scholarly journals Risk–Benefit Assessment of Consumption of Rice for Adult Men in China

2021 ◽  
Vol 8 ◽  
Author(s):  
Haiqin Fang ◽  
Quantao Zhang ◽  
Shengjie Zhang ◽  
Tongwei Zhang ◽  
Feng Pan ◽  
...  
Keyword(s):  
Health Effects ◽  
Age Groups ◽  
Health Impact ◽  
Benefit Assessment ◽  
Baseline Scenario ◽  
Adult Men ◽  
Life Years ◽  
Risk Benefit Assessment ◽  
Rice Consumption ◽  
The Mean

Objective: To evaluate the health impact of current and alternative patterns of rice consumption in Chinese adult men (40–79 years of age).Methods: We applied a risk–benefit assessment (RBA) model that took into account the health effects of selenium (Se), cadmium (Cd), and inorganic arsenic (i-As). The health effects included the prevention of prostate cancer associated with exposure to Se, and an increased risk of lung, bladder, and skin cancer for i-As and chronic kidney disease (CKD) for Cd. We defined the baseline scenario (BS) as the current individual mean daily consumption of rice in the population of interest and two alternative scenarios (AS): AS1 = 50 g/day and AS2 = 200 g/day. We estimated the health impact for different age groups in terms of change in Disability-Adjusted Life Years (ΔDALY).Results: The BS of rice consumption was 71.5–105.4 g/day in different age groups of adult men in China. We estimated that for AS1, the mean ΔDALY was −2.76 to 46.2/100,000 adult men of 40–79 years old. For AS2, the mean ΔDALY was 41.3 to 130.8/100,000 individuals in this population group.Conclusion: Our results showed that, based on associated exposure to selenium, cadmium, and i-As in rice, the current consumption of rice does not pose a risk to adult men in China. Also, a lower (50 g/day) or higher (200 g/day) rice consumption will not bring larger beneficial effects.

Quantitative risk-benefit assessment of Portuguese fish and other seafood species consumption scenarios

2021 ◽  
pp. 1-32
Author(s):  
Catarina Carvalho ◽  
Daniela Correia ◽  
Milton Severo ◽  
Cláudia Afonso ◽  
Narcisa M. Bandarra ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Health Impact ◽  
Daily Basis ◽  
Benefit Assessment ◽  
Seafood Consumption ◽  
Portuguese Population ◽  
Life Years ◽  
Risk Benefit Assessment ◽  
Alternative Scenarios ◽  
Predatory Fishes

Abstract Portugal has high fish/seafood consumption, which may have both risks and benefits. This study aims to quantify the net health impact of hypothetical scenarios of fish/seafood consumption in the Portuguese population using a risk-benefit assessment methodology. Consumption data from the National Food, Nutrition and Physical Activity Survey 2015-2016 (n=5811) was used to estimate the mean exposure to methylmercury and EPA+DHA in the current and the alternative scenarios considered. Alternative scenarios (alt) were modelled using probabilistic approaches to reflect substitutions from the current consumption in the type of fish/seafood (alt1: excluding predatory fishes; alt2: including only methylmercury low-level fishes) or in the frequency of weekly fish/seafood consumption (alt3 to alt6: 1,3,5 or 7 times a week, replacing fish/seafood meals with meat or others). The overall health impact of these scenarios was quantified using Disability-Adjusted Life Years (DALYs). In the Portuguese population, about 11450 DALYs could be prevented each year if the fish/seafood consumption increased to a daily basis. However, such a scenario would result in 1398 extra DALYs considering the consumption by pregnant women and the respective risk on foetal neurodevelopment. Our findings support a recommendation to increase fish/seafood consumption up to 7 times/week. However, for pregnant women and children, special considerations must be proposed to avoid potential risks on foetal neurodevelopment due to methylmercury exposure.

scholarly journals Risk-Benefit Assessment of Cereal-Based Foods Consumed by Portuguese Children Aged 6 to 36 Months—A Case Study under the RiskBenefit4EU Project

