Miracle-dz/UniFAR-FTUs huggingface dataset:
Co-ingestion of protein and leucine stimulates muscle protein synthesis rates to the same extent in young and elderly lean men.

BACKGROUND The progressive loss of skeletal muscle mass with aging is attributed to a disruption in the regulation of skeletal muscle protein turnover. OBJECTIVE We investigated the effects on whole-body protein balance and mixed-muscle protein synthesis rates of the ingestion of carbohydrate with or without protein and free leucine after simulated activities of daily living. DESIGN Eight elderly (75 +/- 1 y) and 8 young (20 +/- 1 y) lean men were randomly assigned to 2 crossover experiments in which they consumed either carbohydrate (CHO) or carbohydrate plus protein and free leucine (CHO+Pro+Leu) after performing 30 min of standardized activities of daily living. Primed, continuous infusions with L-[ring-13C6]phenylalanine and L-[ring-2H2]tyrosine were applied, and blood and muscle samples were collected to assess whole-body protein turnover and the protein fractional synthetic rate in the vastus lateralis muscle over a 6-h period. RESULTS Whole-body phenylalanine and tyrosine flux were significantly higher in the young than in the elderly men (P < 0.01). Protein balance was negative in the CHO experiment but positive in the CHO+Pro+Leu experiment in both groups. Mixed-muscle protein synthesis rates were significantly greater in the CHO+Pro+Leu than in the CHO experiment in both the young (0.082 +/- 0.005%/h and 0.060 +/- 0.005%/h, respectively; P < 0.01) and the elderly (0.072 +/- 0.006%/h and 0.043 +/- 0.003%/h, respectively; P < 0.01) subjects, with no significant differences between groups. CONCLUSIONS Co-ingestion of protein and leucine with carbohydrate after activities of daily living improves whole-body protein balance, and the increase in muscle protein synthesis rates is not significantly different between lean young and elderly men.
Spot ferritin assay for serum samples dried on filter paper.

A spot method was developed for analyzing ferritin from 20-microL serum samples (n = 71) that were spotted and dried on filter paper and stored frozen (2 d). Spot samples were thawed, incubated in a buffer containing cellulase, and centrifuged and the supernate assayed for ferritin by a commercial radioimmunoassay. The geometric means (+/- 1 SD) for ferritin analyzed with the spot and traditional methods were 49.4 (range: 14.9-164.0) and 47.5 (range: 14.4-156.0) micrograms/L, respectively. The two methods correlated strongly (r = 0.98, P = 0.0001). Storage of spot samples (n = 31) under various conditions (at room temperature, refrigerated, or frozen for 2 wk, or at room temperature for 4 wk) in airtight bags before analysis yielded ferritin values that were not significantly different from those obtained by the traditional method. Ferritin values from spotted samples stored at room temperature for 4 wk before being analyzed were only 2.2 micrograms/L higher than those from samples analyzed by the traditional method. With iron depletion defined as a serum ferritin concentration < 15 micrograms/L, this method corresponded absolutely with the traditional method in classifying individuals as iron sufficient or deficient. Thus, the spot ferritin method (with samples stored at room temperature for 4 wk) offers a reliable, accurate, and practical tool for iron status assessment in field studies. Capillary blood can be sampled to avoid the costs and concerns associated with venipuncture and spotted serum samples can be stored at room temperature for > or = 4 wk, eliminating the need for freezing during storage and transportation.
Human vitamin E requirements assessed with the use of apples fortified with deuterium-labeled alpha-tocopheryl acetate.

