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Introduction: The increasing burden of undernutrition and overnutrition at both ends of the nutrition spectrum in children are often accompanied by adverse consequences in school performance. Children with poor nutritional status had lower scores on tests of cognitive functioning, lower activity levels, and poorer psychomotor development, whereas severe malnutrition often leads to impaired psychological and intellectual development. Purpose: To investigate the relationship between children’s nutritional status, their socioeconomic background as well as their parents’s beliefs, attitudes and practices in child feeding with their academic achievement in school. Materials and methods: Anthropometric measure-ments and socioeconomic background information were collected from systematically selected school children aged 10 to 12 years old (n=309), while information regarding parental child feeding practices were obtained via a set of self-administered questionnaire. Results: Based on the World Health Organization (WHO) growth charts, 10.7% and 18.1% of the children were thin and overweight or obese, respectively. Results also showed that children’s nutritional status, household socioeconomic background and parental child feeding beliefs and practices were interrelated with the children’s academic achievement. Conclusion: These findings justified the need for relevant health and nutrition interventions in schools, especially the children of bottom billion community living in the rural areas.
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Objective: The aim of the paper is to assess changes in nutritional status of a selected group of children from urban and rural environment in Upper Silesia in the intervening 5 years. Materials and Methods: The study was conducted twice - in 2003 and during the school year 2008/2009, and involved children from the town of Bytom and from the village Boronów. To assess the nutritional status, the following measurements were used - weight, height and thickness of subcutaneous fold. Body Mass Index (BMI) was also calculated. The results obtained were referred to the appropriate percentile charts. Measurement values, which were located below the 10th percentile or above the 90th percentile were treated as incorrect. Statistical analysis included only those children who participated in the I and II survey. The frequency of the anthropometric measurements and BMI exceeding the accepted limits of norms in both studied environments and between them, 5 years after the previous evaluation, were compared. Results: In both environments, the number of pupils whose body mass exceeded the value of the 90th percentile increased. The number of pupils whose body mass was lower than the 10th percentile also increased in the city, but decreased in the country. Considering BMI, the percentage of children located above the norm increased as well in comparison to the first study. In addition, it was also found that the thickness of subcutaneous skin-fold difference between the studied communities was significant in both the first (p = 0.020) and the second survey (p = 0.015), as well as in each environment, after 5 years since the previous evaluation (Bytom: p = 0.001; Boronów: p = 0.32). Conclusion: In 5 years (2003-2008), the incidence of overweight of pupils increased in both groups. The percentage of pupils who weighed less than 10th percentile increased to a greater extent in urban environment than in rural areas.
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The nutritional status and socio-demographic profile of tribal people is an important issue in India due to their marginalization from main stream population with respect to varied facilities. However, data on their nutritional status and socio-demographic profile are limited. This review aims to give an overview of the prevalence of chronic energy deficiency (CED) using Body mass index (BMI) and various demographic profile of Indian tribes based on studies published hitherto. In total 76 studies were reviewed for mean BMI based on the World Health Organization (WHO) classification of the public health problem of low BMI, based on adult populations worldwide. The overall sex specific prevalence of CED showed that both the tribal females (52.0%) and males (49.3%) were passing through the critical situation with respect to nutritional status with females being more underprivileged. In conclusion, although there is a gradual increase in knowledge about the nutritional and socio-demographic status of tribes since last decades; there is still paucity of data and information on more than approximately 600 tribes regarding their bio-social profile. However previous studies clearly indicate the need to enhance the health and nutrition status of the tribes by providing job opportunity and food security. Since the prevalence of CED was higher (critical to serious situation) in tribal populations, concerted efforts should also be made to improve the health status and nutrition uptake among them.
