Total Food Intake Research Articles

Quantifying Turkana’s wild edible plants’ contribution to critical micronutrient and dietary diversity among women of reproductive age

ABSTRACT This study explored wild edible plants’ (WEPs) contribution to dietary diversity and micronutrient intakes of women in Turkana County using a multi-method quantitative research design. In addition to the nutrient composition analysis of four vegetable plants and one edible fruit collected from the wild, two survey rounds were conducted – in 2020 during COVID (n = 360) and in 2022 during extreme drought (n = 600), to collect dietary intake data of women using 24-h recall. The study revealed that WEPs contribute 12% to 30% of the total daily food intake among women, and 0.6 to 1.4 food groups to dietary diversity, depending on the season. All the five WEPs tested contained on average 0.5 mg zinc, 6.4–25.5 mg iron, and 97.8–330.8 mg calcium per 100 g edible portion. This study demonstrates the significance of WEPs’ nutritional contribution to the Turkana communities’ diets, and their pivotal role during times of food scarcity, and recommends their promotion alongside measures to prevent their overexploitation.

Validity and reproducibility of a food frequency questionnaire to determine dietary intakes among Lebanese athletes.

Nutrition is a basic need for athletes; thus, adequate dietary intake is crucial for maintaining overall health, facilitating training adaptations and boosting athletic performance. Accurate dietary assessment tools are required to minimize the challenges faced by athletes. This study verifies the validity and reproducibility of a 157 item semi-quantitative food frequency questionnaire (FFQ) among Lebanese athletes. This is the only Arabic questionnaire in Lebanon that estimates food consumption for athletes which can also be used in Arabic speaking countries. There has been no previous validated food frequency questionnaire that estimated food consumption for athletes in Lebanon. A total of 194 athletes were included in the study to assess the validity of the food frequency questionnaire against four days dietary recalls by comparing the total nutrient intake values from the food frequency questionnaire with the mean values of four 24-hour dietary recalls using Spearman correlation coefficient and Bland Altman plots. In order to measure the reproducibility, the intra class correlation coefficients were calculated by repeating the same food frequency questionnaire after one month. The intra-class correlation coefficient between the two-food frequency questionnaires ranged from average (0.739 for carbohydrates) to good (0.870 for energy (Kcal)), to excellent (0.919 for proteins) concerning macronutrients and ranged from average (0.688 for vitamin D), to excellent (0.952 for vitamin B12), indicating an acceptable reproducibility. Spearman's correlation coefficients of dietary intake estimate from the food frequency questionnaire and the four dietary recalls varied between 0.304 for sodium, 0.469 for magnesium to 0.953 for caloric intake (kcal). Bland-Altman plots illustrated a percentage of agreement ranging between 94.3% for fats to 96.4% for proteins. This food frequency questionnaire has a reliable validity and reproducibility to evaluate dietary assessments and is an appropriate tool for future interventions to ensure the adoption of adequate eating strategies by athletes.

Ultra-processed food consumption and renal cell carcinoma incidence and mortality: results from a large prospective cohort

BackgroundGrowing evidence shows that ultra-processed food consumption is associated with the risk of cancer. However, prospective evidence is limited on renal cell carcinoma (RCC) incidence and mortality. In this study, we aimed to examine the association of ultra-processed food consumption and RCC incidence and mortality in a large cohort of US adults.MethodsA population-based cohort of 101,688 participants were included from the Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial. Ultra-processed food items were confirmed by using the NOVA food classification system. The consumption of ultra-processed food was expressed as a percentage of total food intake (g/day). Prospective associations were calculated using Cox regression. Restricted cubic spline regression was used to assess nonlinearity. Subgroup analyses were performed to investigate the potential effect modifiers on the incidence and mortality of RCC.ResultsA total of 410 participants developed RCC during a total of 899,731 person-years of follow-up (median 9.41 years) and 230 RCC deaths during 1,533,930 person-years of follow-up (median 16.85 years). In the fully adjusted model, participants in the highest compared with the lowest quintiles of ultra-processed food consumption had a higher risk of RCC (HR quartile 4 vs 1:1.42; 95% CI: 1.06–1.91; Ptrend = 0.004) and mortality (HR quartile 4 vs. quartile 1: 1.64; 95% CI: 1.10–2.43; Ptrend = 0.027). Linear dose–response associations with RCC incidence and mortality were observed for ultra-processed food consumption (all Pnonlinearity > 0.05). The reliability of these results was supported by sensitivity and subgroup analyses.ConclusionIn conclusion, higher consumption of ultra-processed food is associated with an increased risk of RCC incidence and mortality. Limiting ultra-processed food consumption might be a primary prevention method of RCC.

