Changes in some nutritional components of Vigna racemosa as influenced by hydrothermal processing techniques

Vigna racemosa is an underutilised hard-to-cook legume in Southwest Nigeria. The seed of V. racemosa was subjected to varying degrees of hydration levels (0%, 10%, 25%, 50% 75% and 100%) before treatment with four hydrothermal techniques, atmospheric boiling, atmospheric steaming, pressure boiling and pressure steaming. The highest percentage reduction of 65.56% in cooking time was achieved at a 100% hydration level when the seeds were processed by boiling at elevated pressure. All the hydrothermal techniques had a significant effect (p<0.05) on the protein content of the seeds. Hydration of the seeds to 100% followed by boiling at elevated pressure caused the least reduction in the protein and mineral element contents. The seed is a good source of important nutrients that are not degraded beyond the levels necessary to meet physiological needs after processing. Widening the scope of utilisation of this legume seed will make critically important nutrients such as protein more available for the teeming populations in developing countries at affordable prices, and thus, alleviating the problem of protein-energy malnutrition (PEM).

Harmful effects of malnutrition and possible sustainable solution

Malnutrition is a condition that results from eating a diet that does not supply a healthy amount of one or more nutrients. It is a condition characterized by lack of one or more essential nutrients from the diet or a surplus of some nutrients which affect the body negatively. Malnutrition consists of two types: undernutrition and overnutrition. Undernutrition involves the deficiency of macronutrients like protein or calories and micronutrients like iron, iodine and many more. Protein energy malnutrition is caused by the inadequate intake of protein and calories. It is further classified in three types, kwashiorkor, marasmus and marasmic kwashiorkor. Malnutrition mainly affects an individual’s immune system, lean body mass, cardio-respiratory functions, muscle functions. Malnutrition can be caused due to many factors including unavailability of food, poverty, higher food prices and many more. Strategies like biofortification and supplementation are used for the treatment of malnutrition.

Early neonatal features of juvenile offenders

Objective: Identification of perinatal risk factors as differential predictors of violent and non-violent crimes among children and adolescents who come under the attention of juvenile departments of the internal affairs bodies of the Russian Federation.Methods: Study of the perinatal history data of 148 juvenile offenders of comparable age (13-16 years old), selected using continuous sampling method in the course of a clinical observational cohort retrospective study.Results: Children from the control group in half of the cases were “late premature” (48%), with protein-energy malnutrition (frequency of occurrence of FGRP 56.8% BMI 56.1 ± 13.65). The beginning of their life was accompanied by a low score according to Apgar scale (6.9 ± 1.81). From the first minutes of life, they required urgent therapy in the delivery room (35.9%) and subsequent treatment at the ICU (25.7%) due to the damage of the respiratory system (asphyxia 11.5%, RDS 19.6%, episodes of apnea 16.2 %) and increasing dysfunction of the central nervous system (IVH II-IV grade 24.3%). Subsequently, they demonstrated a disruption of early neonatal adaptation and a clinical picture of the realization of intrauterine fetal developmental disorders, which arose both as a result of improper metabolism and of a prolonged oxygen starvation (adrenal hypoplasia 27.7%, cardiomyopathy 29.7%, hypoxia 48.6%).Conclusions: The initial protein-energy deficiency revealed in the course of the study if accompanied by the course of both acute and chronic oxygen starvation could influence the formation of destructive behavior in the group of juvenile offenders.

Drivers of Pigeon Pea Consumption Among School-Aged Children in Central Tanzania

Background: Protein energy malnutrition (PEM) and iron deficiencies (ID) are of major public health concern in Tanzania including among school-aged children. PEM and ID in early childhood have serious, long-term consequences because they impede motor, sensory, social and emotional development, growth retardation, poor cognitive development, learning disability of children, lowered resistance to infectious diseases, and reduced physical work capacity. The objective of this study was to elucidate the drivers of pigeon pea consumption among school-aged children in Dodoma district, Central Tanzania. Understanding these drivers would be useful in promoting pigeon pea consumption among school-aged children as one of the strategies to increase dietary protein and iron intake.Methods: This study was a cross-sectional study in which data were collected using a questionnaire based on a combination of the Theory of Planned Behavior and Health Belief Model. The data were collected from caregivers (n = 138) in four villages in Kongwa district, Dodoma region, Central Tanzania. We used correlations and multiple regressions to assess associations between constructs and identify predictive constructs. Mann–Whitney U tests were used for score comparisons with a significant p-value set at &lt;0.10.Results: Health value was significantly correlated with health behavior identity (rs = 0.63, p &lt; 0.001) and also significantly predicted health behavior identity (rs = 0.49, p = 0.001). The constructs cues to action and control belief were significantly associated with intention (β = −0.41, p = 0.059 and β = 0.06, p = 0.019 respectively). Finally, we observed that intention was a significant predictor of behavior (β = 1.38, p = 0.001). We also observed a significant negative interaction between perceived barriers and intention to consume pigeon pea (β = −0.04, p = 0.006), indicating that perceived barriers limit intention to consume pigeon pea.Conclusion and Implication: Our findings indicate that when the caregiver places increased importance on preventing her school-aged child from being iron or protein deficient or indeed anemic (health value), it results in a positive evaluation of the effectiveness of giving pigeon pea to address these nutrient deficiencies. Programs and efforts aimed at promoting pigeon pea consumption should focus on educating caregivers on iron and protein deficiency and the role that pigeon pea could play in addressing these. However, perceived barriers such as pest infestation during storage need to be addressed to increase pigeon pea consumption. The involvement of post-harvest management specialists is therefore crucial. Along with this, increasing productivity and crop management is also crucial to ensure year-round affordable supply of pigeon pea.

