BMJ Nutrition, Prevention and Health最新文献

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Comparison of the effect of medium-chain fatty acids and long-chain fatty acids on postprandial appetite and lipemia: a randomised crossover trial. 中链脂肪酸和长链脂肪酸对餐后食欲和血脂影响的比较:一项随机交叉试验
IF 3.3
BMJ Nutrition, Prevention and Health Pub Date : 2024-12-11 eCollection Date: 2024-01-01 DOI: 10.1136/bmjnph-2024-001029
Ruaa Jadallah, Shatha S Hammad
{"title":"Comparison of the effect of medium-chain fatty acids and long-chain fatty acids on postprandial appetite and lipemia: a randomised crossover trial.","authors":"Ruaa Jadallah, Shatha S Hammad","doi":"10.1136/bmjnph-2024-001029","DOIUrl":"https://doi.org/10.1136/bmjnph-2024-001029","url":null,"abstract":"<p><strong>Background: </strong>Postprandial lipemia (PPL) has been recognised as a cardiovascular disease risk factor. Appetite and PPL can be influenced by the length of saturated fatty acids (FAs). Thus, this study aims to investigate if different FA chain lengths have different impacts on appetite and PPL in healthy volunteers.</p><p><strong>Methods: </strong>This is a randomised crossover single-blinded intervention study of 20 healthy adults. Coconut oil and palm oil were consumed in the form of biscuits. Blood serum samples were withdrawn after an overnight fast and 1, 2, 4 and 6 hours after eating the test meals and examined for blood lipid profile (total cholesterol (TC), high-density lipoprotein (HDL) and triglycerides (TG)), while Friedewald's equation was used to calculate low-density lipoprotein (LDL). Visual analogue scales were used by participants to rate their appetites, and an ad libitum meal was weighed to determine the energy intake.</p><p><strong>Results: </strong>The net area under the curve of TG and TC following the coconut oil were significantly lower than following the palm oil (<i>P</i> value ≤0.05). In the mean of the change in TC, LDL and HDL from the baseline, a significant difference was found after 6 hours of eating the biscuits (<i>P</i> value ≤0.05). The perceptions of hunger and fullness did not significantly differ between the two types of FAs. Also, the energy and macronutrient intakes were not significantly different after the two types of oil, neither at the ad libitum meal nor on the day following the treatments.</p><p><strong>Conclusion: </strong>The selection of FA chain length may influence PPL, and thus cardiovascular disease risk in a way that is functionally significant. However, this study detected no influence of FA chain length on appetite up to 40 hours post-treatment.</p><p><strong>Trial registration number: </strong>NCT05539742.</p>","PeriodicalId":36307,"journal":{"name":"BMJ Nutrition, Prevention and Health","volume":"7 2","pages":"e001029"},"PeriodicalIF":3.3,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comprehensive clarification of statistical and data concerns on the effects of apple cider vinegar on weight loss. 全面澄清苹果醋对减肥影响的统计和数据问题。
IF 2.5
BMJ Nutrition, Prevention and Health Pub Date : 2024-12-10 eCollection Date: 2024-01-01 DOI: 10.1136/bmjnph-2024-001102
Rony Abou-Khalil, Elissar El-Hayek
{"title":"Comprehensive clarification of statistical and data concerns on the effects of apple cider vinegar on weight loss.","authors":"Rony Abou-Khalil, Elissar El-Hayek","doi":"10.1136/bmjnph-2024-001102","DOIUrl":"10.1136/bmjnph-2024-001102","url":null,"abstract":"","PeriodicalId":36307,"journal":{"name":"BMJ Nutrition, Prevention and Health","volume":"7 2","pages":"e001102"},"PeriodicalIF":2.5,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health policy to address disease-related malnutrition: a scoping review. 解决与疾病有关的营养不良的卫生政策:范围审查。
IF 3.3
BMJ Nutrition, Prevention and Health Pub Date : 2024-12-08 eCollection Date: 2024-01-01 DOI: 10.1136/bmjnph-2024-000975
Katherine L Ford, Carlota Basualdo-Hammond, Roseann Nasser, Melita Avdagovska, Heather Keller, Ainsley Malone, Judy D Bauer, M Isabel T D Correia, Diana Cardenas, Leah Gramlich
