An exploration of hydration practices in Maltese residential care homes for older people

Background/aims The integral relationship between adequate hydration and good health is widely recognised. Older people with complex needs and frailty can struggle to maintain adequate hydration, with residents in care home settings being at an increased risk of dehydration. The aim of this study was to explore current hydration practices in residential care homes in Malta. Methods An exploratory qualitative approach was adopted to explore staff's views and approaches in supporting residents' hydration. Data was collected via semi-structured, individual and small group interviews with staff from two care homes from the central and southern region of Malta. A process of open coding, followed by axial coding, was used to analyse the data. Peer debriefing was performed throughout, until agreement was reached among the research team about the final themes and sub-themes. Results Three themes emerged from the data: culture of promoting fluid intake; challenges in supporting older people to achieve optimum hydration; hydration practices and approaches. Conclusions A hydration promotion culture was demonstrated through various practices adopted in the care homes. The strong focus on water intake, in response to concerns about consuming sugary beverages, has implications for the promotion of a person-centred approach to hydration care. Inconsistencies in monitoring of fluids and daily recommended targets highlights the importance of policies or guidelines to guide hydration practice. Challenges related to refusal of fluids and language barriers among non-native staff were evident and justify further research is this area.

Transfer functions: learning about a lagged exposure-outcome association in time-series data

Many population exposures in time-series analysis, including food marketing, exhibit a time-lagged association with population health outcomes such as food purchasing. A common approach to measuring patterns of associations over different time lags relies on a finite-lag model, which requires correct specification of the maximum duration over which the lagged association extends. However, the maximum lag is frequently unknown due to the lack of substantive knowledge or the geographic variation of lag length. We describe a time-series analytical approach based on an infinite lag specification under a transfer function model that avoids the specification of an arbitrary maximum lag length. We demonstrate its application to estimate the lagged exposure-outcome association in food environmental research: display promotion of sugary beverages with lagged sales.

Eating Competence among Brazilian Adults: A Comparison between before and during the COVID-19 Pandemic

The coronavirus pandemic started a worldwide emergency, and tight preventive actions were necessary to protect the population, changing individuals’ daily habits. Dwelling and working at home can change dietary habits, affect food choice and access, as well as the practice of physical activity. In this regard, this study’s goal was to compare eating competence (EC) among Brazilian adults before and during the coronavirus pandemic, using the Brazilian version of the eating competence Satter inventory (ecSI2.0™BR) with the “retrospective post-then-pre” design. This cross-sectional study was performed from 30 April to 31 May 2021 among a convenience sample of the Brazilian adult population using an online platform (Google® Forms). In the studied sample (n = 302 in which 76.82% were females), EC total score lowered during the pandemic (31.69 ± 8.26 vs. 29.99 ± 9.72; p < 0.005), and the decrease was worst after the beginning of the pandemic among those who reported weight gain, decreased the consumption of fruit and vegetables, and increased the consumption of sugary beverages. The contextual skill component seems relevant in this scenario, where our life and routines were changed entirely, demonstrating that the ability to manage the food context is essential, especially when sanitary and economic situations represent a new challenge.

Dietary and Health Correlates of Sweetened Beverage Intake: Sources of Variability in the National Health and Nutrition Examination Survey (NHANES)

Recent studies using data from the National Health and Nutrition Examination Survey (NHANES) have used inconsistent approaches to identify and categorize beverages, especially those containing low-calorie sweeteners (LCS), also referred to as low-calorie sweetened beverages (LCSBs). Herein, we investigate the approaches used to identify and categorize LCSBs in recent analyses of NHANES data. We reviewed published studies examining LCS consumption in relation to dietary and health outcomes and extracted the methods used to categorize LCS as reported by the authors of each study. We then examined the extent to which these approaches reliably identified LCSBs using the Internet Archive Wayback Machine to examine beverage ingredients lists across three NHANES cycles (2011–2016). None of the four general strategies used appeared to include all LCSBs while also excluding all beverages that did not contain LCS. In some cases, the type of sweetener in the beverage consumed could not be clearly determined; we found 9, 16, and 18 of such “mixed” beverage identifiers in the periods 2011–2012, 2013–2014, and 2015–2016, respectively. Then, to illustrate how heterogeneity in beverage categorization may impact the outcomes of published analyses, we compared results of a previously published analysis with outcomes when “mixed” beverages were grouped either all as LCSBs or all as sugary beverages. Our results suggest that caution is warranted in design and interpretation of studies using NHANES data to examine dietary and health correlates of sweetened beverage intake.

A molecular outlook review on how coffee and oats can help redefine the way we take care of our health

Chronic degenerative diseases like obesity, metabolic syndrome, diabetes, fatty liver, have gained high prevalence in the world, due to sedentarism, improper nutritional habits as well as alcohol and tobacco consumption. Studies have shown that regular consumption of breakfast leads to a wide range of benefits, especially for the liver. The liver is a key organ for metabolic homeostasis regulating and governing energy metabolism, mostly providing nutrients for reabsorption. Benefits of a nutrimental quality breakfast seem to help lower body mass index, prevent metabolic diseases, and overall improve quality of life. Unfortunately, these include either high cholesterol or high-sugar foods including cold cuts, bread, eggs, and sugary beverages. Also, much of the population’s work schedule relates to long hours and high-level of stress, therefore malnutrition, and inadequate eating schedules are common.

