Increasing fruit and vegetable intake on low-income population in Vietnam and Nigeria through food systems innovations - Nigeria Market Level Assessment Report

The project is coordinated by Wageningen University in collaboration with CGIAR Centers Bioversity International, the International Center for Tropical Agriculture (CIAT) and the International Food Policy Research Institute (IFPRI), the University of Ibadan, Hanoi Medical University, the National Institute of Nutrition (NIN, Vietnam), and RikoltoUsing retailer sample from two market (180 retailers) and two neighborhood (87 retailers) locations, this Market Level Assessment (MLA) reveals overlaps and parallels in retailer characteristics, business modules as well as returns on investment. The MLA was carried out across four fruit and vegetable groups peculiar to the Nigerian environment namely Dark Green Leafy Vegetables (DGLV), Vitamin A Rich Fruits (VARF), Other Fruits (OF) and Other vegetables (OV)

Evaluation of Goitrogenic Content of Common Vegetables in South West Nigeria

Endemic goiter and associated iodine deficiency disorders (IDD) are prevalent in south west Nigeria. The present study was undertaken to identify the role of dietary goitrogen in the etiology of endemic goiter. Perchlorate, fluoride, nitrate, bromide, chloride, phosphate and cyanide content of common vegetables viz., cabbage, African Eggplant, Giant pigweed, Scent leaf, Amaranth, Tree Spinach, Black nightshade, consumed by the population of the region were measured. All the dietary goitrogen content in the investigated vegetables were found to be within the Acceptable Daily Intake and this observation suggests that in addition to iodine deficiency dietary intake of a cyanogenic plant, the combination of chemicals may play some role for the persistence of endemic goiter in Southwest Nigeria

Effect of Cocoa Powder, Banana Pulp and Bambara Nut Inclusion on Nutritional and Sensory Acceptability of Yoghurt

This study was to investigate the effect of utilizing milk powder with addition of Cocoa powder, Banana pulp and Bambara nut extract for the production of functional yoghurt. The yoghurt samples were produced by 10% inclusion of each of the food item into reconstituted skimmed milk powder, inoculated with starter culture (streptococcus.thermophilus and Lactobacillus. Bulgaricus) and allowed to ferment for 9hr. The nutritional properties (Proximate, Brix, PH, Flavonoid, Vitamin C, antioxidant activity) and sensory characteristics (colour, taste, aroma and over all acceptability) were determined. Significant differences (p<0.05) existed among the nutritional and sensory properties of the yogurts. The results showed that the inclusion of used food items improves the Protein, Ash and Energy content of the products. The sample with Cocoa powder had the highest antioxidant activity (2.75mg/100g) which is significantly higher at (p<0.05) than Banana pulp (2.64mg/100), Bambara nut extract (2.44mg/10g) and control (2.25mg/100g) which was the least. The sample with Banana pulp inclusion has highest score (5.70) for taste and overall-acceptability (5.90) using 7-point score ranking and was the most preferred. The microbial load of all the samples were within the limits specified of acceptable counts, making the products safe for consumption as at the time the products were evaluated

The influence of the urban food environment on diet, nutrition and health outcomes in low-income and middle-income countries: A systematic review

Introduction: Diet and nutrition are leading causes of global morbidity and mortality. Our study aimed to identify and synthesise evidence on the association between food environment characteristics and diet, nutrition and health outcomes in low-income and middle-income countries (LMICs), relevant to urban settings, to support development and implementation of appropriate interventions.Methods: We conducted a comprehensive search of 9 databases from 1 January 2000 to 16 September 2020 with no language restrictions. We included original peer-reviewed observational studies, intervention studies or natural experiments conducted in at least one urban LMIC setting and reporting a quantitative association between a characteristic of the food environment and a diet, nutrition or health outcome. Study selection was done independently in duplicate. Data extraction and quality appraisal using the National Heart Lung and Blood Institute checklists were completed based on published reports using a prepiloted form on Covidence. Data were synthesised narratively.Results: 74 studies met eligibility criteria. Consistent evidence reported an association between availability characteristics in the neighbourhood food environment and dietary behaviour (14 studies, 10 rated as good quality), while the balance of evidence suggested an association with health or nutrition outcomes (17 of 24 relevant studies). We also found a balance of evidence that accessibility to food in the neighbourhood environment was associated with diet (10 of 11 studies) although evidence of an association with health outcomes was contradictory. Evidence on other neighbourhood food environment characteristics was sparse and mixed. Availability in the school food environment was also found to be associated with relevant outcomes. Studies investigating our other primary outcomes in observational studies of the school food environment were sparse, but most interventional studies were situated in schools. We found very little evidence on how workplace and home food environments are associated with relevant outcomes. This is a substantial evidence gap.Conclusion: \u27Zoning\u27 or \u27healthy food cart\u27 interventions to alter food availability may be appropriate in urban LMIC.Prospero registration number: CRD42020207475

Biological Control of Anthracnose Disease of Tomato Using Ethanolic Extracts of Azadirachta Indica and Nicotiana Tabacum