Nutrients ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 3127
Author(s):  
Ricardo Assunção ◽  
Géraldine Boué ◽  
Paula Alvito ◽  
Roberto Brazão ◽  
Paulo Carmona ◽  
...  
Keyword(s):  
Health Impact ◽  
Benefit Assessment ◽  
Free Sugars ◽  
Beneficial Effects ◽  
Adverse Health Effects ◽  
Healthy Life Years ◽  
Life Years ◽  
Risk Benefit Assessment ◽  
Assessment Approach ◽  
Alternative Scenarios

Cereal-based foods, including breakfast (BC) and infant cereals (IC), are among the first solid foods introduced to infants. BC and IC are sources of macro and micronutrients that have beneficial effects on health, but can also be sources of harmful chemical and microbiological contaminants and nutrients that may lead to adverse health effects at high consumption levels. This study was performed under the RiskBenefit4EU project with the aim of assessing the health impact associated with consumption of BC and IC by Portuguese children under 35 months. Adverse effects associated with the presence of aflatoxins, Bacillus cereus, sodium and free sugars were assessed against the benefits of fiber intake. We applied a risk–benefit assessment approach, and quantified the health impact of changes in consumption of BC and IC from current to various alternative consumption scenarios. Health impact was assessed in terms of disability-adjusted life years. Results showed that moving from the current consumption scenario to considered alternative scenarios results in a gain of healthy life years. Portuguese children can benefit from exchanging intake of IC to BC, if the BC consumed has an adequate nutritional profile in terms of fiber, sodium and free sugars, with levels of aflatoxins reduced as much as possible.

scholarly journals Essential nutrient element profiles in rice types: a risk–benefit assessment including inorganic arsenic

2021 ◽  
pp. 1-12
Author(s):  
Manoj Menon ◽  
Amelia Smith ◽  
Joseph Fennell
Keyword(s):  
Wild Rice ◽  
Brown Rice ◽  
Reference Value ◽  
Inorganic Arsenic ◽  
Benefit Assessment ◽  
Nutrient Element ◽  
Risk Benefit Assessment ◽  
Rice Consumption ◽  
Significant Pathway ◽  
The Uk

Abstract Rice is consumed by nearly half of the global population and a significant source of energy and nutrients. However, rice consumption can also be a significant pathway of inorganic arsenic (iAs) exposure, thus requiring a risk–benefit assessment. This study assessed nutrient element (NE) densities in fifty-five rice types (white, brown and wild rice) marketed in the UK. Densities of essential NE were used to rank rice types in meeting daily NE targets under different consumption scenarios through a newly developed optimisation approach. Using iAs data from these rice types, we assessed the margin of exposure (MOE) for low (the UK) and high (Bangladesh) rice intake scenarios. Our results showed that brown and wild rice are significantly higher in many NE and significantly contribute to dietary reference value (DRV). Our modelling showed that switching to brown or wild rice could increase the intake of several essential nutrients by up to eight times that of white rice. Using rice consumption data for mid-to-high-consumption countries, we estimate that brown rice could provide 100 % adult DRV for Fe, Mg, Cr, P and Mo, and substantial contributions for Zn, Se and K. Our results show that the amount of rice primarily determines risk from iAs consumed rather than the type of rice. Therefore, switching from white to brown or wild rice could be beneficial, provided iAs concentration in rice is within the recommended limits.

scholarly journals Approaches for Health Effect Characterization in Risk-Benefit Assessment of Foods: A Comparative Case Study

2021 ◽  
Vol 8 ◽  
Author(s):  
Sofie Theresa Thomsen ◽  
Maarten Nauta ◽  
Lea Sletting Jakobsen ◽  
Marianne Uhre Jakobsen ◽  
Heddie Mejborn ◽  
...  
Keyword(s):  
Dose Response ◽  
Health Effect ◽  
Brown Rice ◽  
Health Impact ◽  
Benefit Assessment ◽  
Comparative Case Study ◽  
Food Component ◽  
Risk Benefit Assessment ◽  
The Impact