BACKGROUND Little is known about factors that modulate dietary alpha-tocopherol bioavailability. OBJECTIVES The study aimed to assess the efficacy of vitamin E-fortified apples as a low-fat vitamin E delivery system, the influence of fat on vitamin E absorption, and human vitamin E requirements by using plasma alpha-tocopherol kinetics at a dosage of alpha-tocopherol found in food. DESIGN Apples fortified with deuterium-labeled alpha-tocopheryl acetate were consumed by 5 participants at a breakfast containing 0%, 6%, or 21% kcal from fat in 3 sequential trials. The trials were separated by a 2-wk washout period. Blood samples were obtained up to 72 h, and plasma was analyzed for labeled and unlabeled alpha-tocopherol. RESULTS Compared with observations in the 0% fat trial, the maximum observed plasma d6-alpha-tocopherol concentrations (Cmax) and the areas under the curve increased 2- and 3-fold during the 6% and 21% fat trials, respectively. The mean (+/-SD) estimated percentage d6-alpha-tocopherol absorbed increased from 10 +/- 4% during the 0% fat trial to 20 +/- 3% and 33 +/- 5% during the 6% and 21% fat trials, respectively. The mean time to Cmax (9 +/- 2 h), fractional disappearance rates (0.022 +/- 0.003 pools/d), and half-lives (32 +/- 4 h) did not differ significantly between the trials. With the use of fractional disappearance rates and baseline plasma alpha-tocopherol concentrations, the estimated daily plasma alpha-tocopherol efflux was 13-14 mg. The estimated rate of alpha-tocopherol delivery to tissues was 5 mg/d. CONCLUSIONS Given an estimated 33% absorption, the amount of dietary vitamin E needed daily to replace irreversible losses is </=15 mg. These estimates support the current human vitamin E requirements despite the claims that the median amount of vitamin E that Americans consume is 7 mg/d.
Comparison of annual percentage change in breast cancer incidence rate between Taiwan and the United States—A smoothed Lexis diagram approach

Recent studies compared the age effects and birth cohort effects on female invasive breast cancer (FIBC) incidence in Asian populations with those in the US white population. They were based on age–period–cohort model extrapolation and estimated annual percentage change (EAPC) in the age‐standardized incidence rates (ASR). It is of interest to examine these results based on cohort‐specific annual percentage change in rate (APCR) by age and without age–period–cohort model extrapolation. FIBC data (1991–2010) were obtained from the Taiwan Cancer Registry and the U.S. SEER 9 registries. APCR based on smoothed Lexis diagrams were constructed to study the age, period, and cohort effects on FIBC incidence. The patterns of age‐specific rates by birth cohort are similar between Taiwan and the US. Given any age‐at‐diagnosis group, cohort‐specific rates increased overtime in Taiwan but not in the US; cohort‐specific APCR by age decreased with birth year in both Taiwan and the US but was always positive and large in Taiwan. Given a diagnosis year, APCR decreased as birth year increased in Taiwan but not in the US. In Taiwan, the proportion of APCR attributable to cohort effect was substantial and that due to case ascertainment was becoming smaller. Although our study shows that incidence rates of FIBC have increased rapidly in Taiwan, thereby confirming previous results, the rate of increase over time is slowing. Continued monitoring of APCR and further investigation of the cause of the APCR decrease in Taiwan are warranted.
Undereating and underrecording of habitual food intake in obese men: selective underreporting of fat intake.

BACKGROUND Underreporting of food intake is common in obese subjects. OBJECTIVE One aim of this study was to assess to what extent underreporting by obese men is explained by underrecording (failure to record in a food diary everything that is consumed) or undereating. Another aim of the study was to find out whether there was an indication for selective underreporting. DESIGN Subjects were 30 obese men with a mean (+/-SD) body mass index (in kg/m(2)) of 34 +/- 4. Total food intake was measured over 1 wk. Energy expenditure (EE) was measured with the doubly labeled water method, and water loss was estimated with deuterium-labeled water. Energy balance was checked for by measuring body weight at the start and end of the food-recording week and 1 wk after the recording week. RESULTS Mean energy intake and EE were 10.4 +/- 2.5 and 16.7 +/- 2. 4 MJ/d, respectively; underreporting was 37 +/- 16%. The mean body mass loss of 1.0 +/- 1.3 kg over the recording week was significantly different (P < 0.05) from the change in body mass over the nonrecording week, and indicated 26% undereating. Water intake (reported + metabolic water) and water loss were significantly different from each other and indicated 12% underrecording. The reported percentage of energy from fat was a function of the level of underreporting: percentage of energy from fat = 46 - 0.2 x percentage of underreporting (r(2) = 0.28, P = 0.003). CONCLUSIONS Total underreporting by the obese men was explained by underrecording and undereating. The obese men selectively underreported fat intake.
Effect of orlistat or metformin in overweight and obese polycystic ovary syndrome patients with insulin resistance

