DEVELOPING A COMMON HIGH-LEVEL ARCHITECTURE FOR A DIGITAL PERSONALIZED NUTRITION SERVICE AS A COMPETITIVE ADVANTAGE IN A CORONAVIRUS PANDEMIC

The article discusses theoretical issues related to the opportunities for the implementation and use of digital services for personalized nutrition in the COVID-19 pandemic. The author considers current problems of the Russian grocery retail market and current trends in changing consumer preferences. The advantages of retailers’ focus on meeting customers’ needs for personalized and healthy eating are described. A variant of personalized nutrition digital service architecture is developed and presented, architectural components are characterized, and classification of data sources for personalized nutrition plans is given. We have made a conclusion about the possibilities for food retailers to gain competitive advantages by implementing digital services for personalized nutrition.

Development of an Unified Food Composition Database for the European Project “Stance4Health”

The European Commission funded project Stance4Health (S4H) aims to develop a complete personalised nutrition service. In order to succeed, sources of information on nutritional composition and other characteristics of foods need to be as comprehensive as possible. Food composition tables or databases (FCT/FCDB) are the most commonly used tools for this purpose. The aim of this study is to describe the harmonisation efforts carried out to obtain the Stance4Health FCDB. A total of 10 FCT/FCDB were selected from different countries and organizations. Data were classified using FoodEx2 and INFOODS tagnames to harmonise the information. Hazard analysis and critical control points analysis was applied as the quality control method. Data were processed by spreadsheets and MySQL. S4H’s FCDB is composed of 880 elements, including nutrients and bioactive compounds. A total of 2648 unified foods were used to complete the missing values of the national FCDB used. Recipes and dishes were estimated following EuroFIR standards via linked tables. S4H’s FCDB will be part of the smartphone app developed in the framework of the Stance4Health European project, which will be used in different personalized nutrition intervention studies. S4H FCDB has great perspectives, being one of the most complete in terms of number of harmonized foods, nutrients and bioactive compounds included.

Nutrition management of Niemann Pick disease type C: A case report

Objectives. We aim to report the clinical repercussions of a nutritional approach in a patient diagnosed with Niemann Pick disease type C (NPC) using miglustat as pharmacological therapy. Case report. A 33-year-old woman diagnosed with NPC using miglustat was instructed to look for a dietary management at our nutrition service. Patient’s symptoms were weight loss and important gastrointestinal alterations. Our nutritional prescription was a high-calorie and high-protein, lactose- and sucrose-free diet, as well as a daily supplementation of L-glutamine, probiotics, omega 3, and coenzyme Q10. After two months, the patient had weight gain and improvement in the intestinal health. Conclusions. We found that nutritional prescription aided in the treatment of NPC and revealed that nutritional care represents an important strategy in the management of rare genetic diseases.

Assessment of linkage between Productive Safety Net Program and Health Services in Somali Region, Ethiopia: Lessons, Challenges and Missed Opportunities

Background: Ethiopia’s Productive Safety Net Programme (PSNP) which has been implemented since 2005 is a large-scale, social protection intervention aimed at improving food security. The fourth phase of the PSNP included a system of integrated health and nutrition service delivery for its categories of beneficiaries especially the creation of a temporary direct support(TDS) category for clients that are pregnant and lactating women (PLW) or caretakers of malnourished children, who are exempted from public work but expected to comply with co-responsibilities which counts towards their public works requirement aimed at improving utilization of health services.Methods: The study was a cross-sectional descriptive survey and used qualitative methods, in-depth interviews and focus group discussions (FGDs), conducted in two woredas( districts) (Gursum and Kebribayah) in Farfan zone of Somali region. The study population were key individuals involved in the linkages of PSNP with health services and the beneficiaries. The study assessed the implementation of the linkage between PSNP4 and health servicesResults: The study observed that the stakeholders have adequate knowledge and understood their roles in the linkages between PSNP and the health services, in addition the beneficiaries also are aware of their rights and the process for exemption from public work. However, the major issues identified included poor coordination among the implementing actors, poor knowledge , monitoring and compliance with the co-responsibilities by the stakeholders and the beneficiaries.Conclusion: Considering the size of the program in the region which is targeted to the poor, the Productive Safety net program being the main tool to help forward Ethiopia’s Social Protection Policy and Strategy, has the potential to improve access and utilization of health and nutrition services if more efforts are put to strengthen integration and linkages with the health sector and monitoring of compliance of co-responsibilities by the beneficiaries of the program.

