Publisher: RMIT Publishing   (Total: 387 journals)

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Showing 1 - 200 of 387 Journals sorted alphabetically
40 [degrees] South     Full-text available via subscription   (Followers: 5)
Aboriginal and Islander Health Worker J.     Full-text available via subscription   (Followers: 18)
Aboriginal Child at School     Full-text available via subscription   (Followers: 7)
About Performance     Full-text available via subscription   (Followers: 13)
Access     Full-text available via subscription   (Followers: 29)
ACCESS: Critical Perspectives on Communication, Cultural & Policy Studies     Full-text available via subscription   (Followers: 16)
Accounting, Accountability & Performance     Full-text available via subscription   (Followers: 18)
ACORN : The J. of Perioperative Nursing in Australia     Full-text available via subscription   (Followers: 19, SJR: 0.198, CiteScore: 0)
Adelaide Law Review     Full-text available via subscription   (Followers: 26, SJR: 0.122, CiteScore: 0)
Advocate: Newsletter of the National Tertiary Education Union     Full-text available via subscription   (Followers: 1)
Agenda: A J. of Policy Analysis and Reform     Full-text available via subscription   (Followers: 2)
Agora     Full-text available via subscription   (Followers: 6)
Agricultural Commodities     Full-text available via subscription   (SJR: 0.123, CiteScore: 0)
Agricultural Science     Full-text available via subscription   (Followers: 2)
AIMA Bulletin     Full-text available via subscription   (Followers: 4)
AJP : The Australian J. of Pharmacy     Full-text available via subscription   (Followers: 17, SJR: 0.142, CiteScore: 0)
Analysis     Full-text available via subscription   (Followers: 4)
Ancient History : Resources for Teachers     Full-text available via subscription   (Followers: 10)
Anglican Historical Society J.     Full-text available via subscription   (Followers: 4)
Annals of the Royal Australasian College of Dental Surgeons     Full-text available via subscription   (Followers: 5)
ANZSLA Commentator, The     Full-text available via subscription   (Followers: 4)
Appita J.: J. of the Technical Association of the Australian and New Zealand Pulp and Paper Industry     Full-text available via subscription   (Followers: 16, SJR: 0.168, CiteScore: 0)
AQ - Australian Quarterly     Full-text available via subscription  
Arena J.     Full-text available via subscription  
Around the Globe     Full-text available via subscription   (Followers: 1)
Art + Law     Full-text available via subscription   (Followers: 12)
Art Monthly Australia     Full-text available via subscription   (Followers: 12)
Artefact : the journal of the Archaeological and Anthropological Society of Victoria     Full-text available via subscription   (Followers: 3)
Artlink     Full-text available via subscription   (Followers: 6)
Asia Pacific J. of Clinical Nutrition     Full-text available via subscription   (Followers: 13, SJR: 0.697, CiteScore: 2)
Asia Pacific J. of Health Management     Full-text available via subscription   (Followers: 4)
Aurora J.     Full-text available via subscription  
Australasian Biotechnology     Full-text available via subscription   (Followers: 1, SJR: 0.1, CiteScore: 0)
Australasian Catholic Record, The     Full-text available via subscription   (Followers: 6)
Australasian Drama Studies     Full-text available via subscription   (Followers: 2)
Australasian Epidemiologist     Full-text available via subscription  
Australasian Historical Archaeology     Full-text available via subscription   (Followers: 7, SJR: 0.212, CiteScore: 0)
Australasian J. of Early Childhood     Full-text available via subscription   (Followers: 7, SJR: 0.535, CiteScore: 1)
Australasian J. of Gifted Education     Full-text available via subscription   (Followers: 7, SJR: 0.123, CiteScore: 0)
Australasian J. of Human Security     Full-text available via subscription   (Followers: 1, SJR: 0.144, CiteScore: 0)
Australasian J. of Irish Studies, The     Full-text available via subscription   (Followers: 9)
Australasian J. of Regional Studies, The     Full-text available via subscription   (Followers: 1, SJR: 0.118, CiteScore: 0)
Australasian Law Management J.     Full-text available via subscription   (Followers: 7)
Australasian Leisure Management     Full-text available via subscription   (Followers: 3)
Australasian Musculoskeletal Medicine     Full-text available via subscription   (Followers: 4)
Australasian Music Research     Full-text available via subscription   (Followers: 5)
Australasian Parks and Leisure     Full-text available via subscription   (Followers: 2)
Australasian Plant Conservation: J. of the Australian Network for Plant Conservation     Full-text available via subscription   (Followers: 4)
Australasian Policing     Full-text available via subscription   (Followers: 6)
Australasian Public Libraries and Information Services     Full-text available via subscription   (Followers: 34)
Australasian Review of African Studies, The     Full-text available via subscription   (Followers: 2)
Australian Aboriginal Studies     Full-text available via subscription   (Followers: 9, SJR: 0.13, CiteScore: 0)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Ageing Agenda     Full-text available via subscription   (Followers: 7)
Australian and Aotearoa New Zealand Psychodrama Association J.     Full-text available via subscription   (Followers: 2)
Australian and New Zealand Continence J.     Full-text available via subscription   (Followers: 4)
Australian and New Zealand Sports Law J.     Full-text available via subscription   (Followers: 10)
Australian Art Education     Full-text available via subscription   (Followers: 8)
Australian Bookseller & Publisher     Full-text available via subscription   (Followers: 1)
Australian Bulletin of Labour     Full-text available via subscription   (Followers: 2)
Australian Canegrower     Full-text available via subscription   (Followers: 2)
Australian Coeliac     Full-text available via subscription   (Followers: 2)
Australian Cottongrower, The     Full-text available via subscription   (Followers: 1)
Australian Family Physician     Full-text available via subscription   (Followers: 3, SJR: 0.317, CiteScore: 1)
Australian Field Ornithology     Full-text available via subscription   (Followers: 4, SJR: 0.209, CiteScore: 0)
Australian Forest Grower     Full-text available via subscription   (Followers: 4)
Australian Grain     Full-text available via subscription   (Followers: 2)
Australian Holstein J.     Full-text available via subscription   (Followers: 1)
Australian Humanist, The     Full-text available via subscription   (Followers: 4)
Australian Indigenous Law Review     Full-text available via subscription   (Followers: 23)
Australian Intl. Law J.     Full-text available via subscription   (Followers: 23)
Australian J. of Acupuncture and Chinese Medicine     Full-text available via subscription   (Followers: 4, SJR: 0.116, CiteScore: 0)
Australian J. of Adult Learning     Full-text available via subscription   (Followers: 15, SJR: 0.297, CiteScore: 0)
Australian J. of Advanced Nursing     Full-text available via subscription   (Followers: 16, SJR: 0.299, CiteScore: 1)
Australian J. of Asian Law     Full-text available via subscription   (Followers: 4)
Australian J. of Cancer Nursing     Full-text available via subscription   (Followers: 10)
Australian J. of Dyslexia and Learning Difficulties     Full-text available via subscription   (Followers: 8, SJR: 0.1, CiteScore: 0)
Australian J. of Emergency Management     Full-text available via subscription   (Followers: 29, SJR: 0.354, CiteScore: 0)
Australian J. of French Studies     Full-text available via subscription   (Followers: 8, SJR: 0.123, CiteScore: 0)
Australian J. of Herbal Medicine     Full-text available via subscription   (Followers: 5)
Australian J. of Language and Literacy, The     Full-text available via subscription   (Followers: 5, SJR: 0.282, CiteScore: 1)
Australian J. of Legal History     Full-text available via subscription   (Followers: 16)
Australian J. of Medical Science     Full-text available via subscription   (Followers: 2)
Australian J. of Music Education     Full-text available via subscription   (Followers: 6)
Australian J. of Music Therapy     Full-text available via subscription   (Followers: 10, SJR: 0.549, CiteScore: 1)
Australian J. of Parapsychology     Full-text available via subscription   (Followers: 2, SJR: 0.511, CiteScore: 0)
Australian J. on Volunteering     Full-text available via subscription   (Followers: 2)
Australian J.ism Review     Full-text available via subscription   (Followers: 8)
Australian Life Scientist     Full-text available via subscription   (Followers: 2)
Australian Literary Studies     Full-text available via subscription   (Followers: 7)
Australian Mathematics Teacher, The     Full-text available via subscription   (Followers: 7)
Australian Nursing J. : ANJ     Full-text available via subscription   (Followers: 6)
Australian Orthoptic J.     Full-text available via subscription  
Australian Primary Mathematics Classroom     Full-text available via subscription   (Followers: 5)
Australian Screen Education Online     Full-text available via subscription   (Followers: 3)
Australian Senior Mathematics J.     Full-text available via subscription   (Followers: 2)
Australian Sugarcane     Full-text available via subscription  
Australian TAFE Teacher     Full-text available via subscription   (Followers: 4)
Australian Tax Forum     Full-text available via subscription   (Followers: 3)
Australian Universities' Review, The     Full-text available via subscription   (Followers: 4)
Australian Voice     Full-text available via subscription   (Followers: 6)
Bar News: The J. of the NSW Bar Association     Full-text available via subscription   (Followers: 8)
Bioethics Research Notes     Full-text available via subscription   (Followers: 15)
BOCSAR NSW Alcohol Studies Bulletins     Full-text available via subscription   (Followers: 4)
Bookseller + Publisher Magazine     Full-text available via subscription   (Followers: 5)
Breastfeeding Review     Full-text available via subscription   (Followers: 21, SJR: 0.183, CiteScore: 0)
British Review of New Zealand Studies     Full-text available via subscription   (Followers: 4)
Brolga: An Australian J. about Dance     Full-text available via subscription   (Followers: 3)
Cancer Forum     Full-text available via subscription   (SJR: 0.115, CiteScore: 0)
Cardiovascular Medicine in General Practice     Full-text available via subscription   (Followers: 7)
Chain Reaction     Full-text available via subscription  
Childrenz Issues: J. of the Children's Issues Centre     Full-text available via subscription  
Chiropractic J. of Australia     Full-text available via subscription   (SJR: 0.111, CiteScore: 0)
Chisholm Health Ethics Bulletin     Full-text available via subscription   (Followers: 1)
Church Heritage     Full-text available via subscription   (Followers: 5)
Commercial Law Quarterly: The J. of the Commercial Law Association of Australia     Full-text available via subscription   (Followers: 5)
Communicable Diseases Intelligence Quarterly Report     Full-text available via subscription   (Followers: 2, SJR: 0.563, CiteScore: 1)
Communication, Politics & Culture     Open Access   (Followers: 14)
Communities, Children and Families Australia     Full-text available via subscription   (Followers: 4)
Connect     Full-text available via subscription   (Followers: 2)
Contemporary PNG Studies     Full-text available via subscription  
Context: J. of Music Research     Full-text available via subscription   (Followers: 9)
Corporate Governance Law Review, The     Full-text available via subscription   (Followers: 8)
Creative Approaches to Research     Full-text available via subscription   (Followers: 14)
Critical Care and Resuscitation     Full-text available via subscription   (Followers: 26, SJR: 1.032, CiteScore: 1)
Cultural Studies Review     Full-text available via subscription   (Followers: 16)
Culture Scope     Full-text available via subscription   (Followers: 4)
Dance Forum     Full-text available via subscription   (Followers: 6)
DANZ Quarterly: New Zealand Dance     Full-text available via subscription   (Followers: 4)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Deakin Law Review     Full-text available via subscription   (Followers: 15)
Developing Practice : The Child, Youth and Family Work J.     Full-text available via subscription   (Followers: 21)
Early Days: J. of the Royal Western Australian Historical Society     Full-text available via subscription  
Early Education     Full-text available via subscription   (Followers: 11)
EarthSong J.: Perspectives in Ecology, Spirituality and Education     Full-text available via subscription   (Followers: 1)
East Asian Archives of Psychiatry     Full-text available via subscription   (Followers: 3, SJR: 0.36, CiteScore: 1)
Educare News: The National Newspaper for All Non-government Schools     Full-text available via subscription  
Educating Young Children: Learning and Teaching in the Early Childhood Years     Full-text available via subscription   (Followers: 19)
Education in Rural Australia     Full-text available via subscription   (Followers: 3)
Education, Research and Perspectives     Full-text available via subscription   (Followers: 14)
Educational Research J.     Full-text available via subscription   (Followers: 18)
Electronic J. of Radical Organisation Theory     Full-text available via subscription   (Followers: 3)
Employment Relations Record     Full-text available via subscription   (Followers: 3)
English in Aotearoa     Full-text available via subscription   (Followers: 2)
English in Australia     Full-text available via subscription   (Followers: 2, SJR: 0.18, CiteScore: 0)
Essays in French Literature and Culture     Full-text available via subscription   (Followers: 9)
Ethos: Official Publication of the Law Society of the Australian Capital Territory     Full-text available via subscription   (Followers: 5)
Eureka Street     Full-text available via subscription   (Followers: 5)
Extempore     Full-text available via subscription  
Family Matters     Full-text available via subscription   (Followers: 10, SJR: 0.228, CiteScore: 1)
Fijian Studies: A J. of Contemporary Fiji     Full-text available via subscription   (Followers: 1)
Focus on Health Professional Education : A Multi-disciplinary J.     Full-text available via subscription   (Followers: 7)
Food New Zealand     Full-text available via subscription   (Followers: 4)
Fourth World J.     Full-text available via subscription   (Followers: 1)
Frontline     Full-text available via subscription   (Followers: 18)
Future Times     Full-text available via subscription   (Followers: 2)
Gambling Research: J. of the National Association for Gambling Studies (Australia)     Full-text available via subscription   (Followers: 5)
Gay and Lesbian Law J.     Full-text available via subscription   (Followers: 2)
Gender Impact Assessment     Full-text available via subscription   (Followers: 3)
Geographical Education     Full-text available via subscription   (Followers: 2)
Geriatric Medicine in General Practice     Full-text available via subscription   (Followers: 8)
Gestalt J. of Australia and New Zealand     Full-text available via subscription   (Followers: 2, SJR: 0.1, CiteScore: 0)
Globe, The     Full-text available via subscription   (Followers: 4)
Government News     Full-text available via subscription   (Followers: 2)
Great Circle: J. of the Australian Association for Maritime History, The     Full-text available via subscription   (Followers: 7)
Grief Matters : The Australian J. of Grief and Bereavement     Full-text available via subscription   (Followers: 13)
He Puna Korero: J. of Maori and Pacific Development     Full-text available via subscription   (Followers: 3)
Headmark     Full-text available via subscription   (Followers: 2)
Health Inform     Full-text available via subscription  
Health Issues     Full-text available via subscription   (Followers: 2)
Health Promotion J. of Australia : Official J. of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 8, SJR: 0.531, CiteScore: 1)
Health Voices     Full-text available via subscription  
Heritage Matters : The Magazine for New Zealanders Restoring, Preserving and Enjoying Our Heritage     Full-text available via subscription   (Followers: 2)
High Court Quarterly Review, The     Full-text available via subscription   (Followers: 3)
HIV Australia     Full-text available via subscription   (Followers: 3)
HLA News     Full-text available via subscription   (Followers: 3, SJR: 0.438, CiteScore: 1)
Hong Kong J. of Emergency Medicine     Full-text available via subscription   (Followers: 5, SJR: 0.19, CiteScore: 0)
Idiom     Full-text available via subscription   (Followers: 1)
Impact     Full-text available via subscription   (Followers: 2)
InCite     Full-text available via subscription   (Followers: 18)
Indigenous Law Bulletin     Full-text available via subscription   (Followers: 22)
InPsych : The Bulletin of the Australian Psychological Society Ltd     Full-text available via subscription   (Followers: 2)
Inside Film: If     Full-text available via subscription   (Followers: 6)
Institute of Public Affairs Review: A Quarterly Review of Politics and Public Affairs, The     Full-text available via subscription   (Followers: 12)
Instyle     Full-text available via subscription   (SJR: 0.116, CiteScore: 0)
Intellectual Disability Australasia     Full-text available via subscription   (Followers: 12)
Interaction     Full-text available via subscription   (Followers: 4)
Intl. Employment Relations Review     Full-text available via subscription   (Followers: 3)
Intl. J. of Disability Management Research     Full-text available via subscription   (Followers: 3)
Intl. J. of e-Business Management     Full-text available via subscription  
Intl. J. of Employment Studies     Full-text available via subscription   (Followers: 9)
Intl. J. of Home Economics     Full-text available via subscription   (Followers: 2)
Intl. J. of Narrative Therapy & Community Work     Full-text available via subscription   (Followers: 8)
Intl. J. of Punishment and Sentencing, The     Full-text available via subscription   (Followers: 10)
Irrigation Australia: The Official J. of Irrigation Australia     Full-text available via subscription   (Followers: 3)
ISAA Review     Full-text available via subscription   (Followers: 1)
J. (Australian Native Plants Society. Canberra Region)     Full-text available via subscription   (Followers: 1)
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J. of Australian Colonial History     Full-text available via subscription   (Followers: 8)
J. of Australian Naval History, The     Full-text available via subscription   (Followers: 3)

