Nutritional Factors Research Articles

Wasting and Its Associated Nutritional and Non-Nutritional Factors among Under-Five Children in Marrakesh Province, Morocco

Introduction: Malnutrition is the most common nutritional disorder in developing countries and it remains one of the most common causes of morbidity and mortality among children worldwide. Therefore, the current study aimed to assess the prevalence of wasting and its associated factors among under-five children in Marrakesh province in Morocco. Method: A community-based cross-sectional study design was used to determine the prevalence of wasting and its associated factors among under-5 years old children. A structured questionnaire was used to collect data from 430 children paired with their mothers. Anthropometric measurements and determinant factors were collected. SPSS version 19.0 statistical software was used for analysis. Multivariate logistic regression analysis was conducted to identify factors associated to the wasting of the children. Statistical association was declared significant if p value was less than0.05. Results: In this study, the prevalence of wasting was 9.3%. The proportions of severe and moderate wasting children were 6.5% and 2.8%, respectively. Higher odds of wasting children among illiterate mothers were 17 times more likely compared with mothers with high levels (ORa = 17.17; 95% CI: 1.01–13.70). In line with this, the odds of wasting children among lower household incomes were 13 times more likely when compared to those with higher household incomes (ORa = 13.114; 95% CI: 1.13–7.60). Similarly, the odds of wasting children among mothers primiparous were 12 times more likely compared with multiparous (ORa = 12.88; 95% CI: 1.04–4.08). The odds of wasting children were more observed among children who did not benefit from exclusive breastfeeding (ORa = 12.297; 95% CI: 2.47–13.03, 1.03–5.34). Conclusions: The current study showed that the prevalence of wasting among under-five children in Marrakesh province was relatively common. Mother’s education level, household income, parity, and exclusive breastfeeding were significantly associated with wasting. Therefore, nutritional educational intervention programs in Marrakesh province should focus on these factors.

Relationship Between Level of Maternal Knowledge about Nutrition of Pregnant Women with the Incidence of Stunting in Children Under Five

ABSTRACT Stunting can be caused by several factors, including poor nutritional intake during pregnancy in toddlers. Some of them are readiness to become mothers where this is motivated by a very high rate of early marriage. Unpreparedness in facing motherhood can affect perceptions in parenting. This study aims to determine the relationship between the level of maternal knowledge about nutrition of pregnant women with the incidence of stunting in children under five in Sisir Village, Batu City with a cross-sectional analytical descriptive design involving 56 respondents consisting of maternal respondents and toddlers aged 1-5 years with purposive sampling techniques. Data were collected with maternal knowledge level questionnaires during pregnancy and z score graphs. Results: Data analysis using Spearman Rank test with α = 0.05. The results showed that the significance value (sig) or p value was 0.009. Because the value of sig (0.009) > (0.05) with a correlation value of 0.347, the results of the data obtained from respondents mean h0 rejected h1 accepted. There is a relationship between the level of knowledge of parents and the incidence of stunting in toddlers. The results of the study concluded that there is a significant relationship between the level of knowledge of parents and the incidence of stunting in toddlers. Discussion: In Batu city comb sub-district. It is hoped that mothers can try to find knowledge and information related to nutrition and other factors that can cause stunting, and mothers can start paying attention to nutrition during pregnancy for preventive measures against the impact of stunting on the development of the next child at birth. Keywords: Maternal Knowledge, Gestation Period, Incidence Of Stunting

Impact of processed and ultra-processed foods on colorectal cancer risk: Mechanisms, dietary factors, and protective compound

Colorectal cancer (CRC) is the third most common malignant neoplasm worldwide, linked to behavioral factors such as a sedentary lifestyle and smoking, environmental factors like pollution, and nutritional factors including a diet rich in red and processed meats. Some foods are associated with potential carcinogenicity, while others act as protective factors. This review aims to report the contribution of processed and ultra-processed foods to the etiopathogenesis of CRC and explore the role of protective diets. The article is an integrative review conducted in PubMed and VHL databases using the descriptors “colorectal cancer” and “processed foods.” Studies published in the last five years addressing the relationship between these foods and CRC development were included. Potentially carcinogenic substances in processed foods, such as heterocyclic amines, nitrosamines, heme iron, industrial fatty acids, aromatic hydrocarbons, sialic acid sugar, and additives like titanium dioxide, were associated with colon and rectal neoplasms. Additional associations were found with the human microbiome, packaging materials, and food preparation methods. Conversely, several food components can protect against CRC. The consumption of processed and ultra-processed foods can significantly increase CRC risk through mechanisms like inflammation, oxidative stress, gene expression changes, and genetic material damage. The intestinal flora profile may be protective against CRC but is altered when processed and ultra-processed foods are included in the diet. Fiber, phytochemicals, and spices present in plant foods are consistently reported to have anticarcinogenic effects.

