scholarly journals Macro- and Micronutrient Intake in Children with Avoidant/Restrictive Food Intake Disorder

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 400
Author(s):  
Ricarda Schmidt ◽  
Andreas Hiemisch ◽  
Wieland Kiess ◽  
Kai von Klitzing ◽  
Franziska Schlensog-Schuster ◽  
...  

Although case studies in avoidant/restrictive food intake disorder (ARFID) indicate severe nutritional deficiencies in those with a highly limited amount or variety of food intake, systematic analyses on food intake in treatment-seeking children and adolescents with ARFID are lacking. Within this study, n = 20 patients with an interview-based diagnosis of ARFID (0–17 years) were included and compared to n = 20 healthy controls individually matched for age and sex. Children or parents completed three-day food diaries and a food list. Macronutrient, vitamin, and mineral supply was determined based on the percentage of their recommended intake. The results showed a significantly lower total energy and protein intake in ARFID versus controls, with trends for lower fat and carbohydrate intake. ARFID subtypes of limited amount versus variety of food intake significantly differed in macro-, but not micronutrient intake. Those with ARFID met only 20–30% of the recommended intake for most vitamins and minerals, with significantly lower intake relative to controls for vitamin B1, B2, C, K, zinc, iron, and potassium. Variety of food intake was significantly reduced in ARFID versus controls in all food groups except carbohydrates. This study demonstrated that ARFID goes along with reduced everyday life macro- and micronutrient intake, which may increase the risk for developmental and health problems. Future studies additionally assessing serum nutrient levels in a larger sample may further explore differences in food intake across diverse ARFID presentations.

2015 ◽  
Vol 28 (2) ◽  
pp. 175-184
Author(s):  
Vanessa Messias Muniz ◽  
Débora Silva Cavalcanti ◽  
Nayalla Morais de Lima ◽  
Mônica Maria Osório

OBJECTIVE: To analyze the food intake of sugarcane workers' family members. METHODS: The food intake of 159 family members of sugarcane workers from Gameleira, Pernambuco, Brazilian Northeast, was investigated by directly weighing the foods on three non-consecutive days. The percent risk of inadequate macro- and micronutrient intakes was analyzed according to the Reference Dietary Intakes. The macronutrients were analyzed in relation to acceptable distribution intervals. The energy consumed from the various food groups was expressed as a ratio of the total energy intake. RESULTS: The median intake of carbohydrates and proteins remained above the Estimated Average Requirement, and all age groups presented a low risk of inadequate carbohydrate and protein intakes. The median intakes of riboflavin, niacin, thiamin, and iron remained above the Estimated Average Requirement for all age groups, but children aged 1-3 years presented a high percent risk of inadequate iron intake. All age groups presented high percent risk of inadequate zinc, calcium, vitamin A, and vitamin C intakes. Grains and derivatives had a greater participation in the total energy intake, especially in men aged 19-30 years. The group "milk and dairy products" had a greater participation in the diet of children aged 1-3 years. CONCLUSION: The low percent risk of inadequate carbohydrate and protein intakes in all age groups was opposed to the high risk of inadequate mineral and vitamin intakes, making the population vulnerable to nutritional disorders caused by excess macronutrient intake and inadequate micronutrient intake.


2019 ◽  
Vol 98 (12) ◽  
pp. 1420-1424
Author(s):  
Elena A. Vilms ◽  
D. V. Turchaninov ◽  
O. A. Pasechnik ◽  
T. M. Obukhova ◽  
V. G. Demchenko ◽  
...  