{"title":"Health policy to address disease-related malnutrition: a scoping review.","authors":"Katherine L Ford, Carlota Basualdo-Hammond, Roseann Nasser, Melita Avdagovska, Heather Keller, Ainsley Malone, Judy D Bauer, M Isabel T D Correia, Diana Cardenas, Leah Gramlich","doi":"10.1136/bmjnph-2024-000975","DOIUrl":"https://doi.org/10.1136/bmjnph-2024-000975","url":null,"abstract":"<p><strong>Abstract: </strong></p><p><strong>Background: </strong>Health policies promote optimal care, yet policies that address disease-related malnutrition (DRM) are lacking. The purpose of this study was to conduct a scoping review to identify literature on existing and planned policy to address DRM in children or adults and explore the settings, contexts and actors of DRM policy.</p><p><strong>Methods: </strong>A search strategy comprising DRM and policy keywords was applied to eight databases on 24 February 2023. Articles that addressed DRM and policy were selected for inclusion after two independent reviews. The health policy triangle (HPT) framework (ie, actors, content, contexts and processes considerations for policy) guided data extraction and thematic analysis.</p><p><strong>Results: </strong>A total of 67 articles were included out of the 37 196 identified. Some articles (n=14) explored established policies at the local level related to food and mealtime, nutrition care practices, oral nutritional supplement prescribing or reimbursement. Other articles gave direction or rationale for DRM policy. As part of the HPT, actors included researchers, advocacy groups and DRM champions while content pertained to standard processes for nutrition care such as screening, assessment, intervention and monitoring. Contexts included acute care and care home settings with a focus on paediatrics, adults, older adults. Processes identified were varied and influenced by the type of policy (eg, local, national, international) and its goal (eg, advocating, developing, implementing).</p><p><strong>Discussion: </strong>There is a paucity of global DRM policy. Nutrition screening, assessment, intervention and monitoring are consistently identified as important to DRM policy. Decision makers are important actors and should consider context, content and processes to develop and mobilise DRM policy to improve nutrition care. Future efforts need to prioritise the development and implementation of policies addressing DRM.</p>","PeriodicalId":36307,"journal":{"name":"BMJ Nutrition, Prevention and Health","volume":"7 2","pages":"e000975"},"PeriodicalIF":3.3,"publicationDate":"2024-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations of neighbourhood food retail with disability and death in older adults: Cardiovascular Health Study. 社区食品零售与老年人残疾和死亡的关系:心血管健康研究。
IF 3.3
BMJ Nutrition, Prevention and Health Pub Date : 2024-12-08 eCollection Date: 2024-01-01 DOI: 10.1136/bmjnph-2023-000646
Roma Bhatia, Mark A Hernandez, Jonathan Platt, Anne B Newman, David S Siscovick, Kenneth J Mukamal, Gina S Lovasi
{"title":"Associations of neighbourhood food retail with disability and death in older adults: Cardiovascular Health Study.","authors":"Roma Bhatia, Mark A Hernandez, Jonathan Platt, Anne B Newman, David S Siscovick, Kenneth J Mukamal, Gina S Lovasi","doi":"10.1136/bmjnph-2023-000646","DOIUrl":"10.1136/bmjnph-2023-000646","url":null,"abstract":"<p><strong>Background: </strong>A healthier diet is associated with lower chronic disease burden, but the impact of neighbourhood food environments on disability and death in older adults is not known.</p><p><strong>Methods: </strong>In the Cardiovascular Health Study, a cohort study of adults aged 65+, we calculated study years until death (years of life (YOL)), study years without activities of daily living (ADL) difficulty (years of able life; YoAL) and percent of study years without ADL difficulty (compression of disability). Linear regression quantified associations of food establishments within 5 km of baseline home address (as a z-score) with each outcome, adjusted for sociodemographic characteristics. Sensitivity analyses considered adjustment for risk factors and comorbidities, multiple imputation, alternate neighbourhood definitions (1-km radial buffer, census tract) and restriction on residential stability.