The Role of Environmental and Nutritional Factors in the Development of Inflammatory Bowel Diseases: A Case-Control Study.

The incidence and prevalence of inflammatory bowel diseases (IBD) are increasing around the world, especially in Western countries. The objective of this study was to evaluate the health habits of healthy controls and individuals with IBDs to identify possible risk factors for IBD development. A case-control study was conducted among Spanish participants over 18 years of age. A self-administered questionnaire was completed by subjects to collect information on several sociodemographic variables and habits, such as the consumption of tobacco, alcohol, antibiotics, nonsteroidal anti-inflammatory agents and macronutrients; anxiety and depression; and quality of life. The main risk factors identified were age; living in an urban environment; anxiety; and excessive consumption of proteins, carbohydrates and fats. In addition, the consumption of fibre had a preventive effect against IBD development. Age, anxiety and living in urban areas pose a risk of suffering from IBD, as does the excessive consumption of certain macronutrients. However, the consumption of fibre has a protective effect on the development of some IBD types.

Sarcopenia prevalence and risk factors in obese Tunisian adults.

Sarcopenia is a clinical condition defined as low skeletal muscle mass and function. It has been identified and described as a geriatric syndrome, but it may arise in individuals with obesity at any age. screen for sarcopenia in obese adults and identify the nutritional, clinical and biological risk factors associated with the development of sarcopenic obesity (SO+). Descriptive cross-sectional study, including 53 obese patients. Screening for sarcopenia has been established according to pathological thresholds proposed by the European Society for Clinical Nutrition and Metabolism (ESPEN) and the European Association for the Study of Obesity (EASO). Mean age was 44.34±13.51 years. Prevalence of Sarcopenia was 7.5% (SO+). The average intakes of calorie, lipids and saturated fatty acids were higher in SO+. A statistically significant relationship was found between low skeletal muscle mass (SMM/W) and the average intake of vitamin PP (p=0.014) and vitamin B9 (p=0.009). Mean BMI (45.86 kg/m² for SO+ versus 39.29 kg/m² for SO-; p=0.03) and mean visceral fat (16.55 l for SO+, versus 10.93 l for SO-; p=0.043) were significantly higher in SO+. A statistically significant relationship was found between insulin resistance and low (SMM/W), as attested by mean insulinemia (28.81 µIU/mL for low SMM/W, versus 14.48 µIU/mL for normal SMM/W; p=0.004) and HOMA index (7.94 for low SMM/W, versus 3.49 for normal SMM/W; p=0.002), which were higher in cases of low (SMM/W). We recommend promoting a balanced, low-energy-density diet to improve insulin sensibility and thus reduce the risk of sarcopenia. Regular physical activity is also strongly recommended.

The Prevention of Viral Infections: The Role of Intestinal Microbiota and Nutritional Factors.

Viral infections pose significant global challenges due to their rapid transmissibility. Therefore, preventing and treating these infections promptly is crucial to curbing their spread. This review focuses on the vital link between nutrition and viral infections, underscoring how dietary factors influence immune system modulation. Malnutrition, characterized by deficiencies in essential nutrients such as vitamins A, C, D, E, and zinc, can impair the immune system, thereby increasing vulnerability to viral infections and potentially leading to more severe health outcomes that complicate recovery. Additionally, emerging evidence highlights the role of commensal microbiota in immune regulation, which can affect hosts' susceptibility to infections. Specific dietary components, including bioactive compounds, vitamins, and probiotics, can beneficially modify gut microbiota, thus enhancing immune response and offering protection against viral infections. This review aims to elucidate the mechanisms by which dietary adjustments and gut microbiota impact the pathogenesis of viral infections, with a particular focus on strengthening the immune system.

