Sweet Foods Research Articles

Hormonal contraceptive use, menstrual cycle characteristics and training/nutrition related profiles of elite, sub-elite and amateur athletes and exercisers: One size is unlikely to fit all

The aim of the present study was to simultaneously audit hormonal contraceptive (HC) use, menstrual cycle characteristics and training/nutrition related profiles in pre-menopausal women from varying athletic and exercise backgrounds. Elite ( n = 51), sub-elite ( n = 118) and amateur ( n = 392) female athletes and exercisers were examined via an anonymous quantitative/qualitative survey tool. All analyses for ratio data were conducted utilising one- and two-way ANOVA/ANCOVA and odds ratio models, with ordinal data analysed via Pearson's Chi-squared tests. HC use was similar across elite, sub-elite and amateurs (34–44%). Menstrual cycle length was not different ( P = 0.08) between competitive levels (28 ± 13 days), but 66% of respondents reported cycle variability (10 ± 11 days). Training profiles were not different based on contraceptive status ( P > 0.05) yet were across competitive groups ( P < 0.05). Daily meal/snack intakes were not different between contraceptive status ( P > 0.05), though elite and sub-elite groups reported a higher daily meal consumption compared to amateurs ( P < 0.01). Forty percent of all respondents skipped meals, attributed to lack of time, schedule and alterations in appetite, with reported changes in taste preferences during pre-menses (14–35%) and menses (15–25%) towards sweet foods (60%), with cravings for chocolate and other confectionary (25%). Prevalence of dietary supplement use was not influenced by contraceptive status ( P = 0.31), though elites (76%) reported higher use ( P = 0.04) than amateurs (63%). Data demonstrates that in female athletes and exercisers, competitive level appears to affect simple markers of training and nutrition practice, yet contraceptive status does not.

“Can we add a little sugar?” the contradictory discourses around sweet foods in Swedish home economics

ABSTRACT Sweet foods occupy an ambiguous position in many people’s diets, perhaps especially for children and adolescents. The twin expectation that they both covet and limit their intake can create a dilemma not only in the home, but also in the school subject Home Economics (HE), which among other themes has a focus on food and health. In this study, we explored how Discourses on sweet foods were formed, reproduced, and challenged during 26 lessons in northern Sweden. Overall, sweet foods were constructed as desirable but also as unhealthy, disgusting, and unnecessary. They were used as a form of capital where ownership, distribution, and fairness were important, and students could mark friendships by sharing and gifting. Conversely, they could also use sweet foods to police, ridicule, question, or punish each other. Conflicts could arise around less-than-perfect results and students could withhold sweet foods from each other as a form of social rejection. Vague limits to intake placed responsibility for intake on the students themselves. We suggest that a contextualisation of the social, cultural, and health aspects of sweet foods in HE might help students acquire a more holistic Discourse of sweet foods and mitigate their social weaponisation.

