Malnutrition, Overweight, and Obesity among Urban and Rural Children in North of West Azerbijan, Iran

Introduction. Malnutrition is one of the most important causes for improper physical and mental development of children. Childhood obesity is a worldwide public health problem. The increasing prevalence of childhood obesity has become a growing matter of public health concern worldwide. The aim of the current study was to determine the prevalence of malnutrition and obesity in children under 5 years old in Salmas district. Methods. The current study is a cross-sectional study conducted on 902 of children under 5 years old to assess the nutritional status in Salmas district and performed from 16 until 30 October, 2011, with the cooperation of the Office of Community Nutrition Improvement and the United Nations Children’s Fund. ENA (Emergency Nutrition Assessment) and Spss software were used for data analysis. Results. 49.6% of children were boys and 50.4% were girls. The prevalence of malnutrition based on underweight, stunting, and wasting was estimated to be 2.3%, 7.3%, and 1.4% among children, respectively. Stunting was more common in rural areas and this difference was significant (P<0.001). Conclusion. In this area stunting, overweight and obesity were the most important priorities that health officials must pay more attention to. ENA software has a special ability to determine the samples and clusters and is a simple, rapid, and accurate method, especially in epidemiological studies in the country, and can be a convenient tool and its use is suggested for the same studies

Seasonal variations of vitamin D and its relation to lipid profile in Iranian children and adults

Background: Vitamin D has a multitude of functional properties and acts like a hormone in the body. Its effect on the lipid profile is one of the proposed mechanisms for its relationship with many disorders during its deficiency. But, this relationship is still conflicting and debatable, so this study was conducted to determine the association between serum level of vitamin D and lipid profiles, including serum concentrations of cholesterol, triglyceride (TG), HDL, and LDL in healthy subjects. Methods: In this cross-sectional study, 541 volunteers with age of 5\u201360 years from normal and healthy subjects were selected via random sampling. Demographics and history of daily or weekly sunlight exposures were recorded. Measuring vitamin D was done in two consecutive seasons: winter and summer. Ten milliliters of peripheral venous blood sample was withdrawn after an overnight fasting. Serum levels of 25(OH) D (25, hydroxy vitamin D3) were measured using the enzyme-linked immunosorbent assay (ELISA), and the Confirmatory test was done by highperformance liquid chromatography (HPLC). Results: Mean age in the total mixed population was 30.83 \ub1 14.02 years. Subjects were 50.5% male and 49.5% female. Mean 25(OH) D in the total population for winter and summer were 45.8 \ub1 24.26 ng/ml and 55.24 \ub1 37. 47 ng/ml respectively. In the total population, 38.08% were vitamin D deficient. Comparing serum lipid levels in the summer and winter showed a significant difference for cholesterol, LDL, and HDL, but no significant effect was found for TG. Analysis for the comparison of lipid profiles between the two genders in winter showed that there were significant differences in all lipid profiles except for LDL, while such analysis for summer revealed significant difference just for TG. In multivariate analysis, there was a significant mean difference only for LDL in subgroups with vitamin D insufficiency and deficiency. There was no correlation between Vitamin D and lipid profiles. Conclusions: Vitamin D is different between the two seasons regardless of gender variations. Its status showed some significant relationship with some lipid profiles (cholesterol, LDL, and HDL) during the two seasons. There were different results among winter and summer based on the gender

Sporcu Beslenmesi ve Supplementler

The first guidelines on the physical activity of the Ministry of Health and the Global action Plan On Physical Activity 2018-2030, reports that we need more active people for a healthier World (1). ‘’ global Strategy on Diet, Physical Activity and Health’’ that proposed by WHO in 2017, involving public and privare institutions to promote healthy lifestyles, to increase risks of false nutrition snd physical inactivity. It’s very necessary and essential to cover the total Daily energy expenditure in order to achieve an optimal performanc (with reference to carbonhydrates): that’s way the intake of food supplements, in the absence of specific deficiencies, is inappropriate. International literature has been showing how the unequal cosumption of food supplements exposes young people to series of disadvantagous effects, without evidence on the real performace improvement: it also be considered as a sort of doping antechamber (2). Athletes usually use dietary supplements to earn advantage over thier opponents. The aim of using dietary supplements (DS) is to allow athletes train tough, develop performance, and recover very fast (3). The literature shows widespread use of DS among young athletes (4-8). And most frequent the elite. Depending on age, sex and kind of sport, the proportion of DS use i elite adolesescent athletes varies between %48 and %80 (6, 9). The preferences for a specific DC have differed between studies (6). The fact that many adolescent athletes use DS alarming notably since many substances have not yet been evaluated and adequately tested for use by adolescents. Moreover, as different supplements may conflict with each other or have negative effects there is a need for long- term might further contain prohibited anabolic androgenic steroids that are not declared on the label (3, 8). A article shows that about %25 of all DS has been contaminated, with anabolic steroids being the most common contaminant (11). For instance, other contaminants are ephedrine and caffeine (12).Result: The information about the usage of DS are usually obtained from coaches therefore Professional education of coaches is urgently needed for the health of athletes