Childhood Nutritional Factors and Cardiometabolic Outcomes at 9–11 y of Age: Findings from the ROLO Longitudinal Birth Cohort Study

BackgroundChildhood represents a critical period of nutritional risk in the programming of later chronic disease. Few longitudinal studies have explored repeated measures of nutrition throughout the first decade of life in relation to preteen cardiometabolic outcomes. ObjectivesThis research aimed to explore associations of early feeding practices (human milk exposure and duration and timing of introduction to solids) and childhood dietary quality and inflammatory scores (at 5 and 9–11 y and change during childhood) on preteen cardiometabolic outcomes. MethodsThis is an analysis of children from the ROLO longitudinal birth cohort study (n = 399). Information on early feeding practices were obtained at postnatal study visits. Food frequency questionnaires collected maternal-reported dietary intakes for each child at 5 and 9–11 y of age. Healthy Eating Index (HEI)-2015 and the Children’s Dietary Inflammatory Index (C-DII) scores were calculated. Anthropometry, body composition, blood pressure, heart rate, cardiorespiratory endurance, and blood biomarkers were obtained at 9–11 y. Crude and adjusted linear regression models examined nutritional exposure associations with preteen cardiometabolic outcomes. ResultsIn the adjusted model, any human milk exposure was associated with lower body fat (%) at 9–11 y (β: −2.86; 95% confidence interval [CI]: −5.46, −0.27; P = 0.03), than never receiving human milk. At 5 y, diet scores were favorably associated with lean mass at 9–11 y (P < 0.05 for both). Higher preteen HEI-2015 scores were associated with lower preteen leptin levels (tertile 3 compared with tertile 1—β: −2.92; 95% CI: −5.64, −0.21; P = 0.03). Diet quality significantly deteriorated (HEI-2015 score decreased) and became more proinflammatory (C-DII score increased) from 5 to 9–11 y of age. Diet quality/inflammation deterioration (compared with improvement) or overall change in dietary scores were not related to preteen cardiometabolic outcomes. ConclusionsExposure to human milk in early life was associated with lower preteen adiposity, irrespective of duration. Diet quality/inflammatory potential deteriorated between early childhood and the preteen years, highlighting a potential period for intervention.

Calcium- and Sodium-Rich Food Intake among Koreans with and without Metabolic Syndrome: Cross-Sectional Analysis of the Korean Genome and Epidemiology Study.

The prevalence of metabolic syndrome (MetS) is increasing. While calcium and sodium are known nutritional factors used for managing MetS, few studies have focused on food-based analyses. This cross-sectional study examined the distribution of calcium- and sodium-rich food intake among Koreans with MetS. This cross-sectional analysis evaluated 130,423 participants from the Health Examinees-Gem cohort study. Foods contributing up to 90% of the calcium and sodium intake were selected from the semi-quantitative food frequency questionnaire, and consumption levels were calculated. MetS was defined as satisfying three or more criteria from the National Cholesterol Education Program Adult Treatment Panel III. The results are presented as odds ratios (OR) with an interquartile range (ORIQR) and 95% confidence interval. Participants with MetS showed a low calcium intake (ORIQR = 0.95 and 0.92 for men and women, respectively), low consumption of dairy products (ORIQR = 0.92 and 0.89), beverages except for coffee or green tea (ORIQR = 0.97 and 0.96), and bread (ORIQR = 0.96 and 0.94). Men with MetS consumed high total sodium (ORIQR = 1.04), and large amounts of Kimchi (ORIQR = 1.03), fermented paste (ORIQR = 1.04), and noodles (ORIQR = 1.07). Women with MetS consumed more Kimchi than those without MetS (ORIQR = 1.04). The odds ratio for the low calcium and high sodium group compared to the high calcium and low sodium group was 1.26. The MetS group consumed less calcium-rich foods and more sodium-rich foods than those without MetS. Patients with MetS might benefit from precise recommendations of high calcium-rich and low sodium-rich foods.

Prevention of Pregnancy Complications Using a Multimodal Lifestyle, Screening, and Medical Model.

