Energy Distribution Of Macronutrient Among Adolescents In Indonesia: Secondary Analysis Of Total Diet Study Data

In nutrition through the lifecycle concept, nutritional adequacy for each age group should be seriously considered, including in adolescent group. Adolescent balanced nutrition needs to be addressed in order to prevent future diseases. Balanced nutrition can be assessed based on the energy distribution of macronutrients that have been formulated through national summit. Thus, this study aims to evaluate energy distribution of macronutrients as well as percent adequacy intake of energy, protein, and fat among adolescence in East Java province, Indonesia. Data from Total Diet Study were used to investigate the intakes of macronutrient and demographic data of adolescents aged 16 – 18 years who lives in East Java Province (n=708). Data of intakes were assessed using 24 hr recall. Mann-Whitney U tests and Independent t-test were conducted to compare macronutrient consumption, percent adequacy intake of energy, protein, and fat between sex and locality. The results show energy distribution of macronutrient was 56.55% energy from carbohydrate: 14.36% energy from protein: 29.09% energy from fat. Energy distribution of macronutrient of adolescent was changed from 2010 in which energy from protein and fat were increase while energy from carbohydrate was decrease. Percent distribution of energy from carbohydrate was significantly higher in boys (p=0.000), but percent energy from protein was significantly higher in girls (p=0.000). There was no significant different in energy distribution of macronutrients between urban and rural adolescents. Compared to Indonesian Recommended Dietary Allowances (RDA), mean intake of energy, protein, and fat were 75.17%, 101.45%, and 74.82%, respectively. There was no significant different in percent adequacy intake of macronutrients both for sex and locality. This analysis demonstrates a balanced energy distribution of macronutrient intake. These results should be considered by those responsible for ensuring adequate nutrient intakes of adolescents.

Nutrition Labelling: Educational Tool for Reducing Risks of Obesity-Related Non-communicable Diseases

Food and nutrition education is globally recognized as the most efficient tool for reducing the risks of non-communicable diseases (NCDs). For decades, different nutrition labelling formats found on the back of food packages have been used as educational tools to provide information on amounts of nutrients for preventing both under- and over-nutrition. However, these traditional panels have proven to be ineffective for consumer education due to their complexity. Other systems, so-called ‘Simplified Nutrition Labelling’, which are normally shown on the front of a food package, were then introduced as ‘Front-of-Pack, FOP’ labelling. These labelling panels normally contain only the nutrients that relate to NCDs and that should be limited for consumption. At least four types of FOP nutrition labelling panels exist, namely, nutrient specific, summary indicator, food group information and hybrids. These panels using different patterns provide consumers with three types of information: non-evaluative, evaluative or interpretative and conclusive. In this chapter, the advantages and disadvantages of different types of nutrition labelling are discussed, especially their roles in reducing the risk of obesity-related NCDs in a population

Variation in human water turnover associated with environmental and lifestyle factors

Water is essential for survival, but one in three individuals worldwide (2.2 billion people) lacks access to safe drinking water. Water intake requirements largely reflect water turnover (WT), the water used by the body each day. We investigated the determinants of human WT in 5604 people from the ages of 8 days to 96 years from 23 countries using isotope-tracking (2H) methods. Age, body size, and composition were significantly associated with WT, as were physical activity, athletic status, pregnancy, socioeconomic status, and environmental characteristics (latitude, altitude, air temperature, and humidity). People who lived in countries with a low human development index (HDI) had higher WT than people in high-HDI countries. On the basis of this extensive dataset, we provide equations to predict human WT in relation to anthropometric, economic, and environmental factors.acceptedVersio

Greater male variability in daily energy expenditure develops through puberty

There is considerably greater variation in metabolic rates between men than between women, in terms of basal, activity and total (daily) energy expenditure (EE). One possible explanation is that EE is associated with male sexual characteristics (which are known to vary more than other traits) such as musculature and athletic capacity. Such traits might be predicted to be most prominent during periods of adolescence and young adulthood, when sexual behaviour develops and peaks. We tested this hypothesis on a large dataset by comparing the amount of male variation and female variation in total EE, activity EE and basal EE, at different life stages, along with several morphological traits: height, fat free mass and fat mass. Total EE, and to some degree also activity EE, exhibit considerable greater male variation (GMV) in young adults, and then a decrease in the degree of GMV in progressively older individuals. Arguably, basal EE, and also morphometrics, do not exhibit this pattern. These findings suggest that single male sexual characteristics may not exhibit peak GMV in young adulthood, however total and perhaps also activity EE, associated with many morphological and physiological traits combined, do exhibit GMV most prominently during the reproductive life stages

Greater male variability in daily energy expenditure develops through puberty

There is considerably greater variation in metabolic rates between men than between women, in terms of basal, activity and total (daily) energy expenditure (EE). One possible explanation is that EE is associated with male sexual characteristics (which are known to vary more than other traits) such as musculature and athletic capacity. Such traits might be predicted to be most prominent during periods of adolescence and young adulthood, when sexual behaviour develops and peaks. We tested this hypothesis on a large dataset by comparing the amount of male variation and female variation in total EE, activity EE and basal EE, at different life stages, along with several morphological traits: height, fat free mass and fat mass. Total EE, and to some degree also activity EE, exhibit considerable greater male variation (GMV) in young adults, and then a decrease in the degree of GMV in progressively older individuals. Arguably, basal EE, and also morphometrics, do not exhibit this pattern. These findings suggest that single male sexual characteristics may not exhibit peak GMV in young adulthood, however total and perhaps also activity EE, associated with many morphological and physiological traits combined, do exhibit GMV most prominently during the reproductive life stages