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Purpose: Depressive disorders and obesity belong to the most frequently occurring diseases. Improper nutritional behaviours are observed in patients suffering from recurring depressive disorders. We have undertaken research aimed at comparing the body weight composition and the content of selected nutrients in the food intake of patients with diagnosed depressive disorders. Materials and methods: 131 patients (76 women and 55 men) suffering from depressive episode took part in the study. The patients had their body composition analysed using electrical bioimpedance measured by a MALTRON BioScan 920-2 device. The assessment of the diet was conducted using a 24-hour interview concerning the day preceding the examination. Results: Male with diagnosed depression and obesity were more often married or had lower level of education as compared to male with the normal body weight. Obese female with diagnosed depression had more episodes of the disease and were older as compared to female with the normal body weight. Both obese male and female were characterised by a higher percentage content of visceral adipose tissue, subcutaneous adipose tissue and a higher VAT (visceral adipose tissue)/SAT (subcutaneous adipose tissue) ratio as well as a lower content of fat-free body mass. Conclusions: Patients with diagnosed depression, with the normal body weight and obesity, were characterised by an inappropriate supply of proteins, carbohydrates, total fats, saturated and unsaturated fatty acids and dietary fibre.
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Purpose: To determine the health and nutritional status of people in the Chittagong city corporation area of Bangladesh. Materials and methods: A face-to-face interview methodology was used for this survey. The study sites were located in 15 thanas of the Chittagong city corporation area. The study was also designed with interview questions closely related to health.Results: Among the total 620 respondents, 453 respondents were males and 167 respondents were females. 471(75.96%) of the total respondents had positive comments about the health status of their community. 169(27.52%) respondents had poor or fair appetites but the rest of them had good, very good or excellent appetites. 360(58.07%) of the respondents reported they had been eating a minimum of one fruit per day and 85(13.7%) people drank 5 to 8 glasses of water daily. 441(71.12%) of their diets more or less met daily vitamin and nutrient requirements and 338(54.51%) were nonsmokers. 407(65.64%) were married, and 388 (62.58%) were more or less satisfied about their sexual life. 441(71.12%) respondents performed physical exercise more or less habitually. A lower number of respondents had a major disease. For instance, 155(25%) suffered from high blood pressure, and 150(24.19%) suffered from diabetes. In the case of minor diseases, 399(64.35%) of the respondents had been suffering from GIT disease and 416(67.09%) were taking proton pump inhibitors or a H2 receptor blockers. 205(33.06%) respondents were taking antibiotics regularly.Conclusions: One third of the people had hypertension and diabetes. According to the biomedical concepts, peoples were not healthy. However, according to the ecological and psychological concepts of health, this survey proved that the people of the Chittagong city corporation area were comparatively healthy.
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88%
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Introduction: Growing population of elderly requires effective medical diagnostics and help. Criteria developed by Fried et al. are most often used for the diagnosis of the frailty syndrome. An inherent element of frailty syndrome is malnu-trition. Malnutrition results from inadequate food supply, coexistence of acute and chronic diseases. Effective nutritional interventions conducted on frail older persons can prevent them from developing the frailty syndrome. Review: The prevalence of frailty in elders is 17% moreover 42.3% are prefrail. There are many scales designed to identify frailty syndrome, but the most common is the classification of Fried et al. Malnutrition is a common state in frail elderly. Basic questionnaire, which is used to diagnose malnutrition, is MNA (Mini-Nutritional Assessment). Mini-Nutritional Assessment Short-Form (MNA-SF) and Malnutrition Universal Screening Tool (MUST) also can be used. Sarcopenia, which is defined as reduced muscle mass and strength and impaired muscle performance, significantly contribute to the development of frailty. Many studies have shown that an effective method in the preventing of sarcopenia is protein supplementation. Other beneficial lifestyle and diet changes, which can help prevent the development of frailty syndrome, are adherence to the Mediterranean diet, appro-priate intake of carotenoids, vitamin E, selenium and zinc. Another important protective factor is vitamin D levels. Low serum 25(OH)D is strongly associated with frailty. Conclusions: From a nutritional point of view adherence to a Mediterranean-style diet, sufficient intake of protein, micronutrients and vitamin D, as well as regular moderate physical activity, can be crucial in the preventing of the frailty syndrome.