Prevention of pregnancy complications related to the "great obstetrical syndromes" (preeclampsia, fetal growth restriction, spontaneous preterm labor, and stillbirth) is a global research and clinical management priority. These syndromes share many common pathophysiological mechanisms that may contribute to altered placental development and function. The resulting adverse pregnancy outcomes are associated with increased maternal and perinatal morbidity and mortality and increased post-partum risk of cardiometabolic disease. Maternal nutritional and environmental factors are known to play a significant role in altering bidirectional communication between fetal-derived trophoblast cells and maternal decidual cells and contribute to abnormal placentation. As a result, lifestyle-based interventions have increasingly been recommended before, during, and after pregnancy, in order to reduce maternal and perinatal morbidity and mortality and decrease long-term risk. Antenatal screening strategies have been developed following extensive studies in diverse populations. Multivariate preeclampsia screening using a combination of maternal, biophysical, and serum biochemical markers is recommended at 11-14 weeks' gestation and can be performed at the same time as the first-trimester ultrasound and blood tests. Women identified as high-risk can be offered prophylactic low dose aspirin and monitored with angiogenic factor assessment from 22 weeks' gestation, in combination with clinical assessment, serum biochemistry, and ultrasound. Lifestyle factors can be reassessed during counseling related to antenatal screening interventions. The integration of lifestyle interventions, pregnancy screening, and medical management represents a conceptual advance in pregnancy care that has the potential to significantly reduce pregnancy complications and associated later life cardiometabolic adverse outcomes.

Exploring the interplay between diet and oral inflammation

The relationship between diet and oral inflammation is intricate and significant, influencing overall periodontal health through various mechanisms. Nutritional factors such as vitamins, minerals, and bioactive compounds play pivotal roles in either exacerbating or mitigating inflammatory processes in the oral cavity. Vitamin C, essential for collagen synthesis and tissue repair, along with calcium, critical for bone health, are key nutrients that support periodontal health by reducing susceptibility to gingival inflammation and periodontitis. Polyphenols, abundant in fruits, vegetables, and tea, exhibit strong anti-inflammatory properties that protect against oxidative stress and inflammation in oral tissues. Dietary patterns also have a profound impact on oral health. The Mediterranean diet, rich in fruits, vegetables, whole grains, and healthy fats, has been associated with lower levels of periodontal inflammation due to its high content of antioxidants and polyphenols. Conversely, the Western diet, characterized by high consumption of refined carbohydrates, sugars, and saturated fats, is linked to increased periodontal disease risk, promoting hyperglycemia and insulin resistance that exacerbate inflammatory responses. Vegetarian and plant-based diets, which emphasize the intake of anti-inflammatory and antioxidant-rich foods, are associated with better periodontal health markers, including lower bleeding on probing and reduced periodontal pocket depth. Antioxidants and anti-inflammatory nutrients are crucial in combating oxidative stress and reducing inflammation, essential for maintaining oral health. Vitamin E, coenzyme Q10, omega-3 fatty acids, and green tea polyphenols are particularly beneficial, reducing oxidative damage and inflammation in periodontal tissues. Dietary strategies incorporating these nutrients effectively support oral health and can be part of a comprehensive approach to preventing and managing periodontal disease. Diet plays a critical role in oral health, influencing periodontal inflammation through specific nutrients and overall dietary patterns. Emphasizing the intake of antioxidant-rich and anti-inflammatory foods, while minimizing harmful dietary components, is fundamental in promoting and maintaining periodontal health.

Assessment of Essential and Toxic Element Levels in the Toenails of Children with Autism Spectrum Disorder.

Autism spectrum disorder (ASD) has become a global public health concern, impacting the quality of life. The question of gene-environment interaction in the emergence of ASD remains a subject of ongoing debate, and exploring its pathophysiology is thoroughly related to metals as a risk factor. Therefore, this study aims to assess the levels of toxic (Al, Cd, Hg, and Pb) and essential (Cr, Mn, Fe, Ni, Cu, Zn, and Se) elements in toenail samples collected in children with ASD and neurotypical children, by ICP-MS. Parallelly, we will discuss the use of toenails as an exposure indicator. The study involved 208 children aged 3 to 14 from Marrakech, Morocco. One hundred two were diagnosed with ASD and 106 were neurotypical children. Significant statistical differences in the concentration of Cr, Mn, and Fe were documented between the two groups. Higher levels of Pb in toenails compared to reference values have been reported. No association was established between concentrations of elements and age. Spearman correlation coefficients revealed a significantly different pattern of mutual dependence for toxic and essential elements between the two groups. The strongest positive correlations were found in the neurotypical group (Fe-Mn (ρ = 0.750), and Se-Zn (ρ = 0.800)). These results provide additional, although inconclusive, evidence on the probable role of element disturbance in the pathogenesis of ASD. Further studies should be performed to explore other nutritional, cultural, sociodemographic, environmental, and methodological factors that may impact the levels of these elements in the nails and their possible correlation with the incidence of ASD.

