Levels Of Protein Intake Research Articles

Dietary Counseling Outcomes in Patients with Lung Cancer in an Upper-Middle-Income Country: An Open-Label Randomized Controlled Trial.

Background: Malnutrition harms treatment outcomes, QoL, and survival in lung cancer patients. Effective dietary counseling can improve nutrition, but few randomized controlled trials have focused on lung cancer patients. The objective of this study was to determine if dietary counseling improves nutritional and treatment outcomes when compared to routine care. Methods: This open-label parallel RCT was conducted at Maharaj Nakorn Chiang Mai Hospital in Thailand. The investigators used computer-generated blocked randomization to assign patients to dietary counseling by a nutritionist or routine care. The nutritionist sessions occurred before treatment, with follow-ups at 3-4 weeks and 12 weeks. The primary outcome was the mean percentage change in the body weight of patients at 12 weeks. Secondary outcomes included changes in the BMI, nutrition score, QoL, serum albumin level, lymphocyte count, energy and protein intake, treatment response, PFS, and OS. Results: Between April 2020 and May 2022, after completing recruitment, 80 lung cancer patients were randomized: 43 to dietary counseling and 37 to routine care. The dietary counseling group showed significant benefits, with smaller decreases in body weight at 3-4 weeks (-0.8% vs. -2.6%, p = 0.05) and 12 weeks (-1.1% vs. -4.3%, p = 0.05). They also had higher energy and protein intake levels and better treatment response rates. The secondary outcomes and significant adverse events did not differ significantly between the groups. Conclusions: Dietary counseling helps to maintain body weight, maintain dietary intake, and enhance treatment responses in lung cancer patients. Although not all nutritional markers or survival outcomes were affected, these findings highlight the importance of early nutritional interventions.

An acceptance and commitment therapy and mindfulness group intervention for the psychological and physical well-being of adults with body mass indexes in the overweight or obese range: The Mind&Life randomized controlled trial

This trial aimed to assess the effect of an acceptance and commitment therapy (ACT) and mindfulness-based intervention on the various psychological and physical issues associated with obesity. A parallel group randomized controlled trial was conducted with 142 adults with body mass indexes in the overweight or obesity range seeking treatment. Participants were assigned either to the ACT and mindfulness-based group intervention (Mind&Life intervention) plus treatment as usual (TAU) or the TAU-only condition. Individuals receiving the Mind&Life intervention with TAU showed more adherence to the Mediterranean diet, and greater decrease in external eating, weight, and visceral fat both at posttreatment and at 6-month follow-up. Moreover, they displayed a greater reduction in total protein and animal protein intake and GPT enzymes level. By 6-month follow-up, the Mind&Life group experienced a lower impact of weight on quality of life than TAU participants. However, Mind&Life intervention completers showed greater restrained eating levels at follow-up. Overall, this study suggests that an ACT and mindfulness-based group intervention could produce improvements in the impact of weight on quality of life, some eating behaviors, dietary habits, and weight and body composition parameters of people facing weight-related challenges.

Protein intake and episodic memory: the moderating role of the apolipoprotein E ε4 status

BackgroundThis study investigated the correlation between protein intake and Alzheimer’s disease (AD)-related cognitive decline, particularly in episodic memory, among older adults without dementia. Furthermore, we assessed the moderating effect of apolipoprotein ε4 (APOE4) on this association and analyzed its influence on other cognitive functions beyond memory.MethodsThe study involved 196 participants who underwent assessments for protein intake, cognitive performance, APOE4 genotyping, and nutritional biomarkers. Protein intake was categorized into low, medium, and high based on the consumption of dairy, legumes, eggs, meat, and fish.ResultsHigh protein intake was significantly associated with better episodic memory and overall cognition. Moreover, a significant interaction was found between high protein intake and APOE4, indicating that APOE4 moderates the association between high protein intake level and episodic memory. Sensitivity analysis confirmed these results among participants with stable food intake.ConclusionsOur study results demonstrated that high protein intake is associated with better episodic memory among older adults without dementia. Furthermore, the findings highlight the significant role of APOE4 status in moderating the relationship between protein consumption and episodic memory. These results suggest that dietary interventions focusing on protein intake could be beneficial for cognitive health, particularly in individuals with a genetic predisposition to AD.

