvent soybean meal to keep constant ratios of neutral detergent fiber to starch (1.18:1), rumen-degradable protein to CP (0.61:1), and forage-to-concentrate (1.5:1) in DM. The OF treatments alternated diets every 48 h to vary CP above and below the mean CP level (OF-LP = 13.8% ± 1.8%; OF-HP = 15.5% ± 1.8% CP [DM basis]) whereas diets were constant in SF (SF-LP = 13.8%; SF-HP = 15.5% CP [DM basis]). In four 28-d periods, 8 rumen-cannulated and 8 noncannulated cows formed 2 Latin rectangles. On d 25 to 28 of each period, each cow's feed intake and milk production were recorded, and samples were taken of orts (1×/d) and milk (2×/d). We fit linear mixed models with fixed CP level, CP feeding pattern, and period effects, and a random intercept for cow, computing least squares means and standard errors. Neither CP level, CP feeding pattern, nor the interaction affected DM intake, feed efficiency, or production of milk, fat- and protein-corrected milk (FPCM), fat, true protein, or lactose. Milk urea-N (MUN) yield was lesser for LP. The LP and OF conditions decreased MUN concentration. The CP level tended to interact with CP feeding pattern so that milk protein concentration was greatest for OF-HP. The OF and LP conditions increased the ratio of true protein to MUN yield. Within OF, cosinor mixed models of selected variables showed that cows maintained production of FPCM across dietary changes, but MUN followed a wave-pattern at a 2-d delay relative to dietary changes. A tendency for lesser MUN with OF contradicted prior research and suggested potential differences in urea-N metabolism between OF and SF. Results showed that cows maintained production of economically-relevant components regardless of CP feeding pattern and CP level. Contrary to our hypothesis, the effects of 48-h oscillating CP were mostly consistent across CP levels, suggesting that productivity is resilient to patterned variation in dietary CP over time even when average CP supply is low (13.8% of DM) and despite 48 h restrictions at 12.2% CP.

Predictive models for disease detection in group-housed preweaning dairy calves using data collected from automated milk feeders

In the United States, dairy calves are typically housed individually due to the perception of reduced risk of spreading infectious diseases between calves and the ability to monitor health on an individual calf basis. However, automated milk feeders (AMF) can provide individual monitoring of group-housed calves while allowing them to express more natural feeding behaviors and interact with each other. Research has shown that feeding behaviors recorded by AMF can be a helpful screening tool for detecting disease in dairy calves. Altogether, there is an opportunity to use the data from AMF to create a more robust and efficient model to predict disease, reducing the need for visual observation. Therefore, the objective of this observational study was to predict disease in preweaning dairy calves using AMF feeding behavior data and machine learning (ML) algorithms. This study was conducted on a dairy farm located in the Upper Midwest United States and visited weekly from July 2018 to May 2019. During farm visits, AMF data and calves' treatment records were collected, and calves were visually health-scored for attitude, ear position, ocular discharge, nasal discharge, hide dirtiness, and cough score. The final datasets used for the analyses consisted of 740 and 741 calves, with 1,007 (healthy = 594 and sick = 413) and 1,044 (healthy = 560 and sick = 484) observations (health events) for Data 1 and Data 2, respectively. Data 1 included only the weekly calf health scores observed by research personnel, whereas Data 2 included primarily daily calf treatment records by farm staff in addition to weekly health scores. Calf visit-level feeding behaviors from AMF data included milk intake (mL/d), drinking speed (mL/min), visit duration (min), rewarded (with milk being offered) and unrewarded (without milk) visits (number per d), and the interval between visits (min). Three approaches were used to predict health status: generalized linear model, random forest, and gradient boosting machine. A total of 16 models were built using different combinations of behavior parameters, including the number of rewarded visits, number of unrewarded visits, visit duration, the interval between visits, intake, intake divided by rewarded visits, drinking speed, and drinking speed divided by rewarded visits, and also calf age at the sick day as predictor variables. Of all algorithms, random forest and gradient boosting had the best performance predicting the health status of dairy calves. The results indicated that weekly health scores were not enough to predict calf health status. However, daily treatment records and AMF data were sufficient for creating predictive algorithms (e.g., F1-scores of 0.775 and 0.784 for random forest and gradient boosting, Data 2). This study suggests that ML was effective in determining the specific visit-level feeding behaviors that can be used to predict disease in group-housed preweaning dairy calves. Implementing these ML algorithms could reduce the need for visual calf observation on farms, minimizing labor time and improving calf health.

Establishing Normative Values for Healthy Term Infant Feeding Performance: Neonatal Eating Assessment Tool-Mixed, Oral Feeding Scale, and Early Feeding Skills Assessment.