High prevalence of xerophthalmia linked to socio-demographic and nutritional factors among vitamin A-deficient rural primary schoolchildren in Malaysia

Vitamin A deficiency (VAD) remains a major health issue in developing nations, contributing to preventable childhood blindness. However, there is lack of recent data on xerophthalmia, especially among school-aged children in Malaysia. We hypothesized that xerophthalmia persists among rural schoolchildren in Malaysia and potentially associated with socio-demographic status and malnutrition. We conducted a cross-sectional study on 596 schoolchildren (8-12 years) from ten rural primary schools located in five states across Malaysia. Children meeting the criteria for xerophthalmia assessment included those diagnosed with vitamin A deficiency (VAD) (plasma retinol < 0.70 µmol/L) and marginal VAD (plasma retinol 0.70 to < 1.05 µmol/L). The overall prevalence of xerophthalmia was 48.8%, with the most common ocular sign being conjunctival xerosis (38.9%). The occurrence of xerophthalmia was negatively associated with retinol-binding protein 4 (RPB4) (P=0.003), alpha-carotene (P=0.04), hemoglobin (P=0.004), weight (P=0.02), body mass index (BMI) (P=0.04) and WAZ (weight-for-age z-score) (P=0.04) status. Based on multivariate logistic regression analysis, a higher risk of xerophthalmia was observed in boys (Adjusted odd ratio [AOR]: 1.7, 95% confidence interval [CI]: 1.2-2.5) and Orang Asli (OA, indigenous) schoolchildren (AOR: 2.0, 95% CI: 1.3-3.0), while schoolchildren with overweight/obesity status (AOR: 0.5, 95% CI: 0.3-0.8) were associated with a reduced risk of xerophthalmia. The present study unveils a high prevalence of xerophthalmia among vitamin A-deficient primary schoolchildren in rural areas of Malaysia, especially among the indigenous community. The identified socio-demographic and nutritional factors associated to xerophthalmia would facilitate the implementation of more targeted interventions in addressing these issues.

Characteristics of enteral and oral nutrition support among infants and young children in the pediatric intensive care unit: A descriptive cohort study.

Children who are critically ill are often reliant on enteral and oral nutrition support. However, there is limited evidence to guide "what" to prescribe, and current practice is unknown. The primary objective of this study was to describe enteral nutrition prescription in children ≤2 years of age in the pediatric intensive care unit (PICU). The secondary objectives were to describe oral nutrition support practices and factors associated with the use of increased energy and protein density nutrition support. Children ≤2 years of age admitted to participating PICUs over a 2-week period in June 2021 were enrolled. Data were collected on PICU admission days 1 to 7, 14, 21, and 28 on the mode of nutrition, enteral and oral nutrition support prescription, and dietitian intervention. Eighty-four children were included (49 [58%] male; 79 [94%] ≤1 year of age). Enteral nutrition was administered to 79 (94%) children (with expressed breast milk in 45 [57%]). Forty-three children received formula as enteral nutrition. Increased energy and protein density formulas were provided to 14 (33%) children enterally, with concentrated standard infant formula powder being the most common (5 [12%]). Among children offered oral intake (22; 26%), three (14%) received oral nutrition support. Children who received increased energy and protein density enteral nutrition were more likely to receive dietitian intervention (P = 0.002). In children ≤2 years of age admitted to PICU, expressed breast milk was provided to half of those requiring enteral nutrition and oral nutrition support prescription was infrequent. One third of children receiving formula via enteral nutrition received an increased energy and protein density feed, and this was strongly associated with dietitian intervention.

