Supplementation Strategies Research Articles

Exploring the Dual Benefits of Fermented and Non-Fermented Garlic Powder on Growth, Antioxidative Capacity, Immune Responses, and Histology in Gray Mullet (Liza ramada)

This study investigated the effects of dietary garlic powder and fermented garlic powder supplementation at 1% and 2% levels on growth performance, digestive tract efficacy, blood biochemistry, immunity, and antioxidant status of Liza ramada (n = 225 fish; 86.00 ± 0.42 g) over a 60-day period. Fish fed diets supplemented with both forms of garlic at both levels exhibited significantly improved final body weight, weight gain, specific growth rate, and feed conversion ratio compared to the control group. Digestive enzyme activities (amylase, lipase, and protease) were significantly enhanced in all supplemented groups. Blood biochemical analysis revealed reduced glucose levels and increased total protein in garlic-supplemented groups, with no adverse effects on liver or kidney function markers. Immune parameters, including lysozyme activity, bactericidal activity against Streptococcus agalactiae, alternative complement pathway (ACP), and respiratory burst (NBT), were significantly enhanced in garlic-supplemented groups, with fermented garlic showing more pronounced effects. Antioxidant enzyme activities (SOD, CAT, and GPx) were also significantly increased in all supplemented groups, particularly in those fed fermented garlic. No significant differences in survival rates were observed among treatments. The results suggest that both garlic powder and fermented garlic powder supplementation, especially at the 2% level, can effectively improve growth, feed utilization, immune function, and antioxidant status in L. ramada. Fermented garlic generally demonstrated superior effects, indicating its potential as a beneficial feed additive in aquaculture. Based on these findings, it is recommended to incorporate fermented garlic powder at a 2% level in L. ramada diets to optimize growth performance and health status. Further research is warranted to investigate the long-term effects and cost-effectiveness of this supplementation strategy in commercial aquaculture settings.

Nitrogen excretion and utilisation of dairy cows grazing temperate semi-natural grasslands

Diets reliant on grazed, temperate herbage are prone to greater nitrogen (N) losses via urine than balanced stall-fed diets which poses a greater risk for N emissions. Measures for improving the N utilisation in grazing-based dairy cattle systems are predominantly investigated on homogenous clover-ryegrass pastures with high herbage yields and nutritional quality. In contrast, grazing-based systems reliant on less external inputs (e.g., synthetic fertilisers or concentrates) using semi-natural grassland as main feed source, such as in large parts of Central Europe, received less attention. The N utilisation and excretion of grazing cows in low-input dairy farms was, thus, investigated on nine commercial organic dairy farms in South Germany across one to four periods per farm. The dataset captured a diverse set of dairy production systems comprising 323 individual animal observations. A mean (± one standard deviation) milk production, DM intake (DMI), and pasture DMI of 23.9 kg (± 5.35), 21.0 kg (± 3.21), and 11.3 kg/d (± 4.83), respectively, was determined using titanium dioxide and faecal crude protein concentration as markers of faecal excretion and diet digestibility, respectively. Milk N use efficiency (MNE; i.e., milk N secretion as share of N intake) averaged 24.7 g/100 g N intake (± 5.91), which is greater than observations in temperate, high-input grazing systems but lower than in cows receiving balanced diets in the barn. The MNE and another seven indicators of N utilisation and excretion displayed a wide range of values. The grazing management factors explaining this variation were, thus, identified via backward elimination. The supplementation strategy had the greatest potential for manipulating N utilisation and excretion of dairy cows. Increasing shares of fresh forages (i.e., meadow grass or clover-grass leys) as well as of hay in supplement DMI increased N utilisation (e.g., MNE) and decreased urinary N excretion (e.g., urinary N to creatinine ratio), while increasing shares of concentrates in supplement DMI are related to lower N losses via urine. At the same time, increases in total supplement DMI reduced N utilisation and increased urinary N excretion. Hence, full-time grazing combined with supplementation of fresh forage and hay in the barn is a viable option for low-input, grazing-based dairy operations with moderate levels of N losses.