Prospective study of protein intake and mortality among US adults with chronic obstructive pulmonary disease.

Protein is crucial for the rehabilitation of patients with chronic obstructive pulmonary disease (COPD), and appropriate daily protein intake is essential for COPD patients. However, the specific role of protein intake in COPD and its impact on mortality remain uncertain. This study aims to ascertain the relationship between protein intake and mortality in COPD patients. This investigation included 522 adult COPD patients from the National Health and Nutrition Examination Survey (NHANES) between 2013 and 2018, with a focus on evaluating protein intake. Multivariate Cox proportional hazard models were constructed to analyze the correlation between protein intake and the prognosis of COPD patients. Additionally, the restricted cubic spline (RCS) was employed to investigate the potential non-linear association between protein intake and mortality. A total of 522 patients with COPD were categorized into 4 groups based on the quartiles of protein intake: Q1 (< 25th percentile, 11.7-48.5 gm), Q2 (25-50th percentile, 48.5-67.7 gm), Q3 (50-75th percentile, 67.7-94.3 gm), and Q4 (≥ 75th percentile, 94.3-266.6 gm). Cox regression analysis revealed a significant trend in the p value of the Q3 group compared to the Q1 group when adjusting for other variables. The RCS-fitted Cox regression model indicated no non-linear relationship between protein intake levels and COPD mortality. There is no evidence of a non-linear relationship between protein intake and all-cause mortality in COPD patients. Further investigation is warranted to comprehend the intricate relationship between protein intake and COPD outcomes.

Effects of Dietary Protein Intake Levels on Peripheral Circadian Rhythm in Mice.

The regulation of the circadian clock plays an important role in influencing physiological conditions. While it is reported that the timing and quantity of energy intake impact circadian regulation, the underlying mechanisms remain unclear. This study investigated the impact of dietary protein intake on peripheral clocks. Firstly, transcriptomic analysis was conducted to investigate molecular targets of low-protein intake. Secondly, mPer2::Luc knock-in mice, fed with either a low-protein, normal, or high-protein diet for 6 weeks, were analyzed for the oscillation of PER2 expression in peripheral tissues and for the expression profiles of circadian and metabolic genes. Lastly, the candidate pathway identified by the in vivo analysis was validated using AML12 cells. As a result, using transcriptomic analysis, we found that the low-protein diet hardly altered the circadian rhythm in the central clock. In animal experiments, expression levels and period lengths of PER2 were different in peripheral tissues depending on dietary protein intake; moreover, mRNA levels of clock-controlled genes and endoplasmic reticulum (ER) stress genes were affected by dietary protein intake. Induction of ER stress in AML12 cells caused an increased amplitude of Clock and Bmal1 and an advanced peak phase of Per2. This result shows that the intake of different dietary protein ratios causes an alteration of the circadian rhythm, especially in the peripheral clock of mice. Dietary protein intake modifies the oscillation of ER stress genes, which may play key roles in the regulation of the circadian clock.

Feasibility of two levels of protein intake in patients with colorectal cancer: findings from the Protein Recommendation to Increase Muscle (PRIMe) randomized controlled pilot trial

