bluuebunny/crossref_metadata_2025 huggingface dataset:
Dietary determinants of iron intake in women of child-bearing age (WCBA) (18–50y) in Ireland
Authors: Fahy Amy , Kehoe Laura , Walton Janette , McNulty Breige A. , Nugent Anne P. , Flynn Albert
Published: June 2020

Dietary iron requirements are higher among women of child-bearing age (WCBA) to replenish blood loss during menses, to prevent iron deficiency anaemia and to support a healthy foetus during pregnancy. Low intakes of iron have previously been reported among WCBA in Ireland and across Europe and data from European countries have shown that there is evidence of anaemia and low iron stores in this population group. The aim of this study was to investigate the dietary patterns influencing iron intakes in WCBA (18–50 years) in Ireland.

Analyses were based on the National Adult Nutrition Survey (NANS) (2008–2010) (www.iuna.net). A 4 day semi-weighed food record was used to collect food and beverage intake data (including nutritional supplement use) from a nationally representative sample of 1500 adults (487 women (18–50y)). Nutrient intakes were estimated using WISP© based on UK and Irish food composition data. On the basis of mean daily intake of iron, WCBA were divided into three intake groups: low, medium and high. The food groups that accounted for the greatest proportion of the difference between the high (top third) and low (bottom third) of iron intakes were identified.

The difference in iron intakes between the high and low intake groups (25 v 6.7mg/d) was 18.3mg/d. Nutritional supplements and ready-to–eat breakfast cereals (RTEBC) (commonly fortified with iron) accounted for 58 and 20% of the difference in intakes between the high and low intake group, respectively. The contribution of nutritional supplements to the difference in iron intakes can be explained by the proportion of users in the high vs low intake group (27% vs < 1%). The contribution of RTEBC to the difference in iron intakes can be explained by both a higher proportion of those in the high vs low intake group consuming RTEBC and those in the high intake group having a higher mean daily intake of RTEBC (78% vs 36%; 32g/d vs 7g/d).

Most of the difference in iron intake between high and low consumers is attributable to nutritional supplement use and the patterns of consumption of fortified RTEBC. These findings will aid in the development of strategies to improve iron intakes in WCBA in Ireland.
Association between complementary feeding method and BMI at 19–36 months of life: an Internet-based cross-sectional study from two European countries
Authors: Zielinska Monika A. , Rust Petra , Bichler Jacqueline , Masztalerz-Kozubek Daria , Hamulka Jadwiga
Published: June 2020

Over the last years, there has been increasing interest in Baby-Led Weaning (BLW), an approach in which infants feed themselves with finger foods. Previous studies have shown that BLW may be associated with lower food fussiness and risk of obesity, but in the other hand with growth flattering. However, the results are limited and still inconclusive. The aim of this study was to investigate the associations between complementary feeding method and body mass index (BMI) z-score in children aged 19–36 months from Poland and Austria. This anonymously, the cross-sectional internet-based study was conducted in 2018 and 2019 among 6645 mothers of children aged 12–36 months, recruited through social media. The analysis included data from 5856 mothers (35.5% from Austria) with complete data. Complementary feeding method was categorized as traditional spoon feeding (TSF), partial BLW (children was both spoon-fed and fed themselves), as well as BLW. BMI z-score was calculated based on declared body mass and height using the WHO cut-off points. BLW method was used in 16.4% of children, whereas the TSF in 30.5% of the total study group. Normal BMI z-score was observed in 73.8% of the total study group, thinness in 9.6% and overweight and obesity in 4.3%. The BLW increased the risk of thinness only in children aged 31–36 months (aOR: 1.48; 95%CI: 1.04–2.11) but did not influence the risk of overweight and obesity. In this present large cross-sectional study conducted in two European countries, we did not find an association between BLW and overweight and obesity risk. However, in the older group, BLW increased the risk of thinness. Previous studies observing a risk of thinness were also cross-sectional, although conducted among smaller study groups. In contrary to this, In contrary to this, the RCT trials using modified BLW version Baby-Led Introduction to SolidS (BLISS) did not observe any case of growth flattering. In another cross-sectional study investigating dietary intake of infants aged 6–8 months, who were complementary fed using BLW or TSF method, authors did not observe a difference in energy intake between the two groups. Further studies investigating the role of complementary feeding method and subsequent BMI, especially in long-term are necessary.
Energy balance and occupational activity as predictors of obesity risk in women.
Authors: Torquati Luciana , Mielke Gregore I. , Kolbe-Alexander Tracy L. , Brown Wendy J.
Published: June 2020