Association of Nutritional Intake with Physical Activity and Handgrip Strength in Individuals with Airflow Limitation.

We investigated whether nutritional intake is associated with physical activity (PA) and handgrip strength (HGS) in individuals with airflow limitation. This study analyzed data from the 2014 to 2016 Korean National Health and Nutrition Examination Survey. We assessed total protein intake (g/day), caloric intake (kcal/day), and other nutritional intakes using a 24-hour dietary recall questionnaire. HGS was measured three times for each hand using a digital grip strength dynamometer, and PA was assessed as health-enhancing PA. Airflow limitation was defined as a forced expiratory volume/forced vital capacity ratio of 0.7 in individuals over 40 years of age. Participants were categorized into groups based on their PA levels and HGS measurements: active aerobic PA vs. non-active aerobic PA, and normal HGS vs. low HGS. Among the 622 individuals with airflow limitation, those involved in active aerobic PA and those with higher HGS had notably higher total food, calorie, water, protein, and lipid intake. The correlations between protein and caloric intake with HGS were strong (correlation coefficients = 0.344 and 0.346, respectively). The forest plots show that higher intakes of food, water, calories, protein, and lipids are positively associated with active aerobic PA, while higher intakes of these nutrients are inversely associated with low HGS. However, in the multivariate logistic regression analysis, no significant associations were observed between nutritional intake and active aerobic PA or HGS. Nutritional intake was not found to be an independent factor associated with PA and HGS. However, the observed correlations suggest potential indirect effects that warrant further investigation.

Systemic immune-inflammation states in US adults with seropositivity to infectious pathogens: A nutrient-wide association study.

Limited understanding exists regarding the association between daily total dietary nutrient intakes and immune-inflammation states in US adults exposed to various pathogens. This study sought to examine the correlation between nutrient intakes and immune-inflammation indicators and to assess their performance in distinguishing immune-inflammation states. This study was derived from the National Health and Nutrition Examination Survey (NHANES), which included 33,804 participants aged 20 years or older between 2005 and 2018. Multivariable linear regression and restricted cubic spline regression were conducted to evaluate the association between nutrient intakes and immune-inflammation indicators. Receiver operating characteristic curve analysis was performed to evaluate the discriminatory performance of identified nutrients for various immune-inflammation states measured by the systemic immune-inflammation index (SII). Ten key nutrients were significantly associated with immune-inflammation responses, including calcium, saturated fatty acid (SFA) 4:0, SFA 6:0, SFA 12:0, SFA 14:0, SFA 16:0, vitamin B2, total SFAs, retinol, and lutein + zeaxanthin, which show potential as dietary indicators. The area under the curve for discriminating various immune-inflammation states was improved by at least 0.03 compared with a model that included only covariates, with all P values <0.05 in the Delong tests, indicating a significant enhancement in model performance. Ten nutrients, including calcium, various SFAs, vitamin B2, retinol, and lutein + zeaxanthin, exhibit significant association with SII and potential as dietary indicators for distinguishing between different immune-inflammation states in US adults with seropositivity to various viruses.

