Dietary Micronutrient Intake in Peritoneal Dialysis Patients: Relationship with Nutrition and Inflammation Status

♦ ObjectiveTo compare dietary intake of micronutrients by peritoneal dialysis (PD) patients according to their nutrition and inflammatory statuses.♦ DesignThis cross-sectional study evaluated 73 patients using subjective global assessment, 24-hour dietary recall, and markers of inflammation [C-reactive protein (CRP), tumor necrosis factor α, and interleukin 6].♦ResultsHalf the patients had an inadequate micro-nutrient intake. Compared with dietary reference intakes, malnourished patients had lower intakes of iron (11 mg) and of vitamins C (45 mg) and B6 (0.8 mg). Malnourished and well-nourished patients both had lower intakes of sodium (366 mg, 524 mg respectively), potassium (1555 mg, 1963 mg), zinc (5 mg, 7 mg), calcium (645 mg, 710 mg), magnesium (161 mg, 172 mg), niacin (8 mg, 9 mg), folic acid (0.14 mg, 0.19 mg), and vitamin A (365 μg, 404 μg). Markers of inflammation were higher in malnourished than in well-nourished subjects. Compared with patients in lower quartiles, patients in the highest CRP quartile had lower intakes (p < 0.05) of sodium (241 mg vs 404 mg), calcium (453 mg vs 702 mg), vitamin B2 (0.88 mg vs 1.20 mg), and particularly vitamin A (207 μg vs 522 μg).♦ConclusionsAmong PD patients, half had inadequate dietary intakes of iron, zinc, calcium and vitamins A, B6, C, niacin, and folic acid. Lower micronutrient intakes were associated with malnutrition and inflammation. Patients with inflammation had lower intakes of sodium, calcium, and vitamins A and B2. Micronutrient intake must be investigated in various populations so as to tailor adequate supplementation.

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Low prevalence of inadequate micronutrient intake in young children in the south of Brazil: a new perspective

British Journal Of Nutrition ◽

10.1017/s0007114516002695 ◽

2016 ◽

Vol 116 (5) ◽

pp. 890-896 ◽

Cited By ~ 8

Author(s):

Caroline Nicola Sangalli ◽

Fernanda Rauber ◽

Márcia Regina Vitolo

Keyword(s):

Vitamin A ◽

Vitamin C ◽

Low Income ◽

Cross Sectional Study ◽

Processed Foods ◽

Fortified Foods ◽

Cross Sectional ◽

Micronutrient Intake ◽

Low Income Families ◽

Low Prevalence

AbstractIn Brazil, children’s eating patterns have been characterised by an increased consumption of ultra-processed foods that are fortified. Our aims were to (1) estimate the prevalence of inadequate micronutrient intake among children from low-income families and (2) to assess micronutrient intake from fortified foods. We carried out a cross-sectional study from a randomised field trial conducted at healthcare centres in Porto Alegre, Brazil, with 446 mother–child pairs, with the children aged 2–3 years. Dietary data were assessed using two 24-h recalls. The prevalence of inadequacy for six micronutrients was estimated using the proportion of individuals with intakes below the estimated average requirement (EAR). Micronutrient intakes from fortified foods were evaluated using EAR and upper tolerable level (UL). Healthy foods consumption was below the recommendations, except for beans, and 88·1 % of the children consumed ultra-processed foods. A low prevalence of inadequate micronutrient intake was observed for Fe (1·2 %), vitamin C (4·7 %), vitamin A (5·2 %), Ca (11·4 %) and folate (15·2 %). None of the children had intakes less than the EAR for Zn. Fortified foods contributed between 11·3 and 38·3 % to micronutrient intakes, and 43·0 % of the children met the EAR for Fe, 13·9 % for vitamin C and 12·3 % for Zn using fortified foods only. In addition, 4·0 % of the children exceeded the UL for vitamin A, 3·1 % for Zn, 1·1 % for folic acid and 0·2 % for Fe. These results highlight a low prevalence of inadequate micronutrient intakes among children and suggest that such a group could be at risk of excessive micronutrient intakes provided by ultra-processed foods.