use of local kelor (moringa oleifera) leaves powder from West Nusa Tenggara to increase the neutrophile cell phagocyte index and its function on rats with PEM infected by staphylococcus aureus

Indonesia reportedly ranksthird in the prevalence of acute malnutrition in the Asia Pacific.Protein Energy Malnutrition (PEM) has a high prevalence in the West Nusa Tenggara (NTB) Province with over600 cases reported by the Health Department from January to October 2015, especially among children under five of which 31 cases led to death. Meanwhile, the nutrition status is accurately determined through blood biochemical and hematology tests. The Neutrophil index is an important biomarker in combating infectious agents, such as Staphylococcus aureus which is oftenthe cause of contagious diseases. Individuals suffering from Protein-Energy Malnutrition are most vulnerable to these types of infections. Fortunately, kelor (Moringaoleifera) has been found to have nutritious contents, especially protein and iron (Fe), butits potential has not been extensively explored in the West Nusa Tenggara. This study aims to confirm the effect of the local kelor (Moringa oleifera) leaves powder in increasing the Innate Immune Response of sample rats with Protein Energy Malnutrition (PEM). A post-test randomized control group design was used with 20 rats grouped into five with a period of 56 days. The hematology examination used micros 6.0 (CBC-analyzer), neutrophile phagocyte index with gradient density technique, whileall data analyses were conducted using the One-way Anova.

Development of Protein Rich Flavored Bar

The present study entitled “Development of protein rich flavoured bar” was conducted with the objective to develop protein rich flavoured bar using different ingredients, to assess the sensory accessibility, determine the nutritional composition and cost of developed protein bar. Protein rich flavoured bar were prepared by using three treatments i.e. T1 (dates 50g, oats 10g, flaxseeds 5g, sesame seeds 5g, pumpkin seeds 5g, peanut powder 10g, honey 5g, cocoa powder 10g), T2 (dates 45g, oats 8g, flaxseeds 5g, sesame seeds 5g, pumpkin seeds 5g, peanut powder 10g, honey 12g, guava flavour 10g) and T3 (dates 40g, oats 13g, flaxseeds 5g, sesame seeds 5g, pumpkin seeds 5g, peanut powder 10g, honey 12g, orange flavour 10g). Organoleptic evaluation of the prepared product in relation to sensory attributes was carried out using the nine point hedonic scale score card by Srilaksmi (2015). The nutrient content of the value added food products were calculated with the help of food composition table given by Gopalan et al., (2011). The cost of individual raw ingredients used in the preparation of the food product as the prevailing market price. All treatments were replicated four times and the data obtained during investigation were statistically analyzed by using analysis of variance (ANOVA) and critical difference (C.D.) techniques. On the basis of sensory acceptability it was found that T1 was scored highest in terms of colour and appearance, body and texture, flavour and taste and overall acceptability. As well as T1 shows significantly high in the nutritive value among all treatments regarding energy, protein, carbohydrates, fat, fibre, calcium and iron. The cost of the protein rich flavoured bar per 100g of dry ingredients at the prevailing cost of the raw materials was highest in T1 (Rs. 29.33) followed by T2 (Rs. 20.69) and T3 (Rs. 20.34). Dates are very good source of fibre, carbohydrate, protein and act as natural sweetener with no fat. As the bar is rich in protein, iron and other macronutrients, so it is majorly recommended for Protein-energy malnutrition (PEM), athletes and anemic patient. Daily 100g of dates intake helps to get all essential nutrients. Strictly restricted for Type-1 diabetic patients. Keywords: Protein, Nutrient content, organoleptic evaluation, nutrition bar, cost.