Introduction. The status of polyhypovitaminosis accompanying tuberculosis infection being widespread develops both as a result of the disease and side effects of drugs, and because of insufficient food intake. The purpose of the study is to evaluate the micronutrient composition of the diet of tuberculosis patients in the acute stage and healthy people in a comparative aspect. Material and Methods. The method of analyzing the frequency of food consumption assessed the actual nutrition of tuberculosis patients in the acute stage (n = 300) and healthy residents of the region (n = 189). Data on the actual nutrition was collected using a standard questionnaire. In tuberculosis patients, nutrition was evaluated in the month preceding hospitalization. The consumption in the main product groups was calculated, the indices of the vitamin and mineral value of the diet were analyzed. Results. In most patients, the profile of actual consumption was assessed as deficient for several vitamins and trace elements simultaneously. All the examined showed a deficiency in the diet of vitamin D, 80.7 ± 2.3% - vitamin A, 82.0 ± 2.2% - beta-carotene, 90.3 ± 1.7% - folic acid, 63, 7 ± 2.8% of biotin, 45.7 ± 2.8% of ascorbic acid, 49.0 ± 2.8% of vitamin B1, 53.3 ± 2.8% of vitamin PP. Calcium, iodine and selenium are also among the priority ones for the correction of micro- and macro-elements. Differences in the values of actual micronutrient intake were found: in patients with tuberculosis, the levels of beta-carotene, vitamins B2, pantothenic acid, C, D, biotin, choline, calcium, phosphorus are lower; above - consumption of sodium, fluorine, manganese. Differences in micronutrient ration security are determined by unequal amounts of food groups consumed: the nutrition of tuberculosis patients is lower in terms of the content of fruits, dairy, meat products, eggs, and more bread products and drinks. Conclusion. The features of the micronutrient composition of the diet of tuberculosis patients, which determine the need for their correction in the organization of medical nutrition, are established.


2021 ◽  
pp. e000348
Author(s):  
Elihud Salazar-Robles ◽  
Kourosh Kalantar-Zadeh ◽  
Humberto Badillo ◽  
Martín Calderón-Juárez ◽  
Cesar Alberto García-Bárcenas ◽  
...  

ObjectiveTo evaluate the association between habitual frequency of food intake of certain food groups during the COVID-19 pandemic and manifestations of COVID-19 symptoms in adult outpatients with suspected SARS-CoV-2 infection.DesignWe included 236 patients who attended an outpatient clinic for suspected COVID-19 evaluation. Severity of symptoms, habitual food intake frequency, demographics and Bristol chart scores were obtained before diagnostic confirmation with real-time reverse transcriptase PCR using nasopharyngeal swab.ResultsThe results of the COVID-19 diagnostic tests were positive for 103 patients (44%) and negative for 133 patients (56%). In the SARS-CoV-2-positive group, symptom severity scores had significant negative correlations with habitual intake frequency of specific food groups. Multivariate binary logistic regression analysis adjusted for age, sex and occupation confirmed that SARS-CoV-2-positive patients showed a significant negative association between having higher symptom severity and the habitual intake frequency of ‘legumes’ and ‘grains, bread and cereals’.ConclusionsIncrease in habitual frequency of intake of ‘legumes’, and ‘grains, bread and cereals’ food groups decreased overall symptom severity in patients with COVID-19. This study provides a framework for designing a protective diet during the COVID-19 pandemic and also establishes a hypothesis of using a diet-based intervention in the management of SARS-CoV-2 infection, which may be explored in future studies.


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 761-761
Author(s):  
Favorite Iradukunda

Abstract Objectives The purpose of this study was to assess the feasibility of using a photo-based food diary approach among African pregnant women living in the U.S. Methods Photo-based technique. Participants took photos of every meal they ate for seven consecutive days using digital cameras provided during the study. Results A total of 211 photos were collected from eight participants. The response rate was 91% (211/231). Photos had 60 identifiable food items from the five major food groups. The overall distribution was: Fruit (25%), vegetables (13%), dairy (5%), protein (25%), grain, and other starchy foods (31%). Conclusions Participants responded positively to the photo-based diary approach; however, most of them indicated that they would have preferred using their mobile phones. A photo-based diary approach may be a useful strategy for immigrant women to communicate their food intake and preferences with healthcare providers, especially when discussing food that may be unfamiliar to healthcare providers. While individual food intake assessments were not conducted as part of this study, the overall frequency showed a potential low intake of dairy and vegetables for many participants. Future studies should focus on in-depth food intake assessments in order to make specific recommendations. Funding Sources None.