Dual CRALBP isoforms unveiled: iPSC-derived retinal modeling and AAV2/5-RLBP1 gene transfer raise considerations for effective therapy

Inherited retinal diseases (IRDs) are characterised by progressive vision loss. There are over 270 causative IRD genes and variants within the same gene can cause clinically distinct disorders. One example is RLBP1 that encodes CRALBP. CRALBP is an essential protein in the rod and cone visual cycles that take place primarily in the retinal pigment epithelium (RPE) but also in Müller cells of the neuroretina. RLBP1 variants lead to three clinical subtypes: Bothnia dystrophy, retinitis punctata albescens and Newfoundland rod-cone dystrophy. We modelled RLBP1-IRD subtypes using patient-specific iPSC-derived RPE and identified pathophysiological markers that served as pertinent therapeutic read-outs. We developed an AAV2/5-mediated gene supplementation strategy and performed a proof-of-concept study in the human models, which was validated in vivo in an Rlbp1-/- murine model. Most importantly, we identified a previously unsuspected smaller CRALBP isoform that is naturally and differentially expressed both in the human and murine retina. This previously unidentified isoform is produced from an alternative methionine initiation site. This work provides further insights into CRALBP expression and RLBP1-associated pathophysiology and raises important considerations for successful gene supplementation therapy.

Nutritional strategies for improving sarcopenia outcomes in older adults: A narrative review.

Sarcopenia is characterized by a decline in muscle strength, generalized loss of skeletal muscle mass, and impaired physical performance, which are common outcomes used to screen, diagnose, and determine severity of sarcopenia in older adults. These outcomes are associated with poor quality of life, increased risk of falls, hospitalization, and mortality in this population. The development of sarcopenia is underpinned by aging, but other factors can lead to sarcopenia, such as chronic diseases, physical inactivity, inadequate dietary energy intake, and reduced protein intake (nutrition-related sarcopenia), leading to an imbalance between muscle protein synthesis and muscle protein breakdown. Protein digestion and absorption are also modified with age, as well as the reduced capacity of metabolizing protein, hindering older adults from achieving ideal protein consumption (i.e., 1-1.5 g/kg/day). Nutritional supplement strategies, like animal (i.e., whey protein) and plant-based protein, leucine, and creatine have been shown to play a significant role in improving outcomes related to sarcopenia. However, the impact of other supplements (e.g., branched-chain amino acids, isolated amino acids, and omega-3) on sarcopenia and related outcomes remain unclear. This narrative review will discuss the evidence of the impact of these nutritional strategies on sarcopenia outcomes in older adults.

The Impact of Docosahexaenoic Acid (DHA) Supplementation on Calcium Levels in Third Trimester Pregnant Women with Chronic Energy Deficiency (CED): A Correlational Study

Background: Chronic Energy Deficiency (CED) during pregnancy represents a critical health challenge, especially in developing regions, where it significantly threatens maternal and fetal well-being. Docosahexaenoic Acid (DHA), an essential omega-3 fatty acid, plays a pivotal role in fetal neurodevelopment and maternal health. However, the impact of DHA supplementation on maternal calcium levels, particularly among pregnant women affected by CED, has not been extensively studied. This study evaluate the correlation between DHA supplementation and calcium levels in third-trimester pregnant women with CED, with the goal of improving outcomes for this vulnerable population. Method and Results: This research uses experimental cohort study design with a quantitative approach, using non-probability sampling techniques such as quota and purposive sampling, and involving a total of 24 participants. Statistical analysis revealed a significant increase in calcium levels following DHA supplementation, with a p-value of 0.007 (<0.05), indicating a notable impact of the intervention. The mean calcium levels post-treatment were higher than pre-treatment, demonstrating the efficacy of DHA supplementation in improving calcium levels. Further analysis showed no significant correlation between pre-supplementation calcium levels and Body Mass Index (BMI) (p = 0.622, > 0.05). However, a significant correlation was found between post-supplementation calcium levels and BMI (p = 0.002, < 0.05). These findings indicate a positive correlation between DHA supplementation and calcium levels in pregnant women with CED during the third trimester. However, further investigation is needed to fully understand the relationship between calcium levels and BMI. Conclusion: This study lays the groundwork for future research aimed at optimizing therapeutic interventions or supplementation strategies to improve the nutritional status of underweight pregnant women.

Intestinal Microbiota Interventions to Enhance Athletic Performance-A Review.