Abstract The aim of this study was to evaluate the effect of orlistat or metformin combined with Diane-35 on anthropometric, hormonal and metabolic parameters in overweight and obese polycystic ovary syndrome (PCOS) patients with insulin resistance (fasting insulin > 10 mIU/L). A total of 240 PCOS women were randomly allocated to orlistat plus Diane-35(OD group), metformin plus Diane-35(MD group), orlistat plus metformin plus Diane-35(OMD group) or Diane-35 (D group). Body weight, BMI, waist and hip circumference, blood pressure, endocrine profile, lipid profile and insulin resistance were assessed at baseline and after 3 months. Significant reductions in waist and hip circumference, serum LH, total testosterone and uric acid were observed in all groups compared with baseline. TG and TC significantly decreased in the OD group. Homeostasis model assessment insulin resistance (HOMA-IR) index was reduced in the OD (p = .015), MD (p = .001) and OMD (p = .004) groups. Body weight, BMI, systolic BP and HDL-C significantly changed in the OD and OMD group compared with the D group (p < .05). Side effects were less with orlistat than metformin. This study demonstrated that orlistat is more effective in reducing weight and lipid profile than metformin. Besides, orlistat has mild side-effects and is better tolerated compared with metformin.
Postprandial metabolic fate of tocotrienol-rich vitamin E differs significantly from that of alpha-tocopherol.

BACKGROUND The detection of tocotrienols in human plasma has proven elusive, and it is hypothesized that they are rapidly assimilated and redistributed in various mammalian tissues. OBJECTIVE The primary study objective was to evaluate the postprandial fate of tocotrienols and alpha-tocopherol in human plasma and lipoproteins. DESIGN Seven healthy volunteers (4 males, 3 females) were administered a single dose of vitamin E [1011 mg palm tocotrienol-rich fraction (TRF) or 1074 mg alpha-tocopherol] after a 7-d conditioning period with a tocotrienol-free diet. Blood was sampled at baseline (fasted) and 2, 4, 5, 6, 8, and 24 h after supplementation. Concentrations of tocopherol and tocotrienol isomers in plasma, triacylglycerol-rich particles (TRPs), LDLs, and HDLs were measured at each interval. RESULTS After intervention with TRF, plasma tocotrienols peaked at 4 h (4.79 +/- 1.2 microg/mL), whereas alpha-tocopherol peaked at 6 h (13.46 +/- 1.68 microg/mL). Although tocotrienols were similarly detected in TRPs, LDLs, and HDLs, tocotrienol concentrations were significantly lower than alpha-tocopherol concentrations. In comparison, plasma alpha-tocopherol peaked at 8 h (24.3 +/- 5.22 microg/mL) during the alpha-tocopherol treatment and emerged as the major vitamin E isomer detected in plasma and lipoproteins during both the TRF and the alpha-tocopherol treatments. CONCLUSIONS Tocotrienols are detected in postprandial plasma, albeit in significantly lower concentrations than is alpha-tocopherol. This finding confirms previous observations that, in the fasted state, tocotrienols are not detected in plasma. Tocotrienol transport in lipoproteins appears to follow complex biochemically mediated pathways within the lipoprotein cascade.
Eye disorders associated with obstructive sleep apnoea

Purpose of review Obstructive sleep apnoea (OSA) is increasing in prevalence due to rising obesity. Public awareness is also growing. Although OSA is a disorder primarily of the upper airway during sleep, its physiological impact on other parts of the body is now well recognized. There is increasing interest in the association of OSA with various eye disorders. Work in this field has been directed predominantly to OSA prevalence and association studies, but some authors have tried to elucidate the effect of OSA therapies on eye diseases, including continuous positive airway pressure, upper airway surgery or bariatric surgery. This review discusses the publications in this area from the past year. Recent findings The key ocular disorders featured in the studies and meta-analayses include glaucoma, floppy eyelid syndrome, nonarteritic ischaemic optic neuropathy, keratoconus, age-related macular degeneration and diabetic retinopathy. Associations with OSA were found with all these conditions, but aspects of the studies still leave gaps in our knowledge. Summary This review highlights the need for ophthalmologists to consider OSA in their patients and also makes recommendations for future research studies, especially whether therapies for OSA can be effective for ocular disorders also.
Endometriosis and gestational diabetes mellitus risk: a systematic review and meta-analysis