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Similar Journals
Journal Cover
Asia Pacific Journal of Clinical Nutrition
Journal Prestige (SJR): 0.697
Citation Impact (citeScore): 2
Number of Followers: 13  
 
  Full-text available via subscription Subscription journal
ISSN (Print) 0964-7058
Published by RMIT Publishing Homepage  [387 journals]
  • Volume 29 Issue 2 - A preoperative whey protein and glucose drink before
           hip fracture surgery in the aged improves symptomatic and metabolic
           recovery
    • Abstract: Deng, Yanjun; Fang, Ye; Li, Hua; Chen, Jiemei; An, Jianzhong; Qiao, Shigang; Wang, Chen
      "Background and Objectives: We investigated the effects of a carbohydrate-whey protein solution on aged patients undergoing hip fracture surgery.

      Methods and Study Design: Forty patients were randomly assigned to the carbohydrate-whey protein (CHP) group or the control group (CTL). In the CHP group, a mixed solution of CHP was orally administered to patients before surgery: 400 mL was administered on the day before surgery, and 200 mL was administered 3 h before surgery. The size of the liquid dark area in the gastric antrum was measured by ultrasound, and the bleeding volume during surgery was assayed. The incidence of nausea, vomiting, thirst, hunger, and days of hospitalization and the levels of blood glucose, C-reactive protein (CRP) and serum albumin were assessed.

      Results: There was no obvious liquid dark space in the gastric antrum. CHP administration improved postoperative thirst and hunger and resulted in increased albumin levels and decreased CRP concentrations and blood glucose fluctuations.

      Conclusions: Oral CHP before hip fracture surgery reduces the incidence of postoperative thirst and hunger and improves recovery in the aged."

      PubDate: Sat, 1 Aug 2020 03:37:37 GMT
       
  • Volume 29 Issue 2 - A comparative study of three nutritional risk
           screening tools in surgical inpatients with laryngeal cancer
    • Abstract: Ma, Jianhong; Yang, Xikang; Cao, Jun; Huang, Mengxuan; Jiang, Jingtao; Wu, Ruizhen
      "Background and Objectives: Nutritional screening has been recommended for hospitalized patients. The goal of this study was to compare the screening value of Nutritional Risk Screening 2002 (NRS-2002), Malnutrition Universal Screening Tool (MUST), and Malnutrition Screening Tool (MST) in inpatients with laryngeal cancer, and to identify which is the most accurate.

      Methods and Study Design: An observational cross-sectional study of 197 laryngeal cancer patients admitted for surgery was conducted using continuous sampling. NRS-2002, MUST, and MST were used to screen the nutritional risk of patients after admission and before discharge. Diagnostic information and the length-of-hospital stay (LOS) data were extracted from the hospital HIS system.

      Results: The detection rates of NRS-2002, MUST, and MST in admission or discharge patients were 14.7%/27.9%, 22.3%/26.9%, and 4.6%/11.2%, respectively. Using NRS-2002 as the reference, high sensitivity (82.8%) and a Kappa coefficient (k=0.584) were achieved using MUST in admission patients, while MST presented the lowest sensitivity (17.3%) and Kappa coefficient (k=0.208). MST maintained low sensitivity (25.5%) and Kappa coefficient (k=0.243) in discharge patients. NRS-2002 >/= 3 was an independent risk factor for longer LOS in patients with laryngeal cancer (odds ratio (OR)=5.59, 95% confidence interval (CI)=1.86-16.81, p=0.002). The MUST and MST scores did not predict long LOS.

      Conclusions: Compared with NRS-2002, MUST is superior to MST in sensitivity, specificity, and Kappa coefficient. NRS-2002 better identified patients at risk for longer LOS, but a consistent conclusion was not reached with MUST and MST. Further validation in larger samples is needed."

      PubDate: Sat, 1 Aug 2020 03:37:37 GMT
       
  • Volume 29 Issue 2 - Gene-environment interactions and type 2 diabetes
    • Abstract: Geng, Tingting; Huang, Tao
      Type 2 diabetes (T2D) caused by the complex interplay of both genetic and environmental factors, is a serious public health issue. Compelling evidence from epidemiological studies has highlighted that an unhealthy lifestyle, such as obesity, physical inactivity and poor diet are significant drivers of the epidemic of T2D. Meanwhile, recent genome-wide association studies (GWAS) have identified a large number of T2D and glycemic traits loci. Emerging data emphasize the critical role that gene-environment interactions have played in the development of T2D. Identifying the genetic, environmental factors and their complex interplays may help elucidate the biological pathways of T2D, identify the high-risk groups and characterize heterogeneity in intervention programs. This review summarized the studies investigating gene-environment interactions of T2D.

      PubDate: Sat, 1 Aug 2020 03:37:37 GMT
       
  • Volume 29 Issue 2 - Covid-19 and dietary socioecology: Risk minimisation
    • Abstract: Watanabe, Shaw; Wahlqvist, Mark L
      PubDate: Sat, 1 Aug 2020 03:37:37 GMT
       
  • Volume 29 Issue 2 - Effect of B vitamins supplementation on
           cardio-metabolic factors in patients with stable coronary artery disease:
           A randomized double-blind trial
    • Abstract: Liu, Man; Wang, Zongling; Liu, Shengxin; Liu, Yizhi; Ma, Yan; Liu, Ying; Xue, Meilan; Li, Qianqian; Zhang, Xinqi; Zhang, Sui; Liang, Hui
      "Background and Objectives: This study aimed to evaluate whether B vitamins supplementation would improve dyslipidemia, alleviate inflammatory state of patients with stable coronary artery disease (SCAD).

      Methods and Study Design: We conducted a randomized, double-blind, 12-week, placebo-controlled trial involving adults with SCAD, and who were randomly divided into B vitamins group (folic acid and VB-6) and control group (placebo tablet). Blood tests had also been performed at baseline and endpoint.

      Results: After 12 weeks of intervention, B vitamins supplementation significantly improved the concentration of serum TG, TC and HDL-C (p
      PubDate: Sat, 1 Aug 2020 03:37:37 GMT
       
  • Volume 29 Issue 2 - Clinical effects of total protein and short peptide
           enteral nutrition during recovery after radical gastrectomy
    • Abstract: Huang, Lingli; Li, Gang; Zhou, Bin; Wei, Wei; Chen, Huanqiu; Wei, Qing
      "Background and Objectives: Enteral nutrition (EN) plays a vital role in promoting the recovery of patients after surgery. This study aims to clarify the effects of total protein enteral nutrition (TPEN) and short peptide enteral nutrition (SPEN) on the recovery of patients after radical gastrectomy.

      Methods and Study Design: Patients underwent radical gastrectomy were randomly divided into a TPEN (n=60) or SPEN group (n=60). These two kinds of EN were fed 24 hours after radical gastrectomy with increasing dose from 10 kcal/kg to maximal 25 kcal/kg on postoperative day (POD) 5 and with the maximal dose in following days. Supplemental parenteral nutrition was given for replenishing energy deficits. The tube feeding was discontinued when oral intake increased to sixty percent of the target requirements. The postoperative recovery was evaluated on POD 1 and POD 7.