Recent years have witnessed an uptick in research highlighting the gut microbiota's role as a primary determinant of athletes' health, which has piqued interest in the hypothesis that it correlates with athletes' physical performance. Athletes' physical performances could be impacted by the metabolic activity of the assortment of microbes found in their gut. Intestinal microbiota impacts multiple facets of an athlete's physiology, including immune response, gut membrane integrity, macro- and micronutrient absorption, muscle endurance, and the gut-brain axis. Several physiological variables govern the gut microbiota; hence, an intricately tailored and complex framework must be implemented to comprehend the performance-microbiota interaction. Emerging evidence underscores the intricate relationship between the gut microbiome and physical fitness, revealing that athletes who engage in regular physical activity exhibit a richer diversity of gut microbes, particularly within the Firmicutes phylum, e.g., Ruminococcaceae genera, compared to their sedentary counterparts. In elite sport, it is challenging to implement an unconventional strategy whilst simultaneously aiding an athlete to accomplish feasible, balanced development. This review compiles the research on the effects of gut microbiota modulation on performance in sports and illustrates how different supplementation strategies for gut microbiota have the ability to improve athletic performance by enhancing physical capacities. In addition to promoting athletes' overall health, this study evaluates the existing literature in an effort to shed light on how interventions involving the gut microbiota can dramatically improve performance on the field. The findings should inform both theoretical and practical developments in the fields of sports nutrition and training.

Fueling the Heart: What Are the Optimal Dietary Strategies in Heart Failure?

Heart failure (HF) is a global health concern with rising incidence and poor prognosis. While the essential role of nutritional and dietary strategies in HF patients is acknowledged in the existing scientific guidelines and clinical practice, there are no comprehensive nutritional recommendations for optimal dietary management of HF. In this review, we discuss results from recent studies on the obesity paradox and the effects of calorie restriction and weight loss, intermittent fasting, the Western diet, the Mediterranean diet, the ketogenic diet, and the DASH diet on HF progression. Many of these strategies remain under clinical and basic investigation for their safety and efficacy, and there is considerable heterogeneity in the observed response, presumably because of heterogeneity in the pathogenesis of different types of HF. In addition, while specific aspects of cardiac metabolism, such as changes in ketone body utilization, might underlie the effects of certain dietary strategies on the heart, there is a critical divide between supplement strategies (i.e., with ketones) and dietary strategies that impact ketogenesis. This review aims to highlight this gap by exploring emerging evidence supporting the importance of personalized dietary strategies in preventing progression and improving outcomes in the context of HF.

PSXI-2 Impact of flexible prepartum supplementation strategies on cow-calf and subsequent progeny feedlot performance

Abstract Implementation of minimal supplemental protein strategies during late gestation may have the potential to minimize any negative postweaning progeny performance while decreasing feed costs. A 3-yr study was conducted to evaluate the effects of mid- to late-gestation supplementation strategies on reproduction, cow body weight (BW), and calf performance in May-calving mature cows grazing upland native range. Cows received one of 3 supplementation strategies: 1) 0.227 kg/d of a 30% CP distillers-based supplement (HalfSupp), 2) 0.454 kg/d of a 30% CP distillers-based supplement (Supp), or 3) brief and intermittent supplementation of Supp at 0.454 kg/cow based on periods of acute environmental stress, such as snow cover, wet winter events, and is best described as flexible supplementation (Flex). Supplementation was initiated in December each year and terminated approximately 30-d prior to the start of the calving season in April. Across all 3 yr, average supplement feeding rate was 25.5, 50.9, and 5.4 kg/cow during the 112-d supplemental period, which resulted in average yearly prepartum supplemental costs of $27.30, 54.60, and 1.99 for HalfSupp, Supp, and Flex; respectively. After weaning, steers grazed sub-irrigated meadow with a dried distiller grain supplement until May. In May, all steers grazed sub-irrigated meadow without additional supplement until August/September when steers were shipped to West Central Research and Extension Center (WCREC). Steers were placed in a GrowSafe feeding system for the rest of the finishing feeding period. Each year, steers were slaughtered at a commercial facility (Tyson Fresh Meats, Lexington, NE) when estimated visually to have 1.3 cm fat thickness over the 12th rib as a group. Cow BW was not different (P = 0.86) at the initiation of supplementation in Jan. However, cows fed Half had a lighter (P < 0.01) BW at pre-calving and tended (P = 0.08) to have a lighter BW at pre-breeding than their counterparts. After a 45-d breeding season, pregnancy rates were not influenced (P = 0.91) by prepartum supplementation strategies. Prepartum supplementation strategies did not influence (P > 0.56) preweaning calf BW at birth, pre-breeding, and weaning. In addition, steer backgrounding BW was also not influenced (P > 0.63) by prepartum supplementation strategy of their dam. Upon entry into the feedlot, steer BW was not impacted (P > 0.84) by prepartum supplementation strategy of their dam. Feedlot performance (BW, average daily gain, and feed efficiency) was not influenced (P > 0.59) by prepartum supplementation strategy of their dam. After harvest, all carcass characteristics were not impacted (P > 0.11) by the prepartum supplementation strategy of the dam. Considering the cost for prepartum supplementation, feeding a protein supplement just during environmentally stressful periods during gestation appears to be a viable alternative to more conventional methods and reduces winter feed costs.