2011 ◽  
Vol 15 (4) ◽  
pp. 600-608 ◽  
Author(s):  
Helena Kobe ◽  
Matevž Štimec ◽  
Cirila Hlastan Ribič ◽  
Nataša Fidler Mis

AbstractObjectivesTo investigate the food intake of Slovenian adolescents and to compare it with food-based dietary guidelines developed for children and adolescents, named the Optimized Mixed Diet (OMD). The OMD is a useful tool for the evaluation of food intake of adolescents.DesignAll adolescents completed an FFQ at a regional health centre; a subgroup also completed a 3 d weighed dietary protocol at home.SettingThis study is a part of the first national representative study on the dietary habits of Slovenian adolescents.SubjectsThis cross-sectional study included a representative sample of 2813 Slovenian adolescents entering high school, aged 14–17 years, from all ten geographical regions of Slovenia.ResultsThe greatest deviations from the recommended intakes of the main food groups in the OMD were significantly lower intakes of (P < 0·001, mean): vegetables (179 and 163 g/d in boys and girls, respectively), bread/cereals (271 and 226 g/d), potatoes/rice/pasta (212 and 163 g/d); in boys also a significantly lower intake of fruits (mean: 321 g/d, P < 0·001) and a significantly higher intake of meat/meat products (mean: 126 g/d, P < 0·001). Additionally, the results show too high intake of sugar-sweetened beverages and too low intakes of fish and plant oils in both genders.ConclusionsThe food intake pattern of Slovenian adolescents deviates markedly from a healthy eating pattern. Nutrition education and interventions are needed for Slovenian adolescents.


2021 ◽  
Vol 15 (1) ◽  
pp. 305-312
Author(s):  
Erivelton Sousa Lima ◽  
Amanda de Castro Amorim Serpa Brandão ◽  
Antonio Luiz Gomes Junior ◽  
Luana kelle Batista Moura ◽  
Gerardo Vasconcelos Mesquita ◽  
...  

Background: The child feed in the first two years of life is of fundamental importance for a healthy growth and development. Aims: To verify the association between food consumption indicators and overweight in children under the age of two, followed up by primary care health professionals. Methods: A cross-sectional study was conducted on 232 children assisted by primary care. A structured questionnaire was used with questions on sociodemographic data of mothers or guardians and food intake and anthropometric data of children. The analysis of the association between excess weight and food intake indicators was performed using the Pearson’s chi-square test (χ2) and Fisher’s exact test (f ˂ 5). Results: Regarding food intake in children under 6 months of age, 35.1% of the children were exclusively breastfed. Among children at the age of 6 to 23 months: 66.3% were on continued breastfeeding; 16.7% consumed adequate foods at the age of 6 to 8 months; 90.4% consumed foods that belonged to the six food groups; 76.3% consumed food at the minimum frequency and with adequate consistency; 88.9% consumed iron-rich and vitamin A-rich foods, and 59.3% consumed ultra-processed foods. Regarding nutritional status, 24.5% of the children were overweight. Conclusion: There was no statistically significant association between overweight and food consumption indicators among the surveyed children. However, exclusive breastfeeding was below the recommended level, a low percentage of the introduction of complementary foods at the appropriate age and high consumption of ultra-processed foods reveal the need to improve the assistance provided by primary care to this group.


2018 ◽  
Vol 2 (2) ◽  
pp. 95-102 ◽  
Author(s):  
Susan L. Murphy ◽  
Elias M. Samuels ◽  
H. Robert Kolb ◽  
Linda S. Behar-Horenstein ◽  
Ellen Champagne ◽  
...  

IntroductionThe Best Practices in Social and Behavioral Research Course was developed to provide instruction on good clinical practice for social and behavioral trials. This study evaluated the new course.MethodsParticipants across 4 universities took the course (n=294) and were sent surveys following course completion and 2 months later. Outcomes included relevance, how engaging the course was, and working differently because of the course. Open-ended questions were posed to understand how work was impacted.ResultsParticipants rated the course as relevant and engaging (6.4 and 5.8/7 points) and reported working differently (4.7/7 points). Participants with less experience in social and behavioral trials were most likely to report working differently 2 months later.DiscussionThe course was perceived as relevant and engaging. Participants described actions taken to improve rigor in implementing trials. Future studies with a larger sample and additional participating sites are recommended.