Maternal, neonatal, and nutritional risk factors for medical and surgical necrotizing enterocolitis.

To identify maternal and neonatal risk factors associated with progression to surgery or death after diagnosis of NEC. Forty-seven demographic and clinical factors were evaluated across 216 validated cases of NEC occurring between 2010-2020. Nutrition at NEC onset was evaluated in 149 cases. The binary outcome of surgical NEC (progressing to surgery or death) vs. medical NEC (resolved with antibiotic/bowel rest) was compared across variables. Elevated CRP, rapidly decreasing platelet counts, inotropic medication, intubation, and positive blood cultures within 24 h of diagnosis were associated with progression to surgery/death. Infants with surgical NEC had higher abdominal circumferences at birth. Maternal milk intake and receipt of human milk fortifiers were associated with medical NEC, and infants receiving fortified, maternal milk showed the lowest progression to surgery/death. The index of suspicion should be heightened for surgical NEC when these risk factors are present.

What the hay: predicting equine voluntary forage intake using a meta-analysis approach

To properly formulate diets, the ability to accurately estimate feed intake is critical as the amount of feed consumed will influence the amount of nutrients delivered to the animal. Inaccurate intake estimates may lead to under- or over-feeding of nutrients to the animal. Individual differences in equine forage intake are well-known, but predictive equations based on animal and nutritional factors are not comprehensive. The objective of the present study was to consolidate the current body of knowledge in the published literature on voluntary forage DM intake (VFDMI) in equines and conduct a meta-analysis to identify driving factors, sources of heterogeneity, and develop predictive equations. Therefore, a systematic literature search was applied and identified 61 publications which met the inclusion criteria. From each study, the outcomes of interest (e.g., forage intake), diet composition (e.g., forage information, nutrient composition), and animal factors (e.g., sex, age, breed, BW, exercise level) were extracted. Forage intake was analyzed as two different outcome variables: (1) VFDMI in kg/d and (2) VFDMI in g/kg BW. Linear mixed model analysis treating study as a random effect was applied, using a backward−stepping approach to identifying potential driving variables for VFDMI (both units) where all terms have P < 0.1. The best fitting models for VFDMI included similar factors (also across kg/d and g/kg BW) such as forage quality (i.e., neutral detergent fiber or CP content), forage type (i.e., grass, legume, or mixed), the animals’ size category (i.e., horses vs ponies), and some management factors (i.e., pasture access). As anticipated, forage intake increased when higher quality forages were fed (i.e., lower neutral detergent fiber or higher CP), potentially due to improved digestibility. Additionally, VFDMI increased as BW increased but ponies increased their VFDMI more per every kg increase in BW compared to horses. Lastly, pasture access (i.e., grazing) may influence VFDMI such that pastured animals consume less than stalled animals, possibly due to the time it takes to graze forage. In conclusion, equations to predict equine VFDMI with high accuracy and precision (concordance correlation coefficient = 0.82 – 0.95; root mean squared error RMSE = 0.82–5.49) were developed which could be applied in practice by equine nutritionists or owners and managers. The results of this meta-analysis confirm that animal traits and forage quality have a significant impact on the VFDMI of equines and should be accounted for when formulating diets to ensure nutritional requirements are met.

Quantitative assessment of the contribution of risk factors to the formation of nutrition-dependent diseases based on neural network modelling in schoolchildren

Introduction. The increased interest on the part of the state in the problem of healthy nutrition makes it urgent to develop methodological approaches to quantify the likelihood of the occurrence of nutrition-related diseases and assess health risks. Materials and methods. The source of information was data obtained from a sociological study conducted by the Federal Service for Supervision in Protection of the Rights of Consumer and Man Wellbeing (Rospotrebnadzor). For the analysis, there were used eleven thousand five hundred forty three questionnaires, characterizing the nutritional factors of schoolchildren in the Russian Federation in the regions. Associated relationships between the studied factors and morbidity were obtained through neural network modelling. The study of the contributions of factors to the formation of diseases was carried out based on the analysis of a simulation matrix containing 300 thousand possible nutrition scenarios. Results. In the course of mathematical modelling, there were delivered 12 neural network models that describe the dependence of the additional probability of developing nutrition-dependent diseases on nutritional factors, characterized by a high proportion of correct predictions (more than 70%). The contributions of factors to changes in the probability of developing obesity were analyzed as a model with a high degree of reliability of parameters. The factors most influencing the development of obesity have been established to include daily consumption of foods with a high glycemic index, high-calorie confectionery in the form of cakes and pastries, sweet juices, consumption of products from a vending machine, excluding the purchase of salads and vegetable dishes. This type of diet increases the likelihood of developing obesity from the original 0.033 to 0.98 for the average schoolchild. Limitations. The study is limited to a set of factors measured as a result of a sociological survey and used in training neural network models. Conclusion. The neural network models obtained as a result of the study and the information materials created on their basis made it possible to develop tools that make it possible to quickly create arbitrary nutrition scenarios for schoolchildren and calculate the additional probability of the formation of nutrition-related diseases.