Tomato is a commercially important vegetable throughout the whole world and its availability all the year is grossly affected by anthracnose disease, hence, the need for an effective bio-control that is affordable and user friendly. This study therefore investigated the inhibitory effect of ethanol extracts of Azadirachta indica and Tabacum nicotianaon the mycelium growth of fungi associated with anthracnose disease of tomato. Tomatoes that showed black circular lesions with concentric ring and black spores were bought from Aleshinloye market in Ibadan; samples (3×3mm) from the sterilized margin of the lesion were inoculated on potato dextrose agar and observed for mycelium growth for five days. The obtained cultures were then sub cultured to obtain pure cultures which were introduced into healthy tomato fruits to confirm koch’s postulate. The in-vitro antifungal effects of ethanol extracts of Azadirachta indica and Nicotiana tabacum on isolated fungus causing anthracnose disease of tomato was investigated using agar dilution method. Based on cultural and microscopic characteristics of conidia, Colletotrichum coccodewas identified as organism causing anthracnose disease of tomato. The antifungal effect of the two ethanol plant extracts revealed that Azadirachta indica had the highest inhibitory effect of (45.00cm) at 100mg/ml and the least effect of (38.00cm) at 50mg/ml. Nicotiana tobacum equally had its highest inhibitory effect of (58.00cm) at 100mg/ml and lowest effect of (40.57cm) at 50mg/ml. This result also showed that Nicotiana tobacum had the highest inhibitory effect on Colletotrichum coccode than Azadirachta indica. Conclusively, the use of Tobacco and Neem plant extracts has antifungal activity against Colletotrichum which is responsible for Anthracnose disease of tomato. The plant could be a veritable and cheaper substitute for conventional drugs since the plant is easily obtainable and the extract can easily be made via a simple process of maceration or infusion

Effects of antibiotic resistance, drug target attainment, bacterial pathogenicity and virulence, and antibiotic access and affordability on outcomes in neonatal sepsis: an international microbiology and drug evaluation prospective substudy (BARNARDS)

Background Sepsis is a major contributor to neonatal mortality, particularly in low-income and middle-income countries (LMICs). WHO advocates ampicillin–gentamicin as first-line therapy for the management of neonatal sepsis. In the BARNARDS observational cohort study of neonatal sepsis and antimicrobial resistance in LMICs, common sepsis pathogens were characterised via whole genome sequencing (WGS) and antimicrobial resistance profiles. In this substudy of BARNARDS, we aimed to assess the use and efficacy of empirical antibiotic therapies commonly used in LMICs for neonatal sepsis. Methods In BARNARDS, consenting mother–neonates aged 0–60 days dyads were enrolled on delivery or neonatal presentation with suspected sepsis at 12 BARNARDS clinical sites in Bangladesh, Ethiopia, India, Pakistan, Nigeria, Rwanda, and South Africa. Stillborn babies were excluded from the study. Blood samples were collected from neonates presenting with clinical signs of sepsis, and WGS and minimum inhibitory concentrations for antibiotic treatment were determined for bacterial isolates from culture-confirmed sepsis. Neonatal outcome data were collected following enrolment until 60 days of life. Antibiotic usage and neonatal outcome data were assessed. Survival analyses were adjusted to take into account potential clinical confounding variables related to the birth and pathogen. Additionally, resistance profiles, pharmacokinetic–pharmacodynamic probability of target attainment, and frequency of resistance (ie, resistance defined by in-vitro growth of isolates when challenged by antibiotics) were assessed. Questionnaires on health structures and antibiotic costs evaluated accessibility and affordability. Findings Between Nov 12, 2015, and Feb 1, 2018, 36 285 neonates were enrolled into the main BARNARDS study, of whom 9874 had clinically diagnosed sepsis and 5749 had available antibiotic data. The four most commonly prescribed antibiotic combinations given to 4451 neonates (77·42%) of 5749 were ampicillin–gentamicin, ceftazidime–amikacin, piperacillin–tazobactam–amikacin, and amoxicillin clavulanate–amikacin. This dataset assessed 476 prescriptions for 442 neonates treated with one of these antibiotic combinations with WGS data (all BARNARDS countries were represented in this subset except India). Multiple pathogens were isolated, totalling 457 isolates. Reported mortality was lower for neonates treated with ceftazidime–amikacin than for neonates treated with ampicillin–gentamicin (hazard ratio [adjusted for clinical variables considered potential confounders to outcomes] 0·32, 95% CI 0·14–0·72; p=0·0060). Of 390 Gram-negative isolates, 379 (97·2%) were resistant to ampicillin and 274 (70·3%) were resistant to gentamicin. Susceptibility of Gram-negative isolates to at least one antibiotic in a treatment combination was noted in 111 (28·5%) to ampicillin–gentamicin; 286 (73·3%) to amoxicillin clavulanate–amikacin; 301 (77·2%) to ceftazidime–amikacin; and 312 (80·0%) to piperacillin–tazobactam–amikacin. A probability of target attainment of 80% or more was noted in 26 neonates (33·7% [SD 0·59]) of 78 with ampicillin–gentamicin; 15 (68·0% [3·84]) of 27 with amoxicillin clavulanate–amikacin; 93 (92·7% [0·24]) of 109 with ceftazidime–amikacin; and 70 (85·3% [0·47]) of 76 with piperacillin–tazobactam–amikacin. However, antibiotic and country effects could not be distinguished. Frequency of resistance was recorded most frequently with fosfomycin (in 78 isolates [68·4%] of 114), followed by colistin (55 isolates [57·3%] of 96), and gentamicin (62 isolates [53·0%] of 117). Sites in six of the seven countries (excluding South Africa) stated that the cost of antibiotics would influence treatment of neonatal sepsis