      Results: On POD 7, the serum prealbumin (transthyretin) was higher in the TPEN than the SPEN group (p
      PubDate: Sat, 1 Aug 2020 03:37:37 GMT
       
  • Volume 29 Issue 2 - Accelerated rehabilitation combined with enteral
           nutrition in the management of lung cancer surgery patients
    • Abstract: Ding, Qin; Chen, Wei; Gu, Ying; Qi, Zhi-Yan; Chen, Yan-Hong; Chen, Jian; Jiang, Lei
      "Background and Objectives: To investigate the effect of accelerated rehabilitation combined with enteral nutrition on surgically treated lung cancer patients.

      Methods and Study Design: In total, 150 lung cancer patients treated in our hospital from January 2017 to January 2018 were retrospectively analysed. Sixty-six patients were randomly divided into a control group with conventional nutrition (Con group) and an accelerated rehabilitation combined with enteral nutrition group (EN group). Postoperative drainage; total hospitalization time; total hospitalization expenses; and albumin, haemoglobin and total lymphocyte counts (TLC) before and after treatment were compared.

      Results: The serum albumin, prealbumin and haemoglobin in both groups were decreased after operation and were significantly higher in the EN group (p
      PubDate: Sat, 1 Aug 2020 03:37:37 GMT
       
  • Volume 29 Issue 2 - Oropharyngeal dysphagia increased the risk of
           pneumonia in patients undergoing nasogastric tube feeding
    • Abstract: Wu, Chih-Chung; Huang, Hsin-Hung; Lin, Hsuan-Hwai; Chang, Wei-Kuo
      "Background and Objectives: Aspiration pneumonia is a major cause of death in patients on nasogastric tube (NGT) feeding. This study aimed to evaluate the oropharyngeal dysphagia and stratify risk of pneumonia in patients undergoing NGT feeding.

      Methods and Study Design: The study included patients on NGT feeding who underwent UGI endoscopy at Tri-Service General Hospital, Taiwan. Endoscopy was performed to examine the pharyngolaryngeal region. The severity of oropharyngeal dysphagia was evaluated according to the visualized amount and location of pooling of secretions in the pharyngolaryngeal region; 60 patients showed absent or minimal amount of secretions (control group), 14 patients showed moderate-to-large amounts of secretions filling the pyriform sinus (pharyngeal group), and 27 patients showed secretions entering the laryngeal vestibule (laryngeal group). Demographic data and occurrence of pneumonia were analyzed.

      Results: The incidence of pneumonia was highest in the pharyngeal group (4.2+/-3.6 episodes/person-years), followed by the laryngeal (2.6+/-2.2 episodes/ person-years) and control groups (1.7+/-3.8 episodes/person-years) (p=0.042). Multivariable regression showed significantly higher risk of pneumonia in the pharyngeal (adjusted odds ratio=2.7, 95% CI, 2.4-2.8, p
      PubDate: Sat, 1 Aug 2020 03:37:37 GMT
       
  • Volume 29 Issue 2 - How transplant patients are fed in the intensive care
           unit: A one-year retrospective study
    • Abstract: Theilla, Miriam
      "Background and Objectives: Even though the nutritional status of patients following organ transplant has a significant effect on outcomes, the energy intake of transplant patients hospitalized in the intensive care department is not well reported. The present study aims to examine the medical nutritional therapy of transplant patients in a large transplant center.

      Methods and Study Design: Data were collected retrospectively. All patients after perioperative transplant surgery or with late complications after organ transplants were included. The study included 78 patients who underwent liver (n=36), kidney (n=21), lung (n=14), pancreas (n=3) or both pancreas and kidney (n=4) transplants in 2017. Energy requirements were predicted using the Faisy-Fagon predictive equations calculated daily for 14 days. Energy intake was assessed, and daily energy balance was calculated. Complications and mortality were noted.

      Results: The mean energy intake was 1150 kcal/day. Most patients were in a negative energy balance (NEB; range -5735 to 3437 kcal/day). A greater NEB was associated with longer length of ventilation (LOV) and length of stay (LOS). The observed mortality rate was 42.3%. The correlation between energy balance (14 days) and LOS was r=-0.549; for LOV, it was r=-0.569. Patients who underwent lung transplant had the highest negative energy balance and the highest mortality (p
      PubDate: Sat, 1 Aug 2020 03:37:37 GMT
       
  • Volume 29 Issue 2 - Glutamine supported early enteral therapy for severe
           acute pancreatitis: A systematic review and metaanalysis
    • Abstract: Jiang, Xue; Pei, Li-Ying; Guo, Wen-Xiu; Qi, Xin; Lu, Xiao-Guang
      "Background and Objectives: Several studies have shown that glutamine (Gln) may play an important role in energy metabolism, inflammatory reactions, and immune processes in patients with severe acute pancreatitis (SAP). Nevertheless, the results of individual randomized controlled trials (RCTs) on Gln nutrition support for SAP are contradictory. This systematic review and meta-analysis evaluated the clinical benefit of Gln-supported early enteral nutrition (G+EEN) in patients with SAP.

      Methods and Study Design: Cochrane Library, PubMed, Embase, CNKI, Wan Fang, and Chinese Biomedical Literature Database were searched for relevant studies published before December 2018. RCTs of G+EEN versus standard early enteral nutrition (EEN) for SAP were selected, with both started within 48 h of admission.

      Results: Seven clinical RCTs including a total of 433 patients (EEN group: 218 patients; G+EEN group: 215 patients) were included. Compared with EEN, G+EEN increased serum albumin (standard mean difference [SMD]=0.74; 95% confidence interval [CI], 0.33-1.15; p
      PubDate: Sat, 1 Aug 2020 03:37:37 GMT
       
  • Volume 29 Issue 2 - Association between dietary patterns and dyslipidemia
           in adults from the Henan Rural Cohort Study
    • Abstract: Liu, Chang; Xue, Yuan; Wang, Yan; Zhang, Yujing; Qiao, Dou; Wang, Bingya; Mao, Zhenxing; Yu, Songcheng; Wang, ChongJian; Li, Wenjie; Li, Xing
      "Background and Objectives: The aim of the study was to explore the association between dietary patterns and lipid levels in Henan rural area.

      Methods and Study Design: Fasting blood samples, information on dietary intakes (with food frequency questionnaires) and other data were collected from the Henan Rural Cohort Study. Principal component analysis was used to identify the dietary patterns. Binary logistic regression and restricted cubic spline regression models were performed to obtain odds ratios (ORs) and 95% confidence intervals (95%CI). The study recruited 38,983 available participants aged from 18 to 79 from rural areas in Henan province.

      Results: The study showed that, three patterns were identified by higher factor loadings: namely the ""meat"" (high intakes of red meat, white meat and fish), ""grain-egg-nut complex"" (high intakes of nuts, milk, eggs, grains and beans), and ""vegetablesstaple food-fruits"" pattern (high intakes of vegetables, staple food and fruits). ""Grain-egg-nut complex"" pattern was significantly positively related to the risk of dyslipidemia (OR: 1.10; 95% CI: 1.05-1.16, p
      PubDate: Sat, 1 Aug 2020 03:37:37 GMT
       
  • Volume 29 Issue 2 - Effects of consuming red furu (fermented bean curd) on
           serum vitamin B-12, homocysteine and other cardiometabolic risk factors in
           young healthy volunteers: A randomized controlled trial
    • Abstract: Tsheko, Tshenolo; Gu, Jiaojiao; Tong, Wenfeng; Zhou, Renke; Li, Duo
      "Background and Objectives: The health benefits of red furu in young, healthy volunteers had not been adequately investigated. The aim of this study was to determine the effect of a single meal containing red furu on serum vitamin B-12 (B-12), homocysteine and other cardiometabolic risk factors compared with that of tofu.

      Methods and Study Design: Twenty-three healthy volunteers from Zhejiang University, China, were randomly assigned to two groups of consumption, either red furu (n=11, 5 women and 6 men) or tofu (n=12, 6 women and 6 men). Volunteers consumed one breakfast meal composed of either 50 g of red furu (intervention group) or 50 g of tofu (non-active comparison group) with two slices of bread. Fasting blood was collected at 0 h, 24 h, and 72 h. Standard methods were used to measure the volunteers' biochemical parameters.

      Results: The consumption of 50 g of red furu a day did not significantly affect serum B-12 and showed a non-significant trend to reduce serum homocysteine. In the red furu group, but not in tofu group, serum concentrations of B-12 and folate were negatively associated with homocysteine, and B-12 was positively associated with folate.

      Conclusions: A breakfast meal with 50 g of red furu containing 0.096 mug of B-12 did not increase serum B-12 in healthy volunteers. These results suggested that one meal containing B-12 could be sufficient to reduce serum Hcy."

      PubDate: Sat, 1 Aug 2020 03:37:37 GMT
       
  • Volume 29 Issue 2 - Lower body mass indices and near-target early energy
           nutrition therapy may increase intensive care unit-associated infections:
           A retrospective study in Guangzhou, China
    • Abstract: Deng, Jun; Ma, Ying-Ying; Fan, Yu-Ying; He, Yan; Shao, Hong-Yan; Zhang, Jun-E
      "Background and Objectives: The optimal energy intake for early nutrition therapy in critically ill patients is unknown, especially in Chinese patients with a lower BMI. This study investigated the relationship between energy intake and clinical outcomes in this patient population.

      Methods and Study Design: A retrospective study was carried out at a tertiary hospital. Critically ill patients were recruited and divided into 3 tertiles according to the ratio of actual/target energy intake during the first week of hospitalization in the intensive care unit (ICU) (tertile I, 66.7%). 60-day mortality and other clinical outcomes were compared. To adjust for potentially confounding factors, multivariate and sensitivity analyses were performed exclusively in patients who stayed in the ICU for >/=7 days.

      Results: A total of 325 patients with a mean BMI of 22.5+/-4.7 kg/m2 were recruited. 60-day mortality was similar between the 3 tertiles. In the unadjusted analysis, tertile III had a longer length of stay in the ICU and at the hospital, longer duration of mechanical ventilation, and higher rate of ICU-associated infections, but only the latter showed a significant difference between the 3 tertiles in the multivariate and sensitivity analyses. Logistic regression analysis showed that energy groups was an independent risk factor for ICU-associated infections.

      Conclusions: Energy intake in early nutrition therapy influences risk of ICU-associated infections in Chinese critically ill patients with lower BMI. Furthermore, patients with near-target energy intake have more frequent ICU-associated infections."

      PubDate: Sat, 1 Aug 2020 03:37:37 GMT
       
  • Volume 29 Issue 2 - Dietary iron intake and risk of death due to
           cardiovascular diseases: A systematic review and dose-response
           meta-analysis of prospective cohort studies
    • Abstract: Han, Minghui; Guan, Li; Ren, Yongcheng; Zhao, Yang; Liu, Dechen; Zhang, Dongdong; Liu, Leilei; Liu, Feiyan; Chen, Xu; Cheng, Cheng; Li, Quanman; Guo, Chunmei; Zhou, Qionggui; Tian, Gang; Qie, Ranran; Huang, Shengbing; Wu, Xiaoyan; Liu, Yu; Li, Honghui; Sun, Xizhuo; Zhang, Ming; Hu, Dongsheng; Lu, Jie
      "Background and Objectives: Many studies have investigated the association between dietary iron intake and death due to cardiovascular disease (CVD), but the results were inconsistent. We performed a dose-response meta- analysis to quantitatively assess the risk of CVD mortality with dietary intake of iron (total iron, heme iron, and non-heme iron).

      Methods and Study Design: PubMed and Embase databases were searched for articles published up to February 21, 2019. Prospective cohort studies were included if reporting relative risks (RRs) and 95% confidence intervals (CIs) for risk of CVD mortality associated with dietary iron intake. Restricted cubic splines were used to model the dose-response association.