Low muscle mass (MM) predicts unfavorable outcomes in cancer. Protein intake supports muscle health, but oncologic recommendations are not well characterized. The objectives of this study were to evaluate the feasibility of dietary change to attain 1.0 or 2.0 g/kg/day protein diets, and the preliminary potential to halt MM loss and functional decline in patients starting chemotherapy for stage II-IV colorectal cancer. Patients were randomized to the diets and provided individualized counseling. Assessments at baseline, 6 weeks, and 12 weeks included weighed 3-day food records, appendicular lean soft tissue index (ALSTI) by dual-energy X-ray absorptiometry to estimate MM, and physical function by the Short Physical Performance Battery (SPPB) test. Fifty patients (mean ± standard deviation: age, 57 ± 11 years; body mass index, 27.3 ± 5.6 kg/m2; and protein intake, 1.1 ± 0.4 g/kg/day) were included at baseline. At week 12, protein intake reached 1.6 g/kg/day in the 2.0 g/kg/day group and 1.2 g/kg/day in the 1.0 g/kg/day group (P= 0.012), resulting in a group difference of 0.4 g/kg/day rather than 1.0 g/kg/day. Over one-half (59%) of patients in the 2.0 g/kg/day group maintained or gained MM compared with 44% of patients in the 1.0 g/kg/day group (P= 0.523). Percent change in ALSTI did not differ between groups [2.0 g/kg/day group (mean ± standard deviation): 0.5% ± 4.6%; 1.0 g/kg/day group:-0.4% ± 6.1%; P= 0.619]. No differences in physical function were observed between groups. However, actual protein intake and SPPB were positively associated (β= 0.37; 95% confidence interval 0.08-0.67; P= 0.014). Individualized nutrition counselling positively impacted protein intake. However, 2.0 g/kg/day was not attainable using our approach in this population, and group contamination occurred. Increased protein intake suggested positive effects on MM and physical function, highlighting the potential for nutrition to attenuate MM loss in patients with cancer. Nonetheless, muscle anabolism to any degree is clinically significant and beneficial to patients. Larger trials should explore the statistical significance and clinical relevance of protein interventions.

Protein and Amino Acid Adequacy and Food Consumption by Processing Level in Vegans in Brazil

Major concerns regarding individuals who adhere to a vegan diet are whether they meet protein and essential amino acid recommendations and how reliant they are on ultraprocessed foods. To investigate whether individuals who adhere to a vegan diet meet protein and essential amino acid recommendations and, as secondary objectives, to determine ultraprocessed food intake and potential factors associated with inadequate protein intake in this population. This cross-sectional survey study was conducted between September 2021 and January 2023 in Brazil among male and female adults (aged 18 years or older) who adhered to a vegan diet recruited from social media platforms. Adherence to a vegan diet and unprocessed and minimally processed foods and ultraprocessed food consumption. Protein and essential amino acid intake and food consumption by processing level were assessed using a 1-day food diary. Nutrient adequacy ratios were calculated by dividing nutrient intake by its recommendation (using scores truncated at 1) for each participant and then finding the mean across participants for each nutrient. The mean adequacy ratio was the mean of all nutrient adequacy ratios. Of 1014 participants who completed the survey, 774 individuals (median [IQR] age, 29 [24-35] years; 637 female [82.3%]) were confirmed as adhering to a vegan diet and provided adequate food recalls, among whom 558 individuals reported body weight and so had relative protein and amino acid intake values available. The median (IQR) body mass index (calculated as weight in kilograms divided by height in meters squared) of participants was 22.6 (20.3-24.8). The nutrient adequacy ratio of protein was 0.93 (95% CI, 0.91-0.94); for essential amino acids, ratios ranged from 0.90 (95% CI, 0.89-0.92) for lysine to 0.98 (95% CI, 0.97-0.99) for phenylalanine and tyrosine. The mean adequacy ratio for protein and all amino acids was 0.95 (95% CI, 0.94-0.96). The median intake level was 66.5% (95% CI, 65.0%-67.9%) of total energy intake for unprocessed and minimally processed food and 13.2% (95% CI, 12.4%-14.4%) of total energy intake for ultraprocessed food. Adjusted logistic regression models showed that consuming protein supplements (odds ratio [OR], 0.06 [95% CI 0.02-0.14]; P < .001) or textured soy protein (OR, 0.32 [95% CI, 0.17-0.59]; P < .001) was associated with decreased odds of inadequate protein intake. Higher ultraprocessed food intake levels were also associated with decreased odds of inadequate protein intake (eg, fourth vs first quartile of intake: OR, 0.16 [95% CI, 0.07-0.33]; P < .001), and higher unprocessed and minimally processed protein intake levels were associated with increased odds of inadequate protein intake (eg, fourth vs first quartile of intake: OR, 12.42 [95% CI, 5.56-29.51]; P < .001). In this study, most individuals who adhered to a vegan diet attained protein and essential amino acid intake recommendations, largely based their diet of unprocessed and minimally processed food, and had a significantly lower proportion of ultraprocessed food intake compared with previous reports. Participants consuming less ultraprocessed food were more likely to have inadequate protein intake, suggesting a significant reliance on ultraprocessed proteins for this population.