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Purpose: Chemotherapy, which is widely used in cancer treatment in children, may cause various side effects, including impaired taste perception, thus the main aim of the presented study was a subjective assessment of changes in taste perception and dietary habits among children undergoing oncological treatment. Materials and methods: In the present study, 41 hospitalized children were examined (mean age 11.0 ± 5.1 years). Anthropometric measurements were made, and diet was assessed using a food frequency questionnaire. Results: For 85.4% of the patients, the current treatment was chemotherapy. The average Body Mass Index value was 17.8 kg/m2 . 68.3% of children declared a change in taste preferences preferred tastes were spicy (39.3%) and sour (35.7%). Determination of the way of eating showed a significant reduction in the consumption of bread, milk and dairy products, poultry, meat, fish, potatoes, vegetables, and a particularly pronounced decrease in the frequency of sweets consumption. Conclusions: Oncological treatment changes the subjective taste perception of children in favor of intense flavors, and the process of oncological treatment, especially the use of chemotherapy, affects the way of eating
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Introduction and aim. Childhood hypertension is an important precursor to adult hypertension. This study was used to investigate blood pressure level and nutritional status of pupils in public primary schools that were benefitting from the National Home Grown School Feeding Programme in southwest Nigeria. Material and methods. A cross-sectional study conducted among randomly selected 40 public primary schools where feeding programme was on-going in Oyo and Ogun States. Pretested semi-structured questionnaire was used to obtain information from the pupils. Anthropometric measurements and blood pressure readings were assessed using relevant tools. Results. Some of the pupils (129; 41.6%) aged 10-15 years (p<0.0001) were stunted compared to those aged 5-9years (60; 11.3%). Undernutrition among pupils aged 10-15 years was 47.7%, which was significantly higher than (p<0.0001) among pupils aged 5-9 years, 18.5%. Overall, prevalence of hypertension among the pupils was 6.0%. No significant difference between male and female groups with regards to MUAC (p=0.115), blood pressure (p=0.302) and BMI-for-age (p=0.100). A significant association found between blood pressure and BMI-for-age (p=0.004). Conclusion. Prevalence of blood pressure among the pupils assessed suggests more presence of high blood pressure in the population of primary school pupils. School feeding programme could be an avenue to improve nutritional indices among the pupils.
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Background Personal resources are one of the determinants of lifestyle and health. The aim of the research was to analyze the relationship between sense of generalized self-efficacy, and body mass index (BMI), diet health quality and health behaviors of female nursing students and active professional nurses. The analyzed variables in the group of students and nurses were also compared. Material and Methods The study was conducted among a group of 269 women (174 students and 95 nurses working at hospitals), using: the Beliefs and Eating Habits Questionnaire (KomPAN), Juczyński’s Health Behavior Inventory (HBI) and the Generalized Self-Efficacy Scale (GSES). The BMI was assessed on the basis of anthropometric measurements. Statistical calculations were performed using analysis of variance, the Student’s t-test, multivariable regression analysis and Pearson’s correlation as well as moderation analysis, with the adopted level of statistical significance at α = 0.05. Results Professionally active nurses achieved higher BMI levels (25.95 vs. 22.31 kg/m2, p < 0.001) and a higher non-healthy diet index – nHDI-14 (17.04 vs. 15.00, p = 0.038) than students. It was shown that with the increase in generalized self-efficacy (GSE), diet health quality and the level of positive mental attitude, proper eating habits and the overall index of health behaviors increased. The BMI increased with the rise in the non-healthy diet index and with the decline in health behaviors (individual categories and the overall index). It was not found that the group (students vs. working nurses) was a moderator of the relationships between health behaviors and indicators of diet health quality with GSE of the studied nurses (p > 0.05). Conclusions Nurses with a higher sense of self-efficacy declared a higher diet health quality and healthier behaviors, and their BMI was related to diet quality and health behaviors.