Reduced occupational energy expenditure and increased energy intake are important contributors to the increasing prevalence of obesity. The aim of this study was to examine whether sedentary occupations, and specific indicators of energy intake and expenditure are associated with obesity risk in Australian women. Data were from 3,444 participants in the Australian Longitudinal Study on Women's Health, who reported their weight, dietary intake, physical activity and occupation in 2009 (at age 31–36), and weight in 2012. Participants were categorised as having a ‘less sedentary’ or ‘sedentary work’, based on occupation and activity patterns at work. Multivariate models were conducted to examine the odds of being obese (> 30 body-mass index) and risk of obesity in the two occupational groups based on energy balance factors (diet and physical activity). Models were adjusted for major confounders (smoking, education, income, number of children).There was no significant difference in the prevalence of obesity between groups (20.3% less sedentary vs 22.7% sedentary work, p = 0.11) at baseline. Being in the highest total energy intake tertile, saturated fat intake > 35g/d and drinking 3 or more sugar-sweetened beverages per week increased the odds of being obese in both groups. But to a higher extent in ‘less sedentary work’ (OR 2.11 95%CI 1.41–3.19; OR 3.04 95%CI 2.09–4.45; 2.07 95%CI 1.45–2.97, respectively). High physical activity (> 1000MET.min/week) was consistently associated with lower odds of being obese (OR 0.64 95%CI 0.43–0.97 ‘less sedentary’; OR 0.58 95%CI 0.36–0.93 ‘sedentary work’) but lower incidence of obesity only in ‘less sedentary work’ group (IRR 0.52 95%CI 0.30–0.88, absolute risk 14%). High sugar-sweetened beverages increased the incidence of obesity only in this group (IRR 1.72 95%CI 1.08–2.73, absolute risk 23%). Having a sedentary work per se did not play a major role in obesity prevalence and risk in women. Instead, high saturated fat and SSB intake, and physical inactivity remained the major contributors to obesity prevalence and risk, particularly for those in less sedentary jobs.
Intake of B vitamins in UK dwelling South Asian and White Caucasian women: Results from the D-FINES study
Authors: Darling Andrea , Ahmadi Kourosh , Lanham-New Susan
Published: June 2020

Adequate intakes of the B vitamins are essential for health; however there is a lack of data concerning B vitamin intakes in UK dwelling South Asian (SA) groups. We aimed to investigate whether UK SA women meet the LRNI for B vitamins, and whether their intake differs from same-age White Caucasian (WC) women. We used summer 2006 dietary intake data from the Food Standards Agency (FSA) funded D-FINES study (Vitamin D, Food Intake, Nutrition and Exposure to Sunlight in Southern England, project N05064). After removal of over- and under-reporters (energy: BMR ratio < 1 or > 1.6) there were n = 29 SA and n = 146 WC subjects. The two groups did not differ significantly in age and BMI. Overall mean (SD) for age was 50.6 (13.6) years and for BMI was 26.8 (4.8). In SA, 41% were Bangladeshi or Pakistani, 28% were Indian and 31% were of other ethnicity. Independent T-tests, using log transformed data, showed no statistically significant differences for any B vitamin (Bonferroni revised p value: < 0.008). Results were as follows, giving median (IQR): Thiamine (mg) 1.5 (0.5) SA vs 1.4 (0.5) WC; (P = 0.8); Riboflavin (mg) 1.3 (0.5) SA vs. 1.5 (0.6) WC (P = 0.08); Niacin (mg) 30.7 (13.7) SA vs 33.3 (9.8) WC (P = 0.4); B6 (mg) 1.7 (0.5) SA vs 1.9 (0.7) WC (P = 0.2); B12 (micrograms) 2.8 (0.05) SA vs 3.6 (2.5) WC (P = 0.02); Folate (micrograms) 213 (93) SA vs 231 (82) WC (P = 0.8). In terms of percentages below the LRNI: Thiamine 0% SA and 0.7% (n = 1) WC; Riboflavin 0% SA and 1.4% (n = 2) WC; B12 10% (n = 3) SA and 0% WC. For Niacin, B6 and Folate no women in either group were below the LRNI. Overall, there were no ethnic differences in B vitamin intake by ethnicity. There was a trend for a slightly lower B12 intake in SA but this did not reach statistical significance after adjustment for multiple testing. It is of concern that 10% of SA did not meet the LRNI for B12. Of this 10%, the majority were not vegetarian or vegan. The sample size for SA was very small and further research is now required in a larger sample to confirm this finding. The D-FINES study was funded by the UK FSA (N05064). The views expressed are those of the authors alone.
Association between beverages consumption and total diet quality index with sedentary behaviours in Spanish children. Calina study
Authors: Miguel-Berges María L. , Santaliestra-Pasias Alba , Iglesia-Altaba Iris , Flores-Barrantes Paloma , Samper Pilar , Moreno Luis A. , Rodriguez Gerardo
Published: June 2020

Introduction

Evidence suggests that the time spent in different types of sedentary behaviours (e.g. TV watching, use of video games) may be more important in predicting childhood obesity as compared with overall sedentary time (ST). Sedentary time has been associated with unhealthy food and beverage consumption at young ages. The aims of this study were: to examine the association between different beverages consumption and sedentary behaviours and to evaluate the association between the total dietary quality index (DQI) and the adherence to the ST recommendations, in a sample of Spanish children.

Methodology

The study included a cohort of 381 children (40.7 % boys) aged 7 years, from the Growth and Feeding during Infancy and Early Childhood in Aragon (CALINA) longitudinal study, living in Zaragoza. Data on dietary habits and screen time (watching TV/DVD/videos and playing PC/video games) were parental-reported. ST was categorized based on the recommendations (≤ 2hour/day and > 2hour/day). The DQI was computed from a validated semi quantitative food-frequency questionnaire. Generalized linear mixed models, adjusted for maternal education and body mass index, were analysed.

Results

In boys, exceeding the total ST's recommendations (> 2 h/day) was positively associated with high consumption of soft drinks (β = 0.13; CI: 0.02;0.26) while in girls, exceeding the recommendations was positively associated with light drinks (soft drinks with artificial sweeteners) consumption (β = 0.06; CI: 0.02;0.13). Only individual PC/videogames time was associated with beverage consumption. In both gender, excessive PC/video games time (> 2h/day) was associated with high soft drinks consumption (β = 0.51; CI: 0.25; 0.77, β = 1.07; CI: 0.79; 1.35, respectively). Only in girls, there was a positive association between PC/ video games time and light drinks (soft drinks with artificial sweeteners) consumption (β = 0.21; CI: 0.02; 0.41). Regarding the DQI, only boys showed a negative associations between total ST and the DQI (β = -5.91; CI -2.56; -2.56), this means, that those boys that exceeded the total ST's recommendations (> 2 h/day) had a poor total quality diet.