Association Between Peritoneal Glucose Absorption, Lipid Metabolism, and Cardiovascular Disease Risk in Nondiabetic Patients on Peritoneal Dialysis

BackgroundExcessive sugar intake increases the energy metabolic burden and the risk of cardiovascular disease (CVD). Patients on peritoneal dialysis (PD) absorb much more glucose than the World Health Organization recommends, but the link to CVD is unclear. ObjectiveTo identify the association between peritoneal glucose absorption, lipid metabolism, and CVD. MethodsWe applied generalized additive mixed-effects and mixed-effects Cox proportional hazard models to evaluate the impact of peritoneal glucose absorption on lipid profiles and CVD risk. We performed subgroup analyses by using protein intake (normalized protein nitrogen appearance [nPNA] and normalized protein catabolic rate [nPCR] were used to assess protein intake) and high-sensitivity C-reactive protein (hs-CRP). ResultsAfter multivariable adjustment, peritoneal glucose absorption per 10 g/d increase was associated with an increase in cholesterol of 0.145 (95% confidence interval [CI]: 0.086–0.204) mmol/L. No link with the total risk of CVD was observed; however, protein intake and hs-CRP levels affected the relationship between glucose absorption and CVD risk. Patients with values for nPNA and nPCR < 1.0 g/(kg∙d) were associated with a lower risk of CVD (hazard ratio [HR] 95% CI 0.68 (0.46–0.98)) with glucose absorption per 10 g/d increase. While patients with hs-CRP levels ≥ 3 mg/d or values for nPNA or nPCR ≥ 1.0 g/(kg∙d) were associated with a higher risk of CVD (HR 95% CI 1.32 (1.07–1.63); 1.31 (1.02–1.68)) for glucose absorption per 10 g/d increase. ConclusionsOur study found a positive correlation between peritoneal glucose absorption and lipid profiles. Increased glucose absorption was associated with a lower risk of CVD in lower protein intake patients, and a higher risk of CVD in higher hs-CRP or protein intake levels in patients on PD.

The Relationship of Protein Intake to Creatinine Levels and Blood Pressure in Fitness Member

Background: Fitness center members generally eat foods high in protein, reaching 2 grams/kg body weight or more, and are often accompanied by supplements such as creatinine. High protein intake in the long term will produce a metabolic load that can cause impaired kidney function. In addition to creatinine, the influence of high protein intake that individuals with high activity directly feel is Blood Pressure. Objective: This study aims to determine the relationship between protein intake, creatinine levels, and blood pressure in fitness members at Osbond Gym Cempaka Putih. Method: This type of quantitative research uses a cross-sectional design, with a sample of 22 respondents, namely fitness members at Osbond Gym Cempaka Putih. Data analysis was performed using the Pearson correlation test for normally distributed data and the Spearman correlation test for abnormally distributed data. The test criteria are seen if the p-value &lt; 0.05, then Ha is accepted, and Ho is rejected. Test Results in Normality Variables Protein Intake and Type of Exercise are abnormal, and other variables are normal. Results: All respondents (100%) in this study had been on a high-protein diet for over one year. Most respondents were between 26 and 35 (40.9%) and 36-45 years (40.9%). More respondents were men (68.2%). Most respondents did this weight training (81.8%), with an average exercise frequency of 367.73 minutes/week. The average protein intake of respondents was 212.7736 grams/day, the average body mass index was 25.33 kg / m2, and the average creatinine levels of respondents were 1.01 mg / dL. Most respondents had normal systolic (72.7%) and diastolic (68.2%) blood pressures. Conclusions: There was no association between protein intake, BMI, exercise, and creatinine levels. There is a relationship between sex and creatinine levels. There was no association between protein intake, sex, BMI, and exercise with systolic and diastolic blood pressure.