Infant diet quality index predicts nutrients of concern and ultra-processed food intake in low-income U.S. children

BackgroundDiet quality during infancy can influence nutrient intake and ultra-processed foods (UPF) consumption throughout later childhood. ObjectiveThis study investigated the predictive validity of Infant Diet Quality Index (IDQI) scores from 0-1 years of age and consumption of select nutrients and UPFs at different time points in low-income children ages 2-5 years. MethodsDietary surveys and 24-hour dietary recalls collected between ages 0-12 months from 2,613 Special Supplemental Women, Infants, and Children (WIC) Infant Toddler Feeding Practices Study-2 (ITFPS-2) participants were used to assess infant diet quality by final IDQI score ranging from 0 (non-adherence to dietary guidelines) to 1 (complete adherence to guidelines). Single 24-hour recalls collected across multiple time points per child between ages 2 and 5 years were used to determine nutrient intakes: vitamin B12 (μg), vitamin D (μg), calcium (mg), iron (mg), zinc (mg), potassium (mg), saturated fat (g), and dietary fiber (g), added sugars (g). Likewise, Nova was used to classify foods (to estimate the percentage of energy from foods) by level of industrial processing at each point in time across ages 2-5. Survey-weighted regression analyses estimated associations between total IDQI score and nutrient intake and percentage of energy consumption from each Nova food group at each age between 2-5 years. ResultsIDQI scores based on diet quality from 0-1 years of age were positively associated with children’s dietary fiber and potassium intake at ages 2-5. Additionally, IDQI was negatively associated with added sugar intake. No associations were observed between IDQI and saturated fat consumption. IDQI scores at age 1 were positively associated with the percentage of energy attributed to unprocessed/minimally processed foods (20% to 23%) and negatively associated with UPF consumption at ages 2-5 (-24% to -29%). ConclusionIDQI predicts intake of select nutrients and UPF consumption among low-income U.S. children ages 2-5. Clinical Trial RegistrationFeeding My Baby – A National WIC Study, NCT02031978, https://clinicaltrials.gov/study/NCT02031978. De-identified individual participant data from the WIC ITFPS-2 study is publicly available through USDA Ag Data Commons.

Altered sex differences related to food intake, hedonic preference, and FosB/deltaFosB expression within central neural circuit involved in homeostatic and hedonic food intake regulation in Shank3B mouse model of autism spectrum disorder.

Autism spectrum disorder (ASD) is a neurodevelopmental disorder accompanied by narrow interests, difficulties in communication and social interaction, and repetitive behavior. In addition, ASD is frequently associated with eating and feeding problems. Although the symptoms of ASD are more likely to be observed in boys, the prevalence of eating disorders is more common in females. The ingestive behavior is regulated by the integrative system of the brain, which involves both homeostatic and hedonic neural circuits. Sex differences in the physiology of food intake depend on sex hormones regulating the expression of the ASD-associated Shank genes. Shank3 mutation leads to ASD-like traits and Shank3B -/- mice have been established as an animal model to study the neurobiology of ASD. Therefore, the long-lasting neuronal activity in the central neural circuit related to the homeostatic and hedonic regulation of food intake was evaluated in both sexes of Shank3B mice, followed by the evaluation of the food intake and preference. In the Shank3B +/+ genotype, well-preserved relationships in the tonic activity within the homeostatic neural network together with the relationships between ingestion and hedonic preference were observed in males but were reduced in females. These interrelations were partially or completely lost in the mice with the Shank3B -/- genotype. A decreased hedonic preference for the sweet taste but increased total food intake was found in the Shank3B -/- mice. In the Shank3B -/- group, there were altered sex differences related to the amount of tonic cell activity in the hedonic and homeostatic neural networks, together with altered sex differences in sweet and sweet-fat solution intake. Furthermore, the Shank3B -/- females exhibited an increased intake and preference for cheese compared to the Shank3B +/+ ones. The obtained data indicate altered functional crosstalk between the central homeostatic and hedonic neural circuits involved in the regulation of food intake in ASD.

Physical inactivity and breakfast skipping caused visceral fat accumulation in rats.

