Prevalence of infections among 6-16 years old children attending a semi-rural school in Western Maharashtra, India

Background: Infections are an important cause of morbidity in rural India. Reports on the prevalence of infections in older childrenand their effects on growth are scarce. Objective: The objectives were to determine the prevalence of common infections among6-16 year old school-children in a semi-rural setting in Western India and to assess the influence of infections on the growth status ofthe children. Materials and Methods: This cross-sectional study was conducted in a semi-rural setting in a Zilla Parishad PrimarySchool, Karegaon, Maharashtra. 802 children (boys = 439), 6-16 years of age were assessed. Data on height, weight and infectionrelatedsymptoms reported by children (pre-tested, validated questionnaire) were collected. K-means cluster analysis was used to createthree clusters based on the severity of infections, and one-way analysis of variance with post-hoc Tukey’s multiple comparisons wasused to test the significance of differences in means of various characteristics of the subjects in three clusters. Results: 43% boys and49% girls reported symptoms of respiratory tract infections occasionally, and 28% boys and 27% girls complained of gastrointestinal(GI) infections occasionally. Children with more severe infections were more likely to be shorter and lighter; this was more marked ingirls. Conclusions: Rural school-going children (aged 6-16 years) suffer from high rates of infections, mainly upper respiratory tractinfections followed by GI tract infections

Is plasma vitamin C an appropriate biomarker of vitamin C intake? A systematic review and meta-analysis

<p>Abstract</p> <p>Background</p> <p>As the primary source of dietary vitamin C is fruit and to some extent vegetables, the plasma level of vitamin C has been considered a good surrogate or predictor of vitamin C intake by fruit and vegetable consumption. The purpose of this systematic review was to investigate the relationship between dietary vitamin C intakes measured by different dietary methods and plasma levels of vitamin C.</p> <p>Method</p> <p>We searched the literature up to May 2006 through the OVID interface: MEDLINE (from 1960) and EMBASE (from 1988). We also reviewed the reference lists in the articles, reviews, and textbooks retrieved. A total of 26 studies were selected and their results were combined using meta-analytic techniques with random-effect model approach.</p> <p>Results</p> <p>The overall result of this study showed a positive correlation coefficient between Food Frequency Questionnaire (FFQ) and biomarker (<it>r </it>= 0.35 for "both" genders, 0.39 for females, and 0.46 for males). Also the correlation between Dietary Recalls (DR)/diary and biomarker was 0.46 for "both" genders, 0.44 for females, and 0.36 for males. An overall correlation of 0.39 was found when using the weight record method. Adjusting for energy intake improved the observed correlation for FFQ from 0.31 to 0.41. In addition, we compared the correlation for smokers and non-smokers for both genders (FFQ: for non-smoker <it>r </it>= 0.45, adjusted for smoking <it>r </it>= 0.33).</p> <p>Conclusion</p> <p>Our findings show that FFQ and DR/diary have a moderate relationship with plasma vitamin C. The correlation may be affected/influenced by the presence of external factors such as vitamin bioavailability, absorption condition, stress and food processing and storage time, or by error in reporting vitamin C intake.</p

Incident type 2 diabetes attributable to suboptimal diet in 184 countries

The global burden of diet-attributable type 2 diabetes (T2D) is not well established. This risk assessment model estimated T2D incidence among adults attributable to direct and body weight-mediated effects of 11 dietary factors in 184 countries in 1990 and 2018. In 2018, suboptimal intake of these dietary factors was estimated to be attributable to 14.1 million (95% uncertainty interval (UI), 13.814.4 million) incident T2D cases, representing 70.3% (68.871.8%) of new cases globally. Largest T2D burdens were attributable to insufficient whole-grain intake (26.1% (25.027.1%)), excess refined rice and wheat intake (24.6% (22.327.2%)) and excess processed meat intake (20.3% (18.323.5%)). Across regions, highest proportional burdens were in central and eastern Europe and central Asia (85.6% (83.487.7%)) and Latin America and the Caribbean (81.8% (80.183.4%)); and lowest proportional burdens were in South Asia (55.4% (52.160.7%)). Proportions of diet-attributable T2D were generally larger in men than in women and were inversely correlated with age. Diet-attributable T2D was generally larger among urban versus rural residents and higher versus lower educated individuals, except in high-income countries, central and eastern Europe and central Asia, where burdens were larger in rural residents and in lower educated individuals. Compared with 1990, global diet-attributable T2D increased by 2.6 absolute percentage points (8.6 million more cases) in 2018, with variation in these trends by world region and dietary factor. These findings inform nutritional priorities and clinical and public health planning to improve dietary quality and reduce T2D globally. (c) 2023, The Author(s)

Children's and adolescents' rising animal-source food intakes in 1990-2018 were impacted by age, region, parental education and urbanicity

Animal-source foods (ASF) provide nutrition for children and adolescents physical and cognitive development. Here, we use data from the Global Dietary Database and Bayesian hierarchical models to quantify global, regional and national ASF intakes between 1990 and 2018 by age group across 185 countries, representing 93% of the worlds child population. Mean ASF intake was 1.9 servings per day, representing 16% of children consuming at least three daily servings. Intake was similar between boys and girls, but higher among urban children with educated parents. Consumption varied by age from 0.6 at <1 year to 2.5 servings per day at 1519 years. Between 1990 and 2018, mean ASF intake increased by 0.5 servings per week, with increases in all regions except sub-Saharan Africa. In 2018, total ASF consumption was highest in Russia, Brazil, Mexico and Turkey, and lowest in Uganda, India, Kenya and Bangladesh. These findings can inform policy to address malnutrition through targeted ASF consumption programmes. (c) 2023, The Author(s)