Characterising dietary protein intake in Irish adults on the island of Ireland

Shifting dietary protein intakes from animal to plant-based sources is suggested as a path to sustain the world’s food consumption and maintain planetary resources (1). However, to facilitate change, it is important to characterise baseline dietary protein patterns. This study aimed to examine dietary protein intakes on the island of Ireland in order to determine population characteristics and food sources influencing protein intake.Analyses were performed on the Northern Ireland sub cohort of the UK National Dietary Nutrition Survey (NDNS 2016-2019) (2) and the Irish National Adult Nutrition Survey (2008-2010) (3). Both surveys used a four-day food diary and a final sample of 1484 adults, aged 18-64 years was extracted (NANS; n =1274 and NI NDNS; n=210). Mean daily intakes for protein (MDI; % total energy, TE) for the total population were calculated and the population was divided into three tertile groups based on low, medium and high protein intake (%TE). Differences in population characteristics, energy MDI, key nutrients (%TE or per 10MJ) and contributing food sources were examined across these tertiles, using chi-square and one-way ANOVA with covariates (age and BMI) and correcting for multiple comparisons as appropriate (P&lt;0.005).Overall, 17.1% of TE was obtained from protein and 77% of participants met their protein DRV based on EFSA recommendations of 0.83g/kg/body weight (4). The difference in protein intakes between the highest and lowest tertiles was 7.8% TE (21.2 % TE vs 13.4% TE) with high protein consumers reporting lower energy intakes (1734 ± 564kcal) compared to low consumers (2185 ± 661 kcal). High protein consumers were older (42.5 ± 12.8 years) and had a higher BMI (27.7 ± 6.0 kg/m2). They also had higher MDI of dietary fibre, calcium, zinc, sodium, iron, folate and vitamins A, C, D and B12 (per 10MJ) (p&lt;0.001) and lower MDI of carbohydrates, fat, saturated fat (%TE) in comparison to low consumers (p&lt;0.001). The % contribution of ‘chicken, turkey and dishes’ (18.3%), ‘beef, veal and dishes’ (12.8%) and ‘fish and fish products (7.0%) to protein intakes were significantly higher in the high versus the low consumption group (10%, 7.4%, 4.4% TE respectively; P&lt;0.001). In contrast, those in the lowest protein intake group had a significantly higher intakes of protein coming from dietary sources including ‘burgers, sausages and meat products (9.9 vs 5.9%), ‘white bread and rolls’ (6.9 vs 3.9%), ‘potatoes (including chips)’ (4.1 vs 2.9 %) and ‘cakes, pastries, buns and fruit pies’ (1.7 vs 0.8%) compared to high consumers.In general, animal protein sources contributed more to total daily protein intakes than plant sources, however, the pattern of protein foods differed according to level of protein intake. These findings will aid in the development of strategies to diversify protein intakes on the Island of Ireland.

Energy, Protein, Fat and Carbohydrate Intakes in Children with Wasting Syndrome at SDN 2 Tlanak Kedungpring, Lamongan District

In school-age children, the body will later need energy and macronutrients for growth, physical activity and other skills. The purpose of this study was to describe the energy, protein, fat and carbohydrate intakes in children with wasting syndrome at SDN 2 Tlanak Kedungpring, Lamongan Regency. The research design used is descriptive observational. The sample consisted of 30 respondents. The technique used was 2 x 24-hour food recall interviews. The research time starts from October 2022-March 2023. The analysis technique used is univariate or descriptive. The results of this study showed that 20 respondents (66.6%) had energy consumption levels in the severe deficit category, 28 respondents (93.3%) had carbohydrate consumption levels in the severe deficit category, 13 respondents (43.4%) had protein consumption in the category of weight deficit and as many as 13 respondents (43.4%) had a level of fat consumption in the normal category. The conclusion of the study was that most children with wasting syndrome had normal levels of energy, carbohydrate and protein intake, deficits in weight and fat. The hope of this study is to provide an impetus for parents and the school to pay attention to children's food so that nutritional needs can be met.