Distribution, relationship, and environmental driving factors of chlorophyll-a and algal cell density: A national view of China

Chlorophyll-a (Chl-a) and algal cell density (ACD) are vital for assessing algal proliferation and eutrophication in aquatic ecosystems. Although Chl-a is often used as a proxy for ACD, its accuracy requires validation, and studies on their linear correlation are scarce. Additionally, Chl-a and ACD are influenced by various factors, including nutritional, economic, biochemical, physicochemical, and meteorological factors. However, the relative importance of these factors on Chl-a and ACD remains insufficiently studied. This study analyzed data from 57 lakes and reservoirs across China from March 2021 to February 2023, investigating the distribution patterns of Chl-a and ACD across different regions and seasons. The study employed a linear regression model to explore the correlation between Chl-a and ACD in various regions and seasons throughout China. Furthermore, Mantel test and generalized linear model were used to evaluated the relative importance of nutritional factors (total nitrogen (TN), total phosphorus (TP), TN/TP ratio (TN/TP), and ammonia nitrogen (NH3-N)), economic factors (gross domestic product), meteorological factors (surface pressure, net solar radiation, air temperature, wind speed (WS), and rainfall (RF)), as well as biochemical and physicochemical factors (turbidity (TUR), pH value, water temperature (WT), permanganate index, and dissolved oxygen) on Chl-a and ACD. Results showed that the average concentrations of Chl-a and ACD in South China were highest, at 12 μg/L and 19.5 × 106 cells/L, respectively. Seasonally, Chl-a peaked in spring and was lowest in winter, while ACD peaked in summer and was lowest in winter. Significant seasonal and regional variations in the Chl-a and ACD correlation were observed, with spring showing the strongest relationship. In Central China, Chl-a and ACD were significantly correlated throughout the four seasons, whereas correlations were less distinct in Eastern and Western regions. Therefore, Chl-a as a proxy for ACD requires caution. Nutrient factors (TN, TP, TN/TP, NH3-N) were identified as the primary drivers of Chl-a and ACD. Meteorological factors (WS, RF), along with biochemical and physicochemical factors (WT, TUR) also emerged as critical predictors of Chl-a and ACD, with spatial variations. This study validates Chl-a as a proxy for ACD, analyzes their spatiotemporal distribution, and assesses the influence of various factors on Chl-a and ACD, enhancing our understanding of algal dynamics in Chinese lakes and reservoirs.

Malnutrition Role to the Risk of Developing Schizophrenia A Literature Review

Some evidence suggests that nutritional factors in-utero may contribute to the development of schizophrenia in offspring. To better understand the relationship between in-utero exposure to nutritional deficiency as a determinant of schizophrenia, a narrative review was conducted. Natural studies involving prenatal exposure to famines were identified and described. The relationship between malnutrition, low birth weight, and obstetric complications was evaluated as implicated in schizophrenia development. In addition to malnutrition, various micronutrients and the complementary biological mechanisms were reviewed including, iron, Vitamin D, and folate. Given the inherent link between poverty and malnutrition, associations between income and risk of schizophrenia were examined. The review concluded that prenatal malnutrition may be associated with an increased risk of schizophrenia. Given the relatively high prevalence of nutritional deficiencies during pregnancy, this work has the potential to offer substantial benefits for the intervention and prevention of schizophrenia in the population. More work and research are needed to directly observe malnutrition’s impact on schizophrenia, but such opportunities are limited due to ethical considerations. To address these limitations, future research could explore innovative methodologies to bridge the gap in understanding and provide insights into the complex interplay between prenatal malnutrition and schizophrenia.