Discussion

In children, ST was associated with beverages (soft drinks and light drinks) consumption and a poor total diet quality. Soft drinks with artificial sweeteners (light drinks) were chosen mostly by girl´s, whereas, boys preferred regular sugar sweetened soft drinks consumption.
Optimism is associated with diet quality, food group consumption and snacking behavior in a general population
Authors: Ait-hadad Wassila , Bénard Marc , Shankland Rebecca , Robert Margaux , Kesse-Guyot Emmanuelle , Touvier Mathilde , Buscail Camille , Hercberg Serge , Péneau Sandrine
Published: June 2020

Dispositional optimism is a psychological trait that has been associated with health issues such as cardiovascular disease. However, there is little knowledge on the relationship between optimism and dietary intake in the general population. The objective of this cross-sectional study was to assess whether optimism was associated with diet quality, food group consumption and snacking. In 2016, 32,806 adult participants from the NutriNet-Santé study completed the Life-Orientation Test Revised (LOT-R) which assesses dispositional optimism. Diet quality (N = 17,849) and food group consumption (N = 19,335) were evaluated using at least three self-reported 24-h dietary records, while snacking behavior was evaluated by an ad-hoc question (N = 28,948). Logistic and linear regressions were used to analyze the associations between optimism and diet quality, food group consumption, and snacking behavior taking into account socio-demographic, lifestyle and depressive symptomatology characteristics. Optimism was positively associated with diet quality (b (95% CI) = 0.07 (0.004–0.11), P < 0.0001), while no association with energy was observed. Optimism was positively associated with consumption of fruit and vegetables, seafood, whole-grain food, fats, dairy product and meat substitutes, legumes, appetizers, non-salted oleaginous fruits and alcoholic beverages, and negatively associated with consumption of meat and poultry, dairy products, milk-based desserts and sugars and confectionery. In addition, optimism was negatively associated with snacking (OR (95% CI) = 0.89 (0.84, 0.95). Optimism was associated with a better diet quality overall and less snacking. It was also associated with consumption of healthy food groups as well as unhealthy food groups typically consumed at social eating occasions. These findings suggest that optimism could be taken into account in the promotion of a healthy eating behavior.
Discrepancy between food offered and consumed during hospitalization in older adult patients
Authors: Dominguez Ligia J. , Milazzo Francesco , Parisi Angela , Barbagallo Mario
Published: June 2020

Malnutrition is one of the most frequent geriatric syndromes and a key contributor to frailty. Ageing is commonly associated with modifications in eating habits with changes in appetite and food intake. Malnutrition is not only a sign of illness, but its presence increases morbidity, hospital stay, institutionalization, poor quality of life, in-hospital complications, expenses, and mortality. Hospitalized patients have increased calorie requirements to overcome the increased energy expenditure due to acute disease. We aimed to evaluate the actual consumption of the food offered to a sample of hospitalized older adults. Sixty hospitalized patients (women/men = 23/37) were recruited sequentially. After participants signed an informed consent, we evaluated their mean actual intake of macronutrients (carbohydrates, proteins, and fats) at lunch during three consecutive days, calculated with a nutrition analysis software from the weighted food (first course, second course, side dishes) measured before and after consumption. Other parameters assessed included self-sufficiency by the capacity to perform basic and instrumental activities of daily living (ADL, IADL), cognitive performance with Mini Mental State Evaluation (MMSE), Geriatric Depression Scale (GDS), physical performance with the Short Physical Performance Battery (SPPB) and handgrip dynamometry, EAT-10 test for the assessment of swallowing capacity, and anthropometric parameters. Mean ± SD of the main parameters assessed were as follows: age 77.8 ± 9.3 years, BMI 27.1 ± 8.7 Kg/m2, ADL 3.8 ± 2.0, IADL 4.1 ± 2.8 (indicative of compromise self-efficacy), MMSE 21.8 ± 5.9, SSPB 5.3 ± 3.1, handgrip dynamometry 16.5 ± 7.8 Kg (indicative of mild to moderate cognitive and physical impairment). The mean intake of macronutrients for the 3-day assessment was 65.7 ± 20.6% of carbohydrates, 74.3 ± 30.4% of proteins, and 47.4 ± 38.1% of fats of the total amount offered at lunch. Older patients tended to have lower intakes of carbohydrates, proteins, and fats, while participants with higher SPPB had higher intakes of carbohydrates and proteins. The results of the present study show that hospitalized older adults, with compromised autonomy, physical and cognitive performance, had lower consumption compared to what is offered to them in the hospital despite their elevated nutritional needs due to the acute illness leading to hospitalization. Undernutrition and weight-loss are key factors associated with increased mortality and morbidity. Therefore, it is crucial to set appropriate nutritional interventions in hospitalized patients, particularly those with disability and cognitive decline. Early recognition and treatment of malnutrition are essential preventive measures to improve the quality of care, quality of life, and decrease mortality risk in hospitalized older adults.
The impact of herbs and spices on the appreciation of low-salt legume-based dishes
Authors: Vannereux Marine , Giboreau Agnes , Dougkas Anestis
Published: June 2020

Introduction

Despite the well-documented health benefits of a dietary pattern higher in plant-based food such as legumes, their consumption remains low. Knowing that taste is the first factor in consumers’ food choice, flavoring of legumes using blends of herbs and spices (H&S) is an interesting approach to increase their consumption. This study examines the effect of H&S on the appreciation and energy intake of low salt legume-based dishes in a real context ecological environment.