Malnutrition, Overweight, and Obesity among Urban and Rural Children in North of West Azerbijan, Iran

Introduction. Malnutrition is one of the most important causes for improper physical and mental development of children. Childhood obesity is a worldwide public health problem. The increasing prevalence of childhood obesity has become a growing matter of public health concern worldwide. The aim of the current study was to determine the prevalence of malnutrition and obesity in children under 5 years old in Salmas district. Methods. The current study is a cross-sectional study conducted on 902 of children under 5 years old to assess the nutritional status in Salmas district and performed from 16 until 30 October, 2011, with the cooperation of the Office of Community Nutrition Improvement and the United Nations Children’s Fund. ENA (Emergency Nutrition Assessment) and Spss software were used for data analysis. Results. 49.6% of children were boys and 50.4% were girls. The prevalence of malnutrition based on underweight, stunting, and wasting was estimated to be 2.3%, 7.3%, and 1.4% among children, respectively. Stunting was more common in rural areas and this difference was significant (P<0.001). Conclusion. In this area stunting, overweight and obesity were the most important priorities that health officials must pay more attention to. ENA software has a special ability to determine the samples and clusters and is a simple, rapid, and accurate method, especially in epidemiological studies in the country, and can be a convenient tool and its use is suggested for the same studies

Food Intake, Plate Waste And Its Association With Malnutrition In Hospitalized Patients

Background: Hospital malnutrition is a worldwide dilemma and challenge. High levels of plate waste contribute to malnutrition-related complications in hospital. We investigated the association between the levels of plate waste, food intake and patient satisfaction with nutritional risk and malnutrition prevalence in three hospital settings. Methods: The sample population of 120 patients, aged 18-65 year, admitted consecutively over a 12 month period to 3 different educational university hospitals was included. For all the patients, diet history, anthropometric measurements, body mass index and patient satisfaction with the hospital food service was evaluated. Weight plate waste for all daily meals was done and actual intakes computed individually for each day. Nutrition risk screening (NRS)-2002 (>= 3) tool was used for estimating the nutritionally at-risk population. Results: From one hundred twenty non-critically ill patients with a mean 8.9 +/- 3.5 day length of hospital stay, 40.8% (49) were men and 59.2% (71) were female. Mean energy and protein requirements were 2,030.3 +/- 409.03 kcal/day and 76.13 +/- 15.33 g/day respectively. Mean intakes were 1,326 +/- 681.44 kcal/day and 66.81 +/- 31.66 g/day respectively. The mean percent of plate waste for lunch and dinner were 37.7 +/- 29.88 and 30.4 +/- 23.61 respectively. In the total population, 25% of patients were satisfied and 75% patients were unsatisfied with hospital foods. Based on BMI ( 10%), malnutrition prevalence was 12.5% and 14.2% respectively during hospitalization. The prevalence of nutritionally at-risk population was 30% at admission time and reached 33.3% at discharge. Conclusion: Plate waste and hospital malnutrition were highly prevalent in accompanying with increasing nutritionally risk progression. So it should be addressed as an important health issue and appropriate strategies for stimulating governmental policies should be adopted.WoSScopu

A Comparison of the Different Anthropometric Indices For Assessing Malnutrition Among Older People in Turkey: A Large Population-Based Screening