</p><p><strong>Results: </strong>We included 4298 participants followed for up to 26 years. All food retail establishments were associated with 6 months higher YoAL per SD in the main model (beta, 0.50 years; 95% CI 0.01, 0.98; p=0.046), with similar findings across sensitivity analyses except when restricting on residential stability. Supermarkets and produce markets were associated with compression of disability (beta, 2.31; 95% CI, 0.04, 4.57) and when using 1-km buffers with YOL (beta, 0.23 years; 95% CI 0.03, 0.43) and YoAL (beta, 0.21 years; 95% CI 0.01, 0.41). Non-supermarket food stores were associated with YoAL (beta, 0.67 years; 95% CI, 0.07, 1.27) and compression of disability (beta, 3.03; 95% CI 0.44, 5.62), but significance was not consistent across sensitivity analyses. Fast-food restaurants did not reach statistical significance in any model.</p><p><strong>Conclusion: </strong>All food retail was associated with YOL without impairment. Neighbourhood food retail access and type may both have roles in extending YOL and years of able life among older adults, but the findings were sensitive to decisions made during measurement and modelling.</p>","PeriodicalId":36307,"journal":{"name":"BMJ Nutrition, Prevention and Health","volume":"7 2","pages":"e000646"},"PeriodicalIF":3.3,"publicationDate":"2024-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Metabolomics-based treatment for chronic diseases: results from a multidisciplinary clinical study. 基于代谢组学的慢性疾病治疗:来自多学科临床研究的结果
IF 3.3
BMJ Nutrition, Prevention and Health Pub Date : 2024-12-07 eCollection Date: 2024-01-01 DOI: 10.1136/bmjnph-2024-000883
Dimitris Tsoukalas, Evangelia Sarandi, Vassilleios Fragoulakis, Symeon Xenidis, Maria Mhliopoulou, Maria Charta, Efstathia Paramera, Evangelos Papakonstantinou, Aristidis Tsatsakis
{"title":"Metabolomics-based treatment for chronic diseases: results from a multidisciplinary clinical study.","authors":"Dimitris Tsoukalas, Evangelia Sarandi, Vassilleios Fragoulakis, Symeon Xenidis, Maria Mhliopoulou, Maria Charta, Efstathia Paramera, Evangelos Papakonstantinou, Aristidis Tsatsakis","doi":"10.1136/bmjnph-2024-000883","DOIUrl":"https://doi.org/10.1136/bmjnph-2024-000883","url":null,"abstract":"<p><strong>Background: </strong>Non-communicable diseases (NCDs), known as chronic diseases, significantly impact patients' quality of life (QoL) and increase medical expenses. The majority of risk factors are modifiable, and metabolomics has been suggested as a promising strategy for their evaluation, though real-world data are scarce. This study evaluated the QoL improvement and cost-effectiveness of a metabolomics-based treatment for NCDs, aiming to restore metabolic dysfunctions and nutritional deficiencies.</p><p><strong>Methods: </strong>We performed a pre-post intervention analysis using clinical, metabolomics, QoL and economic data obtained from the electronic health records of 765 patients visiting a private practice. The intervention consisted of personalised treatment to restore metabolic dysfunctions and nutritional deficiencies identified by metabolomics alongside the standard treatment for their condition. The mean intervention duration was 401 days.</p><p><strong>Results: </strong>Significant improvement was identified in energy levels, sleep quality, gastrointestinal function and physical activity (p<0.001). 67.9% of participants reported significant improvement in the overall QoL, and the average quality-adjusted life-years (QALYs) increased by 0.064 (95% uncertainty interval 0.050 to 0.078) post-treatment. The incremental cost-effectiveness ratio was estimated at €49.774/QALY (95% CI €40.110 to €61.433). Metabolic profiling demonstrated that 16/35 organic acids and 11/24 total fatty acids were significantly changed post-treatment (p<0.001), participating in key pathways such as energy metabolism, microbiome and neurotransmitter turnover. Vitamin D and 5-methyltetrahydrofolate insufficiency was significantly restored (p=0.036).</p><p><strong>Conclusion: </strong>This is the first study providing evidence that the integration of metabolomics in clinical practice can have a clinical benefit for patients' QoL and may be a cost-effective method.</p>","PeriodicalId":36307,"journal":{"name":"BMJ Nutrition, Prevention and Health","volume":"7 2","pages":"e000883"},"PeriodicalIF":3.3,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trends and socioeconomic inequalities in receiving vitamin A supplementation among children aged 6-59 months in Bangladesh: analysis of nationwide cross-sectional data from 2004 to 2017. 孟加拉国6-59个月儿童补充维生素A的趋势和社会经济不平等:2004年至2017年全国横截面数据分析
