Western Dietary Pattern Research Articles

On the Menu: Analyzing the Macronutrients, Micronutrients, Beverages, Dietary Patterns, and Pancreatic Cancer Risk.

This narrative review summarizes the principal findings of observational studies, systematic reviews, and meta-analyses on diet and dietary patterns' role in the risk of pancreatic cancer. Etiologically pancreatic cancer is multifactorial. Evidence exists of an association between nutrients, dietary patterns, and pancreatic cancer. An extensive literature search was conducted on PubMed, Cochrane, and Google Scholar. A thorough search of articles published in English till May 2023 and related to the review was performed. The relationship between all macronutrients, micronutrients, and various dietary patterns with the risk of pancreatic cancer was assessed. It is concluded that a diet high in nutrients like red and processed meat, refined sugars, saturated and monounsaturated fats, alcohol, copper, and a Western dietary pattern can increase the likelihood of pancreatic cancer. Contrary to this, a diet consisting of fruits, vegetables, appropriate quantities of vitamins and minerals, and a Mediterranean dietary pattern is associated with a decreased risk of pancreatic cancer.

Analysis of the association between dietary patterns and nonalcoholic fatty liver disease in a county in Guangxi

BackgroundThis study aims to investigate the relationship between different dietary patterns and non-alcoholic fatty liver disease (NAFLD).MethodsResidents over 30 years old in the ecological longevity cohort in Gongcheng Yao Autonomous County, Guangxi Province were the research objects selected from 2018 to 2019. Physical examination, baseline population survey, and food frequency questionnaire (FFQ) survey were conducted. Dietary patterns were analyzed by factor analysis. Influencing factors of NAFLD were analyzed by multiple logistic regression.ResultsNAFLD was diagnosed in 241 of 2664 participants based on ultrasonography, and the detection rate was 9.0%. Factor analysis yielded a total of three dietary patterns, namely, traditional Chinese, Western, and cereal-potato dietary patterns. Results of multivariate logistic regression analysis showed that after adjusting for confounding factors, participants in the highest quartile of the Western dietary pattern exhibited a higher prevalence of NAFLD (OR = 2.799; 95% CI: 1.620–4.837; p < 0.05) than participants in the lowest quartile. Participants in the highest quartile of the cereal-potato pattern exhibited a decreased risk of NAFLD compared with those in the lowest quartile (OR = 0.581; 95% CI: 0.371–0.910, p < 0.05). The traditional Chinese patterns did not show any association with the risk of NAFLD.ConclusionsThe Western dietary pattern increases the risk of NAFLD, whereas the cereal-potato dietary pattern reduces the risk of NAFLD. It is important for the prevention and control of NAFLD to adhere to the cereal-potato dietary.

Interaction of dietary patterns with rs28362491 on severity of coronary artery stenosis in patients undergoing coronary angiography

Coronary artery disease (CAD) is one of the most important cardiovascular diseases. Lifestyle and genetic factors play important roles in the development of CAD. The aim of the study is to examine the interaction of dietary patterns and genes on the likelihood of abnormal lipid profile and coronary artery stenosis in Iranians undergoing coronary angiography. This cross-sectional study was performed on 440 patients who underwent coronary angiography. The factor analysis method was used to extract dietary patterns. Commercial kits have been used to assess biochemical parameters. The detection of the rs28362491 genotype was carried out by the method of restriction fragment length polymorphism. Traditional (TDP) and western dietary pattern (WDP) were extracted. We observed an interaction of adherence to TDP and rs28362491 on the odds of having a high Gensini score. These interactions indicated that higher adherence to TDP was associated with higher odds of having a high Gensini score for patients with DD genotype than for those with II genotype. (OR 2.33, 95%CI 1.00–5.44; P = 0.05). These interactions remained statistically significant even after confounder variables. We observed an interaction between higher adherence to TDP and rs28362491 variants on the odds of high low-density lipoprotein cholesterol levels (P = 0.04) in the unadjusted model. We found a significant interaction of this polymorphism and higher adherence to WDP on the odds of having a high Gensini score in the unadjusted model (P = 0.04). This study provides a basis for future research on NF-KB1 gene and diet interaction. More large-scale longitudinal studies are needed to validate these findings.