Physical inactivity as well as breakfast skipping is known as risk factor for various metabolic diseases, such as obesity and type 2 diabetes. We have previously reported that a breakfast skipping model, in which the timing of feeding is delayed, induces abnormal lipid metabolism by altering the circadian rhythm of lipid metabolism-related genes in rats. The purpose of this study was to elucidate the synergistic effect of physical inactivity and breakfast skipping on lipid metabolism. We adopted sciatic neurectomized rats as physically inactive models, because we confirmed that the rats mildly decreased their spontaneous locomotor activity compared to sham-operated rats. And then the physically inactive model rats were fed a mild high-fat diet during zeitgeber time (ZT) 12-0 in the control group and ZT16-0 in the breakfast skipping group for 11days. Body weight gain and total food intake were similar in both groups. Breakfast skipping induced a significant visceral fat accumulation, which was not observed in our previous breakfast skipping or physically inactive studies. The mRNA levels of clock and lipogenesis-related genes were altered by breakfast skipping in the liver and epididymal adipose tissue, and serum insulin level was altered by breakfast skipping. These results suggest that physical inactivity and breakfast skipping synergistically induces drastic visceral fat accumulation due to the alteration of circadian clock and lipid metabolism in the liver and adipose tissue. Therefore, regular feeding timing plays an important role in the health of a sedentary modern society.

Contribution of fortified foods and dietary supplements to total nutrient intakes and their adequacy in Japanese adults

BackgroundThis study examined how fortified foods and dietary supplements contributed to total nutrient intakes and their adequacy in Japanese adults.MethodsNutrient intake was estimated from 4-day dietary records of 392 adults (20–69 years) in total intake considering intakes from fortified foods and dietary supplements and in base diets without considering their intake. Users were defined as participants who used at least one fortified foods and/or dietary supplements during the 4-day recording period. The proportion of participants whose intake was below the Estimated Average Requirements (EAR) or exceeded the Tolerable Upper Intake Level (UL) provided in the Dietary Reference Intakes for Japanese was calculated.ResultsIn 122 identified users (31% of participants) of fortified foods and/or dietary supplements, the mean contributions of fortified foods and dietary supplements to total intake were < 4% and < 21%, respectively, for all 25 examined nutrients. Users were more likely to meet the EAR than non-users for six nutrients in the base diets and nine nutrients in the total intake. Among the users, the prevalence of participants below the EAR decreased by ≥ 10% in the total intake compared with the base diet for five nutrients. No nutrient intake from the base diet exceeded the UL in users and non-users; however, vitamin B6 intake in 2% of users exceeded the UL of their total intake.ConclusionAlthough the users of fortified foods and/or dietary supplements had better nutrient intake than non-users in base diets, fortified foods and dietary supplements helped the Japanese users achieve adequate intakes of certain nutrients without a risk of excessive intake (except for vitamin B6).

Description of the etiological factors behind acute moderate and severe malnutrition in children under 5 years hospitalized at two high-complexity referral centers: Case series.

Acute malnutrition in children <5 years of age has a direct relationship with medical complications and mortality. We aimed to describe the etiologic factors in children with moderate and severe non-illness-related acute malnutrition who required hospitalization for treatment of malnutrition in two high-complexity hospital centers in Bogotá, Colombia. This is a multicenter case series (December 2016 to December 2020) including patients aged 1-59 months with a weight/height indicator less than -2 SD. Electronic health records were reviewed, and demographic (sex, age, city of origin, and socioeconomic status) and clinical data (gestational age at birth, edema, and nutrition status) were collected. Descriptive analysis of information was performed. An exploratory bivariate analysis by diagnostic categories of moderate and severe acute malnutrition vs days of hospitalization was also performed. Forty-five patients were included, 62.2% of whom were male, with a median age of 14 months (Q1-Q3: 7-24). The main etiologic factors of malnutrition were related to problems with total food intake (33.3%), transition in consistency of feeding (31.1%), and breastfeeding technique (22.2%). Only 13.3% had problems related to food insecurity. There were no statistically significant differences between moderate (median: 7 days; Q1-Q3: 5-12) and severe (median: 8 days; Q1-Q3: 5-16) acute malnutrition when compared by days of hospitalization. The main etiologic factors of malnutrition in our study population were related to problems in the amount of food provided and transition in consistency of complementary feeding.