Erratum: Author Details

The list of authors of the manuscript titled: Plasma Malondialdehyde Level Correlates with Antioxidant Capacity after Acute Red Wine Consumption in Healthy Young Adults which was published in Volume 34 Number 2, 2013, pages 118-121 of the Nigerian Journal of Nutritional Sciences was not complete. The correct list of authors of this paper, as submitted and accepted for publication were Emokpae MA, Arogundade A and Adumanya SC.We regret the inadvertent omission of the affected author

Assessing the prevalence of undernutrition using the Composite Index of Anthropometric Failure (CIAF) among young children in a rural community in Oyo State, Nigeria

Objective: To assess the prevalence of undernutrition in young children using conventional indicators (wasting, stunting and underweight) and the relatively recent Composite Index of Anthropometric Failure (CIAF) .Methods: Anthropometric assessments (weight and length/height) were conducted on children (0–5 years) from 99 households in a rural community in Oyo State. Z-scores were calculated, and undernutrition defined as z-scores below minus two standard deviations from the median of the standard World Health Organization reference population.Results: The mean age of the children was 30.46 ± 16.40 months. There were 62 females (62.6%) and 37 males (37.4%). The data showed that (14)14.1% were wasted, (33)33.1% stunted and (23)23.2% underweight. The CIAF distinguished seven sub-groups of anthropometric status, namely, group A 'normal'-(52)52.5%, group B 'wasted only'- (12)12.1%, group C 'wasted and underweight' - 19(19.2%) and group D 'stunted, wasted and underweight' - 2(2.0%) . Others are group E 'stunted and underweight' - (5)5.1%, group F 'stunted only'- (7)7.1% and lastly, group Y 'underweight only'- (2)2.0%. The CIAF counted a total of (47)47.5% of children in groups B to Y who were in a state of 'Anthropometric Failure', thus revealing a higher prevalence of undernutrition than the conventional indicators.Conclusion: The CIAF identified children with multiple failures and provided a single aggregated figure of the number of affected children, thereby reflecting the overall magnitude of undernutrition in the study population. The CIAF could therefore serve as a useful complement to the conventional indicators for reporting prevalence of undernutrition.Keywords: Anthropometry, Composite Index of Anthropometric Failure, undernutritio

Nutrition-related cancer prevention knowledge of undergraduate students at the University of Ibadan, Nigeria

Objective: This study assessed the nutrition-related cancer prevention knowledge and dietary pattern of undergraduate students.Design: A cross-sectional study design was employed.Setting: The University of Ibadan campus, Ibadan, Oyo state, Nigeria.Participants: A systematic random sampling of 367 undergraduate students was done. Method: A pretested self-administered questionnaire assessed the nutrition-related cancer prevention knowledge of the participants based on WCRF/AICR guidelines. A food frequency questionnaire was used to evaluate the dietary pattern. Weight, height, waist and hip circumferences, body mass index and waist:hip ratio were measured and computed based on standard procedures.Results: Less than half (49%) had good nutrition-related knowledge of cancer prevention. About 30.0–40.0% frequently consumed legumes/nuts, vegetables and fruits respectively. About 75.0% frequently consumed processed cereals and grains (white rice, white bread and noodles). Above 20.0% were overweight, while 3.8% were obese. Less than 75.0% had low risk of abdominal obesity while 25.5% had high risk of abdominal obesity. Nutrition knowledge of cancer prevention was associated with the frequency of consumption of processed cereals and grains (χ2 = 13.724; p= 0.000), legumes/nuts (χ2 = 17.268; p = 0.000), meat (χ2= 22.972; p = 0.000), fish χ2 = 23.017; p = 0.000), pastry snacks (χ2 = 36.159; p = 0.000) and sugary drinks (χ2= 6.432; p = 0.011). There was no significant difference in knowledge of cancer prevention and the frequency of consumption of roots and tubers, milk, vegetables, and fruits. A higher risk of abdominal obesity was associated with infrequent consumption of legumes/ nuts (χ2= 7.001, p = 0.008) in the males, and with vegetables (χ2= 6.771, p = 0.009) and fruits (χ2= 4.205, p = 0.040) intakes in the females.Conclusion: Nutrition-related knowledge of cancer prevention was low, and the respondents also had a poor dietary pattern. The high risk of abdominal obesity may be a pointer to the larger young adult population, emphasising a need for targeted intervention.Keywords: adolescents and young adult health, cancer prevention, nutrition knowledg