      Results: We included eight articles (19 studies including 720,427 participants [46,045 deaths due to CVD]) in the meta-analysis. When comparing the highest versus lowest level of dietary heme iron intake, the pooled RR for CVD mortality was 1.19 (95% CI, 1.01-1.39). With a 1-mg/day increase in dietary heme iron intake, the pooled RR for death due to CVD, stroke, coronary heart disease, and myocardial infarction were 1.25 (95% CI, 1.17-1.33), 1.17 (1.04-1.32), 1.25 (0.70-2.22), and 1.17 (0.55-2.50) respectively. The association between dietary iron intake and CVD mortality was linear (pnonlinearity> 0.05).

      Conclusions: Higher dietary intake of heme iron was associated with a greater risk of CVD mortality. Reducing consumption of heme iron may help to prevent premature death due to CVD."

      PubDate: Sat, 1 Aug 2020 03:37:37 GMT
       
  • Volume 29 Issue 2 - Dietary phosphorus intake and serum prostate-specific
           antigen in non-prostate cancer American adults: A secondary analysis of
           the National Health and Nutrition Examination Survey (NHANES), 2003-2010
    • Abstract: Zhu, Guohua; Chen, Chi; Hu, Bin; Yuan, Dongbo; Chen, Weimin; Wang, Wei; Su, JiaMing; Liu, Zhangcheng; Jiao, Ke; Chen, Xiaoyue; Chen, Weihong; Zhang, Wei; Sun, Fa; Zhu, Jianguo
      "Background and Objectives: Previous study has reported phosphorus intake is associated prostate cancer (PCa), but the association between phosphorus intake and serum prostate specific antigen (PSA) levels hasn't been reported in non-history of PCa population. Therefore, we performed a secondary data analysis based on existing data from the public Nutrition Examination Survey (NHANES) (2003-2010) database.

      Methods and Study Design: Totally 6403 participants were selected from NHANES (2003-2010) database. The interested independent and dependent variables were considered as dietary phosphorus intake and PSA level, respectively. Covariates included demographic data, dietary data, physical examination data, and comorbidities. Weighted linear regression and generalized additive models were used to addressing the linear and non-linear link of phosphorus intake to PSA level.

      Results: Linear association between phosphorus intake and PSA was not detected [beta=0.016 (95% Confidence Interval (CI) -0.012, 0.045)]. But we found an existing nonlinearity. By the recursive algorithm, the inflection point was 1151 mg. On the left side of the inflection point, we did not find the correlation between dietary phosphorus intake (per 100 change) and PSA level [beta=-0.04 (95% CI -0.11, 0.02), p=0.2155], while dietary phosphorus intake (per 100 change) positively associated with PSA [beta=0.05 (95% CI 0.01, 0.09) p=0.0293] on the right side of inflection point.

      Conclusions: There is a non-linear correlation between dietary phosphorus intake and PSA. Dietary phosphorus intake was positively associated with increased PSA when dietary phosphorus intake is beyond 1151 mg after adjusting other covariates. Over 1151 mg per day dietary phosphorus intake may be the risk factor for PSA increasing."

      PubDate: Sat, 1 Aug 2020 03:37:37 GMT
       
  • Volume 29 Issue 2 - Age-related differences in height gain with dairy
           protein and micronutrient supplements in Indian primary school children
    • Abstract: Thomas, Tinku; Singh, Meenu; Swaminathan, Sumathi; Kurpad, Anura V
      "Background and Objectives: The efficacy of nutrient interventions to prevent/reverse stunting is considered to be restricted to early life. Whether such interventions are equally effective in later childhood is not clear. The present study evaluated the effect of a food-based high-quality protein and micronutrient intervention on the linear growth of Indian primary school children.

      Methods and Study Design: A secondary analysis of a one-year milkprotein and micronutrient fortified food product intervention (protein-energy ratio: 12.8%) on the height of 550 children aged 6-10 years, of poor-socioeconomic background, was carried out. Height and weight increments were compared between groups of each year of age using multiple linear regression. Comparisons in prevalence of stunting and underweight between these groups was also made.

      Results: The overall mean height increment at the end of 1-year was 6.10+/-1.07 cm, the highest being for 6-year olds (6.38+/-0.84 cm). The mean height increments in 6, 7 and 8-year-olds were significantly higher (all p
      PubDate: Sat, 1 Aug 2020 03:37:37 GMT
       
  • Volume 29 Issue 2 - Fruit and vegetable consumption and psychological
           distress in Australian pregnant and breastfeeding women
    • Abstract: Phillips, Amelia; Milte, Catherine M; Opie, Rachelle S; Campbell, Karen J; Torres, Susan J
      "Background and Objectives: Mental health disorders amongst pregnant and postpartum women are an increasing public health concern. Our aim was to determine the association between fruit and vegetable intake and psychological distress in a nationally representative sample of Australian pregnant and breastfeeding women.

      Methods and Study Design: This study used cross-sectional data collected by the Australian Bureau of Statistics in the 2014 to 2015 Australian National Health Survey. Participants included 166 pregnant and 207 breastfeeding women >18 years old. Number of serves of fruit and vegetables usually consumed each day was reported. The Kessler Psychological Distress Scale (K10) measured levels of global non-specific psychological distress. The association between fruit and vegetable intake and psychological distress was investigated using linear regression adjusted for available known covariates (age, education, physical activity).

      Results: Mean+-SD fruit intake was greater in pregnant compared to breastfeeding women (2.0+/-1.0 versus 1.7+/-1.0, p
      PubDate: Sat, 1 Aug 2020 03:37:37 GMT
       
  • Volume 29 Issue 2 - Promotion of optimized food-based recommendations to
           improve dietary practices and nutrient intakes among Minangkabau women of
           reproductive age with dyslipidemia
    • Abstract: Abdullah, Murdani; Witjaksono, Fiastuti; Mansyur, Muchtaruddin; Nurwidya, Fariz; Djuwita, Ratna; Dwiriani, Cesilia Meti; Fahmida, Umi
      "Background and Objectives: Using a linear programming approach, an optimized food-based recommendations (FBRs) had been formulated for Minangkabau women of reproductive age with dyslipidemia in Indonesia. This study aimed to assess the effectiveness of the promotion of the FBRs for improving dietary practices and nutrient intakes.

      Methods and Study Design: A community-based, clustered-randomized trial was conducted among Minangkabau women of reproductive age (20-44 years) with dyslipidemia. The subjects were assigned either into the FBR group (n=48), or the non-FBR group (n=54). Baseline and end-line dietary data were assessed through interviews using a one-week semiquantitative food frequency questionnaire (SQ-FFQ) and two replicate 24-hour dietary recalls. The changes in dietary practice and nutrient intakes were analysed using ANCOVA test.

      Results: Significant changes were observed (p
      PubDate: Sat, 1 Aug 2020 03:37:37 GMT
       
  • Volume 29 Issue 2 - Gut microbial composition changes in bladder cancer
           patients: A case-control study in Harbin, China
    • Abstract: He, Canxia; Li, Baolong; Huang, Lei; Teng, Chunying; Bao, Yongping; Ren, Minghua; Shan, Yujuan
      "Background and Objectives: This study aimed to explore the changes of gut bacteria in bladder cancer patients.

      Methods and Study Design: Newly diagnosed bladder cancer patients were recruited. All participants completed a questionnaire about personal behavior and diet. Pyrosequencing of the total genomic DNA extracted from human feces was carried out by Illumina HiSeq 2000. The copy number of target DNA for bacteria was determined by real-time quantitative PCR assay. Fecal short chain fatty acids contents were measured by gas chromatography (GC) analysis. The concentrations of lipopolysaccharide and D-lactic acid in serum were determined by enzyme-linked immunosorbent assay kits.

      Results: Fruit intake was significantly lower than in healthy controls. The numbers of Clostridium cluster XI and Prevotella in bladder cancer patients decreased. The numbers of domain bacteria and Prevotella were significantly and positively associated with fruit intake (r=0.002, p
      PubDate: Sat, 1 Aug 2020 03:37:37 GMT
       
  • Volume 29 Issue 2 - Dietary diversity score correlates with nutrient
           intake and monetary diet cost among Japanese adults
    • Abstract: Kojima, Yui; Murayama, Nobuko; Suga, Hitomi
      "Background and Objectives: Dietary diversity is an indicator of diet quality. Dietary diversity has been suggested to result in good nutrient intake, but it can affect dietary cost. We examined whether dietary diversity correlates with nutrient intake and monetary diet cost.

      Methods and Study Design: We used data for 3985 individuals (age range: 20-64 years) from the 2014 Japan National Health and Nutrition Survey (NHNS). Dietary diversity was assessed using the food variety score (FVS; the number of foods) and dietary diversity score (DDS; the number of food groups, range: 1-14). Mean energy and nutrient intake from NHNS, and diet cost from the National Retail Price Survey were compared among FVS quartiles using the Kruskal-Wallis test, and between 2 groups with median DDS using the Mann-Whitney U test.

      Results: Mean (SD) FVS and DDS per day were 22.3 (7.2) and 9.8 (2.0), respectively. For most nutrients, intake per 4184 kJ was relatively high when FVS was high (p
      PubDate: Sat, 1 Aug 2020 03:37:37 GMT
       
  • Volume 29 Issue 2 - Adult breakfast habits and nutritional status: A
           household based cross-sectional study in Zhejiang Province, China
    • Abstract: Zou, Yan; Zhang, Rong-Hua; Huang, Li-Chun; Su, Dan-Ting; Fang, Yue-Qiang; Meng, Jia; Gu, Fang; Zhao, Dong
      "Background and Objectives: Although Dietary Guidelines for Chinese Residents offers advice for breakfast in China, current breakfast consumption habits are unclear. The aim of this study was to describe the frequency of breakfast consumption among adults and explore its associations with daily food consumption and daily nutrient intake.

      Methods and Study Design: A stratified cluster sampling technique was employed in this cross-sectional study. Demographic characteristics, breakfast consumption, and daily food and nutrient intake were investigated.

      Results: Dietary data were collected for 3251 adult residents through interviews. We determined that residents with an annual income of
      PubDate: Sat, 1 Aug 2020 03:37:37 GMT
       
  • Volume 29 Issue 2 - Protective effects of a Mediterranean-like dietary
           pattern on obesity, abdominal obesity and large neck circumference in a
           cohort of Turkish children aged 6-9 years
    • Abstract: Korkmaz, Gizem Ozge; Kabaran, Seray
      "Background and Objectives: This study evaluated the association of the Mediterranean Diet Quality Index (KIDMED index) with neck circumference, obesity, and abdominal obesity in a national sample of Turkish children aged 6-9 years. It was hypothesized that the Mediterranean diet has beneficial effects on BMI and waist and neck circumferences in children.

      Methods and Study Design: The study sample consisted of 900 children aged 6-9 years recruited from seven primary schools in Unye District in Ordu, Turkey. Anthropometric data were collected. The KIDMED score was used to assess the children's adherence to the Mediterranean diet.

      Results: Compared with girls, a higher percentage of boys were obese (27.9% vs 22.2%), and the KIDMED score differed between boys (4.89+/-2.0) and girls (5.27+/-2.48; p
      PubDate: Sat, 1 Aug 2020 03:37:37 GMT
       
  • Volume 29 Issue 2 - Chinese expert consensus on food and nutrition
           management for dysphagia (2019 version)
    • Abstract: Jianqin, Sun; Zulin, Dou
      "Background and Objectives: Dysphagia is a common clinical symptoms among older adults. The incidence of dysphagia is high, and it can easily cause complications such as aspiration, aspiration pneumonia, and malnutrition; affect clinical outcomes; and even become life-threatening. Nutrition for patients with dysphagia is considered the first problem to address in dysphagia intervention. Currently, China has no standard for food classification and nutrition management for patients with dysphagia.

      Methods and Study Design: The Dysphagia Rehabilitation Specialty Committee of Chinese Association of Rehabilitation Medicine and the Elderly Nutrition Committee of Chinese Nutrition Society organized and led Chinese experts in related fields to publish the ""Chinese Expert Consensus on Dysphagia and Nutrition Management 2019."" The goals of the publication were twofold: (1) to establish and improve Chinese dietary standards for dysphagia, and (2) to promote the development of special food industries for dysphagia.

      Results: This report systematically explains the content of nutrition management for patients with dysphagia and can serve as a reference for medical and food industry in related fields."

