Mediterranean diet quality index in preschool children

Djeca i adolescenti se smatraju populacijskom skupinom u kojoj bi obrazac mediteranske prehrane mogao biti najznačajnije narušen, pa je stoga zaslužuje posebnu pažnju. Cilj ovog istraživanja bio je procijeniti kakvoću prehrane djece predškolske dobi (KIDMED indeks) te utvrditi utjecaj parametara kao što su spol, dob i uhranjenost djeteta, odnosno uhranjenost i postignuto obrazovanje majke. U istraživanje je bilo uključeno 60 djece, od kojih je bilo 32 djevojčice i 28 dječaka u dobi od 4 do 6 godina. Većina sudionika (oko 60%) u određenoj mjeri je slijedila principe mediteranske prehrane. Nije pronađena značajna razlika između KIDMED indeksa u odnosu na spol,dobi uhranjenost djeteta te obrazovanje majke i njenu uhranjenost (p>0,05). Rezultate je potrebno potvrditi na većem uzorku ispitanika.Children and adolescents are considered as a population group in which form the Mediterranean diet could be the most significant disrupted, and therefore deserves special attention. The aim of this study was to evaluate the quality of the diet of preschool children (KIDMED index) and to determine the effect of parameters such as sex, age and nutritional status of the child or the nutritional status and educational attainment of the mother. The study involved 60 children, of whom there were 32 girls and 28 boys between the ages of 4 to 6 years. Most participants (60 %) to some extent followed the principles of the Mediterranean diet. There was no significant difference between KIDMED index in relation to sex, age, nutritional status of the child and the mother's education and her nutritional status (p> 0.05). The results must be confirmed in a larger sample

Mediterranean diet quality index in preschool children

Djeca i adolescenti se smatraju populacijskom skupinom u kojoj bi obrazac mediteranske prehrane mogao biti najznačajnije narušen, pa je stoga zaslužuje posebnu pažnju. Cilj ovog istraživanja bio je procijeniti kakvoću prehrane djece predškolske dobi (KIDMED indeks) te utvrditi utjecaj parametara kao što su spol, dob i uhranjenost djeteta, odnosno uhranjenost i postignuto obrazovanje majke. U istraživanje je bilo uključeno 60 djece, od kojih je bilo 32 djevojčice i 28 dječaka u dobi od 4 do 6 godina. Većina sudionika (oko 60%) u određenoj mjeri je slijedila principe mediteranske prehrane. Nije pronađena značajna razlika između KIDMED indeksa u odnosu na spol,dobi uhranjenost djeteta te obrazovanje majke i njenu uhranjenost (p>0,05). Rezultate je potrebno potvrditi na većem uzorku ispitanika.Children and adolescents are considered as a population group in which form the Mediterranean diet could be the most significant disrupted, and therefore deserves special attention. The aim of this study was to evaluate the quality of the diet of preschool children (KIDMED index) and to determine the effect of parameters such as sex, age and nutritional status of the child or the nutritional status and educational attainment of the mother. The study involved 60 children, of whom there were 32 girls and 28 boys between the ages of 4 to 6 years. Most participants (60 %) to some extent followed the principles of the Mediterranean diet. There was no significant difference between KIDMED index in relation to sex, age, nutritional status of the child and the mother's education and her nutritional status (p> 0.05). The results must be confirmed in a larger sample