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Dietary intakes of an Algerian pregnant women population

Nutrition & Santé ◽

10.30952/ns.10.1.3 ◽

2021 ◽

Vol 10 (01) ◽

pp. 17-26

Author(s):

Amina BAYAZID ◽

◽

Wahiba HAMMOULIA ◽

Fatiha LAROUCI

Keyword(s):

Pregnant Women ◽

Fruits And Vegetables ◽

Beta Carotene ◽

Cross Sectional Study ◽

Dietary Intakes ◽

Food Groups ◽

Cross Sectional ◽

Dietary Recall ◽

Women Health ◽

Vit C

Introduction. Nutrition during pregnancy has a significant impact on women health, but also on the long-term health of their offspring. There are a few national data on the usual dietary intake of pregnant women. Objective. To assess the nutritional intake of pregnant population by the 24-hour dietary recall method repeated over 3 days. Population and methods. A cross-sectional study was carried out using a questionnaire among 100 pregnant women receiving prenatal care at a major mother and child specialized hospital in the Wilaya of Sidi-Bel-Abbés (Algeria). Results. The average intakes of energy, fats and carbohydrates were lower than the recommendations, while those of proteins and dietary fibers were higher. In most women, protein needs were covered whereas carbohydrates and lipids needs were not covered. Proteins represented 16.7%, carbohydrate 55.1% and lipids 28.2% of total energy intake (TEI). Contribution of food groups to TEI was as follows: cereal-based products 23.5%, fruits and vegetables 15.2%, dairy products 15%, sweet products 14.7% and meats 12.6%. Average intakes observed in micronutrients were lower than nutritional requirements, except for vitamins (Vit.) C, B6, B12, beta-carotene, and retinol. More than 40% of women were below the recommendations for Vit. C, D, A, E, B1, B2, B3, B6, B9, B12, magnesium, calcium and iron. Conclusion. Pregnancy is a privileged moment for carrying out awareness raising actions in nutrition area. Therefore, it should be used to provide advice in favor of a healthy diet and maintaining physical activity in this population.

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Hubungan Asupan Asam Folat, Zink, dan Vitamin A Ibu Hamil Trimester III terhadap Berat Badan Lahir di Kabupaten Padang Pariaman

Jurnal Kesehatan Andalas ◽

10.25077/jka.v5i1.455 ◽

2016 ◽

Vol 5 (1) ◽

Author(s):

Wici Septiyeni ◽

Nur Indrawati Lipoeto ◽

Joserizal Serudji

Keyword(s):

Folic Acid ◽

Birth Weight ◽

Vitamin A ◽

Pregnant Women ◽

Cross Sectional Study ◽

Sectional Study ◽

Third Trimester ◽

Cross Sectional ◽

Average Birth Weight ◽

Spearman Correlation Test

Abstrak Berat badan lahir merupakan salah satu indikator kesehatan bayi baru lahir. Berat badan lahir dipengaruhi oleh berbagai faktor yang salah satunya adalah mikronutrien seperti: asam folat, zink dan vitamin A yang disinyalir memiliki hubungan dengan berat badan lahir.Tujuan penelitian ini adalah menentukan hubungan antara asupan asam folat, seng, dan vitamin A terhadap berat badan lahir. Penelitian ini merupakan cross sectional study pada 59 ibu hamil di Kabupaten Padang Pariaman. Pengumpulan data dilakukan dengan wawancara dan pengukuran berat badan lahir. Analisis statistik yang digunakan adalah uji korelasi Spearman. Hasil penelitian ini yaitu rata-rata umur ibu hamil sebesar 26,5424 tahun. Rata-rata berat badan lahir 3181,36 gram dan rata-rata tinggi badan ibu adalah 153,8305 cm. Rata-rata konsumsi asam folat subjek penelitian adalah 341,9525 ug, zink 5,0727 mg dan vitamin A 688,9300 RE. Hasil analisis menunjukkan tidak terdapat hubungan yang bermakna antara asupan asam folat dan berat badan lahir (p>0,05),asupan zink dan berat badan (p>0,05) dan asupan vitamin A dan berat badan lahir (p>0,05).bKesimpulan penelitian ini adalah bahwa tidak ada hubungan antara asupan asam folat, zink dan vitamin A ibu hamil trimester III terhadap berat badan lahir.Kata kunci: asam folat, zink, vitamin A, berat badan lahir, Ibu hamil trimester III AbstractBirth weight is an indicator of the health of the newborn. Birth weight is influenced by various factors like micronutrients such as: folic acid, zinc and vitamin A which allegedly had a relationship with birth weight. The objective of this study was to determine the relationship between the intake of folic acid, zinc, and vitamin A on birth weight. This study was a cross sectional study to 59 pregnant women in the district of Padang Pariaman. Data collection with interviews and birth weight measurements. Statistical analysis used the Spearman correlation test. The results of this study showed that the average maternal age of 26.5424 years and the average maternal height was 153.8305 cm. Average birth weight 3181.36 g. The average consumption of folic acid is 341.9525 ug, 5.0727 mg zinc and vitamin A 688.9300 RE. Analysis result showed no significant association between the intake of folic acid and birth weight (p > 0.05), zinc intake and birth weight (p > 0.05) and intake of vitamin A and birth weight (p > 0,05).The conclusion of this study is no relationship between the intake of folic acid, zinc and vitamin A of third trimester pregnant women toward birth weight.Keywords: folic acid, zinc, vitamin A , birth weight, third trimester pregnant women