      PubDate: Sat, 1 Aug 2020 03:37:37 GMT
       
  • Volume 29 Issue 2 - Response of serum LDL cholesterol to oatmeal
           consumption depends on CYP7A1_rs3808607 genotype in Chinese
    • Abstract: Ye, Mengyao; Sun, Jianqin; Chen, Yanqiu; Ren, Qian; Zhao, Yanfang; Pan, Yiru; Xue, Huijun
      "Background and Objectives: Notable inter-individual differences in cholesterol-lowering effects following oatmeal consumption have been previously reported. Genetic variations may among the reasons for the heterogeneous response to lipid modulations. And to determine whether SNP of cytochrome P450 family 7 subfamily A member 1 gene rs3808607 and isoforms of apolipoprotein E are associated with the inter-individual variations in cholesterol-lowering effects of oatmeal consumption, we did this study.

      Methods and Study Design: Data in this study were extracted from a parallel, controlled trial, in which 62 medication-naive hypercholesterolemic patients provided with staple food substitute of either 80 g/d oatmeal (n=31) or 80 g/d refined white rice (n=31) for 45 days. Fasting blood samples were collected at baseline and endpoint of the study for lipid profiling, glycemic testing, and genotyping.

      Results: Totally, 56 of 62 participants completed the study and were thus included. Genotype- diet interactions were observed between oatmeal consumption and SNP in the cytochrome P450 family 7 subfamily A member 1 gene rs3808607 in regulating LDL cholesterol (p=0.04); rs3808607-TT homozygotes exhibited significantly higher responsiveness to oatmeal (reduction in LDL cholesterol) than G allele carriers (GG/GT) (p=0.02). However, obvious genotype-diet interactions were not observed between oatmeal consumption and apolipoprotein E isoforms in cholesterol and glycemic modulation (p>0.05).

      Conclusions: SNP in cytochrome P450 family 7 subfamily A member 1 gene rs3808607 was associated with the extent of LDL cholesterol reduction following oatmeal consumption. Trials with larger sample sizes are required to confirm the findings."

      PubDate: Sat, 1 Aug 2020 03:37:37 GMT
       
  • Volume 29 Issue 2 - Limits to commercially iodized salt to address dietary
           iodine deficiency in rural Papua New Guinea
    • Abstract: Benson, Todd; Schmidt, Emily; Namusoke, Hanifa; Temple, Victor J; Holtemeyer, Brian; Codling, Karen; Rudert, Christiane
      "Background and Objectives: Fortifying commercial table salt with iodine is the principal strategy used globally to prevent dietary iodine deficiency. However, the costs of providing fortified salt to remote communities may result in it not being locally available or too expensive for many households. This study shows that barriers to consuming adequately iodized salt remain significant for remote rural households in Papua New Guinea (PNG).

      Methods and Study Design: Using data from a rural household survey conducted in four areas of PNG in 2018, two issues are examined. First, we contrast the characteristics of households that reported consuming or not consuming iodized table salt, respectively. Second, the adequacy of the iodine content of samples of table salt consumed was assessed in the laboratory.

      Results: Nine percent of the 1,026 survey households reported not consuming iodized table salt. These households tend to live in remote communities, are among the poorest households, have received no formal education, and have experienced recent food insecurity. Second, 17 percent of the 778 salt samples tested had inadequate iodine. The brand of salt most commonly consumed had the highest share of samples with inadequate iodine levels.

      Conclusions: Particularly in remote communities, ensuring that individuals consume sufficient iodine will require going beyond salt iodization to use other approaches to iodine supplementation. To ensure that the iodine intake of those using commercial table salt is adequate, closer monitoring of the iodine content in table salt produced or imported into PNG and enforcement of salt iodization regulations is required."

      PubDate: Sat, 1 Aug 2020 03:37:37 GMT
       
  • Volume 29 Issue 2 - Sodium reduction in South Korean restaurants: A
           Daegu-based intervention project
    • Abstract: Ma, Jian; Lee, Sujin; Kim, Kilye; Lee, Yeon-Kyung
      "Background and Objectives: Koreans tend to have high sodium intake in restaurants. This study assessed the effect of the sodium reduction project in restaurants in Daegu Metropolitan City.

      Methods and Study Design: A total of 156 sodium reduction menu items offered by 90 restaurants were categorized into 11 food groups to compare sodium content and salinity before and after the project. In total, 162 owners and staff members of the restaurants, as well as 727 of their customers, were surveyed on their perceptions of and satisfaction with the sodium reduction project.

      Results: Average salinity of the menu items was significantly reduced from 0.70% prior to the project to 0.49% after the project (p
      PubDate: Sat, 1 Aug 2020 03:37:37 GMT
       
  • Volume 29 Issue 1 - Regulobiosis: A regulatory and food system-sensitive
           role for fungal symbionts in human evolution and ecobiology
    • Abstract: Zheng, Ju-Sheng; Wahlqvist, Mark L
      The role of microbiomes in human biology and health are being extensively investigated, yet how the fungal community or mycobiome contributes to an integral microbiome is unclear and probably underestimated. We review the roles of fungi from the perspectives of their functionality in human biology, their cross-kingdom talk with other human microbial organisms, their dependence on diet and their involvement in human health and diseases. We hypothesize that members of the fungal community may interact as necessary symbionts with members of other human microbiome communities, and play a key role in human biology, yet to be fully understood. We propose further that "regulobiosis", whereby fungi play a regulatory role in human ecobiology, is operative in humans as probably obtains in other forms of life. Fungally-dependent regulobiosis would characterise, at first, microbiomes which include, but are not limited to, bacteria, archaea, and viruses; then, their human host; and, next, provide ecological connectedness.

      PubDate: Tue, 5 May 2020 16:07:36 GMT
       
  • Volume 29 Issue 1 - Consumption patterns of sweetened condensed milk in
           the diet of young Indonesian children and its potential nutritional health
           consequences
    • Abstract: Juffrie, Mohammad; Sartika, Ratu Ayu Dewi; Sparringa, Roy Alexander; Wibowo, Lindawati; Lukito, Widjaja
      This critical review is intended to analyse the existing studies on the consumption patterns of sweetened condensed milk in the diet of young Indonesian children and its potential nutritional health consequences. Considering its limited nutritional value and high sugar content, sweetened condensed milk (SCM) should not be administered to young children (1-3 years old) with the goal of promoting their growth and development. However, such false practice has been reported in mostly urban studies among the underprivileged population. Conclusive scientific evidence is also still lacking regarding the health risks of long-term SCM consumption by young Indonesian children at early ages, as no study has focused on this specific topic. Nevertheless, inadequate understanding of SCM, its consumption patterns, and its long-term effects on health among young Indonesian children have been implicated in public confusion on the topic. Ongoing disparities that exist between regulation, industrial practices, and product advertisement have led to poor understanding in communities, which, to a considerable extent, has contributed to difficulties in segregating data on the consumption of SCM and its related products. Analogous to sugar-sweetened beverages, limited SCM consumption can be recommended when appropriately implemented with active monitoring and evaluation of product advertisements and product labeling, enforcement of regulations, and provision of effective customer education.

      PubDate: Tue, 5 May 2020 16:07:36 GMT
       
  • Volume 29 Issue 1 - Benefit risk and cost ratios in sustainable food and
           health policy: Changing and challenging trajectories
    • Abstract: Wahlqvist, Mark L
      There is benefit, risk and cost in all that we do, but when it comes to food, we expect that it will benefit our health, be available, safe to eat and affordable. But as climate change and demographic shifts through displacement and ageing gather momentum, the emphases on each of benefit, risk and cost will alter. That we are ecological beings whose health and wellbeing are ecosystem-dependent, must now be the underpinning framework for risk management. Loss of natural environment and biodiversity represents reduced nutritional and health resilience, which will need to be factored in to risk assessment and management with climate change. This is proving a problematic risk communication challenge. Previously desirable food and food pattern recommendations will be tempered by substantial sustainability, availability, safety, affordability, equity and ethical considerations. Future workforces will need to ensure basic livelihoods (food, water, shelter, clothing, healthcare, education, communication, essential transport, resource management and effective governance) and with risk minimisation. Cost appraisal will have less to do with monetisation and more to do with resource management in accordance with equity and ethical principles. Communities could adopt Liveability Units (LU) for traceability and community-based transactions, as a currency for a more sustainable future, encouraging and enabling food and health system viability. Open source food and health systems, supported by LU matrix (bar code or QR) scanning with smartphones could be widely available for individual, household and community benefit, risk and cost management. The risk is remoteness from food's origins and megadata commercialisation.

      PubDate: Tue, 5 May 2020 16:07:36 GMT
       
  • Volume 29 Issue 1 - Effect of early enteral nutrition on the incidence of
           acute acalculous cholecystitis among trauma patients
    • Abstract: Chang, Ye Rim; Yun, Jung Ho; Choi, Seok Ho; Jee, Ye Seob
      Background and Objectives: Acute acalculous cholecystitis (AAC) often occurs in critically ill patients, especially in those that have experienced trauma, surgery, shock, and prolonged fasting. Early enteral nutrition has been shown to significantly reduce morbidity and mortality compared to other nutritional support strategies. The purpose of this study was to evaluate the effect of early enteral nutrition on the incidence of AAC among trauma patients.

      Methods and Study Design: Multi-strategy nutritional protocol was implemented in the intensive care unit (ICU) in 2016 for early enteral nutrition and proper nutritional support. The traumatized critically-ill patients without volitional intake who were admitted to ICU between 2015 and 2017 were included. Basic characteristics, duration of fasting, and the incidence of percutaneous cholecystostomy (PC) due to AAC were analyzed according to the year.

      Results: Enteral nutrition was indicated in 552 trauma patients (28.2%). The mean duration of fasting was shortened from 6.5 days in 2015 to 5.4 days in 2017 (p=0.202). The incidence of PC was significantly decreased from 2015 to 2017 [6/171 (3.5%) vs. 6/204 (2.9%) vs. 0/177 (0%), p=0.023]. The provision of central parenteral nutrition (p=0.001) and fasting over 7 days (p=0.014) proved to be a risk factor of AAC.

      Conclusions: This study showed that the incidence of PC due to AAC was decreased significantly after the implementation of a nutritional protocol among traumatized critically ill patients. Early enteral nutrition may be effective in reducing the AAC among trauma patients who are at high risk of AAC.

      PubDate: Tue, 5 May 2020 16:07:36 GMT
       
  • Volume 29 Issue 1 - Thyroglobulin can be a functional biomarker of iodine
           deficiency, thyroid nodules, and goiter in Chinese pregnant women
    • Abstract: Gao, Min; Chen, Yanting; Zhang, Ying; Sun, Hao; Zhang, Qi; Chen, Wen; Wang, Wei; Tan, Long; Shen, Jun; Cheng, Yuangui; Zhang, Wanqi
      Background and Objectives: Thyroglobulin (Tg) is considered a sensitive indicator of iodine status for children and adults, but its usefulness for pregnant women is unknown. The aim of this study was attempting to explore the relationship between Tg and iodine status and the association between elevated Tg and thyroid diseases.

      Methods and Study Design: A total of 2163 pregnant women were recruited in this study. The ratio of urine iodine concentration and urine creatinine concentration (UI/Cr) was measured in spot urine samples. Serum thyroid hormones and thyroglobulin were measured. Thyroid nodules and thyroid volume were diagnosed by ultrasound.

      Results: The geometric mean of serum Tg was significantly higher in the UI/Cr 500 mug/g group (11.48 [2.35] mug/L) than in the 150-249 mug/g group (9.64 [2.32] mug/L). The generalized linear model analysis showed that Serum log(10) Tg concentration was much higher in the UI/Cr
      PubDate: Tue, 5 May 2020 16:07:36 GMT
       
  • Volume 29 Issue 1 - Prolonged preoperative fasting and prognosis in
           critically ill gastrointestinal surgery patients
    • Abstract: Zhou, Gang; Zhu, Fengxue; An, Youzhong; Qin, Lixia; Lv, Jie; Zhao, Xiujuan; Shen, Jiawei
      Background and Objectives: This study aimed to assess the influence of prolonged preoperative fasting on prognosis in elective surgery. Methods and Study

      Design: A retrospective, controlled study involving patients admitted to our surgical intensive care unit who underwent a gastrointestinal operation under general anesthesia. Patients were divided into regular preoperative fasting time (n=57) and prolonged preoperative fasting time (n=73) groups. Clinical data were collected including patients' demographics, intraoperative and postoperative operation time, volume of blood loss, intensive care unit stay, hospital stay, postoperative complications and other factors.