Objective: Due to an increase in aging worldwide, assessment of the nutritional status of older people becomes an important matter. Malnutrition in older people increases the risk of infections, disease period and hospitalization rates. This study aimed to compare the different anthropometric indices for detecting malnutrition among older people and comparing these indices among males and females to explain the possible differences.Methods: In this cross-sectional study, 2721 aged 65 years and older in Turkey were enrolled. Anthropometric measurements weight, height, hip circumference (HC), and waist circumference (WC), abdominal circumference (AC), mid-upper arm circumference (MUAC), triceps skinfold thickness (TST), calf circumference (CC)) were measured. Body mass index (BMI), abdominal volume index (AVI), body roundness index (BRI) and body adiposity index (BAI), and waist-to-hip ratio (WHR) and waist-to-height ratio (WHtR) indices were calculated using standardized formulas. The receiver operator characteristic curves (ROCs) were conducted in detecting the best anthropometric parameters. Adjusted odds ratios (OR) (stratified by sex) calculated for each anthropometric index.Results: Participants with both BMI 25 (80%) defined as the malnourished group and BMI of 18.5–24.99 (18.9%) defined as the normal group. In both sexes, the area under the curve (AUC) was > 0.7 for all anthropometric indices except WHR in females (AUC 0.66). BRI, WHR, WHtR, and AVI indices strongly predict the risk of malnutrition among both sexes. In males, the ORs were for BRI (6.83, 95% CI 5.39–8.66), WHR (6.43, 95% CI 5.9– 6.9), AVI (2.02, 95% CI 1.86–2.12). In females, the ORs were for BRI (3.72, 95% CI 3.09–4.48), WtHR (2.63, 95% CI 1.3– 3.5), and WHR (2.45, 95% CI 1.9–3.06).Discussion: The presence of a large AUC in almost all anthropometric indices suggests that they can be used to assess the risk of malnutrition among older persons in both sexes

Dietary Acid Load (DAL), Glycated Hemoglobin A1c (HbA1c), and Metabolic Syndrome (MeS) Mediate the Association of the Adherence to the Dietary Approaches to Stopping Hypertension (DASH) and Mediterranean Diet (MeD) With Nonalcoholic Fatty Liver Disease

The study aimed to investigate the association of adults adhering to Dietary Approaches to Stop Hypertension (DASH) and Mediterranean diet (MeD) with nonalcoholic fatty liver disease (NAFLD) using structural equation modeling (SEM) in Iran. In this population-based cross-sectional study, 3,220 adults (44.65% female) aged ≥18 years were selected from the Amol Cohort Study (AmolCS). The dietary intakes were assessed by a validated 168-item semi-quantitative food-frequency questionnaire (FFQ). Residual method energy adjustment of MeD and DASH scores were calculated. Demographic characteristics and anthropometric and laboratory measurements were collected. NAFLD was diagnosed by an expert radiologist via ultrasound sonography. Based on the primary hypothesis, DASH, MeD, and NAFLD were fitted into models. Metabolic syndrome (MeS) as a potential risk factor directly affected NAFLD risk in all these models. In both genders, the higher adherence to DASH negatively affected NAFLD risk indirectly through the two following paths. (1) Dietary acid load (DAL) and metabolic syndrome (2) DAL and hemoglobin A1c (HbA1c). In addition, the higher DAL positively affected NAFLD risk among male participants indirectly via increasing HbA1c level and MeS (from DAL to HbA1c: β = 0.07, P < 0.001; from HbA1c to MeS: β = 0.10, P < 0.001). Similarly, in both genders, the relationship between MeD and NAFLD was mediated through (1) DAL, HbA1c, and MeS and (2) DAL and MeS. Further, among male participants, the MeD and NAFLD risk were also associated via the mediators of HbA1c and MeS. In female participants, the higher MeD score was directly associated with a reduction of NAFLD risk (β = −0.07, P = 0.008). The present study found three important mediators, including DAL, HbA1c, and MeS, in the association of DASH and MeD scores with NAFLD risk. Preventive and therapeutic interventions should target the mediators, including DAL, HbA1c, MeS, and its components, to reduce NAFLD incidence in the general population

Household Milk consumption and Its Socio-economic Associates in West Azarbayejan Province, North-west Iran

Background and Objectives: According to the available evidence, consumption of milk and other dairy products among Iranians is far less than recommendations. The share of different milks (i.e., traditionally vs. industrially processed) and its associated variables are, however, neither consistent nor fully known in different Provinces.Materials and Methods: This cross-sectional study was conducted to determine household milk consumption and its association with selected socio-demographic factors in West Azarbayejan Province, North-west Iran. A total of 650 households were selected from urban and rural areas in three major Azeri and Kurdish districts (i.e. Urmia, Khoy and Mahabad) using a multi-stage cluster sampling method. Data were collected using socio-economic and milk frequency questionnaires. Results: The findings indicated that traditionally-processed milk (bulk) was the most common milk consumed at household level (62.5%). Mean of bulk milk consumption in urban and rural areas was 479±23 and 730±64 ml/wk per capita, respectively. It was also shown that establishment of the new food subsidization policy has decreased the mean of household milk consumption by approximately 3 l/wk in urban areas. Factor analysis detected a significant decrease in the higher tertiles of family size/ethnicity score consumption of both bulk and pasteurized milk, which resulted in decreased consumption of total milk. Conclusions: Designing and implementation of alternative approaches, such as targeted milk subsidies for poor households or vulnerable age-groups should be considered. Keywords: Household milk consumption, Milk processing method, Socio-economic variables, Iran