2020 ◽  
Vol 25 (4) ◽  
pp. 847-859
Author(s):  
Fatima Valencia-Agudo ◽  
Tami Kramer ◽  
Venetia Clarke ◽  
Andrea Goddard ◽  
Sophie Khadr

Background: Sexual assault of adolescents is associated with negative mental health outcomes, including self-harm. Little is known about correlates and predictors of self-harm after sexual assault. We hypothesized that pre-assault vulnerabilities and post-assault psychological distress would be associated with self-harm after experiencing a recent sexual assault. Methods: The sample was recruited from adolescents aged 13 to 17 years accessing sexual assault centers and it included 98 females. Longitudinal data were collected at T0 (3.9 weeks on average post-assault) and T1 (21.8 weeks on average post-assault). Bivariate analysis and hierarchical binary logistic regressions were performed. Results: The rate of self-harm was 38.1% before the assault and 37.8% after the assault ( T1). History of family dysfunction ( OR 3.60 (1.30, 10.01)), depressive symptoms at T0 ( OR 5.83 (2.35, 14.43)) or T1 ( OR 2.79 (1.20, 6.50), and posttraumatic stress symptoms at T1 ( OR 3.21 (1.36, 7.58)) predicted self-harm at T1. These effects were attenuated when adjusting for confounders, except for depressive symptoms at T0 ( OR 4.21 (1.57, 11.28)). Discussion: Clinical implications for the prevention of onset or continuation of self-harm following adolescent sexual assault are discussed. Future studies should replicate these findings in a larger sample and consider different trajectories of self-harm.


2019 ◽  
Vol 13 (4) ◽  
pp. 198-200
Author(s):  
Roshan Shah ◽  
Isabelle Malhamé ◽  
Mariam Fayek ◽  
Alisa Merolli ◽  
Niharika Mehta

Hyperemesis gravidarum is a complication of pregnancy associated with severe nausea and vomiting that can lead to fluid-electrolyte imbalances and nutritional deficiencies. Wernicke’s encephalopathy is a neurologic manifestation of acute thiamine (vitamin B1) deficiency. We describe a case of hyperemesis gravidarum presenting with gait ataxia and nystagmus which led to a diagnosis of Wernicke’s encephalopathy.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Chang-wang Wang ◽  
Min Ma ◽  
Wei-guang Lu ◽  
Ru-qin Luo

Abstract Background Prodynorphin (PDYN) gene polymorphisms have been linked with opioid dependence (OD) with conflicting outcomes, the aim of this study is to synthesize the existing evidence of the association between PDYN polymorphisms and OD susceptibility. Methods Four databases including PubMed, EMBASE, Web of Science, and Wanfang were retrieved for relevant studies before August, 2018. All identified studies were evaluated using predetermined inclusion and exclusion criteria. Summary odds ratio (OR) and 95% confidence interval (95%CI) were calculated to appraise the association. Statistical analysis was performed using RevMan 5.3 software. Results A total of seven case-control studies with 3129 cases and 3289 controls were recruited in the meta-analysis. For rs910080, rs1997794, rs1022563, and rs2235749 polymorphisms of PDYN gene, there were six, four, five, and four studies eventually included, respectively. The findings indicated that rs910080 polymorphism was significantly correlated with OD among Asian population under allelic model (A vs. G, OR = 1.30, 95% CI 1.04–1.62, P = 0.02, FDR = 0.05) and dominant model (AA+AG vs. GG, OR = 1.25, 95% CI 1.04–1.51, P = 0.02, FDR = 0.05). However, rs1022563, rs1997794 and rs2235749 polymorphisms did not appear to associate with OD susceptibility. Conclusions There existed a significant association between rs1022563 polymorphism and OD among Asian population. As the included studies were not adequate to guarantee a robust and convincing conclusion, future studies with larger sample size among more ethnicities are recommended.


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