Materials and Methods

A 2-step pilot testing was designed to determine the most favorable recipe between 4 different blends of H&S. Firstly, 4 recipes were evaluated in a balanced order of presentation using different blends of legumes (chickpeas and lentils) and H&S by 115 participants (age 18–35) in an experimental restaurant. Overall liking was measured, followed by a preference-ranking test. Secondly, a perception assessment test was performed (n = 54) with the preferred recipe being divided into 4 variants higher (S) or lower in salt (LS) and H&S (S, LS, LSHS, SHS), according to a 2×2 factorial design (2-AFC test). In a randomized cross-over trial, 94 participants (age 18–35) attended 4 sessions 1 week apart and received the 4 variants as a mezze-type starter. Overall liking, food intake and appetite ratings (VAS) were assessed before and after the starter, main dish and dessert during lunch.

Results

Participants significantly preferred the Spinach recipe compared with the Ginger, Paprika and Curcuma recipes and they could easily determine the different levels for salt and spices (t-test 5%). There were no significant differences in overall liking and taste between the different levels of salt and spiciness, although Principal Component Analysis showed 55% of the participants rating higher scores for the H&S recipes. Similarly, there were no differences in energy intake between S, LS, LSHS, SHS or total energy intake of the complete lunch. There was no difference in the ratings of hunger, desire to eat and prospective consumption although fullness was significantly higher followed by the S compared with LSHS (P < 0.005).

Discussion

Overall appreciation was similar after the addition of H&S in low-salt starter to the high-salt starters, implying that reducing salt content without compromising acceptance is a feasible strategy at an ecological setting. However, there was no difference in energy intake of the four variants and overall appetite ratings. Further analysis, on interindividual differences in terms of eating behavior and acceptance, seems prudent.
A 12-week multi-component dietary intervention improves markers of non-alcoholic fatty liver disease in Irish patients in tertiary care
Authors: Fhloinn Deirdre Ní , Wright Ciara , Naimimohasses Sara , Finn Stephen , Norris Suzanne , Hart Kath H. , Moore J. Bernadette
Published: June 2020

Non-alcoholic fatty liver disease (NAFLD) is a significant public health concern closely linked to obesity, affecting an estimated 25% of adults in Europe. Understudied in Ireland, the aim of this research was to examine the effects of a 12-week multi-component dietary intervention on weight loss and markers of liver injury in Irish NAFLD patients in tertiary care. Biopsy confirmed NAFLD patients (n = 27) were recruited from St James’ Hospital in Dublin, Ireland. Consenting participants underwent a 12-week moderate-intensity intervention incorporating weekly group nutritional education, behavioural change and group support, as well as individualised advice and weigh-ins from a trained nutritionist. Control group participants were given routine clinical care. All participants were clinically reviewed before, immediately after, and 3 months post intervention. Individuals (n = 12) with histological evidence of steatohepatitis underwent a repeat liver biopsy on completion of the intervention. Detailed dietary assessment was performed using both a 4-day diet diary (4DDD) and a novel, recently validated, short food frequency questionnaire (SFFQ) designed specifically to assess habitual intakes of food items related to NAFLD. Nutrient intakes were analysed using myFood24TM dietary analysis software, and the Mediterranean diet quality score (MDQS) was used to assess the overall change in dietary patterns. Of the 15 participants who completed the intervention, 80% (n = 12) achieved a weight loss exceeding 5%, with 47% (n = 7) achieving > 7%. There were significant improvements from baseline to week 12 in the intervention group for the majority of clinical parameters including HbA1c (p = 0.0054), liver enzymes (ALT, p = 0.0108; GGT, p = 0.0001) and transient elastography (kPA, p = 0.0308; CAP, p = 0.0081). However, these results failed to maintain significance when analysed compared to controls. The overall dietary pattern was significantly improved after 12 weeks as assessed by the MDQS (p = 0.03), with no apparent compromise in micronutrient intake despite the energy reduction. Reductions in energy, saturated fat, carbohydrate and sugar intakes at 12 weeks, were maintained at three months follow up. Analysis of pre- and post-intervention liver biopsies in the intervention group demonstrated a clinically significant improvement in NAS score (p = 0.0273), attributable to reductions in hepatic steatosis (p = 0.0078). A significant correlation was observed between improvement in liver histology and change in sugar intake (r = 0.7534, p = 0.0093). Although results were somewhat limited by small sample size, nutritional education achieved beneficial dietary changes that persisted after the intervention ceased. Notably, achieving reductions in sugar intakes may be particularly beneficial in reducing the severity of hepatic steatosis in Irish adults with NAFLD.
The effect of a low carbohydrate high fat diet on emerging biochemical markers of cardiometabolic risk
Authors: McCullough Deaglan , Harrison Tanja , Lane Katie , Boddy Lynne , Amirabdollahian Farzad , Schmidt Michael , Enright Kevin , Stewart Claire , Davies Ian
Published: June 2020