IF 3.3
BMJ Nutrition, Prevention and Health Pub Date : 2024-11-27 eCollection Date: 2024-01-01 DOI: 10.1136/bmjnph-2024-000944
Syed Sharaf Ahmed Chowdhury, Satyajit Kundu, Ishrat Jahan, Rakhi Dey, Azaz Bin Sharif, Ahmed Hossain
{"title":"Trends and socioeconomic inequalities in receiving vitamin A supplementation among children aged 6-59 months in Bangladesh: analysis of nationwide cross-sectional data from 2004 to 2017.","authors":"Syed Sharaf Ahmed Chowdhury, Satyajit Kundu, Ishrat Jahan, Rakhi Dey, Azaz Bin Sharif, Ahmed Hossain","doi":"10.1136/bmjnph-2024-000944","DOIUrl":"https://doi.org/10.1136/bmjnph-2024-000944","url":null,"abstract":"<p><strong>Introduction: </strong>The coverage of vitamin A supplementation (VAS) is still short of the target set by the government to reach 90% coverage of VAS in Bangladesh. The present study aims to examine the socioeconomic and geographical inequalities in receiving VAS among children aged 6-59 months in Bangladesh from 2004 to 2017.</p><p><strong>Methods: </strong>The Bangladesh Demographic and Health Surveys for the years 2004-2017 were accessed through the WHO's Health Equity Assessment Toolkit. Inequalities were explored from socioeconomic and geographical perspectives. Specifically, it considered wealth quintile and education as socioeconomic dimensions and place of residence as geographical dimensions. We calculated difference, population attributable fraction (PAF), population attributable risk (PAR) and ratio as summary measures and their associated 95% CIs to quantify and assess the extent of health disparities.</p><p><strong>Results: </strong>The study revealed a fluctuating trend over the years in the prevalence of receiving VAS among children in Bangladesh. The prevalence shifted from 78.68% in 2004 to a low of 62.09% in 2011, subsequently increasing to 79.29% in 2017. The PAF in 2017 for the variable wealth was 4.61 (95% CI 2.38 to 6.85), highlighting the extent of the disparity that favoured wealthier individuals. The study also detected inequalities based on educational levels; in 2017, the difference measure of inequality was 9.24 (95% CI 3.69 to 14.79), indicating a notable advantage for children from the higher educated group. Children from urban areas were also observed to have a higher likelihood of receiving VAS compared with their rural counterparts.</p><p><strong>Conclusion: </strong>This study identified a persistent regional inequality in receiving VAS in Bangladesh over time. These inequalities remained a concern, especially for children from poor wealth groups, low-educated families and rural regions. This understanding will inform the development of a comprehensive programme aimed at increasing the prevalence of VAS among all children in Bangladesh.</p>","PeriodicalId":36307,"journal":{"name":"BMJ Nutrition, Prevention and Health","volume":"7 2","pages":"e000944"},"PeriodicalIF":3.3,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Knowledge, attitude and practices of ayurvedic medicine practitioners in Kerala towards millets and millet-based diet: a prospective cross-sectional online survey study. 喀拉拉邦阿育吠陀医生对小米和以小米为基础的饮食的知识、态度和实践:一项前瞻性横断面在线调查研究。
IF 3.3
BMJ Nutrition, Prevention and Health Pub Date : 2024-11-27 eCollection Date: 2024-01-01 DOI: 10.1136/bmjnph-2024-000960
Saniya Chettiyam Kandy, Richa Singhal, Krishna Kumar V, Babita Yadav, Sophia Jameela, Sudhakar Deverakonda, Bhogavalli Chandra Sekhar Rao, Rakesh Kumar Rana, Narayanam Sreekanth, Rabinarayan Acharya