Vilazodone-Induced Glycolimia

AbstractIntroductionGlycolimia is observed in a plethora of medical conditions including burning mouth syndrome, opioid withdrawal, as well as from a variety of medications including vortioxetine, l-methylfolate, lisdexamfetamine, and gabapentin. While vilazodone, an antidepressant with agonist like effects on 5-HT1A receptors, has been found to induce hyperglycemia, it has not heretofore been reported to induce glycolimia. Such a case is described.MethodCase study: A 60-year-old, left-handed (pathological) male presented with a past history of depression, minimally responsive to a variety of antidepressant medications, was begun on vilazodone, initially 20 mg and gradually increased to 60 mg a day. On 60 mg a day he noticed severe cravings for sweets, which he had never experienced prior to starting vilazodone. He found he had increased consumption, craving sweet foods including cookies and candy. For instance, in a typical day, he would eat eight Oreos, chocolate-covered graham crackers, one pint of ice cream a day, and he would crave sweets even after feeling satiated after consuming a meal. Along with this increased eating, he gained 20 pounds over the 3 months while on the vilazodone. Upon discontinuing the vilazodone, although the weight didn’t change, the sweet cravings resolved.ResultsAbnormalities on: Neurological examination: Mental status examination: Immediate recall: able to remember 6 digits forwards and 3 digits backwards. Motor examination: Drift testing: right inward drift. Gait examination: unstable tandem gait. Neuropsychiatric examination: Go-No-Go test: 6/6 (normal). Animal Fluency Test: 22 (normal).DiscussionThere are myriad mechanisms whereby vilazodone may have induced glycolimia. Possibly due to its antidepressant effects, it increased hedonics, generating appetitive behaviors, including enhanced socialization, sexual, and other consumptive behaviors, including eating. Peradventure it may have enhanced motivation and socialization. Along with socialization, there is escalation in social intercourse, with accompanying commensalism. Along with such consumptive behaviors, we could anticipate glycolimia. As a 5-HT1A receptor agonist, possibly vilazodone may have acted on the arcuate pro-opiomelanocortin neurons associated with hyperphagia, with modulation of energy homeostasis in the serotonin pathway. Alternatively, vilazodone may have triggered an enhanced insulin response with secondary reduction in blood sugar, leading to a homeostatic behavioral response of increased glucose intake. In those who are treated with vilazodone, query as to glycolimia is warranted and warning as to potential manifestations of hyperglycemia should be entertained.FundingNo Funding

The dose limits of teeth protection for patients with nasopharyngeal carcinoma undergoing radiotherapy based on the early oral health-related quality of life.

Radiation-related teeth damage is a common complication in nasopharyngeal carcinoma (NPC) patients undergoing radiotherapy (RT) that seriously affects their oral health-related quality of life (OHRQoL). However, few studies have focused on protecting teeth function. This study aimed to calculate dental dose limits based on OHRQoL. Analysis was performed on 96 NPC patients who received RT (all received routine pre-radiotherapy dental interventions in our department). Based on the General Oral Health Assessment Index (GOHAI), OHRQoL was assigned into poor (<46) and good condition groups (≥46). The binary logistic regression analysis model was used for single-factor and multivariate analyses to identify the independent factors affecting OHRQoL. The cut-off value of dose received by teeth was obtained by drawing a receiver operating characteristic curve. NPC patients experienced a decline in OHRQoL following RT (P < 0.05). Univariate analysis of GOHAI revealed that the average dose of maxillary anterior teeth, the average dose received by the oral cavity, tumor volume (GTVnx), and liking of the sweet food all affected GOHAI (P < 0.05). Multivariate analysis indicated that the average dose of maxillary anterior teeth and liking sweet food were independent factors that influenced the OHRQoL of NPC patients with RT. When the average dose received by maxillary anterior teeth is greater than 28.78 Gy, and there is a tendency in sweet food, the OHRQoL will deteriorate. NPC patients who received RT had a better OHRQoL if the average dose to maxillary anterior teeth was limited to less than 28.78 Gy and the intake of high-sugar foods was reduced.

Irritable bowel syndrome phenotypes: leading factors of genetics and epigenetics, mechanisms of formation