Description of Breakfast Habits, Nutritional Status and Level of Achievement of Al-Huda Madrasah Ibtidaiyah Kep uhbener Nganjuk District

Breakfast is very important for elementary school children because with breakfast, the nutritional needs for their activities while at school can be fulfilled, with the fulfillment of nutritional needs. The purpose is to know the description of breakfast habits, breakfast intake, nutritional status and level of learning achievement at MI Al-Huda Kepuh Bener, Nganjuk Regency. Research method is descriptive using a proportional random sampling technique. The way to collect data is by means of anthropometric measurements, interviews using questionnaires, food recall interviews 3 times breakfast, observation of odd semester student report cards. It was obtained data on nutritional status based on (BMI/Age) as many as (76.9%) students had good nutritional status, (66.7%) had sufficient breakfast habits, (38.5%) had a deficit energy consumption level weight, (56.3%) had a deficit consumption level of protein intake and as many as (89.7%) had a good level of academic achievement. Concluded that most students have normal nutritional status, students who have good breakfast habits but a deficit consumption level, students have a deficit consumption level but a good level of learning achievement. It is recommended for students to eat a balanced diet and get used to breakfast

Circular food system approaches can support current European protein intake levels while reducing land use and greenhouse gas emissions

Protein transition and circular food system transition are two proposed strategies for supporting food system sustainability. Here we model animal-sourced protein to plant-sourced protein ratios within a European circular food system, finding that maintaining the current animal–plant protein share while redesigning the system with circular principles resulted in the largest relative reduction of 44% in land use and 70% in greenhouse gas (GHG) emissions compared with the current food system. Shifting from a 60:40 to a 40:60 ratio of animal-sourced proteins to plant-sourced proteins yielded a 60% reduction in land use and an 81% GHG emission reduction, while supporting nutritionally adequate diets. Differences between current and recommended total protein intake did not substantially impact minimal land use and GHG emissions. Micronutrient inadequacies occurred with less than 18 g animal protein per capita per day. Redesigning the food system varied depending on whether land use or GHG emissions were reduced—highlighting the need for a food system approach when designing policies to enhance human and planetary health.

Analysis of the Association between Protein Intake and Disability-Adjusted Life Year Rates for Alzheimer's Disease in Japanese Aged over 60.

With advancements in medical technology, the structure of disease is shifting from acute illnesses to chronic conditions, such as Alzheimer's disease (AD). Consequently, there is an escalating need for evaluations that discourse on the potential effects on healthy life years, as well as disease onset. We aimed to evaluate the associations with AD disability-adjusted life year (AD-DALY) rates and protein intake by sex and age group. For the analysis, we used representative values for males and females in their 60s and aged over 70, extracted from the public dataset of the Global Burden of Disease Study and the National Health and Nutrition Survey in Japan, covering the years 1990 to 2019. In order to evaluate the association between AD-DALY rates and protein intake, we analyzed correlations and stratified multiple regression models. Additionally, we simulated alterations in AD-DALY rates associated with changes in protein intake by utilizing stratified multiple regression models. AD-DALY rates and protein intake indicated significant negative correlations across all sex and age groups. In stratified multiple regression models, significant associations were found between higher protein intake and lower AD-DALY rates in females. In the simulation, when protein intake was increased to 1.5 g/kg/day, AD-DALY rates decreased by 5-9 percent compared with 2019. However, the association between intake of animal and plant protein and AD-DALY rates were found to vary based on sex and age group. The present study suggests the possibility to improve AD-DALY rates by increasing population average protein intake levels in a recommended range.

The efficacy of Carbamylglutamate impacts the nutritional management of patients with N-Acetylglutamate synthase deficiency

BackgroundThe autosomal recessive disorder N-acetylglutamate synthase (NAGS) deficiency is the rarest defect of the urea cycle, with an incidence of less than one in 2,000,000 live births. Hyperammonemic crises can be avoided in individuals with NAGS deficiency by the administration of carbamylglutamate (also known as carglumic acid), which activates carbamoyl phosphatase synthetase 1 (CPS1). The aim of this case series was to introduce additional cases of NAGS deficiency to the literature as well as to assess the role of nutrition management in conjunction with carbamylglutamate therapy across new and existing cases.MethodsWe conducted retrospective chart reviews of seven cases of NAGS deficiency in the US and Canada, focusing on presentation, diagnosis, medication management, nutrition management, and outcomes.ResultsFive new and two previously published cases were included. Presenting symptoms were consistent with previous reports. Diagnostic confirmation via molecular testing varied in protocol across cases, with consecutive single gene tests leading to long delays in diagnosis in some cases. All patients responded well to carbamylglutamate therapy, as indicated by normalization of plasma ammonia and citrulline, as well as urine orotic acid in patients with abnormal levels at baseline. Although protein restriction was not prescribed in any cases after carbamylglutamate initiation, two patients continued to self-restrict protein intake. One patient experienced two episodes of hyperammonemia that resulted in poor long-term outcomes. Both episodes occurred after a disruption in access to carbamylglutamate, once due to insurance prior authorization requirements and language barriers and once due to seizure activity limiting the family’s ability to administer carbamylglutamate.ConclusionsFollow-up of patients with NAGS deficiency should include plans for illness and for disruption of carbamylglutamate access, including nutrition management strategies such as protein restriction. Carbamylglutamate can help patients with NAGS deficiency to liberalize their diets, but the maximum safe level of protein intake to prevent hyperammonemia is not yet known. Patients using this medication should still monitor their diet closely and be prepared for any disruptions in medication access, which might require immediate dietary adjustments or medical intervention to prevent hyperammonemia.