      Results: Patients in the regular preoperative fasting time group had less duration of mechanical ventilation support after surgery [245 (177, 450) min vs 315 (210, 812) min (p=0.021)] and the postoperative myocardial injuries (myocardial injury 2 cases vs 11 cases, p=0.038) and reoperation percentages (reoperation 0 cases vs 7 cases, p=0.044) were lower compared to the prolonged preoperative fasting time group. In addition, patients in the regular preoperative fasting time group presented with a significantly shorter period of postoperative fasting time [6.0 (5.0, 8.0) vs 8.0 (6.0, 13.0), p=0.005].

      Conclusions: Prolonged preoperative fasting time led to unfavorable outcomes after gastrointestinal operations. Thus, reducing preoperative fasting time is likely to accelerate postoperative recovery in gastrointestinal surgery patients.

      PubDate: Tue, 5 May 2020 16:07:36 GMT
       
  • Volume 29 Issue 1 - Serum total iron-binding capacity and iron status in
           patients with non-dialysis-dependent chronic kidney disease: A
           cross-sectional study in Vietnam
    • Abstract: Thang, Le Viet; Kien, Nguyen Trung; van Hung, Nguyen; Kien, Truong Quy; Dung, Nguyen Huu; Thu Huong, Nguyen Thi; Toan, Nguyen Duy; Toan, Pham Quoc; Vinh, Hoang Trung; Nghia, Vu Xuan; Usui, Tomoko
      Background and Objectives: We performed this study to evaluate serum iron and ferritin concentrations, serum total iron-binding capacity (TIBC), and proportion of overall iron deficiency among patients with non-dialysis-dependent chronic kidney disease (ND-CKD).

      Methods and Study Design: A hospital-based cross-sectional observational study was conducted on 175 adult patients with stage 3-5 chronic kidney disease (CKD) by using 51 healthy age-sex-matched Vietnamese adults as the control group. We next examined the prevalence of anemia and determined the serum iron and ferritin concentrations and TIBC. Anemia in CKD was defined as hemoglobin levels < 13 g/dL in men and < 12 g/dL in women. Transferrin saturation (TSAT, %) was calculated as (serum iron x 100)/TIBC. Functional iron deficiency was defined as serum ferritin > 100 ng/mL and TSAT < 20%, and absolute iron deficiency was defined as serum ferritin < 100 ng/mL and TSAT
      PubDate: Tue, 5 May 2020 16:07:36 GMT
       
  • Volume 29 Issue 1 - Effects of flaxseed supplementation on functional
           constipation and quality of life in a Chinese population: A randomized
           trial
    • Abstract: Sun, Jianqin; Bai, Huijing; Ma, Jianxia; Zhang, Ruiyu; Xie, Hua; Zhang, Yanmei; Guo, Mingquan; Yao, Jianfeng
      Background and Objectives: This prospective, randomized, controlled study aimed to evaluate the effects of flaxseed supplementation on functional constipation and quality of life in adult men and women in China. Methods and Study Design: 90 subjects with functional constipation diagnosed by the Rome IV criteria were enrolled. Subjects were randomly assigned to receive either 50 g/day flaxseed flour with meals (n=60) or 15 mL/day of a lactulose solution on an empty stomach (n=30) every morning for 4 weeks. Wexner constipation scores, stool consistency according to the Bristol Stool Form Scale, and bowel habits (frequency of bowel movements/week, the time spent on defecation) were the primary outcomes. The change in Patient Assessment of Constipation Quality of Life score was the secondary outcome. Results: After 4 weeks, the bowel habits in both groups were significantly improved. The median Wexner constipation score decreased from 14 to 6.5 in the flaxseed group (p < 0.001) and from 15 to 9 in the lactulose group (p < 0.001). The median defecation frequency per week increased significantly (2 to 7 for flaxseed and 2 to 6 for lactulose, p < 0.001 for both groups). The Patient Assessment of Constipation Quality of Life score decreased significantly (-1.34 and -0.66 for flaxseed and lactulose, respectively; p < 0.001 for both groups). Conclusions: Flaxseed flour is somewhat more effective at increasing defecation frequency than lactulose, improving bowel movements and promoting life quality of subjects with chronic functional constipation in the Chinese population.

      PubDate: Tue, 5 May 2020 16:07:36 GMT
       
  • Volume 29 Issue 1 - Nutrition program selection in acute ischemic stroke
           patients with GI hemorrhage
    • Abstract: Zeng, Xiaoyan; Chen, Junhong; Sun, Zhihua; Zeng, Heng; Xue, Junyan; Zhang, Yingjie; Liu, Gang; Huang, Xiaojing
      Background and Objectives: The severity of neurologic impairment is significantly associated with gastrointestinal (GI) hemorrhage. Therefore, the aim of this study was to compare the effect of two nutritional interventions in acute ischemic stroke patients with GI hemorrhage.

      Methods and Study Design: We retrospectively studied consecutive ischemic stroke patients with GI hemorrhage from January 2014 to December 2018. They were stratified into two programs of nutritional therapy after GI hemorrhage: moderate feeding (more than 70% optimal caloric uptake, 50-100 mL/h) and trophic feeding (16-25% of the target energy expenditure, 25 kcal/kg per day, 10- 30 mL/h) with supplemental parenteral nutrition.

      Results: The group receiving moderate feeding included 30 patients, and the group receiving trophic feeding and supplemental parenteral nutrition included 32 patients. There was no statistically significant difference between the two groups in the baseline characteristics of the patients. Mortality, Glasgow Coma Scale (GCS) score at discharge, and Glasgow Outcome Scale (GOS) score 3 months after discharge were compared between the two groups. In the moderate feeding group, the overall mortality was significantly lower than in the trophic feeding and supplemental parenteral nutrition group (p < 0.05). Conscious state and neurological severity were assessed by the GCS score before discharge, and the score was higher in the moderate feeding group than in the other group (p < 0.05). The GOS score 3 months after discharge was higher in the moderate feeding group than in the trophic feeding and supplemental parenteral nutrition group (p < 0.05). These three items showed that moderate feeding led to a better prognosis: lower occurrence of mortality, higher GCS score at discharge, and higher GOS score 3 months after discharge.

      Conclusions: This study showed that moderate feeding had a much more profound effect on the outcomes than trophic feeding and supplemental parenteral nutrition, as it was associated with lower mortality, higher GCS score at discharge, and higher GOS score 3 months after discharge.

      PubDate: Tue, 5 May 2020 16:07:36 GMT
       
  • Volume 29 Issue 1 - Late-night-dinner deteriorates postprandial glucose
           and insulin whereas consuming dinner dividedly ameliorates them in
           patients with type 2 diabetes: A randomized crossover clinical trial
    • Abstract: Imai, Saeko; Saito, Yuuk; Kajiyama, Shizuo; Nitta, Ayasa; Miyawaki, Takashi; Matsumoto, Shinya; Ozasa, Neiko; Kajiyama, Shintaro; Hashimoto, Yoshitaka; Fukui, Michiaki
      Background and Objectives: The aims of this study is to explore the acute effect of consuming dinner at different timing on postprandial glucose and hormone in patients with type 2 diabetes.

      Methods and Study Design: Eight patients (age 70.8+-1.9 years, HbA1c 7.6+-0.6 %, BMI 23.3+-3.2, mean+-SD) were randomly assigned in this crossover study. Patients consumed the test meals of dinner at 18:00 on the first day, and dinner at 21:00 or divided dinner (vegetable and rice at 18:00 and vegetable and the main dish at 21:00) on the second or third day. Postprandial glucose, insulin, glucagon, free fatty acid (FFA), active glucagon-like peptide-1 (GLP-1), and active glucose- dependent insulinotropic polypeptide (GIP) concentration after dinner were evaluated.

      Results: Both incremental area under the curve (IAUC) 2h for glucose and insulin were higher in dinner at 21:00 than those in dinner at 18:00 (IAUC glucose: 449+-83 vs 216+-43 mmol/L min, p < 0.01, IAUC insulin:772+-104 vs 527+-107 muU/mL min, p < 0.01, mean+-SEM). However, in divided dinner both IAUC 4h for glucose and insulin tended to be lower than those of dinner at 21:00 (IAUC glucose: 269+-76 mmol/L min, p=0.070, IAUC insulin: 552+-114 muU/mL min, p=0.070). IAUC of active GLP-1 and active GIP demonstrated no difference among different dinner regimen.

      Conclusions: Consuming late-night-dinner (21:00) deteriorates postprandial glucose and insulin compared with those of early-evening-dinner (18:00) whereas consuming dinner dividedly ameliorates them.

      PubDate: Tue, 5 May 2020 16:07:36 GMT
       
  • Volume 29 Issue 1 - Socioeconomic correlates of adherence to mineral
           intake recommendations among pregnant women in north China: Findings from
           a cross-sectional study
    • Abstract: Wang, Kaipeng; Xie, Ying; Wang, Dandan; Bishop, Nicholas J; Tooker, Erica M; Li, Zengning
      Background and Objectives: The purpose of the present study is to examine the socioeconomic correlates of adherence to minimum mineral intake recommended by the Chinese Dietary Guidelines during each trimester of pregnancy among Chinese women.

      Methods and Study Design: A total of 567 pregnant women with foetal age of 6 - 12 weeks were recruited from nine community health centres and three hospitals. Cross-sectional survey data were collected using structured interviews and questionnaires. Mineral intake was calculated from food consumption reported on 24-hour dietary reviews using the Chinese Food Composition Metrics. Logistic regression models were estimated to assess the relationship between sociodemographic factors and adherence to mineral intake recommendations for each trimester.

      Results: Significant predictors of adherence to mineral intake recommendations include: (1) age (zinc: OR=1.09, 'p' < 0.05; copper: OR=1.11, 'p' < 0.05), having bachelor's degree (copper: OR=2.23, 'p' < 0.05; phosphorus: OR=2.23, 'p' < 0.01), and household income >=5,000RMB (potassium: OR=2.51, p=5,000 RMB (zinc: OR=1.86, 'p' < 0.05) during the second trimester, and (3) husband/partner with associate degree or vocational school education (selenium: OR=3.26, 'p' < 0.01) and household income of 3,000-4,999 RMB (potassium: OR=1.71, 'p' < 0.05; zinc: OR=1.48, 'p' < 0.05) during the third trimester. Conclusions: To our knowledge, this is the first study that examines the relationship between socioeconomic factors and mineral intake among Chinese pregnant women at three trimesters. Findings highlight the importance of considering individuals' socioeconomic status to develop personalized interventions to prevent undernutrition among this population.

      PubDate: Tue, 5 May 2020 16:07:36 GMT
       
  • Volume 29 Issue 1 - Clinical nutrition knowledge, attitude and practice of
           medical interns in Shanghai: Contributory factors
    • Abstract: Zong, Min; Chen, Yan-Qiu; Liu, Xia; Xie, Hua; Zhang, Mei-Fang; Sun, Jian-Qin
      Background and Objectives: To provide a questionnaire, with Shanghai medical interns as respondents, analyzing knowledge (K), attitude (A), and practice (P) in relation to clinical nutrition, and to explore factors that could affect KAP scores.

      Methods and Study Design: The cross- sectional study used 330 interns from Shanghai medical universities responding to general material data questionnaires and KAP questionnaires on clinical nutrition.

      Results: The mean KAP score was 210.26+-25.9 (X+-SD), and the score for each part of the KAP questionnaire was just within the threshold for qualified. Multivariate analysis showed that the factors influencing the proportion of excellent scores for K were preventive medicine major (OR=3.45, 'p' < 0.001), senior intern (OR=2.52, 'p'=0.002), and tertiary intern hospital (OR=2.31, 'p'=0.006). The only factor influencing the proportion of excellent scores for P was accessing nutritional information one to three times per week (OR=3.95, 'p'=0.011). Nutrition course had no relation to any scores of K, A, P.

