Low-dietary fiber intake as a risk factor for recurrent abdominal pain in children

Objective: To evaluate dietary fiber intake in children with recurrent abdominal pain.Design: Cross-sectional study with control group.Setting: Outpatients of the Pediatric Gastroenterology public health clinic of the Darcy Vargas Children's Hospital, Brazil.Subjects: Forty-one patients with recurrent abdominal pain were evaluated and 41 children, as a control group.Interventions: Macronutrients and fiber intake evaluation by the Daily Food Intake method. Two tables of fiber composition in foods were used.Results: According to the Brazilian table the mean intake of fiber ( g/day) by the children of the recurrent abdominal pain groups with chronic constipation or not, and the control group was, respectively, 18.2, 16.6 and 23.7 for total fiber ( P 0.001), 7.5, 6.9 and 9.5 for soluble fiber ( P 0.001) and 10.7, 9.7 and 14.1 for insoluble fiber ( P 0.002). According to the AOAC table, the recurrent abdominal pain group with chronic constipation or not ( 10.6 and 9.9 g/day) also had lower intake of total fiber than the control group ( 13.4 g/day) ( P 0.008). the intake of fiber was lower than the minimum recommended value ( age+5g) and statistically associated ( P 0.021) with the recurrent abdominal pain group ( 78%) in comparison with the control one ( 51.2%). the odds ratio was 3.39 ( 95% CI, 1.18 - 9.95).Conclusion: fiber intake below the minimum recommended value is a risk factor for recurrent abdominal pain in children.Universidade Federal de São Paulo, Dept Pediat, Paulista Sch Med, BR-04023062 São Paulo, BrazilDarcy Vargas Childrens Hosp, São Paulo, BrazilUniversidade Federal de São Paulo, Dept Pediat, Paulista Sch Med, BR-04023062 São Paulo, BrazilWeb of Scienc

Terrestrial behavior in titi monkeys (Callicebus, Cheracebus, and Plecturocebus) : potential correlates, patterns, and differences between genera

For arboreal primates, ground use may increase dispersal opportunities, tolerance to habitat change, access to ground-based resources, and resilience to human disturbances, and so has conservation implications. We collated published and unpublished data from 86 studies across 65 localities to assess titi monkey (Callicebinae) terrestriality. We examined whether the frequency of terrestrial activity correlated with study duration (a proxy for sampling effort), rainfall level (a proxy for food availability seasonality), and forest height (a proxy for vertical niche dimension). Terrestrial activity was recorded frequently for Callicebus and Plecturocebus spp., but rarely for Cheracebus spp. Terrestrial resting, anti-predator behavior, geophagy, and playing frequencies in Callicebus and Plecturocebus spp., but feeding and moving differed. Callicebus spp. often ate or searched for new leaves terrestrially. Plecturocebus spp. descended primarily to ingest terrestrial invertebrates and soil. Study duration correlated positively and rainfall level negatively with terrestrial activity. Though differences in sampling effort and methods limited comparisons and interpretation, overall, titi monkeys commonly engaged in a variety of terrestrial activities. Terrestrial behavior in Callicebus and Plecturocebus capacities may bolster resistance to habitat fragmentation. However, it is uncertain if the low frequency of terrestriality recorded for Cheracebus spp. is a genus-specific trait associated with a more basal phylogenetic position, or because studies of this genus occurred in pristine habitats. Observations of terrestrial behavior increased with increasing sampling effort and decreasing food availability. Overall, we found a high frequency of terrestrial behavior in titi monkeys, unlike that observed in other pitheciids