Abstract 51: Targeted Apoptosis of the Angiotensin AT 1 R-Expressing Subtype of Agouti-Related Peptide Neurons Increases Resting Metabolism and Blood Pressure

Agouti-related peptide (AgRP) neurons in the hypothalamic arcuate nucleus (ARC) control feeding and resting metabolic rate (RMR) and may also contribute to blood pressure (BP) and heart rate (HR) control. Our recent studies demonstrate that three subtypes of ARC AgRP neurons can be distinguished by differential expression of angiotensin II (ANG) receptors and differential electrophysiological responses to ANG. The "Type 1" subtype of AgRP neurons in the ARC express the ANG type 1 receptor (AT 1 R), and application of ANG inhibits these cells via a Gi cascade, ultimately causing increased RMR. Other published data suggest that AT 1 R action in AgRP neurons may also stimulate BP. Thus, we hypothesized that cell-specific ablation of Type 1 AgRP neurons would disinhibit (increase) RMR and BP. Within the ARC, only Type 1 AgRP neurons express AT 1 R. Thus, cell-specific ablation of Type 1 AgRP neurons was achieved by injecting an Adeno-associated virus (AAV) encoding Cre-activatable Caspase3 into the ARC of adult AT 1 R CRE mice that express Cre-recombinase via the AT 1 R locus (n=10m+6f). Cre-deficient mice receiving AAV-Casp3 injection, mice receiving anesthesia but no virus, and AT 1 R CRE mice receiving an AAV vector encoding GFP were used as controls (n=21m+10f). Multiplexed metabolic phenotyping demonstrated that two weeks after injection, ablation of Type 1 cells grossly stimulated RMR (+11%: 0.331±0.007 vs. 0.366±0.008 kcal/h, p&lt;0.01) without affecting activity-dependent expenditure; and paradoxically increased meal initiations (+10%, p&lt;0.05) but reduced meal size (-14%, p&lt;0.05), yielding no net change in total food intake after correction for body size and composition (+7%, p=0.24). Ablation of Type 1 neurons also increased preferred ambient temperature in a thermal gradient (29.4±0.3 vs 30.9±0.1 °C, p&lt;0.01). In a separate cohort instrumented with radiotelemetric BP transducers (n=6m), HR progressively decreased (24h avg: -58±9 bpm, p&lt;0.01) as systolic BP tended toward an increase (24h avg: +6±3 mmHg, p=0.10) through 5-7 weeks after ablation. We conclude that AT 1 R-expressing AgRP Type 1 neurons critically contribute to RMR control and appear to also influence BP/HR and feeding control. Therefore, we posit that altered function of these cells may mechanistically contribute to changes in RMR, BP/HR, and feeding control associated with obesity.

Association of Ultraprocessed Foods Intake with Untargeted Metabolomics Profiles in Adolescents and Young Adults in the DONALD Cohort Study

BackgroundHigh consumption of ultraprocessed foods (UPFs) continues to draw significant public health interest because of the associated negative health outcomes. Metabolomics can contribute to the understanding of the biological mechanisms through which UPFs may influence health. ObjectivesTo investigate urine and plasma metabolomic biomarkers of UPF intake in adolescents and young adults. MethodsWe used data from the Dortmund Nutritional and Anthropometric Longitudinally Designed study to investigate cross-sectional associations of UPF intake with concentrations of urine metabolites in adolescents using 3d weighed dietary records (3d-WDR) and 24-h urine samples (n = 339), and associations of repeatedly assessed UPF intake with concentrations of circulating plasma metabolites in young adults with 3–6 3d-WDRs within 5 y preceding blood measurement (n = 195). Urine and plasma samples were analyzed using mass spectrometry-based metabolomics. Biosample-specific metabolite patterns (MPs) were determined using robust sparse principal components analysis. Multivariable linear regression models were applied to assess the associations of UPF consumption (as a percentage of total food intake in g/d) with concentrations of individual metabolites and MP scores. ResultsThe median proportion of UPF intake was 22.0% [interquartile range (IQR): 12.3, 32.9] in adolescents and 23.2% (IQR: 16.0, 31.6) in young adults. We identified 42 and 6 UPF intake-associated metabolites in urine and plasma samples, respectively. One urinary MP, “xenobiotics and amino acids” [β = 0.042, 95% confidence interval (CI): 0.014, 0.070] and 1 plasma MP, “lipids, xenobiotics, and amino acids” (β = 0.074, 95% CI: 0.031, 0.117) showed positive association with UPF intake. Both patterns shared 29 metabolites, mostly of xenobiotic metabolism. ConclusionsWe identified urine and plasma metabolites associated with UPF intake in adolescents and young adults, which may represent some of the biological mechanisms through which UPFs may influence metabolism and health.