PSLBI-24 Optimizing crop byproduct inclusion in beef cattle diets: Utilization of wheat straw to improve operational economics and oilseed screenings as protein supplements

Abstract Inclusion of crop residues and byproducts in beef cattle diets has become a significant practice in beef cattle production as producers are faced with conventional feed shortages, increased prices, and disrupted supply chains. Wheat straw is a widely available crop byproduct in the western Canadian prairies whose inclusion in beef cattle diets has been prevented by its low nutritional content, necessitating supplementation strategies to enhance its nutritional value. The present study explored the effect of incorporating wheat straw in backgrounding cattle diets with canola or flax screening supplementation to improve the nutritional profile of the diet and determine the sustainability of such inclusion through cattle performance measurements. The experiment was a completely randomized design. Steers [n = 300; initial body weight (BW): 297 ± 18 kg] were randomly assigned to 5 treatment diets, each diet having 4 pen replicates (15 steers/pen); control (CTL), low straw canola (LSC), low straw flax (LSF), high straw canola (HSC) and high straw flax (HSF). The CTL diet was a conventional Western Canadian backgrounding diet (60% barley silage:40% dry rolled barley grain-based concentrate). Low straw diets had a 25% wheat straw inclusion and high straw diets had 50% wheat straw inclusion on a dry matter (DM) basis. Respective screenings were included at 12.50% inclusion of diet DM. The steers were fed for a total of 84 d divided into four periods of 21 d. Statistical analyses were performed using the MIXED procedure of SAS 9.4 with diet treatment included as a fixed effect and pen within diet as a random effect. Treatment means were compared using the LSMEANS statement adjusted for the Tukey-Kramer method. Final BW, total BW gain, average daily gain (ADG) and gain:feed were greater (P < 0.001) for the CTL steers (Table 1). Dry matter intake (DMI) was greatest for CTL steers and decreased with increasing straw inclusion in the diet (P < 0.001). The type of screenings (canola or flax) did not affect (P > 0.05) steers final BW, total BW gain, ADG and gain:feed. Increasing the inclusion of wheat straw in backgrounding diets decreased growth performance parameters. The high level of neutral digestible fiber in wheat straw limited DMI and reduced growth performance compared with CTL steers. The addition of screenings to the diet provided protein content to offset the low nutritional value of the wheat straw; however, the different types of screenings did not result in a cattle performance advantage over the other. Although these findings demonstrate the challenges of including low nutritional crop byproducts, further research is needed to analyze the effects different diets have on operational economics, rumen fermentation parameters and greenhouse gas emissions to further outline any advantages or disadvantages.