      Conclusions: The mean scores of overall KAP and the individual K, A, P were all categorized as qualified. The P score was the lowest and only influenced by how frequently information was accessed. In summary, nutrition knowledge and regular practical training gained from intern hospital could be a better way to enable senior interns to quickly and competently address patient nutrition problems at the commencement of their careers.

      PubDate: Tue, 5 May 2020 16:07:36 GMT
       
  • Volume 29 Issue 1 - A community-based approach to lean body mass and
           appendicular skeletal muscle mass prediction using body circumferences in
           community-dwelling elderly in Taiwan
    • Abstract: Chien, Kuei-Yu; Chen, Chiao-Nan; Chen, Shu-Chen; Wang, Hsiu-Hua; Zhou, Wen-Sheng; Chen, Lee-Hwa
      Background and Objectives: To develop and validate the prediction equations for lean body mass (LBM) and appendicular skeletal muscle mass (ASM) using body circumference measurements of community-dwelling adults older than 50 years old. Methods and Study

      Design: Four hundred and ninety-eight community-dwelling adults older than 50 years old were recruited for this study. Participants were randomly assigned to a development group (DG, n=332) and validation group (VG, n=166). Lean body mass and ASM were assessed using dualenergy x-ray absorptiometry along with the anthropometric parameters. The Pearson correlation coefficient was used to examine the associations between ASM, LBM and anthropometric parameters in the DG. Prediction equations for LBM and ASM were established from DG data using multiple regression analyses. Paired t-test and Bland-Altman test were used to validate the equations in the VG.

      Results: Forearm circumference had the highest correlation with LBM and ASM. The developed prediction models were: LBM (kg) = 27.479 + 0.726 * weight (kg) - 3.383 * gender (male = 1, female = 2) - 0.672 * BMI + 0.514 * forearm circumference (cm) - 0.245 * hip circumference (cm)(r2=0.90); ASM (kg) = -4.287 + 0.202 * weight (kg) - 0.166 * hip circumference (cm) - 1.484 * gender (male = 1, female = 2) + 0.173 * calf circumference (cm) + 0.096 * height + 0.243 * forearm circumference (cm)(r2=0.85).

      Conclusions: Prediction equations using only a measuring tape provide accurate, inexpensive, practical methods to assess LBM and ASM in Asians older than 50 years old.

      PubDate: Tue, 5 May 2020 16:07:36 GMT
       
  • Volume 29 Issue 1 - Economic value of nutritional support methods in
           gastrointestinal cancer: A quantitative meta-analysis
    • Abstract: Zhu, Mingwei; Chen, Wei; Jiang, Hua; Zhu, Sainan; Xu, Jingyong; Bao, Wenlei; Dang, Yan; Wang, Michael Yao-Hsien
      Background and Objectives: Multiple studies of the relative economic value of different nutritional support methods for patients with gastrointestinal cancer have provided inconsistent results.

      Methods and Study Design: The PUBMED and EMBASE databases were systematically searched through September 30, 2018to identify latent studies of the benefits of parenteral nutrition (PN), enteral nutrition (EN) or conventional intervention (CI) in gastrointestinal cancer patients. A fixed-effects model or random-effects model was applied depending on the heterogeneity of the studies. Statistical analysis was conducted using R software. A total of 728 studies were reviewed, and 21 studies published from 1998 to 2018 were included in the final analysis.

      Results: The results showed that the hospitalization expenditure of the EN group was 3938 RMB less than that of the PN group. Similarly, the EN group had a shorter length of hospitalization than the PN and CI groups. The infection rate was lower in the EN group (12%) than in the PN group (16%) and CI group (20%). Subgroup analysis showed that gastrointestinal cancer patients who received oral nutritional supplements had the lowest infection rate (11%) after surgery.

      Conclusions: EN, especially oral nutritional supplements, has a positive economic impact on patients with gastrointestinal cancer, based on reductions in the post-operative infection rate, length of hospitalization, and hospitalization expenditure.

      PubDate: Tue, 5 May 2020 16:07:36 GMT
       
  • Volume 29 Issue 1 - Impaired glucose tolerance among adolescents with low
           birth weight history: The Tanjungsari Cohort study in Indonesia
    • Abstract: Permana, Hikmat; Bandiara, Ria; Usman, Stefanie Yuliana; Susandi, Evan; Diana, Aly; Arifin, Augusta YL; Alisjahbana, Bachti
      Background and Objectives: Diabetes prevalence has been increasing overtime in Indonesia along with its complications and morbidities. Diabetes prevention program is still a challenge. Previous study concluded poor intrauterine nutritional status, low birth weight (LBW), and nutrition status early in life were risk factors for impaired glucose tolerance (IGT) or type 2 diabetes mellitus in adulthood. This study aimed to evaluate the association between both LBW and intrauterine growth restriction (IUGR) with IGT in adolescents.

      Methods and Study Design: Total of 536 subjects from Tanjungsari Cohort Study were included in this study. Subjects were in their early adolescence age (12-14 years). Anthropometric data were collected and IGT was determined by using 2-hour postprandial plasma glucose level, then it was assessed based on their birth weight and intrauterine nutri-tional status.

      Results: Subjects with LBW history were shorter, had lower body weight and body mass index (p < 0.05, respectively). The proportion of IGT is significantly higher among subject with LBW (RR 1.692 [1.079-2.653]). There was no difference on proportion of IGT among subjects with IUGR compared with subjects who were not IUGR or born preterm (p=0.286). Multiple regression analysis showed the effect of LBW remain independent after adjusted with sex and socioeconomic variables (RR 1.650 [1.054-2.584]).

      Conclusions: Significant association was found between LBW and IGT in comparison to those who were born with normal birth weight. Hence, diabetes should be prevented as early as possible, even since in the pregnancy.

      PubDate: Tue, 5 May 2020 16:07:36 GMT
       
  • Volume 29 Issue 1 - Association between dairy consumption and prevalence
           of obesity in adult population of Northeast China: An internet-based
           cross-sectional study
    • Abstract: Song, Xiaoyun; Li, Rui; Guo, Lin; Guo, Panpan; Zhang, Meng; Feng, Rennan
      Background and Objectives: Dairy has been shown to reduce the risk of obesity in many epidemiological studies. However, few studies have been fully conducted in China in this respect. We aimed to investigate the association between dairy consumption and prevalence of obesity in an adult Chinese population.

      Methods and Study Design: A cross-sectional study was performed in an adult population of 5598 in northeast China, aged >=18. Intakes of dairy products were obtained by internet-based dietary questionnaire for the Chinese (IDQC). The associations between total and individual dairy consumption and prevalence of overall and abdominal obesity were examined by logistic regression. Sex stratification was performed.

      Results: A total of 3871 participants, including 1700 men and 2171 women, were eligible for analysis. Men who consumed >=100 g/day of yogurt had lower risks of abdominal obesity (multivariate-adjusted OR=0.41; 95% CI: 0.24-0.70) than men who did not consume yogurt. Women who consumed >=200 g/day of milk had lower risks of overall obesity (multivariate-adjusted OR=0.47; 95% CI: 0.24-0.91) than women who did not consume milk.

      Conclusions: Increased dairy consumption was associated with lower risk of obesity in adult population in northeast China. Further studies are needed to confirm these observational findings and explain the observed gender-specific difference.

      PubDate: Tue, 5 May 2020 16:07:36 GMT
       
  • Volume 29 Issue 1 - The association of blood pressure with estimated
           urinary sodium, potassium excretion and their ratio in hypertensive,
           normotensive, and hypotensive Chinese adults
    • Abstract: Li, Ying; Yin, Lu; Peng, Yaguang; Liu, Xiaoyun; Cao, Xia; Wang, Yaqin; Yang, Pingting; Li, Xiaohui; Chen, Zhiheng
      Background and Objectives: Low sodium and high potassium intake is reported to be a risk of hypertension. However, it is uncertain whether these associations can be generalized to those without hypertension. This study is to evaluate the associations of systolic and diastolic blood pressure (SBP and DBP, respectively) with estimated urinary sodium excretion (eUNaE), estimated urinary potassium excretion (eUKE) and their ratio (Na/K ratio) among hypertensive, normotensive, and hypotensive Chinese individuals.

      Methods and Study Design: A large institution-based cross-sectional study was conducted at the Third Xiangya Hospital, Changsha between August 2017 and November 2018. Spot urine samples were collected to test urinary sodium, potassium, and creatinine excretions for each participant. The Kawasaki formula was used to estimate 24-hour urinary sodium and potassium excretions.

      Results: A total of 26,363 eligible subjects were used to analyze the associations of blood pressure with eUNaE, eUKE, and their ratio. 27.3% (n=7,201) of participants were diagnosed with hypertension, 5.4% (n=1,427) were diagnosed with hypotension, and the remaining of 17,735 participants were normotensive. A significant increase in SBP and DBP was related to the Na/K ratio increase in hypertensive and normotensive subgroups (all 'ptrend' < 0.01), but the association was not significant for DBP among hypotensive individuals ('ptrend' 0.58). Stronger associations of SBP with the Na/K ratio were observed in older people ('pinteraction' < 0.01) and females ('pinteraction' < 0.0001), but the same trend was not observed for DBP ('pinteraction'= 0.10 and 0.88, respectively).

      Conclusions: High potassium and low sodium intake were further confirmed to reduce blood pressure in hypotensive, normotensive, and hypertensive individuals.

      PubDate: Tue, 5 May 2020 16:07:36 GMT
       
  • Volume 29 Issue 1 - Physical activity and sedentary behaviour during
           
    • Abstract: van Ha, Anh Vo; Zhao, Yun; Pham, Ngoc Minh; Nguyen, Cong Luat; Chu, Tan Khac; Binns, Colin W; Lee, Andy H
      Background and Objectives: Gestational weight gain is known to impact maternal and child health outcomes. Energy intake and energy expenditure are major components of clinical nutrition in relation to weight gain during pregnancy. The study was to determine the association of physical activity and sitting time during pregnancy with gestational weight gain in Vietnamese women.

      Methods and Study Design: A multicentre prospective cohort study was conducted in Vietnam from 2015 to 2017. A total of 1873 women with a singleton pregnancy were included. Physical activity and sitting exposures during pregnancy were determined using an interviewer-administered validated questionnaire. Multiple regression analysis was performed to assess physical activity and sitting time in relation to gestational weight gain, adjusting for the confounding effects of maternal characteristics and total energy intake during pregnancy.

      Results: The mean weight gain was 12.9 (Standard deviation 4.1) kg throughout pregnancy. Pregnant women with prolonged sitting time gained an average of 0.6 kg more weight ('p'=0.016 for highest versus lowest tertiles). Conversely, women who were physically active, in terms of having higher tertiles of total physical activity, moderate-to-vigorous-intensity, household/ caregiving activities, and occupational physical activity, experienced significantly less gestational weight gain ('p' < 0.05 for highest versus lowest tertiles).

      Conclusions: Inverse associations were found between gestational weight gain and physical activity (i.e. intensities and several domains), whereas gestational weight gain tended to increase with longer sitting time. Therefore, being physically active and less sedentary is important to regulate weight gain during pregnancy.

      PubDate: Tue, 5 May 2020 16:07:36 GMT
       
  • Volume 29 Issue 1 - Reduced crying and favourable stool characteristics in
           Chinese infants fed milk fat-based formula
    • Abstract: Sheng, Xiao Yang; Buthmanaban, Vanitha; Vonk, Marlotte Marianne; Feitsma, Anouk Leonie; Parikh, Panam
      Background and Objectives: Chinese infants consuming four different commercially-available infant formulas were evaluated on gut comfort and stool consistency parameters.

      Methods and Study Design: Gut comfort characteristics were evaluated during a 7-day cross-sectional observational study in 409 healthy, term, exclusively formula-fed infants via questionnaires and fecal parameters.