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Micronutrient Fortification of Commercially Available Biscuits Is Predicted to Have Minimal Impact on Prevalence of Inadequate Micronutrient Intakes: Modeling of National Dietary Data From Cameroon

Current Developments in Nutrition ◽

10.1093/cdn/nzaa132 ◽

2020 ◽

Vol 4 (9) ◽

Author(s):

Demewoz Haile ◽

Hanqi Luo ◽

Stephen A Vosti ◽

Kevin W Dodd ◽

Charles D Arnold ◽

...

Keyword(s):

Folic Acid ◽

Vitamin A ◽

Urban Areas ◽

Large Scale ◽

Reproductive Age ◽

Minimal Impact ◽

Dietary Recall ◽

Micronutrient Intake ◽

Dietary Nutrient ◽

The Impact

ABSTRACT Background Voluntarily fortified snack products are increasingly available but are not necessarily formulated to meet known dietary nutrient gaps, so potential impacts on population micronutrient intake adequacy are uncertain. Objectives We modeled the impacts of hypothetical micronutrient-fortified biscuits on inadequate micronutrient intake in children and women of reproductive age (WRA) in Cameroon. Methods In a nationally representative survey stratified by macro-region (North, South, and Yaoundé/Douala), 24-h dietary recall data were collected from 883 children aged 12–59 mo and from 912 WRA. We estimated usual nutrient intake by the National Cancer Institute method for vitamin A, folate, vitamin B-12, zinc, and iron. We simulated the impact of biscuit fortification on prevalence of micronutrient intake below the estimated average requirement, given observed biscuit consumption, in the presence and absence of large-scale food fortification (LSFF) programs. Results Biscuit consumption in the prior 24-h by children and WRA, respectively, ranged from 4.5% and 1.5% in the South, to 20.7% and 5.9% in Yaoundé/Douala. In the absence of LSFF programs, biscuits fortified with retinol (600 μg/100 g), folic acid (300 μg/100 g), and zinc (8 mg/100 g) were predicted to reduce the prevalence of inadequacy among children by 10.3 ± 4.4, 13.2 ± 4.2, and 12.0 ± 6.1 percentage points, respectively, in Yaoundé/Douala. However, when existing vitamin A–fortified oil, and folic acid–fortified and zinc-fortified wheat flour programs were considered, the additional impacts of fortified biscuits were reduced substantially. Micronutrient-fortified biscuits were predicted to have minimal impact on dietary inadequacy in WRA, with or without LSFF programs. Conclusions Given observed patterns of biscuit consumption in Cameroon, biscuit fortification is unlikely to reduce dietary inadequacy of studied micronutrients, except possibly for selected nutrients in children in urban areas in the absence of LSFF programs. As voluntary fortification becomes increasingly common, modeling studies could help guide efforts to ensure that fortified products align with public health goals.