Worldwide, cardiovascular disease (CVD) is the number 1 cause of mortality and is associated with insulin resistance (IR). Emerging biomarkers such as FGF21 and adiponectin are associated with cardiometabolic risk. Low carbohydrate, high fat (LCHF) diets have been reported to reduce cardiometabolic risk markers; however, few studies have compared a LCHF diet vs. a high carbohydrate (HC), lower fat diet under ad libitum conditions on adiponectin and FGF21. The purpose of this study was to investigate the effects of an ad libitum LCHF vs. HC diet on IR, FGF21 and adiponectin in 16 healthy adults. Ethical approval: Liverpool John Moores University Research Ethics Committee (16/ELS/029); registered with ClinicalTrials.gov (Ref. NCT03257085). Participants were randomly assigned to a HC diet (n = 8, the UK Eatwell guidelines; ≥ 50% of energy from carbohydrates) or a LCHF diet (n = 8, consume < 50 g/day of carbohydrates). All provided plasma samples at 0, 4 and 8 weeks. FGF21 (R&D Systems) was analysed via ELISA and adiponectin, insulin and glucose were analysed via immunoassay technology (Randox Evidence Investigator™ Metabolic Syndrome Arrays I & II). Mann Whitney, Friedmans, Wilcoxon tests and 2×3 ANOVA (IBM SPSS 25®) were undertaken to investigate significant differences between and within groups. The homeostatic model assessment (HOMA) was used to calculate IR. FGF21 significantly (P = 0.04) decreased (Mdn, IQR:148.16, 78.51–282.02 to 99.4, 39.87–132.29 pg/ml) after 4 weeks and significantly (P = 0.02) increased (Mdn, IQR:167.38, 80.82–232.89 pg/ml) by 8 weeks vs. baseline with LCHF. No significant differences (P > 0.05) were observed between groups. Adiponectin was significantly (P = 0.03) different at week 4 only between groups. Adiponectin increased after 4 weeks (Mdn, IQR:13.44, 9.12–25.47 to 16.64, 11.96–21.51 ng/ml) but was only significantly (P = 0.03) different by 8 weeks vs. baseline in the HC group (Mdn, IQR:16, 10.8–27.43 ng/ml). Adiponectin remained unchanged (P = 0.96) in the LCHF group. HOMA significantly decreased with both diets after 8 weeks only (mean ± SD, LCHF: 2.9 ± 1.3 to 1.8 ± 0.8, HC: 2.5 ± 0.6 to 1.9 ± 0.6, P = 0.008) but was not significantly (P = 0.60) different between groups. These preliminary data reveal that while both diets improved insulin sensitivity, they may do so by different mechanisms. Future studies are warranted to investigate further, how a LCHF vs. HC diet affects FGF21 and adiponectin, and the subsequent regulation of IR. Furthermore, studies that extend these findings by determining the impact of LCHF vs. HC on peripheral metabolism to determine potential nutrition-mediated mechanisms of metabolic adaptation are warranted.
The Effects of Increasing Intake of Intact Wheat Fibre or Wheat Bran on Gut Microbiota Diversity: a Systematic Review
Authors: Jefferson Angie , Adolphus Katie
Published: June 2020

The influence on health of the human gut microbiota is increasingly recognised, however wheat fibre, consumed frequently in Western diets has traditionally been considered inert with regard to gut microbiota composition and metabolic activity. We undertook a systematic review (PRISMA methodology) of human intervention studies examining the effects of intact cereal fibres on gut microbiota composition among healthy adults.(1) Studies published in the past 20 years were identified on PubMed and Cochrane electronic databases. Inclusion criteria were: healthy adult participants, at least one intact cereal fibre (or its sub-fraction) and measurement of faecal microbiota related outcomes. Out of forty studies meeting inclusion criteria, seventeen manipulated wheat fibre/bran or its key constituent arabinoxylans (AXOS), and ten used a whole diet approach with predominantly wheat fibre. Results from these twenty seven wheat fibre papers are presented here. Eight studies provided wheat bran/fibre (ranging from 5.7g-21g/day wheat fibre or 13g-28g/day wheat bran). Three reported significant effects on gut microbiota abundance and/or diversity (both at phyla and species level) and one showed no effect. Six reported significant increases in fermentation metabolites and one reported no significant change. Ten studies manipulated whole day fibre intake (predominantly wheat but also permitting some oats, rye and rice). Wholegrain intake ranged from 80g-150 g per day and fibre from 13.7g–40 g per day. Six found significant increases in bacterial diversity and/or abundance and five showed significant increases in fermentation metabolites. Two identified that response to high fibre intervention is dependent on baseline gut microbiota richness - those with limited richness exhibiting greater microbiota change over time in response to fibre increase. Two reported no significant effects. Nine studies utilised manipulation of AXOS (2.2g–18.8 g per day) with five demonstrating significant increases in target bacterial species and six significant increases in fermentation metabolites. One reported no significant effect to faecal metabolites. This review supports a role for the wheat fibre found in everyday foods (such as bran breakfast cereal of high fibre breads) promoting both microbiota diversity and abundance. While the healthy microbiome is yet to be defined, consumption of a single daily serving of wheat bran fibre appears sufficient to effect gut microbiota fermentation (with demonstrable effects arising from as low as 6g/day), and promote species diversity, with potential benefit to health.However exploration of stability over longer time frames (> 12 weeks) is now required.
The use of dietary supplements and the frequency of eating food among the soldiers of the Polish Army
Authors: Anyzewska Anna , Lakomy Roman , Lepionka Tomasz , Szarska Ewa , Maculewicz Ewelina , Tomczak Andrzej , Bertrandt Jerzy
Published: June 2020

Introduction:

The nutritional supplement market has been growing continuously in the last decades. Dietary supplements has become more and more consumed every day. Epidemiological studies have been shown that supplements users tend to have better health-related behaviors, especially a healthier nutritional intake. The aim of the study was to assess frequency of consumption of selected groups of products depending on the use of dietary supplements by soldiers of the Polish Army.

