Dietary Protein Deficiency. Its Influence on Body Structure and Function

Author(s):  
J F Brock
2019 ◽  
Vol 33 (2) ◽  
pp. 96-111 ◽  
Author(s):  
Katia Monte-Silva ◽  
Daniele Piscitelli ◽  
Nahid Norouzi-Gheidari ◽  
Marc Aureli Pique Batalla ◽  
Philippe Archambault ◽  
...  

Background. Clinical trials have demonstrated some benefits of electromyogram-triggered/controlled neuromuscular electrical stimulation (EMG-NMES) on motor recovery of upper limb (UL) function in patients with stroke. However, EMG-NMES use in clinical practice is limited due to a lack of evidence supporting its effectiveness. Objective. To perform a systematic review and meta-analysis to determine the effects of EMG-NMES on stroke UL recovery based on each of the International Classification of Functioning, Disability, and Health (ICF) domains. Methods. Database searches identified clinical trials comparing the effect of EMG-NMES versus no treatment or another treatment on stroke upper extremity motor recovery. A meta-analysis was done for outcomes at each ICF domain (Body Structure and Function, Activity and Participation) at posttest (short-term) and follow-up periods. Subgroup analyses were conducted based on stroke chronicity (acute/subacute, chronic phases). Sensitivity analysis was done by removing studies rated as poor or fair quality (PEDro score <6). Results. Twenty-six studies (782 patients) met the inclusion criteria. Fifty percent of them were considered to be of high quality. The meta-analysis showed that EMG-NMES has a robust short-term effect on improving UL motor impairment in the Body Structure and Function domain. No evidence was found in favor of EMG-NMES for the Activity and Participation domain. EMG-NMES had a stronger effect for each ICF domain in chronic (≥3 months) compared to acute/subacute phases. Conclusion. EMG-NMES is effective in the short term in improving UL impairment in individuals with chronic stroke.


2021 ◽  
Vol 5 (1) ◽  
pp. 22
Author(s):  
Miranie Safaringga ◽  
Uliy Iffah ◽  
Adinda Permata Sari

Children under five years of age when the increase in body structure and function becomes more complex and the ability to move fine, fine motion, language, and independence. The number of children under five who do not develop according to their age is triggered by parental care, where this care aims to meet the basic needs of toddlers so that they can grow and develop more optimally. The purpose of this study was to determine the relationship between parenting and the development of children aged 1-5 years in the working area of Puskesmas Rawang, Padang City. This research uses quantitative design with a cross section. This research was conducted in the working area of Puskesmas Rawang, Padang City. Data collection was carried out in March 2020. The sample of this study is mothers who have children aged 1-5 years who are in the working area of Puskesmas Rawang, Padang City, amounting to 79 people. The technique used in this study is proportional random sampling, for data collection using a questionnaire. The results of this study obtained 79 respondents consisting of mothers and toddlers with an average age of 12-24 months. Descriptively democratic parenting has a proportion of under five development in accordance with the highest value, namely 95.6% while authoritarian is 11.5%. Democratic parenting style affects the optimal development of toddlers.


2011 ◽  
Vol 35 (2) ◽  
pp. 171-180 ◽  
Author(s):  
Ignacio Gaunaurd ◽  
Robert Gailey ◽  
Brian J Hafner ◽  
Orlando Gomez-Marin ◽  
Neva Kirk-Sanchez

Background: Postural asymmetries are thought to lead to impairment of body structure and function such as muscle imbalance, gait asymmetry and possible chronic conditions, which result in limitation of mobility and restriction of daily activity for transfemoral amputees (TFAs). Despite the potential clinical impact, postural asymmetries have not been confirmed or quantified in TFAs.Objectives: To identify the presence of postural asymmetries in TFAs utilizing clinical evaluation measures.Study design: An observational cross-sectional study in which participants were evaluated at a single time point without intervention or follow-up.Methods: Forty-seven unilateral TFAs were measured for standing limb length, pelvic innominate inclination (PII), lateral trunk flexion and hip extension.Results: Limb length discrepancy was present in 66% of participants and 57% had a short prosthetic limb. PII was greater than has been reported in the literature, and the shorter the prosthetic lower limb, the greater the PII on the amputated side (r = −0.422, p = 0.004). Limb length discrepancy and decreased lateral trunk flexion accounted for 26% of the variance in amputated side PII.Conclusion: Three postural measurements, namely leg length, pelvic innominate inclination and hip extension, were found to differ between the intact and amputated limb in this study sample.Clinical relevanceClinicians should include postural assessment as part of their routine evaluation of TFAs in an effort to achieve postural symmetry and reduce the risk of chronic conditions associated with impairment of body structure and function.


2021 ◽  
Author(s):  
Nosarieme Omoregie Abey ◽  
Osaretin Albert Taiwo Ebuehi ◽  
Ngozi Awa Imaga

Abstract Background: The ability to reproduce efficiently is an important characteristic that has evolved through natural selection. Nutrition can modulate reproductive activities at different levels, its effect on nutrition is therefore complex and less predictable. This study aims at investigating the underlying effect of persistent dietary protein deficiency during early life on reproductive parameters of subsequent (F1 and F2) generations.Method: Rats in group of four (4) were fed daily, with different ration of protein diet (PD) formulated as: 21% protein diet, 10%protein diet, 5%protein diet and control diet (rat chow, containing 16-18% protein). They were fed ad libitum before mating, throughout gestation and lactation, and next generations were weaned to the maternal diet. Reproductive function analysis (which include; gestation and pubertal hormonal profiling, onset of puberty, oestrus cyclicity, sexual response) and morphometric analysis of the ovarian structure were carried out to assess associated consequences.Results: showed significant reduction in the fertility index as a consequence of altered reproductive function in the protein deficient models at P≤ 0.05. Low protein diet posed suboptimal intrauterine condition, which was linked to increased prenatal morbidity and mortality, lowered birthweight delayed onset of puberty, induced cycle irregularity, altered follicular maturation and endocrine dysfunction in the protein deficient groups. Reproductive status of an individual female organism critically depends on the maintenance of ovarian structure and function that has been associated with the hypothalamic pituitary-gonadal axis, hormonal events and sexual maturity.Conclusion: There is therefore an association between persistent early life protein deficiency and reproductive response which mechanistically involves life-long changes in key ovarian cytoarchitecture and function.


Sign in / Sign up

Export Citation Format

Share Document