Abstract Objective: To perform a systematic review and meta-analysis regarding endometriosis and the risk of gestational diabetes mellitus (GDM). Methods: We carried out a search of the following databases: Medline, Embase, Web of Science, Cochrane Library, Scopus, Scielo, Clinicaltrials.gov, the UK Clinical Trials Gateway, and the Australian New Zealand Clinical Trials Registry, from inception through April 28 2017, without language restrictions, in order to evaluate the effect of endometriosis over GDM risk, in women with and without endometriosis. Odds ratios (ORs) and their 95% confidence intervals (CIs) or mean differences (MDs) were calculated as effects. Methodological quality of evidence was assessed with the Newcastle–Ottawa Scale, and heterogeneity among studies with the I2 statistic. Random-effects models were used for meta-analyses, and publication bias was assessed with Egger’s test. Results: We identified 12 studies (10 cohort and two case control studies) with a total of 48,762 pregnancies, including 3,461 with endometriosis. Endometriosis had no significant effect on GDM risk (OR =1.14; 95% CI: 0.86, 1.51; p = .35, I2 = 56%, Egger’s test p = .45). Secondary outcomes (gestational age at delivery, birthweight, and Neonatal Intensive Care Unit admission) were statistically similar in women with and without endometriosis. Conclusions: Better-designed studies are needed to confirm our results.
Minimal enteral feeding within 3 d of birth in prematurely born infants with birth weight < or = 1200 g improves bone mass by term age.

BACKGROUND Evidence-based practice guidelines for aggressive nutritional intervention by using parenteral amino acids (AAs) and minimal enteral feeding (MEF) as early as the first day of life have not been tested for benefits to bone mass. OBJECTIVE We investigated whether early introduction of parenteral AAs and MEF improves growth and bone mass achieved by term age in infants born prematurely. DESIGN Twenty-seven infants who were < or = 1200 g and < or = 32 wk gestation at birth were randomly assigned by using a 2 x 2 design to treatment of either 1 g AAs/kg within the first 24 h or 12 mL MEF x kg(-1) x d(-1) within the first 72 h of life. Nutrition and growth were documented during hospitalization, and bone mineral content (BMC) of lumbar spine 1-4, femur, and whole body was measured at term age. Biomarkers of bone metabolism were measured at weeks 1, 3, and 5 and at discharge. Statistical analysis was conducted by using 2 x 2 analysis of variance for intent to treat and for infants receiving protocol nutrition. RESULTS Over the first 14 d of life, a main effect of early AAs elevated total intake of protein, and a main effect of early MEF was a higher frequency of MEF volumes exceeding > 12 mL x kg(-1) x d(-1). Main effects on growth were not evident. An interaction effect was observed for osteocalcin whereby early AAs or MEF alone elevated osteocalcin. A main effect of early MEF yielded higher BMC of spine and femur. CONCLUSION Early aggressive nutrition support with MEF enhances BMC in premature infants, but early MEF or AAs do not improve growth.
Signs of reactive attachment disorder and disinhibited social engagement disorder at age 12 years: Effects of institutional care history and high-quality foster care

Abstract Two disorders of attachment have been consistently identified in some young children following severe deprivation in early life: reactive attachment disorder and disinhibited social engagement disorder. However, less is known about whether signs of these disorders persist into adolescence. We examined signs of reactive attachment disorder and disinhibited social engagement disorder at age 12 years in 111 children who were abandoned at or shortly after birth and subsequently randomized to care as usual or to high-quality foster care, as well as in 50 comparison children who were never institutionalized. Consistent with expectations, those who experienced institutional care in early life had more signs of reactive attachment disorder and disinhibited social engagement disorder at age 12 years than children never institutionalized. In addition, using a conservative intent-to-treat approach, those children randomized to foster care had significantly fewer signs of reactive attachment disorder and disinhibited social engagement disorder than those randomized to care as usual. Analyses within the ever institutionalized group revealed no effects of the age of placement into foster care, but number of caregiving disruptions experienced and the percentage of the child's life spent in institutional care were significant predictors of signs of attachment disorders assessed in early adolescence. These findings indicate that adverse caregiving environments in early life have enduring effects on signs of attachment disorders, and provide further evidence that high-quality caregiving interventions are associated with reductions in both reactive attachment disorder and disinhibited social engagement disorder.
Intakes of high fat and high carbohydrate foods by humans increased with exposure to increasing altitude during an expedition to Mt. Everest.