Diet quality assessment in toddlers using selected score

Procjena kakvoće prehrane putem indeksa daje bolji pregled ukupnog obrasca prehrane, raznolikosti prehrane i usklađenosti s aktualnim prehrambenim smjernicama nego procjena adekvatnosti unosa pojedinih hranjivih tvari. Premda prehrambeni indeksi imaju široku primjenu u odrasloj populaciji, kod djece je takav pristup manje zastupljen. Cilj ovog istraživanja bio je procijeniti kakvoću prehrane male djece pomoću indeksa razvijenog za tu specifičnu populacijsku skupinu-Skora prehrambene kakvoće (engl. Diet Quality Score-DQS). U istraživanje je bilo uključeno 66 djevojčica i 65 dječaka u dobi od 1 do 3 godine. Dva neovisna dnevnika prehrane korištena su za izračun DQS-a. Prosječan rezultat indeksa iznosio je 4,30±1,17 bodova, dok je maksimalna moguća vrijednost iznosila 10 bodova. Utvrđena je statistički značajna povezanost između DQS-a i unosa ugljikohidrata te prehrambenih vlakana, kao i unosa tiamina i riboflavina, te bakra na razini cijelog uzorka. Obzirom na specifičnost DQS za primjenu u populaciji male djece, u budućim istraživanjima na većem broju ispitanika bilo bi zanimljivo povezati ostvarene rezultate sa zdravstvenim statusom djece.Assessing the diet quality using dietary indices gives a better overview of the overall dietary pattern, nutrition diversity and compliance with current guidelines rather than assessing the adequacy of nutrient intake. Although dietary indices are widely used in adults, in pediatric population that approach is less represented. The aim of this study was to determine the diet quality of toddlers using the index developed for this specific population group- Diet Quality Score (DQS). Two independent diaries were used to calculate DQS. The study was conducted with 66 girls and 65 boys aged 1 to 3 years. The average score of the index was 4.30 ± 1.17, while the maximum possible result was 10 points. A statistically significant association between DQS and the intake of carbohydrates and dietary fiber, as well as the intake of thiamine, riboflavin and copper was established for whole group. Given the specifics of DQS for use in toddlers, it would be interesting to link the achieved results with the child's health status on a larger number of subjects in future research

With food to health : proceedings of the 10th International scientific and professional conference

Proceedings contains 13 original scientific papers, 10 professional papers and 2 review papers which were presented at "10th International Scientific and Professional Conference WITH FOOD TO HEALTH", organised in following sections: Nutrition, Dietetics and diet therapy, Functional food and food supplemnents, Food safety, Food analysis, Production of safe food and food with added nutritional value

Diet quality assessment in toddlers using selected score

Procjena kakvoće prehrane putem indeksa daje bolji pregled ukupnog obrasca prehrane, raznolikosti prehrane i usklađenosti s aktualnim prehrambenim smjernicama nego procjena adekvatnosti unosa pojedinih hranjivih tvari. Premda prehrambeni indeksi imaju široku primjenu u odrasloj populaciji, kod djece je takav pristup manje zastupljen. Cilj ovog istraživanja bio je procijeniti kakvoću prehrane male djece pomoću indeksa razvijenog za tu specifičnu populacijsku skupinu-Skora prehrambene kakvoće (engl. Diet Quality Score-DQS). U istraživanje je bilo uključeno 66 djevojčica i 65 dječaka u dobi od 1 do 3 godine. Dva neovisna dnevnika prehrane korištena su za izračun DQS-a. Prosječan rezultat indeksa iznosio je 4,30±1,17 bodova, dok je maksimalna moguća vrijednost iznosila 10 bodova. Utvrđena je statistički značajna povezanost između DQS-a i unosa ugljikohidrata te prehrambenih vlakana, kao i unosa tiamina i riboflavina, te bakra na razini cijelog uzorka. Obzirom na specifičnost DQS za primjenu u populaciji male djece, u budućim istraživanjima na većem broju ispitanika bilo bi zanimljivo povezati ostvarene rezultate sa zdravstvenim statusom djece.Assessing the diet quality using dietary indices gives a better overview of the overall dietary pattern, nutrition diversity and compliance with current guidelines rather than assessing the adequacy of nutrient intake. Although dietary indices are widely used in adults, in pediatric population that approach is less represented. The aim of this study was to determine the diet quality of toddlers using the index developed for this specific population group- Diet Quality Score (DQS). Two independent diaries were used to calculate DQS. The study was conducted with 66 girls and 65 boys aged 1 to 3 years. The average score of the index was 4.30 ± 1.17, while the maximum possible result was 10 points. A statistically significant association between DQS and the intake of carbohydrates and dietary fiber, as well as the intake of thiamine, riboflavin and copper was established for whole group. Given the specifics of DQS for use in toddlers, it would be interesting to link the achieved results with the child's health status on a larger number of subjects in future research

Nutritional and Hydration Status and Adherence to Dietary Recommendations in Dalmatian Dialysis Patients