To develop individualized approaches to the treatment of irritable bowel syndrome (IBS) based on the interaction of genetic and epigenetic factors, to characterize the phenotypes of the disease. According to the formulated concept of the authors, from the cohort of patients with IBS, subgroups were distinguished - "post-infectious IBS" (n=45), "IBS in overweight and obese people" (n=49), "comorbid IBS" (n=75) and "essential IBS" (n=51). In each subgroup the prevalence of candidate gene polymorphisms associated with IBS (COMT, SLC6A4, FTO), nutritional habits, levels of anxiety and depression, secretion of cortisol, serotonin, dopamine and zonulin levels in feces were studied. Patients with "post-infectious IBS" are characterized by the carriage of the S allele of the SLC6A4 gene, the val/val genotype of the COMT gene, the prevalence of diarrhea, a high level of anxiety and frequent refusal of milk and dairy products. The phenotype "IBS in overweight and obese individuals" is characterized by L/L genotypes of the SLC6A4 gene, met/met of the COMT gene and A/A of the FTO gene, constipation, low plasma dopamine levels, signs of depression, frequent episodes of overeating, addiction to fatty and sweet foods, excessive consumption of sugar, lack of vegetables in the diet. The "comorbid IBS phenotype" is characterized by more frequent detection of the val/val genotype of the COMT gene and the carriage of the S allele of the SLC6A4 gene, clinically pronounced anxiety and depression, early onset of the disease, severe course, significant food restrictions and significant increase in epithelial permeability. With the "essential phenotype", there are no bright stigmas of the disease; it is not possible to identify distinctive genetic and epigenetic factors, as well as the leading pathogenetic mechanism. The analysis of genetic and epigenetic factors, the leading mechanisms of the formation and course of IBS allows us to identify additional (except for "postinfectious") phenotypes of the disease: "IBS in overweight and obese people", "comorbid" and "essential".

Associations of parent feeding behaviors and early life food exposures with early childhood appetitive traits in an observational cohort study

PurposeChild appetitive traits, eating styles that reflect responsiveness to external influences and internal hunger and satiety signals, are associated with eating behaviors and susceptibility to excess weight gain. However, relatively little is known about early life influences on child appetitive traits. This study investigated relations of early life maternal feeding behaviors and food exposures with appetitive traits at age 3.5 years. MethodsParticipants of the Pregnancy Eating Attributes Study (PEAS) and follow-up study were enrolled in early pregnancy and followed prospectively. This analysis included data collected from baseline through child aged 3.5-years (n = 160). Child appetitive traits at age 3.5 years were measured using the Child Eating Behavior Questionnaire. Age at introduction to fruit, vegetables, discretionary sweets, and discretionary savory foods was assessed, along with intake frequency at infant ages 6, 9, and 12 months, and 2 years. Maternal feeding to soothe was assessed at child aged 3, 6, and 12 months. Maternal permissive feeding was assessed at child aged 2 years. Multiple linear regressions estimated relations of maternal feeding behaviors and infant food exposures with child appetitive traits at age 3.5 years, controlling for sociodemographics and breastfeeding duration. ResultsMaternal feeding to soothe at 6 (r = 0.39, p < 0.001) and 12 months (r = 0.39, p < 0.001) was positively associated with permissive feeding at 2 years. Maternal feeding to soothe at 12 months and permissive feeding at 2 years were associated with greater child emotional overeating, emotional undereating, and desire to drink. Older age at introduction to fruit (β = 0.20±0.08, p = 0.01) and younger age at introduction to discretionary sweet foods (β = −0.07±0.04, p = 0.06) were associated with greater emotional overeating. Older age at introduction to vegetables (β = 0.22±0.11, p = 0.04) and less frequent feeding of fruit (β = −0.20±0.08, p = 0.01) were associated with greater food fussiness. ConclusionsAssociations of emotional eating with parent feeding behaviors and early life food exposures suggest the potential for interventions targeting early life feeding to have long-term impact on child appetitive traits and diet quality.

Effects of chronic stress caused by military conflict on the status of the oral cavity according to questionnaire data