{"title":"Knowledge, attitude and practices of ayurvedic medicine practitioners in Kerala towards millets and millet-based diet: a prospective cross-sectional online survey study.","authors":"Saniya Chettiyam Kandy, Richa Singhal, Krishna Kumar V, Babita Yadav, Sophia Jameela, Sudhakar Deverakonda, Bhogavalli Chandra Sekhar Rao, Rakesh Kumar Rana, Narayanam Sreekanth, Rabinarayan Acharya","doi":"10.1136/bmjnph-2024-000960","DOIUrl":"https://doi.org/10.1136/bmjnph-2024-000960","url":null,"abstract":"<p><strong>Introduction: </strong>Diet and lifestyle play pivotal roles in Ayurveda's preventive and therapeutic principles. The rich culinary heritage of Kerala harmoniously aligns with Ayurvedic dietetic principles. With the recent designation of 2023 as the International Year of Millets, there has been a surge of interest in integrating millets into dietary practices worldwide. Ayurveda physicians are poised to offer nutritional guidance to endorse health.</p><p><strong>Methods: </strong>A cross-sectional online survey was conducted from 26 July to 9 August 2023 among Ayurveda practitioners in Kerala. The survey used a semi-structured questionnaire finalised through the face and content validity, comprising eight items each for knowledge, attitudes and practices (KAP) domains. A target sample size of 422 participants was determined through convenience sampling methodology. Spearman's rank correlation test was used to examine the correlations between KAP while binary logistic regression analyses were employed to identify determinants associated with favourable levels of KAP among participants.</p><p><strong>Results: </strong>A total of 386 complete responses were used for analysis. The average scores for KAP items were 5.21, 6.36 and 5.34, respectively, (range 0-8). It was found that better Knowledge scores were associated with more favourable Attitudes towards the prescription of millet-based diet (MBD) (adjusted Odd's Ratio (AOR): 3.04) and even more positive responses towards Practice (AOR: 8.59).</p><p><strong>Conclusion: </strong>The knowledge of Ayurveda practitioners in Kerala regarding the use of MBD is satisfactory. There is a significant relationship between Knowledge and Attitude as well as Practice. This study has underscored the importance of education and awareness in shaping favourable attitudes and practices related to MBD, aligning with Ayurvedic principles. Despite practitioners demonstrating good KAP behaviour towards MBD, gaps persist in certain aspects of contemporary knowledge and limitations in translating knowledge into practice. Addressing these gaps and barriers is essential to promote the widespread adoption and prescription of MBD.</p>","PeriodicalId":36307,"journal":{"name":"BMJ Nutrition, Prevention and Health","volume":"7 2","pages":"e000960"},"PeriodicalIF":3.3,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors influencing the implementation of food fortification regulation among small and medium-scale corn millers in Dar es Salaam Tanzania: a qualitative study. 影响坦桑尼亚达累斯萨拉姆中小型玉米加工企业实施食品强化法规的因素:一项定性研究。
IF 3.3
BMJ Nutrition, Prevention and Health Pub Date : 2024-11-24 eCollection Date: 2024-01-01 DOI: 10.1136/bmjnph-2024-000940
Dorice C Lema, Gladys Reuben Mahiti, Bruno F Sunguya
{"title":"Factors influencing the implementation of food fortification regulation among small and medium-scale corn millers in Dar es Salaam Tanzania: a qualitative study.","authors":"Dorice C Lema, Gladys Reuben Mahiti, Bruno F Sunguya","doi":"10.1136/bmjnph-2024-000940","DOIUrl":"https://doi.org/10.1136/bmjnph-2024-000940","url":null,"abstract":"<p><strong>Objective: </strong>The study aimed to explore factors influencing the implementation of food fortification regulation among corn millers in Dar es Salaam Tanzania.</p><p><strong>Methods: </strong>This phenomenological qualitative study was conducted in Dar es Salaam, Tanzania among purposely interviewed corn millers. In-depth interviews conducted with nine corn millers were analysed using thematic analysis with the aid of N-Vivo software version 12.</p><p><strong>Results: </strong>The implementation of food fortification regulation among corn millers is influenced by access to knowledge and the right information, lack of consumers' awareness, zero costs for the fortification of corn flour, and lack of punitive measures for non-compliance to the regulation.