Performance of grazing cows fed supplements from coproducts of biodiesel industry replacing soybean meal.

The objective of the present study was to evaluate the substitution of soybean meals by biodiesel co-products on the performance and nutrient balance of lactating cows on pasture. Twelve dairy cows (7/8 Holstein-Gir) in early lactation were included in this feeding trial. These animals had an average daily milk yield of 21.1kg and were distributed in a 4 × 4 triple Latin square experimental design. Protein supplements fed to these lactating cows contained peanut meal, cotton and sunflower as a complete replacement for soybean meal. Nutrient intake and digestibility, milk production, microbial protein synthesis, energy and protein balance were the parameters assessed in this study. Supplements containing different biodiesel co-products did not influence (P > 0.05) the level of forage intake, supplementation and nutrient by lactating cows, except for the total digestible nutrients (TDN) intake which was higher (P ≤ 0.05) in cows supplemented with cottonseed meal. The cotton meal also promoted higher digestibility of TDN (P = 0.001) and total carbohydrates (TCHO; P = 0.001) of the diet and, as a result, higher energy consumption (P = 0.01) and lower negative energy balance (P = 0.01). Cottonseed meal is a co-product of the biodiesel industry that has the ability to replace soybean meal as a source of protein in the supplement without affecting performance and promoting greater energy availability, demonstrating its ability to reduce the effects of negative energy balance in cows at the beginning of lactation kept on tropical pastures.

2287 Residents with dementia had an increase in BMI after the introduction of an extra meal in nursing homes in Norway

Abstract Introduction The past decade, many nursing homes in Norway have introduced an extra meal daily, with a hot lunch, and pushing dinner to later in the day. This initiative aims to reduce the long-time interval between breakfast and supper. This study examines how an extra meal affects the residents’ body mass index (BMI) at nursing homes in Norway. Research questions include how an extra meal affects BMI among residents in the dementia unit. Method We used a cross-sectional design to analyse data from residents over 65 years old in dementia care units. Both parametric and non-parametric statistical tests were used to evaluate changes in BMI. Results The results of the study show that the dementia unit experienced an increase in BMI following the introduction of an extra meal. At most, we saw a weight gain of up to 7 kg over two years among residents. Our study reveals that the introduction of an extra meal resulted in a slight increase in BMI among the residents with dementia, which does not correspond with previous studies indicating malnutrition among these residents. The dementia disease reduces functional abilities, and challenges related to mealtime behaviour, restlessness, and depression can lead to weight loss. The fact that our results show a slight increase in BMI at the dementia units may be related to these residents often being troubled with restlessness and not finding the peace to consume a full meal. By introducing an extra meal, the total food intake increases since residents still eat a little at each meal, and focusing more on accommodating each resident might have influenced the increase in BMI values. Conclusion The study indicates that the introduction of an extra meal has a positive effect on the BMI value of residents with dementia in nursing homes.

Fasting-induced activity changes in MC3R neurons of the paraventricular nucleus of the thalamus.

The brain controls energy homeostasis by regulating food intake through signaling within the melanocortin system. Whilst we understand the role of the hypothalamus within this system, how extra-hypothalamic brain regions are involved in controlling energy balance remains unclear. Here we show that the melanocortin 3 receptor (MC3R) is expressed in the paraventricular nucleus of the thalamus (PVT). We tested whether fasting would change the activity of MC3R neurons in this region by assessing the levels of c-Fos and pCREB as neuronal activity markers. We determined that overnight fasting causes a significant reduction in pCREB levels within PVT-MC3R neurons. We then questioned whether perturbation of MC3R signaling, during fasting, would result in altered refeeding. Using chemogenetic approaches, we show that modulation of MC3R activity, during the fasting period, does not impact body weight regain or total food intake in the refeeding period. However, we did observe significant differences in the pattern of feeding-related behavior. These findings suggest that the PVT is a region where MC3R neurons respond to energy deprivation and modulate refeeding behavior.