Description of Iron, Protein Intake, Compliance with Government Activity Blood Supplement Tablets Consumption and Consumption Patterns of Iron Inhibitors in Adolescent Girls at Public High School 1 Barat Magetan District

Anemia is common in developing countries such as Indonesia. Government prevention efforts to overcome iron deficiency are by giving Blood Addition Tablets and also improving diet. Identify the intake of protein iron consumption, compliance consumption of government activity blood supplement tablets and consumption patterns of iron inhibitors in SMA Negeri 1 Barat Magetan District. This research is a descriptive study. Data collection by interview with a questionnaire instrument compliance consumption of blood supplement tablets and food intake interview with SQ-FFQ questionnaire. The number of respondents was 58 students with proportional random sampling technique. The percentage of students who did not consume blood supplement tablets (67.2%). The level of iron intake was deficient (62.1%), students consumed tannin very often (25.9%), consumption of phytic acid often (48.3%), and the level of protein intake was severely deficient (79.3%). Most students did not consume the given blood supplement tablets. Most students had iron deficiency and protein intake levels that were severely deficient. The students also had a frequent category in consuming phytic acid and also had a frequent category in consuming phytic acid. Schools are advised to hold counseling on anemia and balanced nutrition, and blood supplement tablets supplementation activities.

Multivariate Analysis of Food Security and Its Driving Factors

The main objective of the presented paper was the analysis of the current state of food security in the world, segmentation of 100 selected countries and determination of its main driving factors. The analysis used 27 indicators covering 5 basic areas: agricultural production, poverty, demography, economic development, and environmental indicators. The analysis was based on data from the FAO and World Bank for the most recent available period, which was year 2020. The data dimension was reduced with the application of factor analysis, and the main driving factors of food sufficiency were determined. The result was 6 factors: technological development, economic development, agricultural production, environmental factor, and physical quality of life and environment. To group similar countries in terms of selected indicators, a cluster analysis was performed, whereby countries were grouped by similarity into three clusters. The 1st cluster consisted of the most economically developed countries, where only 2.54% of the population suffers from malnutrition. The countries in this cluster were characterized by high levels of economic development, high caloric intake of the population, and high, life expectancy. On the other hand, they recorded negative development in demographic indicators such as fertility and birth rates. The 2nd cluster included the poorest areas of the African continent, which were most endangered by direct food insufficiency (23.74% of the population). In contrast to the first cluster, these countries were characterized by low levels of economic development, high prices, and low-calorie intakes of the population, as well as low life expectancy, while on the other hand, these countries had high fertility and birth rates. The third largest cluster consisted of countries with a medium threat of food insufficiency, where 6.37% of the population suffers from malnutrition. The countries in the third cluster excelled in terms of crop and livestock production volumes, but in contrast to this, they achieved lower levels of fat, protein, and calorie intake of population.

Association of Combining Diet and Physical Activity on Sarcopenia and Obesity in Elderly Koreans with Diabetes.