“Relationship can talk” - Relationship quality and its applications to STARBUCKS

&lt;p&gt;In Taiwan, Western food has replaced Chinese cuisine, and coffee consumption is rising. Previous studies have suggested that Experiential Marketing (EM) can improve Customer Satisfaction (CS), Brand Loyalty (BL) and trust (TRT), while Brand Image (BI) impacts a brand’s perception. Furthermore, Relationship Quality (RQ) has three key dimensions: commitment (COMMIT), TRT and CS. Starbucks, a major brand in Taiwan, was chosen for the relationship marketing study. Using Structural Equation Modeling (SEM) on 294 valid respondents, this study examines six hypotheses as well as the moderating effect of EM. The results showed three mediating effects centered on CS, and EM moderated the pathway between TRT-CS and CS-COMMIT.&lt;/p&gt; &lt;p&gt;&amp;nbsp;&lt;/p&gt;

Nutritional, physicochemical, and sensory characterization of four common Northern European seaweed species intended for food

Seaweed is depicted as a future food in Western cultures, yet its introduction and expansion to new markets come with several challenges, including food neophobia and limited knowledge about its usability. To address these challenges, this study characterizes sensory perceptions, nutritional content, and physicochemical properties of four common northern European seaweed species, Saccharina latissima, Alaria esculenta, Palmaria palmata, and Ulva sp. These species are rich in minerals (25.8–36.8 %) and carbohydrates (29.6–54.6 %), especially dietary fibre (29.8–34.1 %), but have lower levels of dietary protein (6.7–11.4 %) and lipids (1.3–2.4 %). The amino acid profiles almost matched those of complete proteins, but with lower levels of histidine (Ulva sp. had also lower levels of lysine). All species were generally perceived to have high taste of saltiness, medium umami, low bitterness and sourness, and no sweetness. Overall, P. palmata stood out most from the other species with its red magenta colour, sea and shellfish odour, umami taste, and firm and chewy texture. Contrary, Ulva sp. was perceived as the saltiest species, with a lightness in colour and elements of yellow, an odour resembling lemon and fresh grass, and the least crispy, firm, and chewy texture. The two brown species, S. latissima and A. esculenta, were overall perceived as similar to each other. The mapping of seaweed's attributes in this study can be directly useful as knowledge for the improvement of future seaweed products and their availability in Western food cultures.

Unmasking the Silent Threat: Colorectal Cancer’s Alarming Surge in India’s Young Adults

Abstract Colorectal cancer (CRC) incidence is rising in young population in India due to increasing influence of Western food habits and increase in sedentary lifestyles. Due to unhealthy eating habits and sedentary lifestyle, obesity is another problem faced by the youth of our country. Physical inactivity, overweight and obesity, red and processed meat consumption, and smoking and excessive alcohol consumption are the factors which have been responsible for the complex etiology and pathogenesis of CRC. These factors individually or synergistically may help in the rapid progression and multistep development of this disease. This review article is aimed to raise the concern of the harmful effect of Western culture on our health and create awareness to adopt a healthy lifestyle and maintain ideal weight. Efforts should be made to increase screening and raise awareness about eating and drinking habits along with lifestyle modification to decrease the rate of CRC.

Towards Food Image Retrieval via Generalization-Oriented Sampling and Loss Function Design

Food computing has increasingly received widespread attention in the multimedia field. As a basic task of food computing, food image retrieval has wide applications, that is, food image retrieval can help users to find the desired food from a large number of food images. Besides, the retrieved information can be applied to establish a richer database for the subsequent food content-related recommendation. Food image retrieval aims to achieve better performance on novel categories. Thus, it is worth studying to transfer the embedding ability from the training set to the unseen test set, that is, the generalization of the model. Food is influenced by various factors, such as culture and geography, leading to great differences between domains, such as Asian food and western food. Therefore, it is challenging to study the generalization of the model in food image retrieval. In this article, we improve the classical metric learning framework and propose a generalization-oriented sampling strategy, which boosts the generalization of the model by maximizing the intra-class distance from a proportion of positive pairs to avoid the excessive distance compression in the embedding space. Considering that the existing optimization process is in an opposite direction to our proposed sampling strategy, we further propose an adaptive gradient assignment policy named gradient-adaptive optimization , which can alleviate the intra-class distance compression during optimization by assigning different gradients to different samples. Extensive evaluation on three popular food image datasets demonstrates the effectiveness of the proposed method. We also experiment on three popular general datasets to prove that solving the problem from the generalization can also improve the performance of general image retrieval. Code is available at https://github.com/Jiajun-ISIA/Generalization-oriented-Sampling-and-Loss .