350 Awardee Talk: Beef cattle mineral nutrition: What do we know and where do we go from here

Abstract Trace minerals are pivotal in enhancing cattle growth and ensuring profitability in beef production. Historically, supplementation strategies have aimed at preventing deficiencies, significantly improving growth and reproductive performance. However, as cattle breeding has evolved to achieve remarkable growth rates, the challenges related to health and stress during the feeding period have intensified. This presentation explores refined trace mineral recommendations, focusing on zinc’s “stress requirement” for cattle undergoing transit and health challenges, and its impact on performance. The segmented nature of the beef industry, necessitating multiple transports, induces physiological stress and oxidative stress, highlighting the need for tailored mineral supplementation. Further, when recognizing feedlot cattle as the high-performing athletes they are, the potential benefits of adjusted trace mineral concentrations become apparent. Preliminary findings suggest that optimal zinc concentrations may exceed current National Academies of Sciences, Engineering, and Medicine (NASEM) 2016 recommendations, whereas for other minerals like copper and manganese, the existing guidelines remain appropriate. This presentation will explore the differential effects of increasing dietary zinc and copper in conjunction with various growth-promoting technologies. Preliminary data indicates that increasing zinc concentrations can linearly enhance average daily gain (ADG) and hot carcass weight (HCW), especially when using potent anabolic implants, while the response to increased copper concentrations exhibits a more quadratic relationship with performance. Building upon the foundational work of pioneering researchers in the field of mineral nutrition, this presentation advocates for the continuous refinement and optimization of trace mineral supplementation strategies. By integrating cutting-edge technologies and fostering collaborative research efforts, we aim to further enhance the sustainability of the beef industry. A deeper understanding of trace mineral requirements in the face of modern production challenges will pave the way for more precise and effective nutritional strategies.

287 Effects of crude glycerin supplementation of beef cattle grazing wheat pasture on forage intake and characteristics of rumen fermentation

Abstract Crude glycerin (CG), mainly composed of glycerin, is a by-product of biodiesel production. Glycerin can be utilized as a substrate of gluconeogenesis by either rapid fermentation to propionate in the rumen or can be directly absorbed through the rumen epithelial wall, resulting in the conversion to glucose in the liver. Therefore, CG supplementation may increase the energy intake of cattle grazing wheat pasture. Ruminally cannulated Angus-crossbred cows [n = 9; 564.4 ±101.6 kg initial body weight (BW)] grazing wheat pasture were utilized in a split-plot design with the objective of evaluating the effects of CG supplementation and forage maturity on forage intake and rumen fermentation characteristics. Treatment was the main plot, and stage of forage maturity was the subplot. Treatments were unsupplemented control (CON) and crude glycerin supplementation (SUP; 37.2% glycerin, DM basis) dosed at 0.11% BW (DM basis). Supplementation levels correspond to 5% of the diet, assuming forage intake of 2.2% of BW on a DM basis. The stages of wheat maturity pasture were March (MAR; vegetative stage) and April (APR; early reproductive stage). Cows grazed a single wheat pasture and were supplemented directly through the rumen cannula twice daily at 0700 and 1900 h. Forage intake in kg/d and as % of BW was greater (P = 0.04) for SUP than CON. Ruminal pH, ammonia, and VFA concentrations, as well as proportions of VFAs, were not affected by CG supplementation (P ≥ 0.34; Table 1). However, ruminal pH (5.77 and 5.99 ± 0.049) and ammonia concentration (0.67 and 3.37 ± 0.307 mM) were greater, while total VFA concentration (136.3 and 110.8 ± 5.23 mM) was less (P = 0.01) for APR compared with MAR. Acetate, propionate, and butyrate molar proportions, as well as acetate: propionate ratio, were not affected (P ≥ 0.27) by the stage of wheat pasture maturity. Results indicate that crude glycerin used as an ingredient in supplementation strategies for cattle grazing wheat pasture may increase cattle energy intake without negatively affecting forage intake and ruminal fermentation.