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Micronutrients Intake Status Between Risk and Non-Risk Anemia Groups Among University Students in Indonesia

Journal of Global Nutrition ◽

10.53823/jgn.v1i1.18 ◽

2021 ◽

Vol 1 (1) ◽

pp. 9-21

Author(s):

Desi Nurmilah ◽

Arif Sabta Aji ◽

Siti Helmyati ◽

Esti Nurwanti

Keyword(s):

Folic Acid ◽

Vitamin C ◽

Vitamin B6 ◽

Cross Sectional Study ◽

Reproductive Age ◽

Women Of Reproductive Age ◽

Cross Sectional ◽

Micronutrient Intake ◽

Significant Difference ◽

The Difference

Anemia status is one of the public health problems at both global and Indonesia. The prevalence of anemia was found higher in the women of reproductive age. The prevalence in Special Region of Yogyakarta was even larger than the national average (34% vs 21.7%) for women of reproductive age group. Poor intake of micronutrient could be a major contributor to anemia. The aim of this study was to determine the difference of micronutrient intake among student with risk and no-risk anemia in the Alma Ata University. This cross-sectional study conducted from August to September 2020. Of 128 subjects was recruited and divided into two groups (64 risk anemia and 64 non-risk anemia group). The screening of anemia status was obtained by using self-assessment of clinical/physical questionnaires. Micronutrient intakes such as iron, folic acid, zinc, vitamin B6 and B12, cooper, and vitamin C were assessed by Semi Quantitative Food Frequency Questionnaire (SQ-FFQ). Independent T-test was created to analyze the difference of micronutrient intake in risk and non-risk anemia groups. In this study, there were significant differences in the intake of micronutrients such as iron (p <0.001), folic acid (p <0.001), Zn (p <0.001), vitamin B6 (p <0.001), B12 (p = 0.008), and vitamin C (p <0.001) among students in risk and non-risk of anemia. However, there was no significant difference in Cu intake (p = 0.975). In conclusion, lower micronutrient intake among students could lead to have higher anemia risk. Further studies with larger samples are required to confirm these findings.

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Evaluation of urinary resveratrol as a biomarker of dietary resveratrol intake in the European Prospective Investigation into Cancer and Nutrition (EPIC) study

British Journal Of Nutrition ◽

10.1017/s0007114517001465 ◽

2017 ◽

Vol 117 (11) ◽

pp. 1596-1602 ◽

Cited By ~ 7

Author(s):

Raul Zamora-Ros ◽

Joseph A. Rothwell ◽

David Achaintre ◽

Pietro Ferrari ◽

Marie-Christine Boutron-Ruault ◽

...

Keyword(s):

Correlation Coefficients ◽

Cross Sectional Study ◽

European Population ◽

Dietary Intakes ◽

Cross Sectional ◽

Dietary Recall ◽

Main Food Source ◽

Spearman’S Correlation ◽

Prospective Investigation

AbstractIn vitro studies have shown several beneficial properties of resveratrol. Epidemiological evidence is still scarce, probably because of the difficulty in estimating resveratrol exposure accurately. The current study aimed to assess the relationships between acute and habitual dietary resveratrol and wine intake and urinary resveratrol excretion in a European population. A stratified random subsample of 475 men and women from four countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) cross-sectional study, who had provided 24-h urine samples and completed a 24-h dietary recall (24-HDR) on the same day, were included. Acute and habitual dietary data were collected using standardised 24-HDR software and a validated country-specific dietary questionnaire, respectively. Phenol-Explorer was used to estimate the intake of resveratrol and other stilbenes. Urinary resveratrol was analysed using tandem MS. Spearman’s correlation coefficients between estimated dietary intakes of resveratrol and other stilbenes and consumption of wine, their main food source, were very high (r>0·9) when measured using dietary questionnaires and were slightly lower with 24-HDR (r>0·8). Partial Spearman’s correlations between urinary resveratrol excretion and intake of resveratrol, total stilbenes or wine were found to be higher when using the 24-HDR (R2partial approximately 0·6) than when using the dietary questionnaires (R2partial approximately 0·5). Moderate to high correlations between dietary resveratrol, total stilbenes and wine, and urinary resveratrol concentrations were observed. These support the earlier findings that 24-h urinary resveratrol is an effective biomarker of both resveratrol and wine intakes. These correlations also support the validity of the estimation of resveratrol intake using the dietary questionnaire and Phenol-Explorer.

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Minerals Intake Distributions in a Large Sample of Iranian at-Risk Population Using the National Cancer Institute Method: Do They Meet Their Requirements?