One of the challenges in quantitative risk-benefit assessment (RBA) of foods is the choice of approach for health effect characterization to estimate the health impact of dietary changes. The purpose of health effect characterization is to describe an association between intake of a food or food component and a health effect in terms of a dose-response relationship. We assessed the impact of the choice of approach for health effect characterization in RBA in two case studies based on substitution of (i) white rice by brown rice and (ii) unprocessed red meat by vegetables. We explored this by comparing the dose-response relations linking a health effect with (i) a food component present in the food, (ii) a food based on non-specified substitution analyses, and (iii) a food based on specified substitution analyses. We found that the choice of approach for health effect characterization in RBA may largely impact the results of the health impact estimates. Conducting the calculations only for a food component may neglect potential effects of the food matrix and of the whole food on the diet-disease association. Furthermore, calculations based on associations for non-specified substitutions include underlying food substitutions without specifying these. Data on relevant specified substitutions, which could reduce this type of bias, are unfortunately rarely available. Assumptions and limitations of the health effect characterization approaches taken in RBA should be documented and discussed, and scenario analysis is encouraged when multiple options are available.

scholarly journals Estimation of economic burden of COVID-19 using Disability-Adjusted Life Years (DALYs) and Productivity Losses in Kerala state, India

2020 ◽  
Author(s):  
Denny John ◽  
Narassima MS ◽  
Jaideep C Menon ◽  
Guru Rajesh Jammy
Keyword(s):  
Global Economy ◽  
Age Groups ◽  
Premature Mortality ◽  
Baseline Scenario ◽  
Disability Adjusted Life Years ◽  
Disability Adjusted Life ◽  
Life Years ◽  
Males And Females ◽  
Kerala State ◽  
The Impact

Abstract Background: The COVID-19 pandemic has had a huge impact on the global economy and stressed the health care systems worldwide. Measuring the burden of disease on health and economy is essential for system preparedness by way of allocation of funds and human resources.Methods: The present study estimates Disability-Adjusted Life Years (DALYs), Years of Potential Productive Life Lost (YPPLL) and Cost of Productivity Lost (CPL) due to premature mortality and absenteeism, secondary to COVID-19 in Kerala state, India. The impact of disease on various age-gender cohorts has been analyzed. Sensitivity Analysis has been conducted by adjusting six variables with a total of 21 scenarios. Results: Severity of infection and mortality were higher among older sub-group of patients, and male were more susceptible than female in most of the age groups. DALY for the baseline scenario was 15,924.24 and 8,669.32 for males and females respectively. The CPL due to premature mortality was 26,80,36,179 and 42,510,946 for males and females respectively. Conclusion: People aged more than 50 were disproportionately affected by the disease, with presence of comorbidities further raising vulnerability.

scholarly journals Assessment of the Effect of Oral Health on Quality of Life and Oral-Health Indicators among ESRD Patients in Southwest Florida: A Pilot Study

2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Payal Kahar ◽  
Carol Chapman ◽  
Jayanta Gupta
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Age Groups ◽  
Health Assessment ◽  
Health Indicators ◽  
Health Impact ◽  
Item Score ◽  
Number Of Teeth ◽  
The Mean

Purpose. To determine and compare OHRQoL (oral-health-related quality of life) using the Geriatric Oral Health Assessment Index (GOHAI-12) and Oral Health Impact Profile (OHIP-14) among patients receiving hemodialysis (HD). Methods. Face-to-face interviews and intraoral examinations were conducted among 70 patients. Mann–Whitney U test and Kruskal–Wallis test were used to compare each item score with demographics and dental and overall health status. Results. The mean number of years on dialysis was 4.7 ± 7.5 yrs; the mean number of teeth present was 19.7 ± 11.04; median values of OHRQoL using GOHAI-12 and OHIP-14 were 52 and 64. Within GOHAI-12, limiting food (p 0.043), uncomfortable eating in front of people (p 0.045), limiting contact with people (p 0.046), and eating without discomfort (p 0.011) were significantly associated with females. Being worried (p 0.040) and self-conscious (p 0.048) were significant for age groups ≤65 years. Prevented from speaking was associated with >20 teeth (p 0.016). Being worried about oral health was associated with number of years on dialysis (p 0.042). Within OHIP-14, speech was associated with number of teeth present (p 0.024). Total inability to function was significantly associated with race (p 0.018), number of teeth (p 0.028), and edentulousness (p 0.031). Conclusions. GOHAI-12 was more effective than OHIP-14 in assessing OHRQoL. However, most subjective experiences did not correlate with clinical findings. Systemic health issue like end-stage renal disease affecting QoL might have taken precedence over dental problems. Clinical assessments should be inherent in oral-health evaluation and there should be cooperation between nephrologists and dentists in promoting oral health and treating systemic conditions among HD patients.

