Investigation of the association between dietary fibre, protein and fat with Manganese content in food

Manganese deficiency may cause severe health disorders and is becoming prevalent in societies that are rapidly urbanising. Determining the Manganese contents and its relationship with the intake of protein, fibre and fats is important; which may allow people to select Manganese rich foods based on their major macronutrients. A cross-sectional study including detailed dietary assessment for two weeks, followed by proximate analysis of regularly consumed diets was conducted using 1200 adults from three different social segments as; lecturers/teachers (400), managerial employees in the private sector (400), and houses wives (400). Each social segment was assumed to elicit different lifestyles and different daily Manganese and Macronutrient intake levels. Most frequently consumed food items by them and their respective portion sizes were identified. Those were prepared using mostly practiced cooking methods and chemically analysed for proximate compositions of fat, protein, dietary fibre and Manganese contents. Regression and general liner models were used to estimate the association between protein, fibre and fat intake and Mn levels. The average daily protein, fibre and fat intakes were 53.51, 36.85 and 41.85 grams respectively. The average Manganese intake was 1.87 grams. There were significantly negative association between dietary Manganese levels and fat intake (ß=-0.041, p \u3c 0.00). Increased dietary fat intake was associated with low levels of Manganese (ß=-0.041, p \u3c 0.00) for all social segments. Higher protein (ß=0.019, p=0.01) or fibre intake (ß=0.013 p=0.002) reduced the risk of Manganese deficiency. Overall, dietary Manganese elicited a positive correlation with proteins and fibre in foods, but a negative correlation with dietary fat. © 2020 Asian Journal of Agriculture and Biology

Determination of glycaemic response of a novel cane sugar product incorporated with phyllanthus emblica and zingiber officinale extracts

© 2019, Malaysian Journal of Nutrition. Introduction: The use of natural plant extracts to reduce blood glucose response has been practised from ancient times, although their industrial applications are rare. For the convenience of typical cane sugar consumers, selected tropical plant extracts were incorporated with cane sugar to make a low glycaemic sugar product. Methods: This study compared the glycaemic responses of a commercially available product (Product 1) containing seven herbal extracts; fenugreek (Trigonella foenumgraecum), turmeric (Curcuma longa), black pepper (Piper nigrum), ginger (Zingiber officinale), cinnamon (Cinnamomum verum), gooseberry (Phyllanthus emblica) and pomegranate (Punica granatum) against a novel product (Product 2) that was made by incorporating only two plant extracts that were cheaper and readily available in the local market-gooseberry (Phyllanthus emblica) and ginger (Zingiber officinale). Extracts were incorporated with cane sugar to make a series of crystallised solid sugar products and the formulae with the best sensory attributes was selected (Product 2). The glycaemic indices of both products were determined by standardised methodology using 12 healthy volunteers in a randomised crossover study. Results: The mean glycaemic index (GI) value for sugar in Product 1 was 49±9 and in Product 2 was 38±9. Both results elicited significantly (p \u3c 0.05) lower GI values than normal cane sugar (GI=65). The novel cane sugar product (Product 2) was far more superior compared to the commercially available product (Product 1) in reducing blood glucose response. Conclusion: Incorporation of suitable herbal extracts to cane sugar and foods like rice and wheat flour may be a suitable option to reduce their glycaemic impact

Incorporating early pregnancy mental health screening and management into routine maternal care: experience from the Rajarata Pregnancy Cohort (RaPCo), Sri Lanka

Early identification of mental health problems in pregnancy in low-income and middle-income countries is scarcely reported. We present the experience of a programme assimilating screening and management of antenatal anxiety and depression in conjunction with the Rajarata Pregnancy Cohort, in Sri Lanka. We adopted a two-stage screening approach to identify the symptoms and the reasons for anxiety and depression. Pregnant women (n=3074), less than 13 weeks of period of gestation underwent screening with the Edinburgh Postnatal Depression Scale (EPDS). Scores were positive among 23% and 14% of women in the first and second trimesters, respectively. Clinical (telephone) interviews (n=78, response 56.9%) were held for women having high EPDS scores to screen for clinical depression using the ‘mental health GAP’ tool. Targeted interventions including counselling, financial and social support and health education were employed. The procedure was repeated in the second trimester with in-person clinical interviews and inquiry into intentional self-harm. Our findings indicated that (1) the majority of mental health problems in early pregnancy were anxiety related to early pregnancy-associated conditions manageable at the primary healthcare level, (2) coupling mental health screening using psychometric tools with clinical interviews facilitates targeted patient-centred care, (3) the majority of intentional self-harm during pregnancy is not in the routine health surveillance system and (4) promoting women to attend the psychiatry clinic in tertiary care hospital has been difficult. Following the experience, we propose a model for mental health service provision in routine pregnancy care programme starting from early pregnancy