A network analysis of nutritional markers and maternal perinatal mental health in the French EDEN cohort

BackgroundPerinatal maternal depression and anxiety are associated with adverse maternal outcomes, and nutrition may play an important role in their emergence. Previous research shows that certain micro and macronutrients found in different dietary patterns may associate with perinatal mood disorders. This study aims to explore relationships between nutrition during pregnancy and perinatal maternal depression and anxiety symptoms using network analyses.MethodsUsing data from the French EDEN mother-child cohort, the sample consisted of 1438 women with available mental health outcomes (CES-D, STAI and EPDS) and nutritional markers collected from food frequency questionnaires. Four networks were constructed to explore the relationships between prenatal nutrient status, dietary patterns, and perinatal mental health, while accounting for important confounders.ResultsThe Healthy dietary pattern was associated with the presence of vital micronutrients, while the Western dietary pattern was consistently associated with poorer intake of specific micronutrients and contained an excess of certain macronutrients. Western dietary pattern and symptoms of postnatal depression were connected by a positive edge in both the macronutrient and micronutrient networks. Lower education levels were associated with higher Western dietary pattern scores, from which a positive edge linked to postnatal depression symptoms in both models.ConclusionsA Western dietary pattern was associated with increased symptoms of postnatal depression in our adjusted network models; The Healthy dietary pattern was associated with essential micronutrients but not with symptoms of depression or anxiety. Perinatal mental health might be impacted by specific dietary patterns in the context of psychosocial and physical stress associated with pregnancy.

Using the health belief model to understand the factors influencing the perceptions of people of Chinese ancestry about reducing salt consumption for hypertension prevention: A cross-sectional study.

High-salt diets are linked to hypertension. Chinese people in Australia, are at increased risk of hypertension due to the combination of routine addition of high quantities of salt to food during cooking and high salt levels in processed western foods. There is a scarcity of salt-related behavioural studies on this population group. This study aimed to explore the habitual salt consumption of Chinese Australians and factors that influence their perceptions about sustaining salt-related behavioural changes for hypertension prevention. A cross-sectional descriptive study using an adapted Determinants of Salt-Restriction Behaviour Questionnaire was conducted on 188 Chinese Australians. A non-probability sampling method was used to attract participants from different parts of Australia. Statistical analyses such as descriptive analysis, t-tests and Pearson correlation tests were performed in the study. Over 97% of participants did not measure the amount of salt added to their meals. Many participants reported that salt was added to their meals based on their experience (39.4%) and food taste (31.9%). Over 80% of participants did not know the recommended level of daily salt consumption. Although salt-related knowledge had no significant correlation with individuals' salty food taste preferences, there were significant correlations with the perceptions of the severity of disease and health benefits of reducing salt consumption (p = .001 and < .001 respectively). People with stronger salty taste preferences perceived a higher level of health threat than people with lighter salty taste preferences (p = .003). Findings from this study show that knowledge about salt-reduction alone had no significant effects on salt-related behaviours. Adequate culturally relevant practice-based education in salt-reduction strategies may facilitate salt-related behavioural changes in Chinese Australians. Overall, single young Chinese Australian men with stronger salty taste preferences is the group who needs salt reduction interventions the most.

Comparison of habitual and meal-specific dietary patterns identified by latent class analysis and confirmatory factor analysis in adults: A cross-sectional study

ObjectiveThe aim of this study was to compare characteristics of habitual and meal-specific dietary patterns identified by latent class analysis (LCA) and confirmatory factor analysis (CFA). MethodsParticipants included 778 adults selected for the present cross-sectional study from local health care centers in Tehran, Iran. Three 24-h dietary recalls evaluated dietary intake. LCA was used to group study participants into exclusive subgroups of individuals with similar patterns of dietary intake. CFA was applied to identify patterns of habitual and meal-specific dietary intake. Analysis of variance was used to compare the average scores of habitual and meal-specific CFA-derived dietary patterns across classes identified by LCA. ResultsUsing habitual dietary intake, CFA grouped correlated food items into three major factors: fruits and vegetables, mixed, and Western dietary patterns. LCA grouped study participants with similar patterns of habitual intake into four subgroups of individuals: fruits and vegetables, mixed, Western, and low consumer classes. LCA-fruits and vegetables, LCA-Western, and LCA-mixed classes had, respectively, higher mean scores of CFA-fruits and vegetables, CFA-Western, and CFA-mixed dietary patterns compared with other classes (P < 0.001). Similar findings were observed for meal-specific dietary intake, where classes identified by LCA had the highest mean scores of their corresponding dietary pattern identified by CFA. ConclusionHabitual and meal-specific classes identified by LCA were well characterized by the dietary patterns derived by CFA, suggesting that LCA may be an appropriate statistical approach to classify study participants with similar patterns of intake into exclusive subgroups of individuals.