scholarly journals Communicating Food Risk-Benefit Assessments: Edible Insects as Red Meat Replacers

2021 ◽  
Vol 8 ◽  
Author(s):  
Emilia Boehm ◽  
Dan Borzekowski ◽  
Ermolaos Ververis ◽  
Mark Lohmann ◽  
Gaby-Fleur Böl
Keyword(s):  
Risk Perceptions ◽  
Health Impact ◽  
Red Meat ◽  
Communication Strategy ◽  
Benefit Assessment ◽  
Dual Nature ◽  
Novel Foods ◽  
Dietary Choices ◽  
Risk Benefit Assessment ◽  
Insects As Food

Risk-benefit Assessment (RBA) is an emerging methodology in the area of Food and Nutrition that offers a simultaneous evaluation of both risks and benefits linked to dietary choices. Communication of such research to consumers may present a challenge due to the dual nature of RBA. We present a case study of a communication strategy developed for the NovRBA-project. The NovRBA-project (Novel foods as red meat replacers—an insight using Risk Benefit Assessment methods) performed a risk-benefit assessment to evaluate the overall health impact of substituting red meat (beef) by a novel food (house cricket), considering the microbial, toxicological and nutritional characteristics of the respective dietary choices. A literature review of risk perceptions and acceptance of beef and insects as food formed the basis of the communication strategy for the study's results, drawing on environmental and emotional as well as health-related motivations to consume or avoid either food and considering the sociodemographic characteristics of likely consumers. Challenges and future directions for consumer protection organizations communicating findings of risk-benefit analyses on food safety are discussed.

scholarly journals 1243Quantitative risk-benefit assessment of fish and seafood consumption scenarios to support recommendations

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Catarina Carvalho ◽  
Daniela Correia ◽  
Milton Severo ◽  
Cláudia Afonso ◽  
Narcisa M. Bandarra ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Health Gain ◽  
Benefit Assessment ◽  
Mercury Species ◽  
Seafood Consumption ◽  
Tolerable Weekly Intake ◽  
Health Gains ◽  
Life Years ◽  
Risk Benefit Assessment ◽  
Alternative Scenarios

Abstract Background Fish/seafood consumption has health benefits, namely due to its omega-3 fatty acids levels and risks due to methylmercury contamination. This study aims to quantify the health impact of hypothetical scenarios of fish/seafood consumption through a risk-benefit assessment and provide support for recommendations, using Portuguese food consumption data. Methods We used data from the National Food, Nutrition and Physical Activity Survey 2015-2016 (n = 5811) to estimate the mean exposure to methylmercury and EPA+DHA in the current and alternative scenarios. Alternative scenarios were modelled using probabilistic approaches to reflect substitutions from the current consumption in the type of fish/seafood (predatory vs low-mercury species) or its frequency (1-7x/week). The overall scenarios’ impact was quantified using Disability-Adjusted Life Years (DALYs). Results About 14% of the Portuguese population exceeds the methylmercury tolerable weekly intake, and this prevalence is higher among small children (36.6%). Nevertheless, if the fish/seafood consumption increased to once a day, ≈11450 DALYs could be prevented each year. However, such a scenario would result in higher risk for pregnant women (1398 extra DALYs). Moreover, excluding predatory species consumption resulted in small but significant health gains (-1078 DALYs). Conclusions For the general population, the maximum health gains are obtained by consuming fish/seafood up to 7x/week, but among children and pregnant women, the frequency should be limited to 3-5x/week. All population should preferably choose non-predatory species. Key messages Daily fish consumption results in the highest overall populational health gain, but children and pregnant women need to limit it to 3-5x/week, due to methylmercury exposure.