This study aimed to identify the combined factors of physical activity and diet associated with non-sarcopenic non-obese status in 1586 diabetic patients aged ≥65 years from the Korean National Health and Nutrition Examination Survey (2016 to 2019). Participants were categorized into non-sarcopenic non-obesity (NSNO), sarcopenia non-obesity (SNO), non-sarcopenic obesity (NSO), and sarcopenic obesity (SO) groups. NSNO had lower insulin, HOMA-IR, and triglycerides compared to NSO and SO. NSNO had lower perceived stress, higher nutrition education and dietary supplement intake. As assessed by the Korean Healthy Eating Index, NSNO scored higher total than SNO and SO, in breakfast and energy balance compared to SO, and in the adequacy of vegetables and meat/fish/egg/bean compared to SNO. NSNO had significantly higher energy and protein intake and physical activity, with BMI/waist circumference lower than NSO, SO, and comparable to SNO. Physical activity was positively associated with NSNO. Low Total KHEI score and protein intake level reduced the odds ratio (OR) of NSNO, particularly when physical activity was insufficient, with OR = 0.38 for KHEI Q1 and OR = 0.32 for protein T1. In conclusion, physical activity, diet quality, and protein intake are associated with NSNO prevalence in Korean elderly with diabetes, and energy balance through active intake and expenditure may be effective.

Profitability and Socioeconomic Characteristics of Fish Production in Anambra State, Nigeria

In recent decades the impact of agriculture towards achieving a sustainable economy in Nigeria cannot be under emphasized, though, in time past it has been a subject of several debates amongst development economists, food security and stability is key to the developmental economy of any nation thus, the need to investigate fish production and management in Abia state. Three (3) zone comprising of Awka zone, Onitsha zone and Aguata zone were investigated with a pooled sample inclusive as standard and the analysis was based on the following parameters: Socio-economic Characteristics of Fish farmers, Systems of Fish Production, Management and the Level of Fish Production Associated with the Fish Management Systems, Price of Fish and Net Return from Fish Production. The result obtained showed that fish farming is practiced by both male and female with 96.67% and 3.33% respectively; majority (24.17%) of the fish farmers are within the age bracket of 51-55 years, while 23.33%, 22.50%, 17.50%, 11.67% and 0.83% of the farmers are within the age brackets of 41-45, 51-60, 46-50, 36-40 and 31-35 years respectively; 100.00% of the farmers had basic formal education with an average of 6 years farming experience; 67.50% purchased the fingerlings stock, while 32.50% of them hatched their fingerlings; 60.00% of the farmers produce heterobranchus, 27.50% of them produced heterobranchus and clarias, while 12.50% of the farmers produced heterobranchus and tilapia; 12.50% of the farmers were below 40 years of age, signifying the need to empower and encourage the youth to go into fish farming. the mean output of a fish farmer per year in Awka, Onitsha and Aguata Zones are 3.88 tonnes, 3.81 tonnes and 3.35 tonnes of fish respectively with grand mean output of 3.71 tonnes in Anambra state. Since there is need to increase protein intake level of people of the state and nation in general, fish production has to be developed and all the constraints militating against its effective production be checked so as to meet up with the protein need of the people.

Can we design food taxes to reduce agricultural greenhouse gas emissions in China? A perspective from animal protein intake of low-income populations

PurposeStudies on developed economies showed that imposing taxes on animal-based foods could effectively reduce agricultural greenhouse gas emissions (AGHGEs), while this taxation may not be appropriate in developing countries due to the complex nutritional status across income classes. Hence, this study aims to explore optimal tax rate levels considering both emission reduction and nutrient intake, and examine the heterogenous effects of taxation across various income classes in urban and rural China.Design/methodology/approachThe authors estimated the Quadratic Almost Ideal Demand System model to calculate the price elasticities for eight food groups, and performed three simulations to explore the relative optimal tax regions via the relationships between effective animal protein intake loss and AGHGE reduction by taxes.FindingsThe results showed that the optimal tax rate bands can be found, depending on the reference levels of animal protein intake. Designing taxes on beef, mutton and pork could be a preliminary option for reducing AGHGEs in China, but subsidy policy should be designed for low-income populations at the same time. Generally, urban residents have more potential to reduce AGHGEs than rural residents, and higher income classes reduce more AGHGEs than lower income classes.Originality/valueThis study fills the gap in the literature by developing the methods to design taxes on animal-based foods from the perspectives of both nutrient intake and emission reduction. This methodology can also be applied to analyze food taxes and GHGE issues in other developing countries.