International Journal for Vitamin and Nutrition Research ◽

10.1024/0300-9831/a000232 ◽

2015 ◽

Vol 85 (3-4) ◽

pp. 129-144 ◽

Cited By ~ 3

Author(s):

Zahra Heidari ◽

Awat Feizi ◽

Leila Azadbakht ◽

Nizal Sarrafzadegan

Keyword(s):

At Risk ◽

National Cancer Institute ◽

Population Based ◽

Cross Sectional Study ◽

Normal Function ◽

Dietary Intakes ◽

Middle Aged ◽

Cross Sectional ◽

Nutritional Interventions ◽

High Prevalence

Abstract. Background: Minerals are required for the body’s normal function. Aim: The current study assessed the intake distribution of minerals and estimated the prevalence of inadequacy and excess among a representative sample of healthy middle aged and elderly Iranian people. Methods: In this cross-sectional study, the second follow up to the Isfahan Cohort Study (ICS), 1922 generally healthy people aged 40 and older were investigated. Dietary intakes were collected using 24 hour recalls and two or more consecutive food records. Distribution of minerals intake was estimated using traditional (averaging dietary intake days) and National Cancer Institute (NCI) methods, and the results obtained from the two methods, were compared. The prevalence of minerals intake inadequacy or excess was estimated using the estimated average requirement (EAR) cut-point method, the probability approach and the tolerable upper intake levels (UL). Results: There were remarkable differences between values obtained using traditional and NCI methods, particularly in the lower and upper percentiles of the estimated intake distributions. A high prevalence of inadequacy of magnesium (50 - 100 %), calcium (21 - 93 %) and zinc (30 - 55 % for males > 50 years) was observed. Significant gender differences were found regarding inadequate intakes of calcium (21 - 76 % for males vs. 45 - 93 % for females), magnesium (92 % vs. 100 %), iron (0 vs. 15 % for age group 40 - 50 years) and zinc (29 - 55 % vs. 0 %) (all; p < 0.05). Conclusion: Severely imbalanced intakes of magnesium, calcium and zinc were observed among the middle-aged and elderly Iranian population. Nutritional interventions and population-based education to improve healthy diets among the studied population at risk are needed.

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Relationship Between Nutrient Intake and Vitamin D Status in Osteoporotic Women

International Journal for Vitamin and Nutrition Research ◽

10.1024/0300-9831.77.6.376 ◽

2007 ◽

Vol 77 (6) ◽

pp. 376-381 ◽

Cited By ~ 12

Author(s):

de Souza Genaro ◽

de Paiva Pereira ◽

de Medeiros Pinheiro ◽

Szejnfeld ◽

Araújo Martini

Keyword(s):

Vitamin D ◽

Mineral Metabolism ◽

Sodium Intake ◽

Serum Vitamin ◽

Cross Sectional Study ◽

Dietary Intakes ◽

Mineral Density ◽

Cross Sectional ◽

Serum Vitamin D ◽

Dietary Records

Vitamin D is essential for maintaining calcium homeostasis and optimizing bone health. Its inadequacy is related to many factors including dietary intake. The aim of the present study was to evaluate serum 25(OH)D and its relationship with nutrient intakes in postmenopausal Brazilian women with osteoporosis. This cross-sectional study comprised 45 free-living and assisted elderly at São Paulo Hospital. Three-day dietary records were used to assess dietary intakes. Bone mineral density was measured with a dual-energy X-ray absorptiometer (DXA). Blood and urine sample were collected for analysis of biochemical markers of bone and mineral metabolism. Insufficiency of vitamin D was observed in 24.4% of the women and optimal levels (≥ 50 nmol/L) were observed in 75.6%. Parathyroid hormone was above the reference range in 51% of the participants. The mean calcium (724 mg/day) and vitamin D (4.2 μ g/day) intakes were lower than the value proposed by The Food and Nutrition Board and sodium intake was more than two-fold above the recommendation. Higher levels of serum 25(OH)D were inversely associated with sodium intake. Dietary strategies to improve serum vitamin D must focus on increasing vitamin D intake and should take a reduction of sodium intake into consideration.