Protein-energy wasting (PEW) is considered one of the major complications of chronic kidney disease (CKD), particularly in dialysis patients. Insufficient energy and protein intake, together with clinical complications, may contribute to the onset and severity of PEW. Therefore, the aim of the study was to analyze the differences in nutritional and hydration status and dietary intake among Dalmatian dialysis patients. Fifty-five hemodialysis (HD) and twenty peritoneal dialysis (PD) participants were included. For each study participant, data about body composition, anthropometric, laboratory, and clinical parameters were obtained. The Malnutrition Inflammation Score (MIS) and two separate 24-h dietary recalls were used to assess nutritional status and dietary intake. The Nutrient Adequacy Ratio (NAR) and Mean Adequacy Ratio (MAR) were calculated to compare actual dietary intake with recommended intake. Additionally, the estimated 10-year survival was calculated using the Charlson Comorbidity Index. The prevalence of malnutrition according to MIS was 47.3% in HD and 45% in PD participants. Significant differences in fat tissue parameters were found between HD and PD participants, whereas significant differences in hydration status and muscle mass parameters were not found. A significant difference in NAR between HD and PD participants was noticed for potassium and phosphorus intake, but not for MAR. MIS correlated negatively with anthropometric parameters, fat mass, visceral fat level and trunk fat mass, and iron and uric acid in HD participants, whereas no significant correlations were found in PD participants. The estimated 10-year survival correlated with several parameters of nutritional status in HD and PD participants, as well as nutrient intake in HD participants. These results indicate a high prevalence of malnutrition and inadequate dietary intake in the Dalmatian dialysis population which, furthermore, highlights the urgent need for individualized and structural nutritional support

Assessment of Hydration, Nutritional Status and Arterial Stiffness in Hypertensive Chronic Kidney Disease Patients

The aim of this cross-sectional study was to determine the body fluid volume in patients diagnosed with both chronic kidney disease (CKD) and arterial hypertension (AH), and to investigate the relationship between fluid overload (FO), nutritional status and arterial stiffness in this specific patient population. A total of 169 participants with CKD and AH were enrolled in the study, and data on general parameters, comorbidities, medication use, and laboratory parameters were collected. Body composition was assessed with a Tanita MC 780 device, and data on the central and peripheral systolic and diastolic blood pressure, as well as pulse wave velocity (PWV) and the augmentation index (AIx) were collected with an IEM Mobil-O-Graph 24 h ambulatory blood pressure monitor, which was based on oscillometry. The Mediterranean Diet Serving Score (MDSS) questionnaire was used to determine the adherence to the Mediterranean diet (MeDi). Our results showed that the significant positive predictors of hydration status were the use of diuretics and oral hypoglycemic agents, whereas the negative predictors were female sex, higher body mass index level and use of two or more antihypertensives in the form of a single-pill combination. We also found differences in blood pressure and arterial stiffness parameters in relation to volume status, along with differences based on the presence of diabetes mellitus (DM). In conclusion, these results call for a higher awareness of volume status in the care of CKD patients with AH, especially in those with diabetes mellitus

Associations between Advanced Glycation End Products, Body Composition and Mediterranean Diet Adherence in Kidney Transplant Recipients

There is limited evidence on the associations between dietary patterns, body composition, and nonclassical predictors of worse outcomes such as advanced glycation end products (AGE) in kidney transplant recipients (KTRs). The aim of this cross-sectional study was to determine the level of AGE-determined cardiovascular (CV) risk in Dalmatian KTRs and possible associations between AGE, adherence to the Mediterranean diet (MeDi), and nutritional status. Eighty-five (85) KTRs were enrolled in this study. For each study participant, data were collected on the level of AGE, as measured by skin autofluorescence (SAF), Mediterranean Diet Serving Score (MDSS), body mass composition, anthropometric parameters, and clinical and laboratory parameters. Only 11.76% of the participants were adherent to the MeDi. Sixty-nine percent (69%) of KTRs had severe CV risk based on AGE, while 31% of KTRs had mild to moderate CV risk. The results of the LASSO regression analysis showed that age, dialysis type, dialysis vintage, presence of CV and chronic kidney disease, C- reactive protein level, urate level, percentage of muscle mass, and adherence to recommendations for nuts, meat, and sweets were identified as positive predictors of AGE. The negative predictors for AGE were calcium, phosphate, cereal adherence according to the MeDi, and trunk fat mass. These results demonstrate extremely low adherence to the MeDi and high AGE levels related CV risk in Dalmatian KTRs. Lifestyle interventions in terms of CV risk management and adherence to the MeDi of KTRs should be taken into consideration when taking care of this patient population