Evaluation of the food environment of public hospitals in a Brazilian metropolis

Objective: To characterise the food environment of public hospitals in a Brazilian metropolis. Design: A cross-sectional study involving the audit of mini-kitchens, non-commercial food services, commercial food services and vending machines within hospitals and interviews with workers and managers. Environmental dimensions assessed included: availability, accessibility, affordability, convenience, nutrition information, promotion and advertising, infrastructure for food and ambience, in addition to decisions-level aspects. Setting: Rio de Janeiro, Brazil. Participants: 24 public hospitals in the municipal health network. Results: Of the hospitals assessed, 92·0 % had a non-commercial food service, 87·5 % had mini-kitchens (facilities to consume food taken from home), 37·5 % had commercial food services and 25·0 % had vending machines. Mini-kitchens were available in most but not all hospitals, a key facility given that few commercial or non-commercial food services were open 24 h a day. The food availability in the hospitals surveyed did not promote healthy eating. A wide variety of ultra-processed foods and drinks was found and advertising promoting their consumption, even in non-commercial food services with menus planned by nutritionists. Water filters/fountains were present in around 50 % of mini-kitchens and non-commercial food services but were unavailable in commercial food services. According to workers interviewed, the temperature of the environment was the worst-rated aspect of mini-kitchens, non-commercial food services and commercial food services. Nutrition service managers reported little involvement in producing biddings and proposals for hiring outside companies to run non-commercial food services or commercial food services. Conclusion: The food environment of the hospitals studied did not promote healthy eating habits.

MetaCliniq: a metabolomics tool for the development of a personalised nutrition service within the Stance4Health project

MetaCliniq: a metabolomics tool for the development of a personalised nutrition service within the Stance4Health project The overall objective of Stance4Health is to develop a complete smart personalised nutrition service based on the use of mobile technologies as well as tailored food production that will optimise the gut microbiota activity and long-term consumer engagement. The project will focus on the adult population (lean and overweight people) and children (lean, obese coeliac disease or food allergy).

Households' Willingness To Pay And Associated Factors For The Nutrition Services Provided To Pregnant Women At Maternity Waiting Homes In East Wollega, Western Ethiopia

Background: Maternity waiting home is a housing facility located near qualified medical facilities where a pregnant woman can wait to give birth and provided a nutrition service. In Ethiopia, most (86%) of the maternity waiting homes had no budget allocated from government funds and thus have to rely on communities’ contribution. Yet, very few studies have been conducted so far to evaluate the household’s willingness to pay for the nutrition service. Objective: The study aimed to estimate households’ maximum willingness to pay and its associated factors for the nutrition service provided to a pregnant woman at a maternity waiting homes in East Wollega Zone of Oromia National regional state, Ethiopia, September 2018. Methodology: A community based cross sectional study using double bounded dichotomous choice contingent valuation method was used. Sample size was determined by using single population proportion formula. Data entry and analysis were made using Epi-Data version 3.1 and SPSS for Windows version 20 software respectively. Descriptive statistics of frequency, binary and multivariable logistic regression analysis were performed. The associations between explanatory variables and outcome variable were presented by an Adjusted Odd Ratio and confidence interval. Results: We gathered data from 845 participants (98% response rate). The annual median maximum willingness to pay was 15ETB (US$0.55) per household. Marital status (AOR=3.533, 95% CI=1.007-12.39) and average monthly income (AOR=3.287, 95%CI=1.194-9.049). Moreover, distance from the health facility (AOR = 3.64, 95%CI = 1.256-10.55) and availability of food (AOR=3.714, 95%CI=1.331-10.364), enough beddings (AOR=5.353, 95%CI=2.207-13.010) and cooking utensils (AOR=4.044, 95%CI=1.353-12.088) at a housing facility were found to be predictors. Conclusion and Recommendation: Marital status, monthly income, and distance, availability of food, beddings and cooking utensils at housing facilities were found to be factors influencing maximum willingness to pay. Therefore, health facility managers should avail supplies and equipment at a housing facility.

Dyslipidemia and Glucose Profile: Metabolic and Nutritional Changes in Obese Women with Nomadic Routine in a Military Hospital / Dislipidemia e Perfil Glicídicos: Alterações Metabólicas e Nutricionais de Mulheres Obesas com Rotina Nômade em um Hospital Militar

Background: Obesity is a highly disabling comorbidity, being considered a risk factor for chronic diseases, especially cardiovascular diseases. This metabolic alteration is closely related to lifestyle, food consumption, and physical inactivity. Amid a nomadic routine psychological disorders prevail.Objective: To establish the relationship between dyslipidemia and changes in glucose metabolism in obese women in a nomadic routine.Methods: 86 women were assisted. Of these, 54 had completed a follow-up at the nutrition service outpatient clinic of a Military Hospital in the Area from September 2019 to June 2020. Retrospective data collected were as follows: socioeconomic and anthropometric data, food consumption, and biochemical profile (p0.05).Results: The age group was 31-49 years (68.52%). The seasonality caused by nomadism generated depression, anxiety, and binge eating, conditions worsened by cardiovascular risk factors, namely, systemic arterial hypertension (55.56%), heart failure (35.19%), and diabetes mellitus (44.44%). As for the nutritional diagnosis, 47.2% were grade 1 obese, with 91 kg average weight. Average values for high-density lipoprotein were low, at 45.98 mg/dl; fasting glucose was 107.04 mg/dl. It was observed that prediabetic patients with changes in glycated hemoglobin tended to have change in lipid metabolism. Diabetic diagnoses related to lower dyslipidemic change.Conclusion: The best way to treat and prevent dyslipidemia and diabetes mellitus are lifestyle changes. Glucose intolerance directly affects care toward nutrition and the lifestyle.