93 Ruminal archaea and bacteria metatranscriptomic responses to supplementation in steers fed low-quality forage

Abstract Forage comprises the majority of beef cattle diets globally, and its quality can vary. Supplementation presents a significant opportunity to improve the efficiency of production. Supplementation has been shown to increase ruminally available nitrogen, improve forage utilization, and reduce livestock methane (CH4) emissions. However, corresponding effects of supplementation on gene expression of rumen microbiota, in particular metabolic pathways involved in methanogenesis, have yet to be studied. This study aimed to evaluate the effect of supplement composition before and after feeding on rumen archaeal and bacterial gene expression in steers consuming a low-quality forage diet. Ruminal samples were collected from five ruminally cannulated Angus steers [body weight (BW) = 375 ± 45 kg] used in a 4 × 4 Latin square fed a basal diet of King Ranch Bluestem Hay (3.5% CP, 73% NDF), and one of four isonitrogenous (130 mg N/kg BW) supplements. Steers provided the two most divergent supplements (2% starch, 43% CP; 56% starch, 21% CP) were used for metatranscriptomic analysis. Rumen fluid samples were collected via rumen cannula 0 and 4 h post-feeding. Total RNA was extracted and sequenced. Differentially expressed genes (DEGs) were identified and functionally annotated. Pathway enrichment analysis was completed to determine enriched pathways (broad metabolic pathways) and modules (specific metabolic reactions). Only main effects are presented in this abstract. Archaeal hydrogenotrophic and methylotrophic methanogenesis reactions and tryptophan biosynthesis reactions were upregulated in the 2% starch supplement (P < 0.05). The 2% starch supplement resulted in fewer bacterial total upregulated carbohydrate-active enzymes compared with the 56% starch supplement (957 vs. 1,695 DEGs, respectively; P < 0.05), and an increased proportion of cellulose and hemicellulose-specific enzymes (35 vs. 29%, respectively; P < 0.05). The 56% starch supplement resulted in upregulation of the bacterial 3-Hydroxypropionate bi-cycle reaction (P < 0.05). Collection time exerted a larger effect than supplement composition on both archaeal and bacterial gene expression, with 83% and 63% of DEGs associated with time, respectively (P < 0.05). Archaeal hydrogenotrophic methanogenesis and carbon metabolism were upregulated 4 h post-feeding. In addition, 1,704 bacterial carbohydrate-active enzymes were upregulated 4 h post-feeding, as compared with 975 upregulated at 0 h (P < 0.05). However, these differences in DEGs did not correlate with significantly enriched pathways of bacterial carbohydrate metabolism. These findings demonstrate improvements to low-quality forage utilization, through CP and starch supplementation, can be correlated to relevant changes in gene expression of rumen microbiota. Furthermore, they demonstrate that supplementation influences the expression of methanogenesis reactions, suggesting an opportunity to affect CH4 production. Additional studies quantifying forage utilization, rumen microbiota gene expression and CH4 production are needed to further optimize supplementation strategies for improved efficiency of beef production whilst maintaining or reducing its carbon footprint.

171 Examining the role of vitamin E in ruminant livestock growth and production

Abstract Vitamin E is necessary for health, growth, and reproduction in livestock. However, vitamin E requirements and supplement strategies for optimal livestock production and performance are poorly understood, and the role that it plays in skeletal muscle growth has not been thoroughly explored. Ideal vitamin E requirements for optimal skeletal muscle growth have yet to be identified in beef cattle or sheep. Because skeletal muscle growth is important for meat production in livestock, a more thorough understanding of postnatal skeletal muscle growth and the relationship with vitamin E is necessary. The goal of this presentation is to discuss what we currently understand about vitamin E and the relationship it has with skeletal muscle growth in ruminant livestock. This presentation will discuss previous research relating to vitamin E supplementation in beef cattle and sheep, and the resulting impacts on growth and production. Additionally, emerging research using both in vivo and in vitro methods to further explore the relationship between vitamin E and skeletal muscle growth and production of beef cattle and sheep will be presented.

Association between 25 hydroxyvitamin D and serum uric acid level in the Chinese general population: a cross-sectional study

BackgroudThe relationship between serum uric acid (SUA) and 25-hydroxyvitamin D (25(OH)D) has been variably characterized in existing literature, with inconsistent results regarding its nature and implications in the Chinese population. This study aims to clarify this association, considering the potential impact of vitamin D levels on SUA.MethodsThis cross-sectional study involved 7,086 individuals from the Second Affiliated Hospital of Zhejiang University School of Medicine, screened throughout 2020. We collected data on 25(OH)D, SUA, and other metabolic markers. Logistic regression models adjusted for confounding factors were utilized to analyze the relationships.ResultsOur findings illustrate a statistically significant inverted U-shaped relationship between 25(OH)D and SUA. The identified threshold effect at 28.82 ng/ml is pivotal; with 25(OH)D levels below this point associated with an increased risk of hyperuricemia (odds ratio: 1.0146, p = 0.0148), and levels above it offering protective benefits (odds ratio: 0.9616, p = 0.0164).ConclusionsOur findings confirm a nonlinear, inverted U-shaped correlation between 25(OH)D and SUA, emphasizing the importance of maintaining vitamin D levels within a specific range to effectively manage hyperuricemia. These results support the implementation of personalized vitamin D supplementation strategies to optimize metabolic health outcomes, highlighting the complex interplay between vitamin D status and uric acid levels.