      Results: The stool consistency and color scores were different between the infants consuming one of the four commercially-available infant formulas including different fat sources, i.e. one milk fat-based (IF1), two structured vegetable fat blend-based (IF2 and IF4) and one palm oil-free vegetable fat blend-based (IF3). The scoring pattern showed more 'soft-formed' stools for IF1- consuming infants compared to infants consuming IF2, IF3 or IF4. In addition, a lower amount of green feces was observed in combination with an increase in golden-colored feces for IF1-consuming infants compared to the other groups. Furthermore, IF1-consuming infants reported less fussy/crying time during the night and less gut discomfort. Infants consuming milk fat-based IF1 showed significantly lower fatty acid soaps compared to palmoil free IF3-fed infants.

      Conclusions: Infants consuming milk fat-based IF1 experienced less gut discomfort compared to infants consuming other commercially-available infant formula. Lower fecal fatty acid soap levels, fussy/crying time during the night and gut discomfort were observed. These findings contribute to the current understanding of the association between lipid structure and gut comfort parameters. However, the suggested benefits noted cannot be fully linked to the effect of fat blend differences since formulas differ in ingredient-sourcing and processing. Future research should confirm the added benefit of milk fat-based infant formulas to improve gut comfort parameters.

      PubDate: Tue, 5 May 2020 16:07:36 GMT
       
  • Volume 29 Issue 1 - Association between food liking and the dietary
           quality in Australian young adults
    • Abstract: Wanich, Uracha; Riddell, Lynn; Cicerale, Sara; Mohebbi, Mohammadreza; Sayompark, Dhoungsiri; Liem, Djin Gie; Keast, Russell SJ
      Background and Objectives: An individual's liking for food maybe associated with food consumption. This study investigates the association between food liking and dietary quality in Australian young adults.

      Methods and Study Design: Food liking and food frequency data were collected via an online Food Liking Questionnaire (FLQ) and Food Frequency Questionnaire (FFQ). Food liking scores were calculated for groupings of foods. FFQ Food intake data was used to calculate diet quality using a 13 item Dietary Guideline Index (DGI). The relationship between food liking and DGI was assessed using linear regression models and the difference was assessed using an independent sample t-test and One-way ANOVA.

      Results: Data were available from n=2,535 participants (BMI=24 (SD 3.74), age=21.9 (SD 5.05) years, female=77.1%). Liking for grains, vegetables, fruits, dairy, plant-based protein, was weakly positively associated with diet quality. Liking for animal-based protein, fat and oil, sweet food, and salty food, was weakly negatively associated with diet quality. Liking for grains, vegetables, fruits, dairy, plant-based protein and healthy foods increased across increasing DGI tertiles, and liking for animal-based protein, fat and oil, sweet food, salty food and discretionary foods decreased across increasing DGI tertiles.

      Conclusions: The results were logical with increased liking for healthy or discretionary foods linked with increased consumption of those foods. The results reinforce the strategy to introduce a variety of healthy food groups early in life to initiate flavour-nutrient learning and increase liking for healthy foods.

      PubDate: Tue, 5 May 2020 16:07:36 GMT
       
  • Volume 29 Issue 1 - Double burden of malnutrition in urbanized settled
           Tibetan communities on the Tibetan plateau
    • Abstract: Peng, Wen; Wang, Shulin; Han, Shuang; Su, Xiaodong; Zhao, Lei
      Background and Objectives: A previous pilot study revealed stunted children and obese adults in urbanized settled Tibetan communities. A survey with a representative population in selected communities was conducted to test the preliminary findings.

      Methods and Study Design: A cross-sectional study on the nutritional status involving 504 children (244 boys and 260 girls, 5-16 y) and 927 adults (422 men and 505 women, 18-90 y) was conducted in communities, with anthropometric parameters measured. The z-scores for height-for-age (HAZ) and BMI-for-age (BAZ) in children were calculated according to WHO 2007 reference.

      Results: The children showed a double burden of both under- and over-nutrition. The prevalence of under-nutrition in children was high - stunting (HAZ < -2) 10.7%, underweight (BAZ < -2) 9.5%, combined prevalence of stunting and underweight 19.4%. The rate of over-nutrition was also alarming - obesity 12.7% (BAZ > 2). The mean value of HAZ (- 0.45+-1.41) was lower than, whereas that of BAZ (0.05+-1.76) was comparable to, the WHO reference. No significant differences were found in under- or over-nutrition between genders. Specifically, 8.9% of children demonstrated both short stature (HAZ < -1) and overweight (BAZ > 1). By contrast, community adults showed almost a one-way direction tilted towards over-nutrition - overweight 61.4% (BMI >=24 kg/m2), obesity 30.1% (BMI >=28 kg/m2), and central obesity 62.0% (waist circumference, men >=85 cm, women >=80 cm). Women were marginally more likely to be obese than men ('p'=0.061).

      Conclusions: The co-existence of under- and over-nutrition in the community may have reflected the suboptimal early life nutrition and the obesogenic environment afterwards. Potential determinants need to be explored for future interventions.

      PubDate: Tue, 5 May 2020 16:07:36 GMT
       
  • Volume 29 Issue 1 - Dietary diversity and all-cause mortality among
           Chinese adults aged 65 or older: A community-based cohort study
    • Abstract: Tao, Liyuan; Xie, Zheng; Huang, Tao
      Background and Objectives: To evaluate the association between dietary diversity and all-cause mortality in older adults.

      Methods and Study Design: 17,949 community-based elderly participants aged >=65 years in China were included in this cohort study. The baseline consumption frequencies of nine food groups (meat, vegetables, fish, eggs, fruits, legumes, milk, tea, and nuts) were recorded, and the dietary diversity score (0-9) was calculated. Survival status and death date were collected during follow-up. Cox proportional-hazards models were used to assess the association between dietary diversity and all-cause mortality.

      Results: We identified 8445 death events over 57,685 person-years of follow-up. Compared with participants in the lowest dietary diversity score group (score 0-1), higher dietary diversity scores were associated with lower mortality risk in univariate models. After adjusting for potential confounders, participants in the higher dietary diversity score group had a 9%-30% lower risk in all-cause mortality ('p' trend < 0.001) compared with those in the lowest dietary diversity score group. The inverse relationship between dietary diversity score and all-cause mortality was also significant in four food groups (vegetables, fish, fruits, and nuts). Similar results were observed in sensitivity analyses.

      Conclusions: Our study showed that dietary diversity was inversely associated with all-cause mortality in the Chinese elderly, especially in the oldest old and men. Therefore, increasing dietary diversity may reduce mortality rates in the older population, and tailored interventions for improving dietary diversity are required to benefit health and survival in them.

      PubDate: Tue, 5 May 2020 16:07:36 GMT
       
  • Volume 29 Issue 1 - Vitamin D and liver cancer risk: A meta-analysis of
           prospective studies
    • Abstract: Guo, Xiao-Fei; Zhao, Ting; Han, Jian-min; Li, Shan; Li, Duo
      Background and Objectives: The association between circulating vitamin D and liver cancer risk has been controversial on the basis of epidemiological studies. The aim of this study was to quantitatively evaluate this association with prospective studies.

      Methods and Study Design: A systematic literature search was implemented in PubMed and Scopus databases up to June 2019. Using a random-effects model, the multivariate-adjusted relative risks (RRs) with corresponding 95% confidence interval (CI) were pooled for the highest versus lowest category. Trend estimation was conducted with a two-stage dose-response meta-analysis.

      Results: Six independent prospective studies (992 liver cancer events and 60,811 participants) were included for data synthesis. The summary estimate showed that a higher circulating vitamin D was associated with lower risk of liver cancer (Summary RR=0.78; 95% CI: 0.63, 0.95; I2=53.6%, p=0.035). Dose-response analysis indicated that liver cancer was associated with 8% (95% CI: 0.89, 0.95) lower risk with a 10 nmol/L increment of circulating vitamin D concentration.

      Conclusions: The present study provides substantial evidence that a higher concentration of circulating vitamin D would have conferred protection against liver cancer.

      PubDate: Tue, 5 May 2020 16:07:36 GMT
       
  • Volume 29 Issue 1 - Leisure-time physical activity and milk intake
           synergistically reduce the risk of pathoglycemia: A cross-sectional study
           in adults in Beijing, China
    • Abstract: Na, Xiaona; Zhu, Zhu; Chen, Yangyang; He, Haizhen; Zhou, Guirong; Zhou, Jing; Zhang, Ting; Zhuang, Guoliang; Liu, Aiping
      Background and Objectives: To evaluate the synergistic and individual associations of leisure-time physical activity (LTPA) intensity and the frequency of milk intake in adulthood with newly diagnosed pathoglycemia. Pathoglycemia comprised impaired fasting glucose (IFG) and type 2 diabetes mellitus (T2DM).

      Methods and Study Design: This cross-sectional study of 3977 adults was conducted in Mentougou District, Beijing, China. After excluding ineligible individuals or those with missing data, 2977 participants were included in the final analysis. Data on LTPA, milk intake, and other demographic characteristics were obtained through previously designed questionnaires. Newly diagnosed pathoglycemia was determined based on fasting plasma glucose (FPG) concentration.

      Results: Among all participants, 21.4% had newly diagnosed pathoglycemia, 9.9% engaged in moderate to vigorous leisure-time physical activity (MVLTPA), and 63.7% drank milk more than once weekly. Relative to those who engaged in low-intensity LTPA and drank milk less than once weekly, those who engaged in MVLTPA (OR: 0.584, 95%CI: 0.410-0.810) and drank milk more than once weekly (OR: 0.734, 95% CI: 0.614-0.878) had a lower risk of pathoglycemia; this association was greater when both variables interacted (OR: 0.446, 95% CI: 0.287-0.669).

      Conclusions: MVLTPA and enough frequency of milk intake synergistically decreased the risk of pathoglycemia. A future interventional study including both factors should be performed.

      PubDate: Tue, 5 May 2020 16:07:36 GMT
       
  • Volume 29 Issue 1 - Reproducibility and construct validity of a food
           frequency questionnaire for assessing dietary intake in rural and urban
           Asian Indian adults
    • Abstract: Sudha, Vasudevan; Anjana, Ranjit Mohan; Vijayalakshmi, Parthasarathy; Lakshmipriya, Nagarajan; Kalpana, Natarajan; Gayathri, Rajagopal; Priyadarshini, Rahavan Durga; Malini, Hutgikar Madhav; Chandrasekaran, Anitha; Mohan, Deepa; Raj, Sekar Sathish; Parthiban, Kumar; Ramakrishnan, Rajappan; Geetha, Gunasekaran; Krishnaswamy, Kamala; Unnikrishnan, Ranjit; Mohan, Viswanathan
      Background and Objectives: To evaluate the reproducibility and construct validity of the Madras Diabetes Research Foundation FFQ (MDRF-FFQ) with biomarkers for its use in epidemiological settings in India.

      Methods and Study Design: The MDRF-FFQ was administered to 500 participants representing rural and urban areas of 10 Indian states, twice at an interval of 12 months. Reproducibility was assessed using intra cluster correlation coefficients (ICC). Construct validity of carbohydrate and fat intake was assessed using baseline serum lipids by regression analysis.

      Results: Reproducibility as measured by ICC was 0.50-0.77 for saturated fatty acids (SFA) and energy in urban and 0.61-0.72 for protein and SFA in rural areas. The ICC for food groups was 0.53-0.77 for whole grains, fruits and vegetables in urban and 0.50-0.89 for animal foods and whole grains in rural areas. After adjusting for potential confounders, carbohydrate intake was positively associated with serum triglycerides (TG) (beta [SE]: +2.3 [0.72] mg/dL; p=0.002) and inversely with high density lipoprotein cholesterol (HDL) (beta [SE]:-0.48 [0.12], 'p' < 0.001), while dietary fat and SFA (% Energy) were positively associated with HDL, low density lipoprotein (LDL) and total cholesterol and inversely with TG.

      Conclusions: The MDRF-FFQ can be considered as a reliable and valid tool to measure the long-term dietary exposure in respect of macronutrient intakes in Indian populations despite diverse dietary practices.

      PubDate: Tue, 5 May 2020 16:07:36 GMT
       
 
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