Modifiable risk factors for weight loss after cancer treatment in Korean gastric cancer survivors.

Weight loss is a critical problem in gastric cancer survivor (GCS) associated with worse prognosis and quality of life. Nevertheless, modifiable factors related to weight loss of GCS seem limited. We investigated the factors with significant weight loss including dietary pattern change in GCS. In this cross-sectional study, Korean cancer survivors were recruited from two university-affiliated hospitals from 2014 to 2017. Overall, 591 GCSs were analyzed by preoperative body mass index levels. Significant and severe weight loss was defined as a weight reduction of more than 5% and 10%, respectively. Around 68.7% and 35.0% of GCS reported significant and severe weight loss, respectively. Age and surgery type were the important factors related to significant weight loss in total. In preoperative overweight or obese subjects, sex and surgery type were the risk factors for weight loss. Total food intake reduction was the only modifiable factor of significant weight loss (adjusted odds ratio (aOR) 1.78, 95% confidence interval (CI) 1.19-2.64), particularly in preoperative normal or underweight GCS (aOR 2.62, 95% CI 1.44-4.78). Increasing vegetable and salt reduction was found to be related to a lower risk of significant weight loss. The impact of reducing processed meat on weight loss differed by degree of weight loss and preoperative BMI level. Changing food consumption was the important modifiable factor related to significant weight loss which was more evident in preoperative underweight or normal GCS. Thus, further specific dietary recommendation is necessary for them to prevent significant weight loss. In order to prevent significant weight loss, dietary modification should be provided to GCS to ensure that total foodintake does not decrease.

Environmental burden of excessive food intake: Exploring new opportunities to enhance food and environmental sustainability in China

China faces increasing challenges in producing sufficient food sustainably while confronting a worsening overweight and obesity crisis caused partly by overeating. Building on the China Health and Nutrition Survey data, this study estimated the agricultural and environmental implications of overeating based on human metabolic theory and life cycle assessment. The results show that the average excess food intake per person is twice the amount of household edible food waste (53.85 vs. 26.88 g/capita/day). The total excessive food intake is equivalent to 18.7 Mt of annual cereal production, approximately 4.3 times China's recent annual cereal production growth (4.4 Mt). Excessive food intake also embodies substantial carbon, water, energy, and ecological footprints, amounting to 39.15 Mt CO2e, 31.40 Gm3, 11.18 Mtce, 544.69 × 108 gm2, respectively, significantly exceeding the corresponding domestic food waste footprints. Cereals and meats have a dominant role in excessive food intake and related environmental impacts, with significant differences linked to demographic characteristics and urbanization levels. China has implemented various national policies, including an anti-food-waste law, to address agri-food sustainability challenges. This study suggests that addressing overeating can significantly enhance China's ability to tackle these challenges and improve public health outcomes.

Effects of condensed tannin-enriched alternative energy feedstuff supplementation on performance, nitrogen utilization, and rumen microbial diversity in grazing beef cattle