Materials and methods:

Six hundred and forty seven male soldiers completed an supplements usage questionnaire and a food-frequency questionnaire assessing information over the previous 12 months. U Mann Whitney test was used to compare food-frequency consumption of 61 groups of products and supplements usage.

Results and discussion:

From the 647 male soldiers (aged: 31 ± 7; years of service: 9 ± 7), 38% reported supplements usage. Statistically relevant at an accepted level p < 0.05 supplements usage differentiated the frequency of consumption of 36 of the analyzed 61 groups of products. Compared with supplements non-users, soldiers using dietary supplements were more likely to consume daily fruits such as kiwi fruit and citrus (p = 0.003); bananas (p < 0.001); avocado (p = 0.004); olives (p = 0.006); dried fruits (0.004); vegetables – all types (p < 0.001); crucifers (p = 0.020); yellow-orange vegetables (p < 0.001); green leafy vegetables (p = 0.001); tomatoes (p = 0.010);wholegrain bread (p = 0.002); groats (p < 0.001); milk and milk drinks (p = 0.003); eggs (p < 0.001); lean fish (p = 0.002); oily fish (p = 0.004) and nuts (p = 0.003). Sweets such as sugar to sweeten beverages (p = 0.001); chocolate, chocolate candies and candy bars (p = 0.004); non chocolate candies (p = 0.028); biscuits and cakes (p = 0.003); salty snacks (p = 0.005); white bread (p < 0.001); fats such as margarine (p = 0.005); cream, sweet or sour cream (p = 0.037); mayonnaise and dressings (p = 0.002); potatoes (p = 0.008), sausages (p = 0.048), sugar-sweetened beverages (p = 0.001), wine and alcohol drinks (p = 0.035) were less often consumed by supplements users than supplements non-users. Diets of supplement users were more in line with current recommendations on healthy eating. Perhaps, soldiers who were using supplements were probably the ones who would least benefit from it. It is necessary to take educational activities in the field of health promotion of soldiers, with a focus on nutrition and the principles for the safe use of, as well as to motivate soldiers to respect basic principles of proper nutrition.
Effect of improving dietary quality of food parcels on dietary intake in Dutch food bank recipients - a randomized controlled trial
Authors: Neter Judith , Dijkstra Coosje , Twisk Jos , Visser Marjolein , Brouwer Ingeborg
Published: June 2020

Introduction:

Since food banks have a strong influence on recipients’ diets, and seem to have difficulties in supporting healthy diets, improving the dietary quality of food parcels is important. Therefore, we aimed to assess whether improving the dietary quality of food parcels, using different strategies, can positively impact the actual dietary intake of Dutch food bank recipients.

Materials and methods:

This randomized cross-over controlled trial with four intervention conditions [1) Control (standard food parcel), 2) Snacks– (standard food parcel with replacement of snacks by staple foods), 3) FV + (standard food parcel plus the recommended daily amount of fruit and vegetables), 4) Snacks– + FV (standard food parcel with replacement of snacks by staple foods plus the recommended daily amount of fruit and vegetables)] included food bank recipients from three food banks. In total, 199 recipients were randomly allocated. At baseline, participants filled in a questionnaire and underwent anthropometric measurements. Dietary intake data were collected through 24-hour recalls after both intervention conditions at 4 and 8 weeks follow-up. Primary outcome was fruit and vegetable intake, secondary outcomes were dietary intakes of food groups and nutrients.

Results:

Multi-level linear regression analysis, using a two-level model showed a higher mean fruit intake in participants in the FV + condition than in participants in the Control condition (δ: 74 [40.3;107.6] g). Both mean fruit and mean vegetable intake were higher in participants in the Snacks– + FV + condition than in participants in the Control condition (fruit δ: 81.3 [56.5;106.2] g; vegetable: δ: 46.2 [17.5;74.9] g), as well as in the Snacks– condition (fruit: δ: 70.0 [38.8;101.1] g; vegetable δ: 62.2 [26.2; 98.2] g).

Discussion:

This study shows that improving the dietary content of food parcels can positively impact the dietary intake of Dutch food bank recipients. With this we can further develop effective strategies to improve dietary intake of food bank recipients.
The importance of well-being and education for the initiation and duration of breastfeeding in Ireland; Findings from the ROLO study
Authors: Yelverton Cara , Geraghty Aisling , O'Brien Eileen , Killeen Sarah Louise , McAulliffe Fionnuala
Published: June 2020

Introduction:

Breastfeeding is well-established as optimal for both mother and baby, with a number of benefits including a quicker return to pre-pregnancy weight for the mother and the reduced risk of non-communicable diseases, including obesity, for the infant. The current global recommendation is to breastfeed exclusively for 6 months postpartum, yet in Ireland initiation and duration of breastfeeding is extremely low. Low education level is considered a barrier to breastfeeding, however, there is currently a paucity of research on the influence of maternal well-being on breastfeeding habits in Ireland.

Aim:

To explore the relationship between education levels and well-being in early pregnancy on breastfeeding habits in Irish women.

Methods:

This was a secondary analysis of the randomised control trial, the ROLO study in the National Maternity Hospital, Dublin, Ireland. 610 healthy, pregnant women on their 2nd pregnancy were included. Well-being was measured using the WHO-5 item well-being index at the end of the 1st trimester. Education level and breastfeeding initiation information were both obtained from hospital records. Women were stratified into two groups of education level; those that had achieved 3rd level education (n = 341), and those with less than 3rd level (n = 269). Within these two groups, the relationship between well-being scores and breastfeeding habits was explored using Pearson correlations, chi-square tests, and multiple regression modelling for confounders.