Infants with perceived feeding problems are frequently referred for assessment of their feeding abilities. However, little is known regarding how healthy nondysphagic infants perform on commonly used assessments, making determination of impairment difficult. The aim of this investigation was to elucidate the characteristics of healthy term infant feeding performance using three commonly employed clinical assessments: Neonatal Eating Assessment Tool-Mixed (NeoEat-Mixed), Oral Feeding Scale, and Early Feeding Skills (EFS). In this prospective case-control study, we recruited 30 infants without feeding impairments to undergo video-monitored bottle feeds under their normal feeding conditions. Caregiver perception of infant feeding was evaluated using the NeoEat-Mixed. Milk ingestion was monitored real time using the Oral Feeding Scale for rate of milk transfer and modified proficiency as characterized by the total volume consumed out of the total volume the caregiver provided. Videos were analyzed by two speech pathologists using the EFS assessment. Descriptive statistics were used to characterize performance. Participants underwent feeding monitoring at an average chronological age of 4 ± 2 months. Caregivers primarily reported normal, nonconcerning feeding patterns across all of the NeoEAT-Mixed outcomes. Infants consumed milk at an average rate of transfer of 7 ± 3 ml/min, a modified proficiency of 50 ± 21%, and achieved the highest OFS score of 4 (93%, n = 28). The majority of infants scored the best EFS score (mature-3) as it related to the absence of color changes during the feed (97%, n = 29), although commonly scored in the worst EFS score (immature-1) in their presentation of one or more compelling stress cues (63%, n = 19). Establishing healthy term infant normative values for commonly used feeding assessments is critical in accurately distinguishing infants with feeding impairments from those with normal developmental variants.

High consumption of dairy products and risk of major adverse coronary events and stroke in a Swedish population.

The association between the consumption of dairy products and risk of CVD has been inconsistent. There is a lack of studies in populations with high intakes of dairy products. We aimed to examine the association between intake of dairy products and risk of incident major adverse coronary events and stroke in the Swedish Malmö Diet and Cancer cohort study. We included 26190 participants without prevalent CVD or diabetes. Dietary habits were obtained from a modified diet history, and endpoint data were extracted from registers. Over an average of 19 years of follow-up, 3633 major adverse coronary events cases and 2643 stroke cases were reported. After adjusting for potential confounders, very high intakes of non-fermented milk (>1000 g/d) compared with low intakes (<200 g/d) were associated with 35 % (95 % CI (8, 69)) higher risk of major adverse coronary events. In contrast, moderate intakes of fermented milk (100-300 g/d) were associated with a lower risk of major adverse coronary events compared with no consumption. Intakes of cheese (only in women) and butter were inversely associated with the risk of major adverse coronary events. We observed no clear associations between any of the dairy products and stroke risk. These results highlight the importance of studying different dairy foods separately. Further studies in populations with high dairy consumption are warranted.

Maternal inflammatory, lipid and metabolic markers and associations with birth and breastfeeding outcomes.

Conditions in utero influence intrauterine and postnatal infant growth and a few studies indicate that maternal inflammation and insulin resistance might affect birth and breastfeeding outcomes. Furthermore, hormones in human milk (HM) may influence infant appetite-regulation and thereby milk intake, but the associations are less understood. (1) To investigate associations between maternal inflammatory, lipid and metabolic markers and birth and breastfeeding outcomes, and (2) to assess predictors of maternal inflammatory, lipid and metabolic markers in pregnancy. Seventy-one mother-infant dyads participating in the Mothers, Infants and Lactation Quality (MILQ) study were included in the present study. Fasting blood samples were collected around 28th gestational week, and HM samples at three time points from 1.0 to 8.5 months, where milk intake was assessed using 24-h test weighing. Maternal plasma inflammatory, lipid and metabolic markers included high-sensitive C-reactive protein (hs-CRP), tumor-necrosis factor-α (TNFα), interferon-γ (IFNγ), Interleukin (IL)-6, IL-8, high-, low-, and very-low-density lipoprotein (HDL, LDL, VLDL), total-cholesterol, triglycerides, leptin, adiponectin, insulin, C-peptide, the homeostasis model assessment of insulin resistance (HOMA-IR) and glucose concentration at t = 120 min following an oral glucose tolerance test. Of these, TNFα, IFNγ, IL-6, IL-8, leptin, adiponectin and insulin were also measured in HM samples. HDL in pregnancy was inversely associated with gestational age (GA) at birth and GA-adjusted birthweight z-score, whereas triglycerides and glucose (t = 120) were positively associated with GA-adjusted birthweight z-score. Higher hs-CRP, VLDL and triglycerides were associated with a higher placental weight. Furthermore, higher HDL, insulin, leptin and HOMA-IR were associated with longer duration of exclusive breastfeeding (EBF). Higher pre-pregnancy BMI was the main predictor of higher levels of hs-CRP, log-TNFα, leptin, insulin, C-peptide, and HOMA-IR. Maternal lipid and metabolic markers influenced birthweight z-score and placental weight as well as duration of EBF. Furthermore, pre-pregnancy BMI and maternal age predicted levels of several inflammatory and metabolic markers during pregnancy. Our findings indicate that maternal lipid and metabolic profiles in pregnancy may influence fetal growth and breastfeeding, possibly explained by overweight and/or higher placental weight. https://clinicaltrials.gov/, identifier NCT03254329.