Major Depressive Disorder, Inflammation, and Nutrition: A Tricky Pattern?

Major depressive disorder (MDD) is a psychiatric disease associated with inflammation. The Western diet (WD) is a high-fat, high-sugar diet also associated with inflammation. We aimed to show whether the diet of MDD patients was a WD and could act as a risk factor in this context. We conducted a transversal study of MDD patients and controls (CTRLs) without comorbidities. We performed blood analyses including C-reactive protein (CRP), a diet anamnesis, and an advanced glycation end-product assessment. We found that 34.37% of MDD patients had a CRP level above 3 to 10 mg/L, which remained higher than CTRLs after adjustments (sex, BMI, age, smoking status). The MDD patients had an excess of sugar and saturated and trans fatty acids; a deficiency in n-3 polyunsaturated fatty acid, monounsaturated acid, dietary fibers, and antioxidants; a high glycemic load; and aggravating nutritional factors when compared to the CTRLs. We found correlations between nutritional factors and CRP in univariate/multivariate analysis models. Thus, MDD patients showed an elevated CRP level and a WD pattern that could contribute to sustaining an inflammatory state. Further studies are required to confirm this, but the results highlighted the importance of nutrition in the context of MDD.

Physical properties and magnetic resonance imaging of the Australian green plum (Buchanania obovata) through maturity and ripening and across locations

The green plum (Buchanania obovata) is a small fruit eaten by Aboriginal people in the northern parts of Australia. The trees grow in remote locations and the fruit has received very little study by Western food science. This study aims to profile and analyse physical characteristics of the green plums as they grow and ripen across multiple locations and harvests. Fruit from four locations, five maturity stages and two harvests were characterised using standard physical measurements, magnetic resonance imaging (MRI), moisture content, titratable acidity, pH, total soluble solids, and ethylene, oxygen and carbon dioxide gas analysis. Results of the physical measurements were analysed with multivariate data analysis using principal component analysis (PCA). This study confirms that the five-stage maturity index has accurately classified the maturity stages in the green plums, how maturity stages can be described with physical parameters and the specific changes that occur between each stage of the maturity process. This study has concluded that green plum is a climacteric fruit and suggest that further studies exploring these characteristics could increase its commercial potential. This report provides valuable characteristics of the green plums as potential products for Indigenous agribusinesses and the food industry.

A Study on the Differences Between Chinese and Western Food Culture and the Translation of Chinese Cuisine

A Study on the Differences Between Chinese and Western Food Culture and the Translation of Chinese Cuisine

Dietary Patterns and Circadian Syndrome among Adults Attending NHANES 2005-2016.

The study aimed to assess the associations of dietary patterns and circadian syndrome (CircS). Data from National Health and Nutrition Examination Survey (NHANES) 2005-2016 were analyzed (n = 10,486). Factor analysis was used to construct dietary patterns based on two 24 h food recalls. CircS was defined based on components of the metabolic syndrome, with the addition of short sleep and depression symptoms. Multivariable logistic regression was used to analyze the associations. Two major dietary patterns were identified. The Western dietary pattern had high loadings of refined grains, solid fats, added sugars, and red and cured meats, while the prudent pattern was characterized by a high intake of vegetables, whole grains, oils, nuts, and seeds. The prevalence of CircS was 41.3%. Comparing extreme quartiles of intake, the odds ratios (OR) for having CircS were 1.96 (95%CI 1.53-2.53) and 0.71 (95%CI 0.58-0.86) for the Western pattern and prudent pattern, respectively. The association between the Western dietary pattern and CircS was stronger among men (OR = 2.05; 95%CI 1.48-2.85) and those with low income (OR = 1.94; 95%CI 1.27-2.96) and high education (OR = 3.38; 95%CI 1.90-6.04). The Western dietary pattern was associated with a higher likelihood of having CircS, while the prudent pattern was inversely associated with CircS.

