Trials

BACKGROUND: The aim of this open-label, randomized controlled trial conducted in four African countries (Madagascar, Niger, Central African Republic, and Senegal) is to compare three strategies of renutrition for moderate acute malnutrition (MAM) in children based on modulation of the gut microbiota with enriched flours alone, enriched flours with prebiotics or enriched flours coupled with antibiotic treatment. METHODS: To be included, children aged between 6 months and 2 years are preselected based on mid-upper-arm circumference (MUAC) and are included based on a weight-for-height Z-score (WHZ) between - 3 and - 2 standard deviations (SD). As per current protocols, children receive renutrition treatment for 12 weeks and are assessed weekly to determine improvement. The primary endpoint is recovery, defined by a WHZ >/= - 1.5 SD after 12 weeks of treatment. Data collected include clinical and socioeconomic characteristics, side effects, compliance and tolerance to interventions. Metagenomic analysis of gut microbiota is conducted at inclusion, 3 months, and 6 months. The cognitive development of children is evaluated in Senegal using only the Developmental Milestones Checklist II (DMC II) questionnaire at inclusion and at 3, 6, and 9 months. The data will be correlated with renutrition efficacy and metagenomic data. DISCUSSION: This study will provide new insights for the treatment of MAM, as well as original data on the modulation of gut microbiota during the renutrition process to support (or not) the microbiota hypothesis of malnutrition. TRIAL REGISTRATION: ClinicalTrials.gov, ID: NCT03474276 Last update 28 May 2018

Kefir reduces insulin resistance and inflammatory cytokine expression in an animal model of metabolic syndrome

There is growing evidence that kefir can be a promising tool in decreasing the risk of many diseases, including metabolic syndrome (MetS). The aim of the present study was to evaluate the effect of kefir supplementation in the diet of Spontaneously Hypertensive Rats (SHR) in which MetS was induced with monosodium glutamate (MSG), and to determine its effect on metabolic parameters, inflammatory and oxidation marker expression and glycemic index control. Thirty animals were used in this experiment. For the induction of MetS, twenty two-day-old male SHR received five consecutive intradermal injections of MSG. For the Negative Control, ten newborn male SHR received intradermal injections of saline solution (0.9% saline solution). After weaning, animals received standard diet and water ad libitum until reaching 3 months old, for the development of MetS. They were then divided into three groups (n = 10): negative control (NC, 1 mL saline solution per day), positive control (PC, 1 mL saline solution per day) and the Kefir group (1 mL kefir per day). Feeding was carried out by gavage for 10 weeks and the animals received standard food and water ad libitum. Obesity, insulin resistance, pro- and anti-inflammatory markers, and the histology of pancreatic and adipose tissues were among the main variables evaluated. Compared to the PC group, kefir supplementation reduced plasma triglycerides, liver lipids, liver triglycerides, insulin resistance, fasting glucose, fasting insulin, thoracic circumference, abdominal circumference, products of lipid oxidation, pro-inflammatory cytokine expression (IL-1β) and increased anti-inflammatory cytokine expression (IL-10). The present findings indicate that kefir has the potential to benefit the management of MetS

Thermal properties of slowly rotating asteroids: Results from a targeted survey

Context. Earlier work suggests that slowly rotating asteroids should have higher thermal inertias than faster rotators because the heat wave penetrates deeper into the subsurface. However, thermal inertias have been determined mainly for fast rotators due to selection effects in the available photometry used to obtain shape models required for thermophysical modelling (TPM). Aims. Our aims are to mitigate these selection effects by producing shape models of slow rotators, to scale them and compute their thermal inertia with TPM, and to verify whether thermal inertia increases with the rotation period. Methods. To decrease the bias against slow rotators, we conducted a photometric observing campaign of main-belt asteroids with periods longer than 12 h, from multiple stations worldwide, adding in some cases data from WISE and Kepler space telescopes. For spin and shape reconstruction we used the lightcurve inversion method, and to derive thermal inertias we applied a thermophysical model to fit available infrared data from IRAS, AKARI, and WISE. Results. We present new models of 11 slow rotators that provide a good fit to the thermal data. In two cases, the TPM analysis showed a clear preference for one of the two possible mirror solutions. We derived the diameters and albedos of our targets in addition to their thermal inertias, which ranged between 3−3 and 3+−333 and 45+−6030 J m−2 s−1/2 K−1. Conclusions. Together with our previous work, we have analysed 16 slow rotators from our dense survey with sizes between 30 and 150 km. The current sample thermal inertias vary widely, which does not confirm the earlier suggestion that slower rotators have higher thermal inertias