Objective — to reveal the features of the subjective status and care of the oral cavity of patients during the year since the beginning of the military conflict in Ukraine based on questionnaire data.&#x0D; Materials and methods. With the use of the designed and implemented questionnaire, the descriptive population‑based anonymous investigation has been carried out. The analysis involved questionnaires of 127 adults, 37% of subjects were medical professionals, and 63% were patients of a therapeutic profile; women accounted for 61.4%. The group of patients aged 35 — 49 years was the most numerous. The questionnaire included 18 questions and consisted of 4 blocks concerning changes in the character of dental complaints, the amount of sweet food, hygienic care and visits to the dentist during the year of the military conflict. Data were analyzed using SPSS software.&#x0D; Results. Patients had significant differences in the number of positive answers regarding the appearance of complaints of dry mouth, increased viscosity of saliva, bad breath compared to the group of medical professionals. The latter demonstrated a higher level of discipline regarding hygienic care of the oral cavity, moderate consumption of sweets and visits to the dentist than patients. Compared to the year 2021, the number of smokers among patients has doubled.&#x0D; Conclusions. Medical professionals demonstrated a higher level of stress resistance, they have greater knowledge about the effects of sweets on dental health, the effects of general health on oral health, and the importance of regular oral hygiene than their patients. Patients who are exposed to chronic stress need more careful monitoring by a doctor. The developed questionnaire can be used to study the impact of chronic stress on oral health in different cohorts.&#x0D;

Investigating the quality of breakfast for female adolescents using a multi-method approach in Saudi Arabia: A cross-sectional study.

Breakfast has been shown to provide nutritional adequacy and improve the healthy lifestyle status of adolescents. However, limited information is available on the quality of breakfast among adolescents. Thus, this study aimed to evaluate the quality of breakfast among adolescents using a multiple-method approach in Saudi Arabia. This cross-sectional, school-based study was conducted in 3 public high schools in Al-Jumum, Saudi Arabia. High school females (n = 174) aged 15 to 18 years old were selected considering the regularity of consuming breakfast (≥ 4 d/wk and not after 10:00 a.m.). The quality of breakfast was assessed using 3 approaches: the modified Saudi food frequency questionnaire, the adapted method of breakfast quality, and the nutrient profile model. Sweet food items were consumed most frequently (64.9%, n = 113), followed by drinks (57.4%, n = 100), while the least frequently consumed items were sandwiches and burgers (43.52%, n = 76), snacks (41.9%, n = 72), and dairy and fats (41.8%, n = 71). The majority of breakfast eaters were classified as eating breakfasts of poor quality (50.6%), while the rest ate breakfasts of either good quality (38.1%) or very poor breakfast quality (10.8%). Based on the nutrient profile model of breakfast, high fat salt sugar (HFSS) food/drink items and non-HFSS items were consumed by 44.4% and 55.5% of the participants, respectively. This study showed that the majority of female adolescents consume poor-quality breakfast, mostly sweets and sweetened beverages. The nutrient content analysis emphasized these results by presenting a similar consumption of non-HFSS and HFSS breakfast foods. Future education programs on healthy breakfast options should be implemented among this population.

THE RELATIONSHIP BETWEEN EMOTIONAL EATING, MEAL SKIPPING AND UNHEALTHY FOOD CONSUMPTION PATTERN IN ADOLESCENT GIRLS

Introduction: Psychological problems can lead to emotional eating and meal skipping, which may impact unhealthy food consumption patterns. This study aimed to assess the interrelationship between emotional eating, meal skipping, and unhealthy food consumption pattern in adolescent girls. Method: This cross-sectional study included 122 samples of adolescent girls aged 13-15 years. The study was carried out in Tangerang, in June 2021. The data of emotional eating were measured by Emotional Eater Questionnaire (EEQ), meal skipping collected by self-reported questionnaire of daily eating frequency, and unhealthy food consumption patterns measured by Food Frequency Questionnaires (FFQ). Result: The results showed majority of emotional eater subjects more often consumed fatty foods (76.6%). It’s also found that adolescents skipping breakfast were high in consumed sweet foods (66.0%), while those skipping lunch (63.6%) and dinner (54.5%) were found higher to consume fatty foods than others. In addition, multivariate regression analyses showed that simultaneously between the variables, only emotional eating variables had a significant relationship with unhealthy food consumption patterns (p-value = 0.002), while meal skipping variables were not significantly related. Conclusion: It can be concluded that emotional eating can affect unhealthy food consumption patterns among adolescent girls, while meal skipping did not show any meaningful effect.