Association of major dietary patterns with advanced glycation end products and high-sensitivity C-reactive protein in people with type 1 diabetes mellitus

BackgroundThe associations of diet with serum levels of advanced glycation end products (AGEs) and high-sensitivity C-reactive protein (hs-CRP) have been examined in patients with type 2 diabetes mellitus (T2DM). However, data on patients with type 1 diabetes mellitus (T1DM) are limited. Therefore, this study was conducted to investigate the associations of major dietary patterns with serum levels of AGEs and hs-CRP among patients with T1DM.MethodsA total of 229 patients with T1DM participated in this current cross-sectional study. We collected dietary data using a validated food frequency questionnaire (FFQ). The factor analysis approach was used to determine major dietary patterns. A fasting blood sample was collected from each participant to assess serum levels of AGEs and hs-CRP. The associations of dietary patterns with elevated levels of AGEs and hs-CRP were assessed using binary logistic regression.ResultsPatients with T1DM in the highest tertile of a Western dietary pattern had 4.32 times higher odds of having elevated AGEs than those in the lowest tertile (OR: 4.32, 95% CI: 1.86–10.05). Additionally, adherence to the Western diet was associated with 2.97 times greater odds of having elevated hs-CRP (> 3 mg/L) (OR: 2.97, 95% CI: 1.22–7.24) in these patients. Such positive associations were not observed for unhealthy and traditional dietary patterns. Moreover, higher adherence to a semi-healthy diet (characterized by high consumption of white meat, whole grains, processed meat, and a low salt intake) was associated with 87% lower odds of having elevated hs-CRP (OR: 0.13, 95% CI: 0.05–0.35). However, we found no significant association between the semi-healthy diet and AGEs levels.ConclusionWe found that adherence to a Western dietary pattern was associated with elevated levels of AGEs/hs-CRP in patients with T1DM. Also, we discovered a significant inverse association between adherence to a semi-healthy diet and hs-CRP levels.

Lifestyle Patterns in Patients with Type 2 Diabetes.

Modern lifestyles have led to sedentary behavior, lower participation in active movement and physical activities during leisure time, unhealthy diets, and increased exposure to stress. It is important to examine the interaction of several lifestyle risk factors instead of focusing on one alone. The purpose of this study was to identify lifestyle patterns in a group of patients with type 2 diabetes and the associations of its components with certain metabolic parameters. Using principal component analysis, we identified three dietary patterns: the prudent pattern (fat, oil, cereals, potatoes, vegetables, fish, nuts, seeds and fruits), the Western pattern (meat and meat products, eggs and soft drinks) and the traditional pattern (milk and its derivatives, soups and sauces, with a low intake of sugar/snacks). In addition, using the same method of analysis, we identified two lifestyle patterns: the inadequate lifestyle pattern (Western dietary pattern, increased hours of sleep and lower levels of stress) and the traditional lifestyle pattern (traditional dietary pattern, increased physical activity (PA) and non-smoking status). The inadequate lifestyle pattern was associated with younger age, hypertension and diabetic neuropathy. The traditional lifestyle pattern was related to lower postprandial blood glucose levels. Sedentary individuals were more likely to be over 65 years old and to have higher glycated hemoglobin (HbA1c). Smokers were also more likely to have inadequate glycemic and lipid profile control.

Risk Factors Affecting Khalitya (Hair Fall) As Per Deha Prakruti- A Case Control Study Among Adults

Introduction- Ayurveda is the system of medicine for the concept of diseases and health. It is based on concept of Dosha, Dhatu and Mala.As we are following of western life style and food habits blindly, the equilibrium state of Doshas is rapidly disturbing and thus results in shortening of average life expectancy and also now prone towards the Khalitya (hair fall) in early age. Aim &amp; Objectives- Aim- To assess risk factors associated with the Khalitya (Hair fall) in relation to different Deha Prakriti. Objectives- To define level of Khalitya (hair fall) in different Deha Prakriti with the use of hair pull test. To assess the effect of aharaj and viharaj factors in causing Khalitya. Material and Methods- Study design – It is an observational case control study. Male adults of age group between 20 to 50 years were selected. Convenient sampling was used. Cases (50) and controls (50) were selected in 1: 1 proportion. Results and Discussion- Age factor play an important role in Khalitya (p = 0.0365); as age increases the possibility of hair fall also increases. It is well known that, as the level of stress and anger increases, the propensity to develop Vata and Pitta also increases and thereby causes to hair fall. Conclusions- Age is the significant risk factor in causing Khalitya (hair fall); as age increases, there is increased tendency to have hair fall and thus in long run, this will contribute to increased proportion of male pattern baldness among adults.