Results:

In Women with high education, those with high well-being (n = 269) were significantly more likely to initiate breastfeeding than those low well-being (n = 72; 69.5% vs 56.9%, p < 0.05). This association remained after controlling for maternal age, BMI, and intervention group (B = 0.57, p < 0.05). Well-being was not associated with breastfeeding duration in women with 3rd level education (26.63 weeks vs 25.64 weeks, p = 0.87). In women with low education levels, there was no association of well-being and breastfeeding initiation (37.4% vs 35.9%, p = 0.84) or well-being and breastfeeding duration (6.75 weeks vs 5.70 weeks, p = 0.65).

Discussion:

While education level is a strong indication of women's likelihood to breastfeed, it is important to recognise other influencing factors. Among highly educated women well-being was also important as a determinant of initiating breastfeeding. This is important for healthcare professionals working in maternity care in Ireland and highlights the potential of improving well-being and there-by increasing Irish breastfeeding rates.
The impact of nutrient and health claims on perceived healthiness and the amount of food eaten: An experimental breakfast study
Authors: Watson Sinead , Benson Tony , Spence Michelle , Dean Moira , Woodside Jayne
Published: June 2020

A previous study has demonstrated that when people thought they were eating a low-calorie milkshake (versus a high-calorie labelled equivalent though same product) their physiological satiety, as measured by the gut peptide ghrelin, was consistent with what they believed they were consuming rather than the actual nutritional content (Crum et al., 2011). If replicated and shown for different food types, this finding could have implications for nutrient and health claims labelling and advertising. The aim of the study was to examine whether satiation (self-reported and physiological) varies depending on the mindset in which one approaches food consumption. On two separate visits (1 week between), participants (n = 50) were asked to consume a 380-calorie yoghurt and granola breakfast product under the pretence that it was either a 500-calorie ‘indulgent’ breakfast (high in fat and sugar) or a 250-calorie ‘sensible’ breakfast (low in fat and sugar). At each visit blood samples were collected at three timepoints to measure acylated ghrelin: after a 20-minute rest period (baseline), after 60-minutes (pre-consumption) and after 90-minutes (post-consumption). Self-reported appetite scales were completed 10 minutes prior to each blood sample. During the first interval (between 20 and 60 minutes) participants rated the breakfast label's appearance and perceived healthiness, and during the second interval (between 60 and 90 minutes) participants consumed the breakfast product while rating its sensory appeal. Participants (mean [SD]: 30.1 [10.4] yrs.) rated the ‘indulgent’ breakfast as more appealing than the ‘sensible’ breakfast (mean difference: 5.00 [95% CI: 0.71, 9.30]; P = 0.024), but felt less healthy when consuming the ‘indulgent’ breakfast (mean difference: -13.17 [95% CI: -18.75, -7.60]; P < 0.001). The breakfasts were not rated differently according to their taste, smell, overall palatability and enjoyment. Participants reported a higher mean change in self-reported fullness for the ‘indulgent’ breakfast than the ‘sensible’ breakfast from pre-consumption to post-consumption (mean difference: 7.19 [95% CI: -0.73, 13.6]; P = 0.030). This relationship was not observed between baseline and post-consumption, or for the other self-reported appetite measures (hunger, satiety, quantity and desire to eat). Mean change in acylated ghrelin was not significantly different between the breakfasts at any timepoint. This study demonstrated an increase in self-reported fullness after consuming the ‘indulgent’ breakfast compared to the ‘sensible’ breakfast despite the fact the two breakfast products were identical. A physiological response, however, was not observed.
Analysis of dietary habits and health status in a court of young athletes in Northern Italy practicing Athletic disciplines
Authors: Cazzaniga Emanuela , Terenzio Annalisa , Pozzi Alessandra , Cassera Alice , Greco Andrea , Orlando Antonina , Palestini Paola
Published: June 2020

Introduction:

A balanced diet is a fundamental component of athletes' health, training and performance. WHO dietary guidelines highlight the importance of maintaining a normal BMI, limiting the intake of sugars (especially sweetened foods and beverages), eating at least 5 portions of fruits and vegetables per day, drink lots of clean water (at least 2 L per day for children older than 13 and for adults). HBSC-Italy study reveals that children have frequently bad eating habits, such as consuming sweetened drinks and not enough fruits and vegetables. Indeed, 21.3% of Italian children are overweight and 9.3% are obese. The purpose of this study is to evaluate nutritional and health status of a population of Northern Italy children and adolescents practicing Athletics, investigating for both endurance and not endurance disciplines. Data obtained are a starting point for focused food education interventions aimed at improving health and sport performance.

Materials and Methods:

A cohort of 125 athletes (12–25 years, 42.4% male, 57.6% female). Two groups were created: children (12–17 years) and adults (18–25 years). Weight, height, waist circumference, triceps and subscapularis skinfolds were measured in order to calculate BMI, Waist-to-Height ratio (WtHr), body adiposity and muscle mass. At baseline and after 1 year (follow-up) from a nutritional educational intervention, the anthropometric measures and dietary habits were tested with a validated dietary screening survey, considering food quality, portions and frequencies of consumption, were taken.

Results:

At Baseline, more than 85% of athletes were found to be normal weight with WHtR < 0.5. All the athletes showed body adiposity in the normal range. Regarding food habits, most athletes do not take the recommended daily fruit and vegetable servings follow Italian trend. Only about 20% of children athletes assumes the water daily intake. On the contrary, about 50% of athletes in every group drink sweetened beverages every day. The data collection after the personalized food education meetings will be collected in May 2019.