Dental caries incidence and associated factors in young adults.

To assess the caries incidence from late adolescence to early adulthood and to identify the factors associated with caries incidence. This is a secondary analysis of longitudinal caries data of young adults aged 17-23 from the Iowa Fluoride Study cohort. The inclusion criteria required completion of dental exams at both ages 17 and 23 and having cumulative exposure (AUC) variables data for at least 8 out of the 11 time periods between ages 17 and 23. Mean imputation was used to handle the missing explanatory variable data. Multiple linear regressions were conducted using a generalized linear model to assess the effects of sociodemographic and behavioral/dietary variables on the age 17-23 adjusted cavitated caries (D2+ MFS) increment (AdjCI17-23 ). Multicollinearity was assessed using the variance inflation factor (VIF) and the final model was selected based on the Akaike Information Criterion (AIC) using backward selection and the net effects calculated. The mean AdjCI17-23 was 2.08 (SD = 4.02). The net effects (main effect plus interactions) of higher composite socioeconomic status, higher combined daily fluoride intake, higher frequency of milk intake, lower amount of sugar-sweetened beverages intake, and lower age 17 dental caries counts were associated with lower mean AdjCI17-23 . The incidence of caries from age 17 to 23 in this study was low. This study suggests and reinforces the need to continue to advocate for caries preventive strategies such as fluoride use, encouraging milk intake, and reducing sugar-sweetened beverage intakes.

An Ayurvedic Conceptual Study on Pratishyaya (Rhinitis) with Special Emphasis on Pediatric Population-A Review

Pratishyaya is one among Nasagata Roga (Disorders of the nasal cavity). Symptoms of Pratishyaya resemble those of Rhinitis. Childrenare more likely to develop Pratishyaya, which disturbs their daily activities and may hamper their growth and development. There is no use ofantibiotics in acute rhinitis. There is limited data regarding the safety of Pseudoephedrine and phenylephrine in rhinitis. There is a need to findthe best Ayurvedic interventions to prevent and cure Pratishyaya (Rhinitis). Previous review articles were alike and included the conceptual studyof Pratishyaya. Articles should have included proper classification, indications, and contraindications of Shodhana (Biocleansing therapy) andShamana (Palliative procedure). No review article focused on Pratishyaya and its management in the pediatric population. There is a need toclassify Shodhana karma and Samshamana therapy in Pratishyaya along with their indications and contraindications and to review the Pratishyaya inpediatric population. Disturbance of digestive fire and production of Ama (toxins) causes vitiation of Doshas and obstruction of channels whichproduces symptoms. Shamana treatment should be administered in the acute stage to digest vitiated Doshas and Shodhana therapies like Nasyaare to be given in the chronic or recurrent stage of Rhinitis. Improper milk intake and sleep intake can lead to Pratishyaya in breastfeeding babies.Dhoopana (herbal fumigation of the nasal cavity) is indicated in the acute stage of Rhinitis. Langhana (Fasting or light diet) helps correct Agni andvitiated Doshas. In Dhoompana, fumes are a gaseous medicine that increases its bioavailability. Nasya is effective but is not indicated for childrenbelow 7 years of age. So, local nasal administration of fumes (Dhoopana) can be adopted for its management.

Impact of volume and rate of milk delivery on coordination of respiration and swallowing in infant pigs.

The coordination of respiration and swallowing is a life-critical function in infants. Varying volume and rate of milk delivery changes swallowing frequency and bolus volume but any impact on swallow-respiration coordination is unknown. Five infant pigs were filmed with simultaneous high speed videofluoroscopy and plethysmography while feeding from an automatic system delivering milk across a range of volumes and frequencies. Swallow inspiration delay, respiratory cycle duration, and distribution of inspiratory and expiratory swallows were calculated. At constant volume, there were more inspiratory phase swallows when frequency increased. At high constant frequency, increasing volume changed swallow-respiration coordination patterns, with increased occurrence of inspiratory phase swallows. Respiratory cycle duration did not change in response to changes in oral milk delivery. These results suggest that the observed pattern of expiratory swallowing in infants is achieved primarily by regulation of milk intake, not modulation of respiratory patterns by oral sensation.