Trace Element Supplementation in Burn Patients: Exploring the Relationship Between Burn Size and Mineral Needs.

Trace element deficiency is an adverse nutritional outcome that can occur with burn injuries, and can interfere with a patient's recovery. The aim of this study was to review the efficacy of our predominately enteral trace element supplementation strategy and determine the burn size at which patients are at risk for trace element deficiency. We reviewed 53 burn patients admitted to our burn center from August 1, 2019 to May 31, 2022 who had their trace element levels and C-reactive protein monitored in two-week increments. Receiver operating characteristic analysis indicated a 22.1% BSAB cutoff for zinc supplementation to prevent deficiency with 91.7% sensitivity and 92.6% specificity, and a 27.5% BSAB cutoff with 88.9% sensitivity and 81% specificity for copper. No patient in our cohort developed selenium deficiency, regardless of burn size. Patients with greater than 30% body surface area burned developed deficiencies in both zinc and copper within the first two weeks of hospitalization. Our results provide guidance for trace element replacement based on burn size.

Structural changes and in vitro bioaccessibility of CPP-febisgly complexes: Dependence on iron load

The effect of casein phosphopeptides (CPP) and ferrous bisglycinate (FebisGly) at different ratios (1:20, 1:10, and 1:5 w/w) on iron supplementation was investigated. The in vitro bioaccessibility, structural changes, antioxidant activity, and the effect of absorption inhibitors were also explored. The results demonstrated that CPP enhanced the bioaccessibility of FebisGly by 68.72 % ± 0.18 % and increased the β-sheet content from 21.60 % ± 0.23 % to 67.92 % ± 0.12 %, forming a stable secondary structure. The particle size distribution (PSD) and rheological analyses indicated that CPP significantly contributed to the formation of chelated irons, resulting in a uniform PSD and enhanced viscoelasticity. Moreover, it prolonged the gastric emptying time, reducing gastric irritation further. The carboxyl and amino groups in the CPP molecules participated in chelation reaction, improved the antioxidant activity, and competed with phytic acid, tannic acid, and cellulose for iron. Overall, these results laid a foundation for developing novel iron supplementation strategies.

Recovery Supplementation Strategies Applied to Elite Soccer Players

Purpose of review: During soccer seasons, athletes have canned a 48 number of matches. Therefore, recovery supplementation strategies that optimize recovery and/or reduce the damage caused by the number of matches during a season are important to help elite football players in their state of recovery. This way, the purpose of this review is to provide a holistic view of the mainly recovery supplements and their effects on elite soccer players recovery, based on what the literature recommends decreasing the oxidative stress, muscle damage and help them in the status recovery. Recent findings: Vitamin C e vitamin E in co-administration (500 mg vitamin C with 1200 IU vitamin E per day), 6 g per day of glutamine supplementation, and 60 mL drinks per day of Turmeric Original Shot (1400 mg curcumin combined with 10 mg of piperine), were able to decrease oxidative stress and lower rates of injury. 1000 mg magnesium citrate twice a day and 5000 IU (international units) cholecalciferol supplement daily were improving the recovery status. Coenzyme Q10 100 mg twice daily and omega 3 (550 mg DHA and 550 mg EPA) proven a reduction in the levels of the muscle-damage marker. Summary: Recovery supplements should include the vitamin's C, E, and D, besides that glutamine, magnesium, and turmeric with piperine to be able supplements to help the elite soccer players recovery, decreasing oxidative stress and rates of injury.

Is Micronutrient Supplementation Helpful in Supporting the Immune System during Prolonged, High-Intensity Physical Training?

It is well known that during prolonged, high-intensity physical training, athletes experience a state of immunosuppression and that balanced nutrition can help maintain immunity. This review summarizes the effects (amplified by virus infection) of high-intensity, long-term exercise on immunity, critically presenting key micronutrients and supplementation strategies that can influence athletes' performance and their immune system. The main conclusion is that micronutrient supplementation with diet could help to protect the immune system from the stress effects induced by intense physical activities. The importance of personalized supplementation has been also recommended.