A pivotal nutritional potential of understory vascular plants in Patagonian forests

Native forests can support wild and domestic herbivores, but their nutritional potential of understory vascular plants is rarely explored. We analysed the composition of understory plant species and their biochemical components to reveal the nutritional potential of forest types (deciduous, evergreen, mixed) and their associated open-lands (e.g. grasslands in forestlands) in Northern Patagonia. We proposed an approach combining our data (e.g. plant composition, occurrence frequency) with bibliographic research (e.g. Scopus database) to develop our findings. Data were evaluated using descriptive statistical analyses and multivariate analyses. This study presents the nutritional values for the 20 pivotal species under examination. The results highlight the significant impact of taxonomic families on nutritional profiles, where the species that presented the most relevant occurrence frequency: the herbs T. officinale (60.4 % of total occurrence frequency-TOF) and T. repens (47.9 % TOF), the graminoid H. lanatus (58 % TOF), and the fern B. penna marina (44.4 % TOF). Multivariate analyses showed that the first two PCA axes explained 76.1 % (p = 0.001) and 10.5 % (p = 1.000) of forest type variation, with ñire forests and open-lands having the highest palatable plant coverage. Biochemical PCA axes explained 52.1 % (p = 0.024) and 22.5 % (p = 0.874) of the variation, distinguishing species by protein content and structural components. The deciduous forests exhibited the highest coverage of palatable plants, while target plants with low palatability and high coverage were predominantly found in evergreen forest types. The confirmed presence of pivotal species across forest types and open-lands underscores its nutritional potential, characterised by highly digestible dry matter, crude protein, highly digestible non-nitrogenous nutrients, and relative feed value. Considering their widespread distribution and nutritional factors, the native and non-native plants merit attention due to their pivotal nutritional potential.

Association of the hemoglobin, albumin, lymphocyte, and platelet score with the risk of Erectile dysfunction: a cross-sectional study

Erectile dysfunction (ED) is related to nutritional and inflammatory factors. The hemoglobin, albumin, lymphocyte, and platelet score (HALP), a new index reflecting the nutritional and inflammatory status, has been associated with a higher risk of diabetic retinopathy, particularly at lower values (≤ 42.9). However, studies focusing on the relationship between HALP and ED risk are scarce. Hence, this study aimed to investigate the association between HALP and ED. Data were extracted from the National Health and Nutrition Examination Survey (NHANES) conducted between 2001 and 2004. Based on self-reported data, participants were classified into either the ED group or the non-ED group. Next, the HALP score was categorized into four quartiles (Q1–4). Weighted multivariate regression analysis was performed to assess the relationship between categorical HALP and ED risk. Additionally, restricted cubic spline (RCS) analysis was conducted to examine the association between continuous HALP scores and ED risk. Furthermore, subgroup analyses were conducted to examine the association between categorical HALP and the risk of ED based on age, as well as the status of hypertension, diabetes and cardiovascular disease. Finally, a mediation analysis was carried out to investigate the mediating effect of HALP and related parameters on the association between urinary cobalt levels and ED. Initially, the data of 21,161 participants were collected. After implementing the inclusion and exclusion criteria, 3406 participants were included in the final analyses. Weighted multivariate regression analysis demonstrated that the Q4 HALP group was associated with a lower risk of ED (OR 0.96, 95% confidence intervals 0.92–1.00, P = 0.037). Meanwhile, RCS analysis showed that HALP was nonlinearly associated with the risk of ED. In addition, subgroup analyses demonstrated that participants in the Q3/4 HALP group had a significantly lower ED risk than those in the Q1 group among patients aged ≥ 50 years, as well as those with hypertension and diabetes. Lastly, mediation analysis revealed that HALP and its associated parameters had a marginal average causal mediation effect on the relationship between urinary cobalt levels and ED risk (P > 0.05). In US adults, high HALP scores were correlated with a lower risk of ED. The relationship was more pronounced in participants aged ≥ 50 years with hypertension and diabetes. Furthermore, HALP and its parameters may not mediate the association between urinary cobalt levels and ED risk.