Phenotypic differences in taste hedonics: The effects of sweet liking

Phenotypic differences in sweet liking are well known, but how they relate to actual eating habits and liking for other taste qualities remains unclear. In Experiment One (222 participants), we explored if the three sweet-liking phenotypes (extreme sweet-likers, moderate sweet-likers and sweet dislikers) differed in liking for foods and beverages commonly associated with obesogenic westernised diets categorised into three groups (high fat, high sugar, or high fat-sugar) alongside rated liking for foods grouped by five taste qualities (bitter, fatty, salty, spicy and sweet foods). Multiple linear regression models found significant differences between the sweet-liking phenotypes in liking for foods classified as high fat-sugar and high sugar, as well as for sweet foods but not for other taste qualities, with extreme sweet-likers rating liking for these foods significantly higher than sweet dislikers. No other significant differences between the three phenotypes were found. Experiment Two (298 participants) aimed to replicate these findings and investigate if an increased liking for these foods translates into higher intake using a high fat-sugar food frequency questionnaire. Again, extreme sweet-likers rated liking for sweet foods and foods grouped as high fat-sugar significantly higher than sweet dislikers but also disliked bitter foods more. No other significant differences were found, including no differences in the frequency of consumption of these foods. Overall, these data suggest that phenotypic differences in sweet taste liking may be specific to liking for foods high in sweetness only and do not generalise to real-life consumption or liking for other taste qualities unless sweetness is also present.

Daily Hassles and Eating Behaviours in Adults: Exploring the Buffering Effects of Daily Uplifts.

Existing research has shown that daily hassles are associated with increases in between-meal snacking, often resulting in the increased consumption of high sweet and high fat foods. However, it is currently unclear whether the presence of daily uplifts may buffer the negative effects of daily hassles on unhealthy eating behaviour. Therefore, the current study explored the main and interactive effects of daily hassles and daily uplifts on snacking behaviours in adults. One hundred and sixty participants (M age: 23.69 years) reported their daily hassles, daily uplifts and snacking behaviours over the preceding 24 hour period. Participants' emotional eating style was also measured. Using moderated regression analysis, the daily hassles x daily uplifts interaction was found to be statistically significant for both total snack and unhealthy snack consumption. Simple slopes analyses showed that the relationship between daily hassles and snacking was weaker and non-significant at higher levels of daily uplifts compared to moderate and lower levels. The current study provides novel evidence that daily uplifts may act as a buffer against the negative impact of daily hassles on food consumption.

RISK FACTORS AFFECTING THE OCCURRENCE OF DIABETES MELLITUS (TYPE 2) AT SULTAN ISKANDAR MUDA HOSPITAL NAGAN RAYA DISTRICT

Diabetes Mellitus (type 2) is a metabolic disease characterized by an increase in blood sugar levels caused by a decrease in insulin secretion or impaired insulin function. The aim of the study was to determine the risk factors that influence the incidence of type 2 diabetes mellitus at the Sultan Iskandar Muda Hospital, Nagan Raya Regency. The method used is quantitative with a cross-sectional research design. The sample in the study was 77 people using a purposive sampling technique. The research instrument uses a questionnaire sheet. The research analysis used univariate and bivariate analysis with the chi square test. The results of the study based on bivariate analysis found that there was a relationship between age (p-value=0.000), hypertension status (p-value=0.043), obesity status (p-value=0.019), consumption of risky foods: sweet foods (p-value= 0.039), sweet drinks (p-value=0.003), fatty/cholesterol foods (p-value=0.002), seasonings (p-value=0.016), fast food (p-value=0.002) , physical activity (p-value=0.023), and there was no relationship between gender (p-value=0.102), family history (p-value=0.364) and the incidence of type 2 diabetes mellitus. This study found that age, sex, family history, hypertension status, obesity status, consumption of risky foods and physical activity are risk factors that influence the incidence of type 2 diabetes mellitus. Suggestions, it is expected that type 2 .