Adesão ao uso da estratégia NutriSUS para fortificação alimentar infantil em municípios de Goiás

Introduction: The high demand for nutrients in children under five years of age, added to low nutritious diets, makes them vulnerable to micronutrient deficiencies. The NutriSUS Strategy, launched as part of the School Health Program (PSE) in 2014, aims to combat these deficiencies through the distribution of micronutrient sachets. The effectiveness of this strategy in Goiás, considering the weaknesses in the municipalities, needs to be evaluated. The objective of this study was to verify adherence to the NutriSUS Strategy in municipalities in the state of Goiás and the list of sachets used by agreed and added day care centers. Methods: A retrospective observational study analyzed data on micronutrient supplementation provided by the NutriSUS Strategy in the state of Goiás, between 2017 and 2019. The database available on the Ministry of Health website was used to identify adherence and coverage of the program in 10 regional health departments. The inclusion criteria were municipalities that implemented the strategy during the period studied, while those that did not adhere or did not show interest were excluded. The analysis was performed using absolute and relative frequencies in the EPI Info 7.2.6.0 program. Results: The NutriSUS Strategy was implemented in 35 (14.23%) of the total municipalities (n=246). Micronutrient supplementation targets were constant throughout the period from 2017 to 2019, with some cities, such as Araguapaz, Britânia, and Santa Helena de Goiás, exceeding their supplementation targets in some of the periods, while others, such as Aragarças, Hidrolândia, Piracanjuba, São Luís de Montes Belos, and Buriti Alegre, did not reach the expected targets. The analysis, by semester of supplementation coverage in daycare centers, showed significant fluctuations: a drop in 2017 from 45.44% to 32.60% from the first to the second semester. In 2018, the percentage was 34.43% in the first half of the year, but there was a significant increase to 52.37% in the second half of the year. In 2019, coverage rose to an average of 61.63% in the first half, followed by a drop to 35.74% in the second half. The data also revealed variations in standard deviation, reflecting fluctuations in program adherence. Conclusion: The NutriSUS Strategy showed a variable implementation in the municipalities of Goiás in the period studied, with fluctuations in supplementation coverage over time. The analysis highlighted both success in some locations and difficulties in others, highlighting the importance of continuously monitoring and adjusting supplementation strategies to ensure that all counties adequately benefit children from micronutrient supplementation.

Embryonic thermal manipulation and post-hatch dietary guanidinoacetic acid supplementation alleviated chronic heat stress impact on broiler chickens

The study investigated the effects of embryonic thermal manipulation (TM) and post-hatch guanidinoacetic acid (GAA) supplementation on male broiler chickens exposed to chronic heat stress (HS). Ross 308 eggs (n = 710) were randomly assigned to control (37.8 °C, 56% RH) or TM (39.5 °C, 65% RH for 12 h/day from embryonic day 7–16) treatments. After hatching, chicks were further assigned to four dietary treatments (n = 12 birds/pen, 5 replicates/treatment): control, control with 1.2 g/kg GAA supplementation (CS), TM, and TM with 1.2 g/kg GAA supplementation (TMS). All birds were subjected to chronic HS (32–36 °C and 55% RH for 6 h/day) from day 28–42. Embryonic TM treatment decreased hatchability, hatching weight (HW), and facial temperature (FT). During the pre-HS period (days 1–28), no significant differences in feed conversion ratio (FCR) and mortality were observed, although the TM group exhibited the lowest body weight gain (BWG). Following HS exposure (days 29–42), the TMS group displayed significantly higher BWG than the control and CS groups. The TM and TMS groups also demonstrated significantly lower FCR and mortality rates during this period. Across the entire period (days 1–42), BWG was significantly higher in the TMS group compared to other groups. Furthermore, TM and TMS treatments were associated with lower mortality rates, improved FCR, better European Performance Efficiency Index (EPEI), and reduced abdominal fat deposition. The experimental treatments did not significantly affect intestinal morphology or most blood parameters, except triiodothyronine (T3), thyroxine (T4), and uric acid. Plasma concentrations of T3, T4, and uric acid were significantly lower in the TM and TMS groups compared to the control and CS treatments. The findings suggest that a combined strategy of embryonic TM and post-hatch dietary GAA supplementation may not only alleviate the detrimental effects of HS but also promote beneficial physiological responses in broiler chickens.