Discussion:

The athletes of cohort shows a good health status but nutritional habits present critical issue. For this reasons, there is a need of nutritional education for improving healthy eating habits in young athletes in order to impact positively on future health status and on sport performance.
Impact of Dietary Fibre Intake on Body Composition and Cardiometabolic Disease Risk Markers
Authors: Ozen Ezgi , Read Elinor , Mihaylova Rada , Weech Michelle , Lovegrove Julie , Jackson Kim
Published: June 2020

Background:

Diets higher in fibre have been associated with beneficial effects on cardiometabolic disease (CMD) risk markers including obesity, blood pressure and cholesterol levels. However, the relationship between dietary fibre intake and body composition is unclear. Therefore, the objective of the study was to further assess the association between fibre intake, body composition and CMD risk markers.

Materials and Methods:

A single-centred cross-sectional study was conducted in 277 healthy adults (n = 107 men and n = 170) women with a mean age of 41 (SD 16) y and body mass index (BMI) of 23.9 (SD 3.8) kg/m2. Total body composition was measured by dual energy x-ray absorptiometry and dietary intake was assessed with a 4-day weighed food diary.CMD risk markers included fasting lipids and glucose quantified using an ILAB 600 clinical chemistry analyser and clinic blood pressure measured using an Omron blood pressure monitor.

Results:

Average AOAC fibre intake in the cohort was 23.0 (SD 9) g/day, with higher intakes found in men (25.0 (SD 10.3) g/day) than women (21.9 (SD 7.8) g/day; P = 0.015). AOAC fibre intakes were significantly weakly correlated with weight (rs = 0.142), percentage body fat (rs = 0.193), bone mineral density (rs = 0.156) and fat free mass (rs = 0.257; P ≤ 0.009), and inversely correlated with fasting total cholesterol (rs = -0.124), low-density lipoprotein (LDL)-cholesterol (rs = 0.144) and total to high-density lipoprotein-cholesterol ratio (rs = -0.129; P ≤ 0.042). After stratifying data according to quartiles of AOAC fibre intake and adjusting for covariates (including age, sex, BMI, weight, energy expended per day through physical activity and total energy intake per day) total and LDL-cholesterol concentrations were significantly lower in quartiles (Q)3 (21.0–29.5 g/d) and Q4 (30–63.5 g/d) than Q1 (3.0–18.8 g/d) and Q2 (19.3–20.9 g/d). Systolic blood pressure was also lower in Q4 than Q1 and Q2 (P < 0.05). Anthropometric and body composition measures were not found to be different across quartiles of increasing AOAC fibre intake.

Discussion:

Findings from this cross-sectional study have revealed daily fibre consumption greater than 21 g to be associated with lower fasting total and LDL cholesterol, and intakes ≥ 30 g also associated with lower systolic blood pressure. With only 9% of UK adults meeting the current recommended intake, raising public awareness of the importance of dietary fibre is an important strategy for CMD prevention.
An Evaluation of Food Provision to Jockeys in the Weigh Room at Irish Racecourses
Authors: Ward Esme , Drennan Ruth , McGoldrick Adrian , Corish Clare , O' Loughlin Gillian
Published: June 2020

Horse racing is a unique weight-making sport which requires jockeys to maintain a chronically low body weight throughout an extended racing season. These athletes typically eat one main meal per day when racing and often depend on racecourses for food provision. To date, racecourse catering provision to jockeys in Ireland has not been assessed. The aims of this study were to evaluate food provision at racecourses in Ireland, assess jockeys’ satisfaction with current food provision and to explore key stakeholders’ perceptions of current food provision. An audit tool was used to evaluate current food provision at 25 of the 26 Irish racecourses. The audit was scored out of 44.5 points and each racecourse was categorised as < 50% ‘Requires nutritional guidance from a dietitian/sports nutritionist’, 50–60% ‘Bronze’, 61–75% ‘Silver’, 76–90% ‘Gold’, > 90% ‘Platinum’. Semi-structured interviews were conducted with jockeys (n = 125), racecourse managers (n = 2), racecourse catering managers (n = 2), and race day caterers (n = 1) to establish their perspectives on current food provision. Quantitative data were analysed using SPSS and qualitative data were analysed using thematic analysis. Audit scores ranged from 14.5–27.5. Based on their current food provision, nine racecourses were identified as ‘Requiring nutritional guidance from a dietitian/sports nutritionist’, 13 were categorized as ‘Bronze’ and two as ‘Silver’. Grade 3 racecourses achieved significantly lower audit scores than Grade 1 and 2 racecourses. Jockeys’ satisfaction ratings were positively associated with audit score. The main themes identified by jockeys included hot food, autonomy over food choices, and greater variety of foods. The main themes identified by managerial and catering staff were categorised under two domains, including perceptions of and factors influencing current provision, and barriers to and facilitators for improved provision. Support from a dietitian/sports nutritionist was identified in 22 of the 25 racecourses to improve food provision to support the needs of modern-day jockeys. Recommendations include development of minimum standards for weigh room food provision and basic training for catering staff on healthy, appetizing foods that are conducive to making weight. Guidelines endorsed by the Irish Horse Racing Regulatory Board (IHRB), Horse Racing Ireland (HRI) and the Irish Jockeys Association (IJA) should be developed and food provision at racecourses should be audited regularly. Achievable racecourse-specific interventions should be implemented to improve the provision of food and nutrient delivery to this athlete population.