АКТУАЛЬНЫЕ ВОПРОСЫ ПИТАНИЯ ПАЦИЕНТОВ С ЗАБОЛЕВАНИЯМИ ЖЕЛУДОЧНО-КИШЕЧНОГО ТРАКТА

Relevance. A balanced diet is vital for the treatment of the gastrointestinal tract diseases, because food can prevent, treat or even alleviate the symptoms associated with this pathology. The purpose of the study: To analyze the effect of nutrition of patients with gastrointestinal diseases on their quality of life. Materials and methods. The questionnaire method served as the main research method. The objects of the study were 209 people, including 108 patients with diseases of the gastrointestinal tract and 101 healthy respondents. Results. The study revealed the adherence of patients with gastrointestinal diseases, unlike healthy individuals, to smoked products (54.6% vs 40.6%, p =0.042), fatty foods (46.3% vs 26.7%, p =0.003), salty foods (61.1% vs 35.6%, p &lt; 0.001), sweet foods (80.6 % vs 29.0%, p &lt; 0.001). Fast food is practically not consumed by only a third of patients (26.9%), in contrast to healthy individuals (52.5%). It has been established that patients with gastrointestinal diseases practically do not eat soups, dietary rabbit meat, turkey, veal, fish, but they love pork, potatoes, flour products, and are also prone to drinking strong alcoholic and wine drinks. According to the conducted studies, it was revealed that patients with gastrointestinal diseases eat less at home than healthy people, often watch TV and use gadgets during meals. Conclusion. Patients with gastrointestinal diseases tend to follow an unhealthy diet, and improper nutrition and bad habits can be risk factors for gastrointestinal pathology and its exacerbation.

The impact of Allgower-Donati suture pattern and postoperative sweet foods on wound suture breakage in experimental rats

BackgroundWound gnawing and/or scratching in rats often occurs in experimental models, causing suture breakage and wound dehiscence, and consequently affecting experimental results and wasting resources. This study aimed to investigate the impact of the combined postoperative use of the Allgower-Donati (A-D) suture pattern and sweet foods on suture breakage, inflammation, and healing in wounds. Materials and methodsSprague Dawley (SD) rats (n = 48) were treated for linear wounds on the back by four procedures: simple suture, simple suture with postoperative sweet foods, A-D suture, and A-D suture with postoperative sweet foods. Additionally, CD68 immunofluorescence and CD31 immunohistochemistry were used to analyze wound inflammation and vascularization, respectively, on postoperative day 7. Sirius red staining was used to assess collagen deposition on postoperative day 14. ResultsGnawing and scratching of wound sutures were significantly reduced in treated rats (P < 0.01). Neovascularization and collagen deposition were significantly increased (P < 0.001), and inflammatory responses were significantly reduced (P < 0.001) in animals receiving AD sutures and postoperative sweet foods. CD31/CD68 analyses showed that A-D suture and postoperative sweet foods regulated wound angiogenesis and attenuated wound inflammation. ConclusionsSweet food provision after A-D suture union surgery could reduce wound gnawing and/or scratching, suture breakage, incisional dehiscence, wound inflammation, and promote wound healing in rats.