scholarly journals Estimation of economic burden of COVID-19 using Disability-Adjusted Life Years (DALYs) and Productivity Losses in Kerala state, India

2021 ◽  
Author(s):  
Denny John ◽  
Narassima MS ◽  
Jaideep C Menon ◽  
Guru Rajesh Jammy ◽  
Amitava Banerjee
Keyword(s):  
Economic Burden ◽  
Age Groups ◽  
Premature Mortality ◽  
Baseline Scenario ◽  
Disability Adjusted Life Years ◽  
Male And Female ◽  
Disability Adjusted Life ◽  
Life Years ◽  
Kerala State ◽  
The Impact

Abstract Background: From the beginning of the COVID-19 pandemic, clinical practice and research, globally, have centered on prevention of transmission and treatment of the disease. The pandemic has had a huge impact on the global economy and stressed the health care systems worldwide.Methods: The present study estimates Disability-Adjusted Life Years (DALYs), Years of Potential Productive Life Lost (YPPLL) and Cost of Productivity Lost (CPL) due to premature mortality and absenteeism, secondary to COVID-19 in Kerala state, India. Details on sociodemography, incidence, death, quarantine, per capita income etc were dervived from various public sources. 5-year age-gender population, working population in each age-gender cohort and corresponding life expectancies were obtained from Census of India 2011. Data on incidence and recovery time were dervied from CODD-K. Details of deaths were extracted from government sources and CODD-K. The impact of disease on various age-gender cohorts has been analyzed. Sensitivity Analysis has been conducted by adjusting six variables with a total of 21 scenarios.Results: Severity of infection and mortality were higher among older sub-group of patients, and male were more susceptible than female in most of the age groups. DALYs for the baseline scenario was 15,924.24 and 8,669.32 for male and female respectively. Total YPPLL for male and female cohorts were estimated to be 1323.57 and 612.31 respectively. People of 40-49 years age constituted 51.34% and 41.76% of the total CPL values (for premature mortality) of males and females respectively.Conclusion: Most of the disease burden from COVID-19 was contributed by YLL. Losses due to YPPLL was reduced as the impact of COVID-19 infection was relatively lesser among the productive age groups. CPL values for people aged from 40-49 years were the highest. These estimates put emphasis that the decision-makers should focus and make efforts on reducing the economic burden for the longer impact of COVID-19 in Kerala state.

Health impact assessment of road traffic noise in the EU in 2020-2035

2021 ◽  
Vol 263 (4) ◽  
pp. 1977-1988
Author(s):  
Erik Salomons ◽  
Michael Dittrich
Keyword(s):  
Noise Exposure ◽  
Road Traffic ◽  
Traffic Noise ◽  
Health Benefits ◽  
Health Impact ◽  
Road Traffic Noise ◽  
Baseline Scenario ◽  
Health Burden ◽  
Life Years ◽  
The Eu

The negative health effects of road traffic noise in the EU are analyzed over the period 20202035. For a baseline scenario, with autonomous traffic growth and fleet development, it is found that the EU health burden in 2030 is equivalent to the loss of 1.7 million 'healthy life years'. Various noise abatement scenarios are analyzed, with noise solutions such as quiet road surfaces, quiet tyres, and electric vehicles. The health benefits of the scenarios are calculated as healthburden differences from the baseline scenario. The calculation methodology is based on the noise exposure distributions reported in 2017 by EU member states, for urban agglomerations and for major roads. Changes in noise exposure are calculated with EU model Cnossos for vehicle emission, considering different types of roads (residential streets, main roads, motorways,...). The monetized health benefits are used as input for a costbenefit analysis of the scenarios over the period 2020-2035. For quiet tyres, for example, high health benefits and low costs are found, resulting in a high cost-to-benefit ratio. This work was part of a study for the European Commision, exploring different options for reducing the EU health burden caused by noise from road, rail, and air traffic.

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