Niemann-pick disease: Type A presenting as a case of protein energy malnutrition

We hereby report a rare case of a young child with Niemann-Pick disease who had multiple hospital admissions due to repeated gastrointestinal and respiratory tract infections. The disease is overall quite rare in our population however, our case highlights the fact that in any young child with repeated infections of unknown etiology, this condition should be considered and evaluated.

Asessment of protein energy malnutrition among the 6 to 59 months age children in sinkat locality red sea state

Asessment of protein energy malnutrition among the 6 to 59 months age children in sinkat locality red sea state Poor children feeding practices can lead to malnutrition which is a major public health problem in developing countries including sudan. This cross sectional study was conducted during May 2011 to May 2012 to measure the prevalence rate of PEM among children of 6-59 months age and to assess the knowledge ,attitudes of mothers towards their children nutrition. A stratified sampling techniques were used for selected 384 children . The data collected by questionnaire and anthropometric measurement for weight & height of children and then categorized according to WHO guidelines. The result revealed that the prevalence rate was 72% ,most infected age range between 1 to 3years,only (27% ) of mothers continue breast feeding when children were infected with diarrhoea, also the result indicated that there is a significant relationship between the protein energy malnutrition and age of the children and family size , also the study indicated that the persistent diarrhea or repeated attacks of acute respirotary infection, malaria and measles were underlying causes of PEM particularly for children in border line. Therefore , increasing awareness to mothers about the nutrition ,and improvement of economic status of families is recommended.

Scoping Review of Intervention Strategies for Improving Coverage and Uptake of Maternal Nutrition Services in Southeast Asia

Maternal undernutrition can lead to protein-energy malnutrition, micronutrient deficiencies, or anemia during pregnancy or after birth. It remains a major problem, despite evidence-based maternal-nutrition interventions happening on ground. We conducted a scoping review to understand different strategies and delivery mechanisms to improve maternal nutrition, as well as how interventions have improved coverage and uptake of services. An electronic search was conducted in PubMed and Google Scholar for published studies reporting on the effectiveness of maternal-nutrition interventions in terms of access or coverage, health outcomes, compliance, and barriers to intervention utilization. The search was limited to studies published within ten years before the initial search date, 8 November 2019; later, it was updated to 17 February 2021. Of 31 studies identified following screening and data extraction, 22 studies were included for narrative synthesis. Twelve studies were reported from India and eleven from Bangladesh, three from Nepal, two from both Pakistan and Thailand (Myanmar), and one from Indonesia. Nutrition education and counselling, home visits, directly observed supplement intake, community mobilization, food, and conditional cash transfer by community health workers were found to be effective. There is a need to incorporate diverse strategies, including various health education approaches, supplementation, as well as strengthening of community participation and the response of the health system in order to achieve impactful maternal nutrition programs.

Efficacy of Ayurveda Interventions Specifically on Weight Gain in the Management of Protein Energy Malnutrition in Children: A Systematic Review Protocol

Background: In India, Protein Energy Malnutrition (PEM)remains a significant and challenging public health issue despite implementing different nutritional policies over the period. It is also accompanying with aggravated risk of all-cause morbidity, as well as fatality Ayurveda mentions about various nutritional disorders such as karshya, balashosha, phakka, yakshma which are having similar symptomatology and treatment approach as that of the PEM. Several clinical studies have been conducted and some are under trial but systematic review is still pending to explore an effective treatment modality to combat PEM in Children. Aim: A systematic review to evaluate the efficacy of Ayurveda Interventions specifically on weight gain in the Management of Protein Energy Malnutrition in Children. Materials and Methods: A systematic review which will evaluate published clinical work of Ayurveda treatment modalities specifically for weight gain in the management of PEM in children that will involve “The randomized controlled trials (RCTs), multiple-arms clinical trials, quasi-experimental trials, observational studies (case series and case reports) through databases like PubMed, COCHRANE, AYUSH Research Portal, DHARA; Google Scholar; etc. and Ayurveda compendia to fetch complete available literature.” Observations and Discussion: The work of selection of the studies, data extraction, and synthesis will be taken up. Established guidelines for study selection, quality assessment, and narrative synthesis will be followed. Risk of bias assessment will be performed. A protocol will be designed that will ensure transparency for the completed review. Results of the study will be elaborately synthesized. The data will be presented in percentage, count and frequency; and if we find the data to be sufficiently homogeneous then meta-analysis will be carried out. Conclusion: The results obtained from this systematic review will be useful in identifying the evidence-based efficacy of Ayurveda interventions on weight gain in the Management of PEM. It will also provide substratum for future research studies for generating good-quality evidence that can be helpful to design new health policy to combat PEM effectively.