The objectives of the study were to determine total energy intakes, distribution of energy derived from the macronutrients, and the effects of increasing altitudes on energy and macronutrient consumption during exposure to high altitudes. High fat, low carbohydrate diets (35% and 50% of energy, respectively) or low fat, high carbohydrate diets (20% and 65% of energy, respectively) were provided to two groups of subjects for a 3-wk period. Groups then consumed the alternate diet for 3 wk, followed by a return to the original diet for the remaining 3 wk of the study. Free choice of individual items and amounts within each diet was permitted. Intake of food and fluid was determined by means of monitored entries in daily food records. Five subjects remained at Base Camp (5300 m) and 10 subjects climbed to altitudes up to and including the summit of Mt. Everest (8848 m). Subjects consumed an average of 10.22 +/- 4.57 MJ/d (2442 +/- 1092 kcal) energy while at Base Camp, with climbers consuming significantly more than Base Camp personnel [11.89 +/- 4. 88 vs. 7.87 +/- 2.98 MJ/d (2841 +/- 1167 vs. 1881 +/- 713 kcal/d), P </= 0.0001]. There was a significant decline in energy consumption at increasing altitudes (P = 0.022), but no shift in distribution of energy provided from fat, carbohydrate or protein (P > 0.05). Contrary to previous reports, subjects in this study did not shift their food selections away from the high fat items towards high carbohydrate items.
Towards Minimization of Foot formation of EN25 Steel Flats

Foot formation in the workpiece during shaping operation is not favourable with early tool fracture, when a cutter exits the workpiece edge. Foot formation occurs due to gradual rotation of the positive shear plane to the negative shear plane about a pivot point. A number of tests in shaping operation is done in the present work on nickel chrome steel (En25) flats. Experiments are carried out in dry environment under different cutting velocities, rake angles and exit edge bevel angles to note the effect of foot formation. Experimental results are analyzed through ANOVA to find out the significance of the effect of cutting parameters and exit edge bevel angle to minimize the foot formation. It is observed foot formation that an exit edge bevel angle has the most significant effect. An exit edge bevel angle of 150 is recommended in orthogonal shaping operation when no foot formation is found.
Previous milk consumption is associated with greater bone density in young women.

BACKGROUND Dietary calcium and milk intakes at specific ages may influence bone mineral measures at specific sites during development of peak bone mass. OBJECTIVE Relations of previous milk intake and current calcium intake to current bone mineral measures were investigated in young women. DESIGN A food-frequency interview and recall of previous milk intake from early childhood to 12 y of age and during adolescence (13-19 y) were completed in a cross-sectional analysis in young women (age 18-31 y; n = 224). Three levels of previous milk intake were defined: 1) infrequently or never, 2) sometimes, and 3) at every or almost every meal. Total body (TB), femoral neck, radius (R), and spine (S) bone mineral density (BMD) and bone mineral content (BMC) were determined by using dual-energy X-ray absorptiometry. RESULTS Childhood and adolescent milk intakes were positively correlated (r = 0.66). Childhood and adolescent milk intakes correlated with current calcium intakes (r = 0.26 and 0.33, respectively). Adolescent milk intake correlated with RBMD (r = 0.16). When weight was controlled for, adolescent milk intake correlated with TBBMD (r = 0.16), TBBMC (r = 0.21), SBMC (r = 0.16), RBMD (r = 0.18), and RBMC (r = 0.15). Current calcium intakes correlated with SBMC (r = 0.17). Regression analyses supported these results. CONCLUSIONS Results were consistent with the hypothesis that higher milk intake during adolescence is associated with greater total body, spine, and radial bone mineral measures during development of peak bone mass, whereas current calcium intakes may influence SBMC. In addition, milk intake at a younger age may contribute to similar habits of milk intake later in life.