A multiple test for comparing two treatments with control: Interval hypotheses approach

In biological experiments, multiple comparison test procedures may lead to a statistically significant difference in means. However, sometimes the difference is not worthy of attention considering the inherent variation in the characteristic. This may be due to the fact that the magnitude of the change in the characteristic under study after receiving the treatment is small, less than the natural biological variation. It then becomes the job of the statistician to design a test that will remove this paradox, such that the statistical significance will coincide with the biological one. The present paper develops a multiple comparison test for comparing two treatments with control by incorporating within-person variation in forming interval hypotheses. Assuming common variance (unknown) for the three groups (control and two treatments) and the width of the interval as intra-individual variation (known), the distribution of the test statistic is obtained as bivariate non-central t . A level f test procedure is designed. A table of critical values for carrying out the test is constructed for f = 0.05. The exact powers are computed for various values of small sample sizes and parameters. The test is powerful for all values of the parameters. The test was used to detect differences in zinc absorption for two cereal diets compared with a control diet. After application of our test, we arrived at the conclusion of homogeneity of diets with the control diet. Dunnett's procedure, when applied to the same data, concluded otherwise. The new test can also be applied to other data situations in biology, medicine and agriculture.

Effect of environmental factors on growth and morbidity of urban Montessori children receiving supplementation

The roles of morbidity and environmental conditions in determining nutritional status were investigated in urban Montessori school children. In all, 265 children (30-60 months) were observed for weight, height, morbidity status and their household environmental conditions including hygiene, overcrowding, waste disposal methods and general housing background. The same sample was observed again after six months to assess their growth. Mean weight and height of all the children were 13.0 &#177; 1.4 kg and 95.9 &#177; 5.3 cm respectively. Relative gain in weight was observed to be 60-70 gms/kg during the six months period. Children were receiving total supplementation of about 170 kcal and about 5 g of protein per day. The children were divided into two classes according to their living conditions. Six factors formed the basis of scores which were used to classify all households into good and average environmental conditions. Those with better environmental conditions were associated with better nutritional status of children. The number of days lost due to sickness per ill child were smaller in houses with better scores. Relative gain in weight was negatively correlated with days lost due to illness suggesting synergistic effects of duration of illness and environment on nutritional status

Arterial stiffness in obese children: Role of adiposity and physical activity

Objective: To explore association of adiposity and physical activity with arterial stiffness and to propose optimal waist circumference cutoffs, corresponding to 90 th percentile of NHANES (National Health and Nutrition Examination Survey) for Indian children and adolescents. Materials and Methods: Data on weight, height, waist circumference, physical activity and right Carotid artery Intima-Media-Thickness (CIMT), pulse wave velocity (PWV), elasticity modulus (Ep), stiffness index(β), arterial compliance (AC) were assessed in 250 children (72 normal-weight and 178 overweight/obese) aged 6-17 years from Pune city, India. Body composition was measured using Dual energy X-ray absorptiometry. Results: Total, 37.1% normal-weight and 98.2% overweight/obese children had high adiposity (>95 th body fat percentile). Positive association of PWV and Ep (r = 0.5) also β(r = 0.25) with BMI (Body Mass Index), waist circumference and body fat (P < 0.05) was observed. Physical activity was inversely associated with PWV (r =-0.2), β(r =-0.13), Ep (r =-0.12) and positively with AC (r = 0.12) (P < 0.05). PWV significantly increased with increasing body fat for each tertile of physical activity (P < 0.05). Regression analysis revealed waist circumference, BMI, body fat and physical activity as independent associates for PWV after adjusting for age (P < 0.05). The cutoff of waist circumference yielding sensitivity and specificity for predicting the risk of high PWV was (−0.43, −0.44) for boys and girls with sensitivity in boys (girls) of 78% (87%) and specificity in boys (girls) 51% (70%). The observed cutoffs are less than the NHANES-III cutoff values of waist circumference for 90 th percentiles according to age and sex. Conclusion: High adiposity and low physical activity are adversely related to arterial stiffness in Indian children

Prevalence of osteoporosis in apparently healthy adults above 40 years of age in Pune City, India

Purpose: The aim of study was to assess the prevalence of osteoporosis and changes in bone mass with increasing age and compare bone health status of apparently healthy men, premenopausal and postmenopausal women. Methods: Data were collected on anthropometric and sociodemographic factors in 421 apparently healthy Indian adults (women = 228), 40–75 years of age, in a cross-sectional study in Pune city, India. Bone mineral density (BMD) was measured by dual-energy X-ray absorptiometry at two sites-lumbar spine (LS) and left femur. Individuals were classified as having osteoporosis or osteopenia based on the World Health Organization criteria of T-scores. Results: Mean age of study population was 53.3 ± 8.4 years. Of the total women, 44.3% were postmenopausal with 49.2 ± 3.5 years as mean age at menopause. Postmenopausal women showed a rapid decline in BMD with age till 50 years while men showed a gradual decline. Premenopausal women showed no significant decline in BMD with age (P > 0.1). Significantly lower T-scores were observed at LS in men compared to premenopausal (P 0.1). The prevalence of osteoporosis in men at LS was lower than postmenopausal women but higher than premenopausal women. Conclusion: In Indian men, a low T-score compared to women indicates higher susceptibility to osteoporosis. In women, menopause causes a rapid decline in BMD. Therefore, both Indian men and postmenopausal women require adequate measures to prevent osteoporosis during later years in life