The importance for growth of dietary intake of calcium and vitamin D

OBJECTIVE: To investigate the role of dietary calcium and vitamin D in the process of growth and development of children and adolescents, focusing in particular on the prevention and treatment of delayed growth caused by nutritional deficiency. SOURCES: Information was gathered from articles published in the last 2 decades, from searches on the databases SciELO, PubMed and Medline, technical books and publications of international organizations. SUMMARY OF THE FINDINGS: Growth is influenced by intrinsic (genetic and metabolic) and extrinsic factors (environmental factors such as diet, health, hygiene, housing and access to health services). Among the nutritional factors are vitamin and oligoelement deficiencies which may be associated with malnutrition or caused by insufficient absorption. Since calcium is one of the main mineral components of bone tissue, it is essential for adequate bone formation and, considering that vitamin D plays an important role in calcium metabolism, a diet with insufficient quantities of these nutrients can impact on the formation of the skeleton and on the process of growth and development. CONCLUSIONS: In children and adolescents, low intake or low absorption of calcium and vitamin D may limit their statural growth, and it is necessary to supply sufficient quantities of both during the critical growth phases.OBJETIVO: Verificar o papel nutricional do cálcio e da vitamina D no processo de crescimento e desenvolvimento infanto-juvenil, visando, em especial, a prevenção e o tratamento do atraso de crescimento causado por deficiência nutricional. FONTES DOS DADOS: As informações foram coletadas a partir de artigos publicados nas 2 últimas décadas, pesquisados nas bases de dados SciELO, PubMed e MEDLINE, livros técnicos e publicações de organizações internacionais. SÍNTESE DOS DADOS: O crescimento sofre influência de fatores intrínsecos (genéticos e metabólicos) e extrínsecos (fatores ambientais, como alimentação, saúde, higiene, habitação, e o acesso aos serviços de saúde). Entre os fatores nutricionais, destacam-se as deficiências de vitaminas e oligoelementos que podem se associar à desnutrição ou depender da absorção insuficiente dos mesmos. Sendo o cálcio um dos principais componentes do tecido mineral ósseo, este é essencial para uma adequada formação óssea e, considerando que a vitamina D desempenha papel importante no metabolismo do cálcio, uma dieta insuficiente nesses nutrientes pode influenciar a formação do esqueleto e o processo de crescimento e desenvolvimento. CONCLUSÕES: A baixa ingestão ou baixa absorção de cálcio e vitamina D em crianças e adolescentes pode limitar seu desenvolvimento estatural, sendo necessário fornecer quantidades suficientes de ambos na fase crítica do crescimento.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)HCPA Fundo de Incentivo a Pesquisa e Eventos (FIPE)Centro de Endocrinologia e Diabetes do Rio Grande do Sul (CEDERS)Universidade Federal do Rio Grande do SulUniversidade Federal de São Paulo (UNIFESP) Escola Paulista de MedicinaUFRGS Faculdade de Medicina Programa de Pós-Graduação em Ciências Médicas: Endocrinologia e NutriçãoUNIFESP, EPMSciEL

Evaluation of neonatally-induced mild diabetes in rats: Maternal and fetal repercussions

Many experimental studies have been performed to evaluate mild diabetes effects. However, results are divergent regarding glycemia and insulin measurement, fetal macrossomia, and placental weights. The aim was to investigate repercussions of neonatally-induced mild diabetes on the maternal organism and presence of congenital defects in their offspring in other mild diabetes model. On the day of birth, female offspring were distributed into two groups: Group streptozotocin (STZ): received 100 mg STZ/kg body weight, and Control Group: received vehicle in a similar time period. Maternal weights and glycemias were determined at days 0, 7, 14 and 21 of pregnancy. At day 21 of pregnancy, the rats were anesthetized and a laparotomy was performed to weigh and analyze living fetuses and placentas. The fetuses were classified as small (SPA), appropriate (APA) and large (LPA) for pregnancy age. Fetuses were also analyzed for the presence of external anomalies and processed for skeletal anomaly and ossification sites analysis. Statistical significance was considered as p < 0.05. In STZ group, there was increased glycemia at 0 and 14 days of pregnancy, lower weights throughout pregnancy, higher placental weight and index, an increased proportion of fetuses classified as SPA and LPA, and their fetuses presented with an increased frequency of abnormal sternebra, and absent cervical nuclei, which were not enough to cause the emergence of skeletal anomalies. Thus, this study shows that mild diabetes altered fetal development, characterized by intrauterine growth restriction. Further, the reached glycemia does not lead to any major congenital defects in the fetuses of streptozotocin-induced mild diabetic rats

Palatability and digestibility of horse diets containing increasing levels of citrus pulp

ABSTRACT Objective. To evaluate the impact of citrus pulp on the palatability and digestibility of horse diets and the physicochemical characteristics of the feces. Materials and methods. The diets were composed of 60% of the energy from the forage and 40% from the concentrate, with increasing levels of citrus pulp. Two different tests were performed. The first test assessed the palatability of concentrates. Using a randomized experimental design, 15 horses were observed for 10 days. The variables recorded were first action, first choice and intake ratio (IR). Five horses were arranged in 5x5 Latin Square design for the test assessing digestibility and fecal physicochemical characteristics. The apparent digestibility of the nutrients and the color, consistency, pH and buffering capacity (BC) of the feces were evaluated. Results. The addition of increasing levels of citrus pulp had an effect (p≤0.001) on first action. A difference was also observed in first choice, and the addition of 0, 7 or 14% of citrus pulp was preferred. A difference between treatments (p≤0.001) was also observed for IR, and the control concentrate was consumed the most. The amount of citrus pulp included had no effect (p>0.05) on the digestibility of nutrients, fecal consistency and color, and there was no effect (p>0.05) on fecal pH and BC. Conclusions. Horses can identify the presence of citrus pulp in concentrates but prefer concentrates without added citrus pulp. Citrus pulp does not negatively affect the digestibility of concentrates or the physicochemical characteristics of the feces; thus, citrus pulp is a viable alternative ingredient in the formulation of horse diets. RESUMEN Objetivo. Evaluar la inclusión de pulpa de cítricos en la dieta de los caballos a través de la evaluación de la de palatabilidad, digestibilidad y características fisicoquímicas de las heces. Materiales y métodos. El valor energético de las dietas fue aportado en el 60% por la energía del forraje y en el 40% a partir del concentrado con niveles crecientes de pulpa de cítricos. En la primera prueba se evaluó la palatabilidad de los concentrados. Se utilizó un diseño experimental aleatório. Se observaron 15 caballos durante 10 días. Las variables registradas fueron la primera acción, la primera opción y la relación de la ingesta (IR). Cinco caballos fueron dispuestos en un diseño cuadrado latino 5x5 para la evaluación de la digestibilidad y las características fisicoquímicas fecales. La digestibilidad de los nutrientes y el color, la consistencia, el pH, y se evaluó la capacidad de tamponamiento (CT) de las heces. Resultados. El nível de inclusión de pulpa de cítricos tuvo un efecto (p0.05) la digestibilidad, consistencia fecal y el color de las heces, pH fecal y CT de las heces. Conclusiones. Los caballos pueden identificar la presencia de pulpa de cítricos en los concentrados, pero prefieren concentrados sin pulpa de cítricos. La pulpa de cítricos no afecta la digestibilidad de los nutrimentos en el concentrado, ni las características fisicoquímicas de las heces; la pulpa de cítricos es un ingrediente alternativo viable en la formulación de dietas para caballos