Healthy Snacks and Drinks for Toddlers: A Qualitative Study of Caregivers’ Understanding of Expert Recommendations and Perceived Barriers to Adherence

Despite expert recommendations, most toddlers consume sugary drinks and more sweet and salty snack foods than fruits and vegetables as snacks. Studies have examined toddler caregivers' reasons for providing sugary drinks, but few have examined the reasons for providing nutritionally poor snack foods. Researchers conducted focus groups in one low-income community to assess caregivers' familiarity, understanding and attitudes regarding healthy drink and snack recommendations for toddlers. A convenience sample of 24 caregivers of toddlers (12-36 months) participated. Researchers conducted a descriptive analysis of the participants' familiarity with recommendations and a thematic analysis of the barriers to adherence. Most participants were familiar with recommendations, but many were surprised that some drinks and snack foods are not recommended, and most believed recommendations were not realistic. Common barriers to adhering to recommendations included beliefs about their child's innate preferences, family modeling and others' provision of drinks and snacks in and outside the home. Practical barriers included the higher cost and inconvenience of serving fruits and vegetables on-the-go. Similar barriers limited caregivers' adherence to expert recommendations about healthy snacks and drinks for toddlers. Nutrition education interventions should provide practical strategies for addressing these barriers and enlist childcare and health providers to reinforce recommendations.

Prevalence of dental caries and relation with nutritional status among school-age children in resource limited setting of southern Ethiopia

BackgroundGlobally, dental caries appears a major public health problem and a widespread non -communicable disease. It is more prevalent among children school-age children (6–12 years), However, there are few studies that correlate dental caries with nutritional status. Thus, this study aims to determine the relation of dental caries with nutritional status among school-age children at resource limited setting of southern Ethiopia.MethodologyA community-based cross sectional study was employed on randomly selected 761 school-age children of Areka town. Data were collected by face-to-face interviewer-administered questionnaire and clinical assessment of dental caries. After that, the collected data were entered into Epi data 3.2.1 and exported to SPSS 20 for further analysis. On the other hand, bivariate and multiple logistic regression analyses were used to identify the association of dependent and independent variables. p Value < 0.05 was considered to declare a result as statistically significant.ResultsPrevalence of dental caries among school-age children was 15.6% (95% CI 13.0–18.5). In technical senses, 4.3% (95% CI 2.9–5.8%) of children were underweight and 14.2% (95% CI 11.7–16.6%) were overweight. However, it has been unfolded that the relationship between dental caries and nutritional status was not statistically significant with a p value (p = 0.32). Factors associated with dental caries were educational status of a mother AOR 3.14, (95% CI 1.03–9.56), not cleaning teeth AOR 7.70, (95% CI 4.00–14.85), sugared coffee drinking AOR 3.22, (95% CI 1.68–6.18.0), sweet food consumption AOR 4.19, (95% CI 1.76–9.96) and non-consuming milk AOR 5.66 ( 95% CI 1.49–21.49).Conclusion and recommendationDental caries at south Ethiopia were low compared to WHO’s reports on oral health on school-age children. Tooth cleaning habit, parental education, sweet food consumption and milk consumption are associated factors. Therefore, behavioral intervention on dental hygiene and dietary practices are mandatory for school-age children.

Special aspects of treatment and adaptation of children with autism spectrum disorder at a dental appointment (literature review)

Relevance. Children with autism spectrum disorder (ASD) have poor self-care skills; they depend on sweet food, and their sensory integration is impaired. All of the above leads to poor oral hygiene. High rates of dental disease in these patients require searching for the most effective treatment and prevention methods. Special programs based on clinical manifestations and behaviour modification have been developed for children with ASD to adapt to dental appointments and oral hygiene education. In addition to traditional hygiene education, modern techniques, including electronic devices, are increasingly being introduced. Unfortunately, not all children can get used to dental manipulations, and the dentist has to resort to sedation or general anaesthes ia.Objective. To present up-to-date information about children's adaptation methods to dental appointments, prevention and treatment of oral diseases.Materials and methods. The literature analysis on the topic was the main study method. Publications were searched in the Medline PubMed and E-library databases by the keywords: 'treatment and prevention of diseases', 'children with ASD', 'adaptation' and 'hygiene education', according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines.Results. The comprehensive approach to oral-disease treatment in children with ASD under general anaesthesia and sedation enables us to achieve excellent results with optimal comfort for both the patient and the pediatric dentist. The advantage of these methods is that the doctor can perform a larger volume of treatment and preventive measures during one visit.Conclusion. Children with autism need prevention and treatment of dental conditions. Available prevention programs need to be adapted to their disease and personality characteristics, using various methods of hygiene education.