A systematic review on factors associated with non-alcoholic fatty liver disease (NAFLD) among adolescents

Non-Alcoholic Fatty Liver Disease (NAFLD) is a global public health risk. The occurrence of adolescent NAFLD coincides with high rates of overweight and obesity, with an unhealthy lifestyle also playing a role. Data on prevalence and factors contributing to NAFLD among Asian adolescents is lacking as most studies focus on adults. This systematic review aims to determine the prevalence and factors contributing to NAFLD among adolescents. A systematic search was conducted using five (Goh etal., 2013) [5] databases: Cochrane, PubMed, Scopus, Science Direct, EBSCO and grey literature. Two reviewers independently screened studies using predefined inclusion and exclusion criteria and performed data extraction. Assessment of methodological quality was completed using the Newcastle-Ottawa checklist. The quality of most studies were of high quality, with the majority reporting no association between lifestyle factors and NAFLD. A total of 6 studies were included in this systematic review. The prevalence of NAFLD among adolescents varied between 8.0% (Fraser etal., 2007) in a study on 5586 adolescents aged 12-19 and 16.0% (Chen etal., 2009) in another survey of 1724 adolescents aged 12-13 years old. Snacking habits and lack of physical activity had potential associations with adolescent NAFLD. Current evidence shows that lifestyle factor (Western dietary pattern) is associated with a higher risk of developing NAFLD among adolescents. Lifestyle factors, including snacking habits and lack of physical activity, were associated with a higher risk of developing NAFLD among adolescents from high-income countries. The difference in the prevalence of NAFLD between countries with different incomes requires further investigation.

IMPORTANCE OF AHARA IN AYURVEDA &amp; EFFECT OF FOOD HABITS ON CHILDREN

In the modern era due to the adaptation of western lifestyle and food habits, Indian children are prone to many diseases, stubborn to response by conventional medicines. Commonly consumed food in the modern era arerefined flour-based food items like pizza, burgers, carbonated drinks, Indian fried food, and ready-to-cook food having a high content of sugar, fat, and salt along with preservatives and artificial flavoring agents, low nutritive value and low fiber. Frequent or daily consumption of these food items causes constipation, indigestion initially followed by IBS, nutrient deficiency, and lifestyle disorders like obesity after long-term use. To cope with these problems ayurveda recommended certain measures like daily regimen, seasonal regimen for food as per Agni and lifestyle to maintain good health as well as food modification for good digestion.

Global Impacts of Western Diet and Its Effects on Metabolism and Health: A Narrative Review.

The Western diet is a modern dietary pattern characterized by high intakes of pre-packaged foods, refined grains, red meat, processed meat, high-sugar drinks, candy, sweets, fried foods, conventionally raised animal products, high-fat dairy products, and high-fructose products. The present review aims to describe the effect of the Western pattern diet on the metabolism, inflammation, and antioxidant status; the impact on gut microbiota and mitochondrial fitness; the effect of on cardiovascular health, mental health, and cancer; and the sanitary cost of the Western diet. To achieve this goal, a consensus critical review was conducted using primary sources, such as scientific articles, and secondary sources, including bibliographic indexes, databases, and web pages. Scopus, Embase, Science Direct, Sports Discuss, ResearchGate, and the Web of Science were used to complete the assignment. MeSH-compliant keywords such "Western diet", "inflammation", "metabolic health", "metabolic fitness", "heart disease", "cancer", "oxidative stress", "mental health", and "metabolism" were used. The following exclusion criteria were applied: (i) studies with inappropriate or irrelevant topics, not germane to the review's primary focus; (ii) Ph.D. dissertations, proceedings of conferences, and unpublished studies. This information will allow for a better comprehension of this nutritional behavior and its effect on an individual's metabolism and health, as well as the impact on national sanitary systems. Finally, practical applications derived from this information are made.