Dietary and nutritional approaches for prevention and management of type 2 diabetes.

Common ground on dietary approaches for the prevention, management, and potential remission of type 2 diabetes can be found, argue Nita G Forouhi and colleagues Dietary factors are of paramount importance in the management and prevention of type 2 diabetes. Despite progress in formulating evidence based dietary guidance, controversy and confusion remain. In this article, we examine the evidence for areas of consensus as well as ongoing uncertainty or controversy about dietary guidelines for type 2 diabetes. What is the best dietary approach? Is it possible to achieve remission of type 2 diabetes with lifestyle behaviour changes or is it inevitably a condition causing progressive health decline? We also examine the influence of nutrition transition and population specific factors in the global context and discuss future directions for effective dietary and nutritional approaches to manage type 2 diabetes and their implementation.NGF receives funding from the Medical Research Council Epidemiology Unit (MC_UU_12015/5)

Hydrogeochemical studies of ground waters in Neyveli basin along the Cuddalore coast, SE coast of India

A detailed study had been carried out on groundwater in Neyveli basin along the Cuddalore coast to establish the hydrogeochemistry and identify the various sources of contaminants as well assess the physical and chemical quality of the groundwater. The groundwater was found to vary considerably in terms of chemical and physical properties. Generally the water was alkaline, high chemical constituents near the coastal region and undersaturated with respect to carbonate minerals. The majority of groundwater clustered towards Mg-Cl, Ca-Cl and Na-Cl facies. Interpretation of data reveals that weathering and ion exchange through which major ions enter the groundwater system. Anthropogenic activities were found to have greatly impacted negatively on the quality of the groundwater

Hydrogeochemical Assessment of Groundwater in Neyveli Basin, Cuddalore District, South India

In the light of progressive depletion of groundwater reservoir and water quality deterioration of the Neyveli basin, an investigation on dissolved major constituents in 25 groundwater samples was performed. The main objective was detection of processes for the geochemical assessment throughout the area. Neyveli aquifer is intensively inhabited during the last decenniums, leading to expansion of the residential and agricultural area. Besides semi-aridity, rapid social and economic development stimulates greater demand for water, which is gradually fulfilled by groundwater extraction. Groundwaters of the study area are characterized by the dominance of Na + K over Ca + Mg.HCO3 was found to be the dominant anion followed by Cl and SO4. High positive correlation was obtained among the following ions: Ca–Mg, Cl–Ca,Mg, Na–K, HCO3–H4SiO4, and F–K. The hydrochemical types in the area can be divided into two major groups: the first group includes mixed Ca–Mg–Cl and Ca–Cl types. The second group comprises mixed Ca–Na–HCO3 and Ca–HCO3 types. Most of the groundwater samples are within the permissible limit of WHO standard. Interpretation of data suggests that weathering, ion exchange reactions, and evaporation to some extent are the dominant factors that determine the major ionic composition in the study area

A study on the hydrogeology and hydrogeochemistry of groundwater from different depths in a coastal aquifer: Annamalai Nagar, Tamilnadu, India

Chemical characterization of groundwater is essential to bring out its nature and utility. Samples from shallow and deep ground water of the same location were collected and studied for their geochemical characteristics following standard procedures (APHA 1998). Sediment samples from different depths were collected and analysed for minerals using FTIR and SEM. Resisitivity logging was carried out in the bore well to understand the variations in depth to fresh water potential. The shallow ground water is dominated by Na-Cl-HCO3-SO4 and deeper groundwater by Na-HCO3-SO4-Cl types. It is observed that there is a significant ionic variation with depth. The ionic strength of the deeper samples is lesser than in the shallower samples. Wide pH variations in the shallow water samples are due to ion exchange process. Thermodynamic stability plot was used to identify the state of stability. It is inferred that there is no major significant difference in the thermodynamic state of stability in the shallow and the deeper aquifers as the aquifer matrix for the shallow and deeper aquifers are almost similar. Saturation index of Gibbsite, Kaolinite, Calcite, Dolomite and Anhydrite, were studied for shallow and deep aquifers, to identify the difference in hydrochemical signatures. The Si/Al ratios of shallow samples are less when compared with the deeper samples. Leaching of secondary salts was the chief mechanism controlling the ground water chemistry of the region

Allergy to conventional and monocomponent insulins

While allergy to conventional insulin is quite common, that to M. C. Insulin is comparatively rare. We report here a series of cases of allergy' to conventinal insulin and M.C. Insulin. The clinical features, the details of the allergy tests and management of insulin allergy are presented. In general, the allergy was most common with conventional insulins and less common with M.C. Insulin and least common with Human Insulin

Interaction between FTO gene variants and lifestyle factors on metabolic traits in an Asian Indian population