</p><p><strong>Conclusion and recommendations: </strong>Laxity in implementing food fortification as an important population-wide approach in addressing micronutrient deficiency is evident in Tanzania. This is triggered by non-punitive measures for non-compliance of the regulation among micro, small and medium-scale corn millers. Strengthening efforts to identify and implement measures against non-compliers, demand creation for fortified products through educational and advocacy interventions, and supportive supervision can help reach more than 90% of the population with fortified corn flour in Tanzania.</p>","PeriodicalId":36307,"journal":{"name":"BMJ Nutrition, Prevention and Health","volume":"7 2","pages":"e000940"},"PeriodicalIF":3.3,"publicationDate":"2024-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Malnutrition and associated risk factors in orphanages in Punjab, Pakistan: an analytical study. 巴基斯坦旁遮普孤儿院的营养不良及相关风险因素:一项分析研究。
IF 3.3
BMJ Nutrition, Prevention and Health Pub Date : 2024-11-21 eCollection Date: 2024-01-01 DOI: 10.1136/bmjnph-2024-000974
Muhammad Farhan Farid, Alfur Rehman, Ahmad Mujtaba Khaliq, Naveed Ali, Ahmad Hussen Tareq
{"title":"Malnutrition and associated risk factors in orphanages in Punjab, Pakistan: an analytical study.","authors":"Muhammad Farhan Farid, Alfur Rehman, Ahmad Mujtaba Khaliq, Naveed Ali, Ahmad Hussen Tareq","doi":"10.1136/bmjnph-2024-000974","DOIUrl":"https://doi.org/10.1136/bmjnph-2024-000974","url":null,"abstract":"<p><strong>Background: </strong>Children living in orphanages face an increased susceptibility to malnutrition due to inadequate nutrition and psychological factors, in comparison to children who stay with their parents. A considerable proportion of institutionalised children remain unreported, and there is a dearth of information regarding the nutritional status of these children in Pakistan. This study set out to evaluate the status of malnutrition in the orphanages of Social Welfare Department Punjab.</p><p><strong>Methodology: </strong>A multicentre analytical cross-sectional study was conducted from 12 December 2021 to 30 June 2022, with 255 study participants (aged 6-18 years) in seven orphanages (4 girls, 3 boys) out of 12 orphanages of government of Punjab. Anthropometric measurements were taken using standardised measuring instruments, and data were collected using structured questionnaire. Subjects were classed as malnourished based on body mass index for age and height for age reference growth charts of WHO 2007. Binary logistic regression was used to identify potential risk factors of malnutrition in orphanages.</p><p><strong>Results: </strong>The study identified 36.1% malnourished children, of whom, 65.2% were orphans and 34% destitute children. The study reported 9.4% moderately underweight, 2.4% severely underweight, 4.3% overweight and 1.2% obese children and adolescents. The study established 17.6% moderately stunted, and 7.1% severely stunted children. Age at admission to orphanages (9-13 years) and lack of milk and meat consumption were identified as significant predictors of malnutrition in institutionalised children of Punjab.</p><p><strong>Conclusion: </strong>Central Punjab had the highest malnutrition rate compared to North and South Punjab. Micronutrient deficiencies were more pronounced in South Punjab orphanages. Effective prevention of malnutrition requires early assessment of malnutritional risk in Pakistani orphanages.</p>","PeriodicalId":36307,"journal":{"name":"BMJ Nutrition, Prevention and Health","volume":"7 2","pages":"e000974"},"PeriodicalIF":3.3,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nutritional deficiencies and associated pathologies present unique challenges of diagnosing paediatric inflammatory bowel disease in sub-Saharan Africa. 营养缺乏和相关病理是撒哈拉以南非洲诊断儿童炎症性肠病的独特挑战。
IF 3.3
BMJ Nutrition, Prevention and Health Pub Date : 2024-11-14 eCollection Date: 2024-01-01 DOI: 10.1136/bmjnph-2024-001098
Paula T Littlejohn, Taiba Jibril Afaa
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