This study aims to investigate the effects of alternative energy feedstuff supplementation containing condensed tannin (CT) on palisade grass pastures, focusing on intake, nutrient digestibility, animal performance, ruminal and blood parameters, nitrogen use efficiency (NUE), and its impacts on the ruminal bacterial community in backgrounding Nellore young bulls. Two experiments were conducted simultaneously. Animal performance was evaluated in Experiment 1. The experimental design was a completely randomized block; ninety Nellore bulls (Bos taurus indicus) with an average initial body weight (BW) of approximately 240 ± 5 kg were used (64 as testers and 26 as regulators). The feed intake, digestibility of dry matter and nutrients, ruminal parameters, NUE, and the impact on the ruminal bacterial community were evaluated in Experiment 2. The experimental design was a 4 × 4 double Latin square involving eight Nellore bulls with an average initial BW of 290 ± 8 kg, all of which were cannulated in the rumen. The treatments consisted of energy supplementation at 0.3 % of BW with peanut skin (PS), 0.3 % of BW with sorghum grain (SG), 0.3 % of BW with soybean hulls (SHs), and a control treatment with a supply of mineral salt ad libitum. The total digestible nutrient intake was lower in animals that received only mineral supplements (p < 0.005). The dry matter (DM) intake decreased with treatment PS, while the DM and nutrient digestibility increased (p < 0.005). There was a reduction in ruminal ammonia nitrogen and an improvement in NUE in the PS treatment (p < 0.005). However, the bacterial and Archaea populations were unaffected (p = 0.619). Individual animal performance and gain per kg were increased in the treatment with supplements containing or without CT compared to the mineral supplement (p < 0.001). The NUE improved in treatments PS, SG, and SH (p < 0.01). Feedstuff supplementation using no edible foods by products containing CTs is an effective alternative energy source for Nellore bulls grazing on palisade grass during the rainy season. Additionally, it can be used to mitigate the environmental impacts of N excretion.

Generation and Characterization of a Novel Prkcd-Cre Rat Model.

Activity of central amygdala (CeA) PKCδ expressing neurons has been linked to appetite regulation, anxiety-like behaviors, pain sensitivity, and addiction-related behaviors. Studies of the role that CeA PKCδ+ neurons play in these behaviors have largely been carried out in mice, and genetic tools that would allow selective manipulation of PKCδ+ cells in rats have been lacking. Here, we used a CRISPR/Cas9 strategy to generate a transgenic Prkcd-cre knock-in rat and characterized this model using anatomical, electrophysiological, and behavioral approaches in both sexes. In the CeA, Cre was selectively expressed in PKCδ+ cells. Anterograde projections of PKCδ+ neurons to cortical regions, subcortical regions, several hypothalamic nuclei, the amygdala complex, and midbrain dopaminergic regions were largely consistent with published mouse data. In a behavioral screen, we found no differences between Cre+ rats and Cre- wild-type littermates. Optogenetic stimulation of CeA PKCδ+ neurons in a palatable food intake assay resulted in an increased latency to first feeding and decreased total food intake, once again replicating published mouse findings. Lastly, using a real-time place preference task, we found that stimulation of PKCδ+ neurons promoted aversion, without affecting locomotor activity. Collectively, these findings establish the novel Prkcd-Cre rat line as a valuable tool that complements available mouse lines for investigating the functional role of PKCδ+ neurons.

Impact of Some Natural and Artificial Sweeteners Consumption on Different Hormonal Levels and Inflammatory Cytokines in Male Rats: In Vivo and In Silico Studies.

Substituting sugar with noncaloric sweeteners prevents overweight and diabetes development. They come in two types: artificial, like aspartame and sucralose, and natural, such as sorbitol. This research aimed to assess the effects of sucrose and these sweeteners on nutritional parameters, hematological parameters, hormones, and anti- and pro-inflammatory cytokines in male rats. Thirty rats had been separated into five groups. The results showed the highest significant increase in body weight gain, total food intake, and feed efficiency noticed in the aspartame group followed by sucralose, sucrose, and sorbitol, respectively. In contrast to RBCs and platelets, all sweeteners significantly reduced the hemoglobin level, Hct %, and WBC count. The aspartame group showed the highest decline in glycoproteins, steroids, and T3, and T4 hormones and a dramatic elevation in thyroid stimulating hormone, eicosanoid, and amine hormones compared with the control group. A vigorous elevation in anti- and proinflammatory cytokine levels was observed in the aspartame group, followed by sucralose, sucrose, and sorbitol groups. Aspartame has the highest docking scores when studying the interactions of sweeteners and a target protein associated with hormones or cytokines using in silico molecular docking, with the best absorption, distribution, metabolism, elimination, and toxicity properties compared to the remaining sweeteners.