Background Lifestyle factors such as diet and physical activity have been shown to modify the association between fat mass and obesity–associated (FTO) gene variants and metabolic traits in several populations; however, there are no gene-lifestyle interaction studies, to date, among Asian Indians living in India. In this study, we examined whether dietary factors and physical activity modified the association between two FTO single nucleotide polymorphisms (rs8050136 and rs11076023) (SNPs) and obesity traits and type 2 diabetes (T2D). Methods The study included 734 unrelated T2D and 884 normal glucose-tolerant (NGT) participants randomly selected from the urban component of the Chennai Urban Rural Epidemiology Study (CURES). Dietary intakes were assessed using a validated interviewer administered semi-quantitative food frequency questionnaire (FFQ). Physical activity was based upon the self-report. Interaction analyses were performed by including the interaction terms in the linear/logistic regression model. Results There was a significant interaction between SNP rs8050136 and carbohydrate intake (% energy) (Pinteraction = 0.04), where the ‘A’ allele carriers had 2.46 times increased risk of obesity than those with ‘CC’ genotype (P = 3.0 × 10−5) among individuals in the highest tertile of carbohydrate intake (% energy, 71 %). A significant interaction was also observed between SNP rs11076023 and dietary fibre intake (Pinteraction = 0.0008), where individuals with AA genotype who are in the 3rd tertile of dietary fibre intake had 1.62 cm lower waist circumference than those with ‘T’ allele carriers (P = 0.02). Furthermore, among those who were physically inactive, the ‘A’ allele carriers of the SNP rs8050136 had 1.89 times increased risk of obesity than those with ‘CC’ genotype (P = 4.0 × 10−5). Conclusions This is the first study to provide evidence for a gene-diet and gene-physical activity interaction on obesity and T2D in an Asian Indian population. Our findings suggest that the association between FTO SNPs and obesity might be influenced by carbohydrate and dietary fibre intake and physical inactivity. Further understanding of how FTO gene influences obesity and T2D through dietary and exercise interventions is warranted to advance the development of behavioral intervention and personalised lifestyle strategies, which could reduce the risk of metabolic diseases in this Asian Indian population

Study of evaluation of groundwater in Gadilam basin using hydrogeochemical and isotope data

Gadilam river basin has gained its importance due to the presence of Neyveli Lignite open cast mines and other industrial complexes. It is also due to extensive depressurization of Cuddalore aquifer, and bore wells for New Veeranam Scheme are constructed downstream of the basin. Geochemical indicators of groundwater were used to identify the chemical processes that control hydrogeochemistry. Chemical parameters of groundwater such as pH, electrical conductivity, total dissolved solids, sodium (Na+), potassium (K+), calcium (Ca+), magnesium (Mg+), bicarbonate (HCO-3 ), sulfate (SO-4 ),phosphate (PO-4 ), and silica (H4SiO4) were determined. Interpretation of hydrogeochemical data suggests that leaching of ions followed by weathering and anthropogenic impact controls the chemistry of the groundwater. Isotopic study reveals that recharge from meteoric source in sedimentary terrain and rock-water interaction with significant evaporation prevails in hard rock region

Coronin 1B Regulates S1P-Induced Human Lung Endothelial Cell Chemotaxis: Role of PLD2, Protein Kinase C and Rac1 Signal Transduction

Coronins are a highly conserved family of actin binding proteins that regulate actin-dependent processes such as cell motility and endocytosis. We found that treatment of human pulmonary artery endothelial cells (HPAECs) with the bioactive lipid, sphingosine-1-phosphate (S1P) rapidly stimulates coronin 1B translocation to lamellipodia at the cell leading edge, which is required for S1P-induced chemotaxis. Further, S1P-induced chemotaxis of HPAECs was attenuated by pretreatment with small interfering RNA (siRNA) targeting coronin 1B (∼36%), PLD2 (∼45%) or Rac1 (∼50%) compared to scrambled siRNA controls. Down regulation PLD2 expression by siRNA also attenuated S1P-induced coronin 1B translocation to the leading edge of the cell periphery while PLD1 silencing had no effect. Also, S1P-induced coronin 1B redistribution to cell periphery and chemotaxis was attenuated by inhibition of Rac1 and over-expression of dominant negative PKC δ, ε and ζ isoforms in HPAECs. These results demonstrate that S1P activation of PLD2, PKC and Rac1 is part of the signaling cascade that regulates coronin 1B translocation to the cell periphery and the ensuing cell chemotaxis

Methods and participant characteristics in the Cancer Risk in Vegetarians Consortium: a cross-sectional analysis across 11 prospective studies

Background: The associations of vegetarian diets with risks for site-specific cancers have not been estimated reliably due to the low number of vegetarians in previous studies. Therefore, the Cancer Risk in Vegetarians Consortium was established. The aim is to describe and compare the baseline characteristics between non-vegetarian and vegetarian diet groups and between the collaborating studies. Methods: We harmonised individual-level data from 11 prospective cohort studies from Western Europe, North America, South Asia and East Asia. Comparisons of food intakes, sociodemographic and lifestyle factors were made between diet groups and between cohorts using descriptive statistics. Results: 2.3 million participants were included; 66% women and 34% men, with mean ages at recruitment of 57 (SD: 7.8) and 57 (8.6) years, respectively. There were 2.1 million meat eaters, 60,903 poultry eaters, 44,780 pescatarians, 81,165 vegetarians, and 14,167 vegans. Food intake differences between the diet groups varied across the cohorts; for example, fruit and vegetable intakes were generally higher in vegetarians than in meat eaters in all the cohorts except in China. BMI was generally lower in vegetarians, particularly vegans, except for the cohorts in India and China. In general, but with some exceptions, vegetarians were also more likely to be highly educated and physically active and less likely to smoke. In the available resurveys, stability of diet groups was high in all the cohorts except in China. Conclusions: Food intakes and lifestyle factors of both non-vegetarians and vegetarians varied markedly across the individual cohorts, which may be due to differences in both culture and socioeconomic status, as well as differences in questionnaire design. Therefore, care is needed in the interpretation of the impacts of vegetarian diets on cancer risk