Beverages Containing Plant-Derived Polyphenols Inhibit Growth and Biofilm Formation of Streptococcus mutans and Children’s Supragingival Plaque Bacteria

Objectives: Polyphenols in edible berries and tea plant (Camellia sinensis) suppressed virulence factors of oral pathogens. We investigated if the commercially marketed plant polyphenols-containing beverages inhibited growth and biofilm formation of Streptococcus mutans and children’s dental plaque. Methods: Supragingival plaque collected from 16 children (7–11 years) were suspended in TSB for testing. Test beverages included 26 marketed packaged teas, ready-to-drink bottled raspberry flavored teas and cranberry juice cocktails with and without added sugars. Their effects on in vitro growth and biofilm formation of S. mutans and children’s plaque bacteria were determined after 24–48 h at 37 °C anaerobically in CDM with or without sucrose. Results: Brewed infusions from black, green and cinnamon or raspberry flavored teas bags inhibited growth and biofilm formation of children’s plaque bacteria. Compared to controls, bottled raspberry flavored teas and cranberry juice cocktails significantly inhibited growth and biofilm formation of test bacteria. Added sugar did not significantly impact the inhibition (p > 0.05). Biofilms formed in these beverages were loosely attached and easily dislodged from surfaces. Conclusions: Beverages rich in antimicrobial plant polyphenols reduce plaque adherence, may benefit oral health and are preferred over other sugary beverages. The concept of oral diseases prevention using natural foods/diet is innovative, practical and acceptable.

Analysis of the Demand for Berries in Mexico: An Application of the Almost Ideal Demand System (AIDS) Model

Objective: To identify the factors affecting the demand for berries in Mexican households, as well as the behavior in face of variations in economic income. Design/Methodology/Approach: In order to analyze the demand, microdata were used from the National Income-Expenditure Survey of Households 2018 (Encuesta Nacional Ingreso Gasto de los Hogares, ENIGH) from the National Institute of Statistics and Geography (Instituto Nacional de Estadística, Geografía e Informática, INEGI), and for its modelling the Almost Ideal Demand System (AIDS) model was used. Results: Because of their Marshallian elasticity, berries are an elastic good (-1.0316), and because of their expenditure elasticity they are a luxury good (1.0691). In terms of crossed Marshallian elasticities, sweet fruits and sugary beverages were identified as substitute goods with elasticity of 0.0013 and 0.0380, respectively, while semi-acid fruits and melons would be complementary goods, with elasticities of -0.0191 and -0.0184, respectively. Study Limitations/Implications: Given that most of the time series of the berries lack disaggregation and sufficient information, it is difficult to analyze each component of the group separately; therefore, it was decided to analyze the group of berries and its relationship with other goods; in addition, the ENIGH database was selected, which provides more information. Conclusions: There are state differences in the response to changes in prices and income with regard to the demand for berries, so that facing a generalized increase in household income consumption would increase much more in the center of the country than in the south-southeast.

Probiotics, Prebiotics, Synbiotics and Dental Caries. New Perspectives, Suggestions, and Patient Coaching Approach for a Cavity-Free Mouth

Probiotic therapy forms a new strategy for dental caries prevention. Probiotic microorganisms possess the ability to displace cariogenic microorganisms and colonize the oral cavity. They can produce various antimicrobial substances such as bacteriocins, bacteriocin-like peptides, lactic acid, and hydrogen peroxide. Dairy products may be ideal for probiotic administration in dental patients. Many other means have been proposed, primarily for those allergic to dairy components, such as capsules, liquid form, tablets, drops, lozenges, sweetened cakes, and ice creams. The last two forms can be used in a coaching approach for children and elderly patients who find it difficult to avoid sugary beverages in their daily routine and benefit from the suggestion of easy, cheap, and common forms of delicacies. In caries prevention, the concept of the effector strain is already considered an integral part of the contemporary caries cure or prevention strategy in adults. Adults, though, seem not to be favored as much as children at early ages by using probiotics primarily due to their oral microbiome’s stability. In this non-systematic review we describe the modes of action of probiotics, their use in the cariology field, their clinical potential, and propose options to prevent caries through a patient coaching approach for the daily dental practice.

Trajectories of Eating Behaviours During Adolescence Among Canadian Youth

Objectives This study aimed to investigate the presence of sub-groups of boys and girls presenting different trajectories of multiple eating behaviours (i.e., consumption of vegetables and fruits, sugary beverages, breakfast and fast food) throughout adolescence. Methods Data from seven cycles of the MATCH study, which followed 744 participants from the age of 11 to 18 years old, were included. At each cycle, participants reported how often they ate breakfast and consumed vegetables and fruits, sugary beverages and fast foods on a weekly basis. Trajectories of eating behaviours over a 7-year period were identified using group-based multi-trajectory modeling. Results Changes in eating behaviours occurred at roughly 13–14 years of age for both genders. For girls, three different groups were identified, namely ‘stable food intake with decline in daily breakfast consumption’ (39.9%), ‘moderate food intake and declining of overall eating behaviours’ (38.0%), and ‘stable high food intake’ (22.1%). For boys, five different groups were identified, namely ‘low food intake with stable daily breakfast consumption’ (27.3%), ‘breakfast skippers and increasing fast food intake’ (27.1%), ‘low food intake with decline in daily breakfast consumption’ (23.9%), ‘high food intake with worsening of eating behaviours’ (13.3%), and ‘average food intake with consistently high breakfast consumption’ (8.4%). Conclusions Among boys and girls, eating behaviours evolve through various distinct trajectories during adolescence. No group of adolescents presented eating trajectories that could be described as healthy and most are characterised by a worsening of eating behaviours throughout adolescence. To promote healthier eating behaviours during adolescence, gender-specific approaches and interventions are needed in addition to general public health messages. Funding Sources The MATCH study is supported by the New Brunswick Health Research Foundation (20,130,729), the Social Sciences and Humanities Research Council (435-2016-0888), and Sport Canada through the joint Sport Participation Research Initiative (862-2010-0001 and 862-2014-0002).