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Breakfast skipping alone and in interaction with inflammatory based quality of diet increases the risk of higher scores of psychological problems profile in a large sample of Iranian adults

Journal of Nutritional Science ◽

10.1017/jns.2020.62 ◽

2021 ◽

Vol 10 ◽

Author(s):

Fahimeh Haghighatdoost ◽

Awat Feizi ◽

Ahmad Esmaillzadeh ◽

Ammar Hassanzadeh Keshteli ◽

Hamid Afshar ◽

...

Keyword(s):

Multinomial Logistic Regression ◽

Cross Sectional Study ◽

Psychological Problems ◽

Dietary Intakes ◽

Cross Sectional ◽

Inflammatory Index ◽

Breakfast Skipping ◽

Breakfast Eating ◽

Profile Score ◽

The Impact

Abstract The authors investigate the association of breakfast skipping and its interaction with a dietary inflammatory index (DII) with the severity of psychological disorders. A total of 2876 Iranian general adults were enrolled in this cross-sectional study. Psychological problems profile score was calculated using the regression method in the framework of factor analysis based on depression, anxiety and psychological distress. The higher scores indicate more severity of mental problem. The frequency of breakfast eating in a week was assessed. Dietary intakes were assessed using a food-frequency questionnaire and twenty-seven items were included in the calculation of DII. In the crude model, individuals who ate breakfast seldom had the highest odds for having worse psychological problems profile (OR 3⋅59; 95 % CI 2⋅52, 5⋅11). Adjustment for various confounders did not change the associations (OR 3⋅35; 95 % CI 2⋅11, 5⋅32). In the adjusted multinomial logistic regression model, participants with high DII (>median) who skipped breakfast had highest risk of being in the higher tertiles of psychological problems profile compared with those who had low DII (<median) and ate breakfast (OR 6⋅67; 95 % CI 3⋅45, 12⋅90). Similar results were observed in women and men regarding the impact of breakfast skipping alone and interaction with DII on scores of psychological problems profile. Breakfast skipping is associated with higher risk of psychological problems. Similar findings were obtained in the stratified analysis by sex. Our findings confirmed that the DII and breakfast skipping are associated with mental health, interactionally. Further longitudinal studies are needed to confirm the true link between breakfast skipping and psychological problems.

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Nutrient supplementation among pregnant women in China: an observational study

Public Health Nutrition ◽

10.1017/s1368980021001269 ◽

2021 ◽

pp. 1-19

Author(s):

Tao Han ◽

Jingwen Dong ◽

Jiangtao Zhang ◽

Chenxiao Zhang ◽

Yuxuan Wang ◽

...

Keyword(s):

Vitamin D ◽

Folic Acid ◽

Pregnant Women ◽

Family Members ◽

Primary Source ◽

Cross Sectional Study ◽

Cross Sectional ◽

Nutrient Supplementation ◽

Face To Face ◽

Source Of Information

Abstract Objective: To clarify nutrient supplementation usage and primary source of information among pregnant women in China. Design: This cross-sectional study used information on nutrient supplementation and primary source of information collected via face-to-face interviews. Data on the usage of folic acid, calcium/vitamin D, iron, vitamins, docosahexaenoic acid, and other dietary supplements were collected. Primary source of information were categorized as family/relatives, friends/co-workers, the Internet, books/magazines, television/radio, doctors, other people, and oneself. Setting: Maternal and Child Health Hospital in Chengdu, China. Participants: 1081 Chinese pregnant women aged ≥ 20 years with singleton pregnancies. Results: In all three trimesters of pregnancy, usage was highest and most stable for folic acid (81.7%), followed by vitamins (vitamin A, B-group vitamins, vitamin C, and multivitamins; 75.0%), whereas calcium/vitamin D (51.4%) and iron (18.1%) usage was low, potentially indicating a deficiency risk. All supplementation usage percentages increased with pregnancy duration (p < 0.05). Notably, approximately 10% of the pregnant women in our study did not use any nutrient supplementation, and this was especially common in early pregnancy. More than 50% of the women reported getting information on nutrient supplementation from family members, and about 30% reported getting this information from doctors. Conclusions: Among pregnant women in China, awareness about nutrient supplementation increases as the pregnancy progresses, but some types of nutrient supplementation (such as calcium/vitamin D and iron) remain at low levels. It is necessary to pay more attention to the health education of pregnant women in China, and the influence of family members should be emphasized.

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