ASSESSMENT OF ADEQUACY OF PROTEIN INTAKE IN ENTERAL FEEDING PATIENTS WITH NEUROLOGICAL PROBLEMS

Introduction: Enteral tube feeding can provide sole source of nutrients in patients who cannot eat orally. In order to get adequate nutrients, it is essential to choose enteral feeding formula correctly and provide sufficiently. Aims: Therefore this study was carried out to determine the adequacy of protein intake with blenderized tube feeding diet in comparison to traditional tube feeding diet by studying nitrogen balance. Methods: This study was conducted on 25 participants with neurogenic dysphagia who had been admitted to Kwe Ka Baw Hospital at Yangon. The participants were divided into three groups: the first group who received 1800 ml/d of traditional tube feeding diet (Group T, n = 10), the second group was supplied with 1500 ml/d of blenderized tube feeding diet (Group B1, n = 9) and the third group was supplied with 2000 ml/d of blenderized diet (Group B2, n = 6). The nitrogen balance study was doneon day 4, day 5 and day 6 of enteral feeding. Results: The mean nitrogen balance of Group T was profoundly negative (-7.3 g/d) and of Group B1 was still negative (-2.6 g/d). The nitrogen balance of Group B2 improved to positive balance (0.6 g/d). In conclusion, the protein intake was inadequate with traditional tube feeding diet and 1500 ml/d of blenderized tube feeding diet. The protein intake was adequate with 2000 ml/d of blenderized tube feeding diet. Conclusion: Based on the result of this study, the blenderized tube feeding diet with 2000 ml/d intake should be recommend to use for enteral feeding patients with underlying neurological problems.  &nbsp

DEVELOPMENT OF MYANMAR CARBOHYDRATE COUNTING BOOKLET

Background: Diabetes mellitus is one of the major challenging problems in Myanmar. Even with its high occurrence, the prevalence of good glycemic control was relatively low. According to Myanmar food culture, most of the foods that Myanmar people daily consumed are carbohydrate-based. Therefore, a nutrition education tool that can raise the awareness of amount of carbohydrate in foods and provide scientific but comprehensible dietary information about carbohydrate counting is necessaryin all arenas to combat diabetes: prevention, promotion and management. Aim: The aim of this study was to develop Myanmar carbohydrate counting booklet.  Method: The first phase developed the booklet and then the acceptance of the booklet was assessed in the second phase by an experimental study. Results: In the first phase, the booklet named “Basic Carb Counting for People Living with DM” was developed. It was 14.5 × 20.5 × 1 cm in size and of 103 pages. It contained illustrated facts and information about diabetes, about basic carb counting and carb choices of different food items along with respective food photographs. In the second phase, 36 people with diabetes participated in the study with the mean age of 48.4 ± 10.7 years, 47.2% of male and 52.8% of female. The results showed that the knowledge score of diabetes, carbohydrate and total scores increased significantly (p <0.05) between pre-test score and post-test score. The participants’ satisfaction level with the newly developed booklet was somewhere between “very satisfied” to “extremely satisfied” giving the mean and median responses of between 5 and 6 on a 6-point Likert scale. Conclusion: The developed carbohydrate counting booklet was accepted by people with diabetes in Myanmar and the contents in the booklet were understandable to witness the improvement in the knowledge of the disease and basic carbohydrate counting concept as well

Association of Adiposity Indices with Hypertension in Middle-Aged and Elderly Thai Population: National Health Examination Survey 2009 (NHES-IV)

Obesity in terms of excess fat mass is associated with increased morbidity, disability and mortality due to obesity-related disorders, including hypertension. Many hypertensive individuals are overweight and often receive their advice to lose weight related to body-fat, in order to lower their blood pressure. However, it is still unclear whether there is a strong association of adipose tissue measured by adiposity indicators with hypertension in the Thai population. Various adiposity indices have been published to distinguish the distribution of body fat with disparate properties. This study examined nine adiposity markers and their association with hypertension in 15,842 Thai adults ≥35 years old. Data were obtained from the nationwide Thai National Health Examination Survey 2009. Accuracy performance and associations of indexes with hypertension were analyzed by Area Under Curve (AUC) and logistic regression analyses. Regardless of gender, the best methods to distinguish performance were waist-to-height ratio (WHtR) [AUC: 0.640 (0.631–0.649)], followed by lipid accumulation product (LAP) [AUC: 0.636 (0.627–0.645)], waist circumference (WC) [AUC: 0.633 (0.624–0.641)], and Conicity index (C-Index) [AUC: 0.630 (0.621–0.639)]. Linear regression analysis exhibited the independent association of the top four indices, WC, WHtR, C-Index, and LAP with higher systolic and diastolic blood pressure. Those indices’ quartiles were graded in a dose-response manner which significantly increased at the higher quartiles. The indicator’s cutoff point carried the odds ratio of presence hypertension in the range of 1.7 to 2.5 (p < 0.001). Among the nine obesity indices, WHtR (cutoff >0.52) in both genders was the simplest and most practical measurement for adiposity in association with hypertension in middle-aged and elderly Thais