Upaya Peningkatan Kesehatan melalui Program Penjaringan Kesehatan Gigi dan Mulut Kelas 3 SDN Gejayan Tahun 2017

Dental and oral health is an integral part of overall health. This can affect speech, swallowing and self-confidence. Children are very susceptible to dental caries due to sweet food habits and lack of dental and oral hygiene practices. This is supported by the age of children who experience missing teeth, teeth growing and the phase of mixed teeth.Dental and oral health screening activities aim to analyze and detect early childhood dental and oral health so that appropriate health programs can then be determined. This activity was carried out in April 2017 with the target of grade 3 children at SDN Gejayan. The method used is anamnesis, clinical examination and filling out questionnaires. From the results of the study, the dental and oral hygiene of grade 3 children at SDN Gejayan was moderate, with a prevalence of 100% dental caries and 0% PTI. Healthy gum health status. 42.8% of students brush their teeth 2-3 times a day in the morning and evening. Most visit the dentist only when sick. The education level of the father and mother is equivalent to undergraduate and senior high school. The occupations of father and mother are self-employed and housewives. The conclusions of the dental and oral health screening activities include: (1) moderate dental and oral hygiene status, (2) caries prevalence is 100% with PTI of 0%, (3) all students have healthy gum health status, (4) students brush their teeth 2 times a day and 3 times a day in the morning and evening, (5) students visit the dentist only when sick.

Increasing fruit and vegetable consumption in Ireland

Context: Following recommended dietary guidelines, Ireland has since 2010 implemented a 0% Value Added Tax (VAT) on fruits and vegetables to increase consumption. Eleven years after policy implementation, the Irish still do not meet recommended intake for fruit and vegetable consumption, consuming 3.9 portions a day compared to 7 daily portions recommended. Policy Options: Four alternatives for improvement were assessed and compared: 1) retain the status quo of reduced VAT for healthy foods, 2) VAT only for locally produced fruits and vegetables, 3) increased VAT for salty and sweet foods with a subsidy for fruits and vegetables, and 4) an education-based policy. Four evaluation criteria were applied for the comparison: economic feasibility, effectiveness, political feasibility, and equity. Recommendations: The status quo remains the best option for Ireland. However, further assessment of this 0% VAT policy on fruits and vegetables is warranted, pending the availability of additional data to enable an in-depth understanding of policy implementation.

Ecological momentary assessment of changes in eating behaviors, appetite, and other aspects of eating regulation in Roux-en-Y gastric bypass and sleeve gastrectomy patients

Bariatric surgery can have profound impacts on eating behaviors and experiences, yet most prior research studying these changes has relied on retrospective self-report measures with limited precision and susceptibility to bias. This study used smartphone-based ecological momentary assessment (EMA) to evaluate the trajectory of change in eating behaviors, appetite, and other aspects of eating regulation in 71 Roux-en-Y gastric bypass and sleeve gastrectomy patients assessed preoperatively and at 3, 6, and 12-months postoperative. For some outcomes, results showed a consistent and similar pattern for SG and RYGB where consumption of sweet and high-fat foods and hunger, desire to eat, ability to eat right now, and satisfaction with amount eaten all improved from pre-to 6-months post-surgery with some degree of deterioration at 12-months post-surgery. By contrast, other variables, largely related to hedonic hunger and craving and desire for specific foods, showed less consistent patterns that differed by surgery type. While the findings suggest an overall pattern of improvement in eating patterns following bariatric surgery, they also highlight how a return to preoperative habits may begin as early as 6 months after surgery. Additional research is needed to understand mechanisms that promote changes in eating behavior after surgery, and how best to intervene to preserve beneficial effects.