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Objectives It is generally accepted that maternal factors are important in maintaining the adequate nutritional status of young children. This study was aimed at verifying whether mother’s socio-demographic (age and relationship status) and socio-economic features (education and professional status) differentiate the child’s nutritional status. Material and Methods A cross-sectional study was conducted between April and October 2013. Five hundred thirty mothers of preschool children from 5 different regions of Poland were interviewed. Mothers were interviewed on their socio-demographic and socio-economic status. To assess the child’s nutritional status, body mass index (BMI) z-score and the diet indicators were calculated, such as the percentage of the estimated average requirement for energy (%EAR), the percentage of energy coming from carbohydrates (%EC), fat (%ET) and proteins (%EP). Percentage of the estimated average requirement for energy, %EC, %ET and %EP was obtained from 24-h dietary recalls conducted with the mothers. Results The results showed that mother’s education and professional status did not differentiate any of the indices of the child’s nutritional status. However, maternal age and her relationship status occurred significant (ANOVA; p < 0.05). Children of younger mothers had higher BMI z-score and higher %EC as compared to children of older mothers. Moreover, %EAR was higher among children of single mothers and it was closer to the recommended nutrition standards as compared to children of mothers with a partner. Conclusions When a child is diagnosed with any type of malnutrition, it is worth assessing various factors that might influence the nutritional status, such as child’s social background (e.g., maternal factors). Int J Occup Med Environ Health 2017;30(5):811–821
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Wstęp: Piłka nożna kobiet w ostatnich latach stają się coraz bardziej popularna. Prawidłowy sposób odżywiania się jest bardzo ważnym elementem cyklu treningowego dziewcząt uprawiających piłkę nożną. Cel badania: poznanie i ocena wybranych aspektów sposobu żywienia i stanu odżywiania studentek fachowo zajmujących się piłką nożną. Materiał i metoda: Badania ankietowe przeprowadzono w 2013 roku wśród 12 dziewcząt, zajmujących się piłką nożną. Metody stosowane dla oceny sposobu żywienia podzielone były na metody ilościowe i jakościowe. Kwestionariusz dotyczył zwyczajów żywieniowych (liczba, rodzaj, pory posiłków w ciągu dnia, przerwy między posiłkami) oraz częstotliwości spożycia wybranych grup produktów spożywczych. Ocenę rozwoju fizycznego ( jako wskaźnik stanu odżywienia) przeprowadzono na podstawie ilościowego określenia oraz porównania rezultatów badań cech antropometrycznych. Przy pomocy pakietu statystycznego Statistica 6.0 analizowano wpływ okresu treningowego czy zawodów na stan odżywienia. Wyniki: Obserwowana wartość energetyczna racji pokarmowych respondentów nie była na tyle wysoka, ażeby w pełni pokryć zapotrzebowanie na składniki odżywcze dla badanej grupy sportowców. Wykazano także niedostateczną podaż mleka i produktów mlecznych, ryb, warzyw i owoców. Większość badanych charakteryzowała się niedowagą (50%), co jest niepokojącym zjawiskiem. Odnotowany został nieprawidłowy udział energii pochodzącej z poszczególnych składników odżywczych. Zawartość energii z tłuszczów wynosiła więcej niż 35% i przekraczała normę, a z węglowodanów mniej niż 50%. Tylko odsetek energii z białka był zgodny z normami. W różnych okresach zajęć sportowych ważniejsze wskaźniki żywienia nie różniły się. Wnioski: Wyniki przeprowadzonych badań wskazują na niezbędność edukacji żywieniowej ankietowanych sportowców.
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Introduction: Women’s football is becoming more and more popular in recent years. Proper diet is a very important part of the training cycle in girls practicing football. Aim of the study: The purpose of the study is the evaluation of selected aspects of the diet and nutritional status of girls professionally involved in football. Materials and methods: A survey was conducted in 2013 among 12 girls involved in practicing football. The methods used to assess the diet were divided into quantitative and qualitative ones. The questionnaire concerned the eating habits (the number, type and times of daily meals) and the frequency of the consumption of selected groups of food products. The assessment of physical development (as an indicator of nutritional status) was carried out on the basis of quantifying and comparing research results of anthropometric characteristics. With the help of Statistica 6.0, the influence of the period of training or competition on nutritional status was analyzed. Results: The observed energy value of food rations was not high enough to fully cover the daily needs for the studied group of athletes. The players often ate too few meals throughout the day and their meals were eaten irregularly. What is more, an insufficient intake of milk, dairy products, fruit, vegetables was revealed. Most respondents might be characterized by underweight (50%), which is a worrying phenomenon. The abnormal proportion of energy from different nutrients was also observed. The energy content of fat origin was greater than 35% and exceeded the standard, and from carbohydrates less than 50%. Only the percentage of energy from proteins referred to the normal range. At various times of sports activities these important indicators of nutrition did not differ. Conclusions: The results of this study indicate the validity of nutritional education for athletes.
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Introduction CPA tumor’s treatment may lead to cranial nerve paresis (V, VII, IX–XII). Material and methods Part I: Retrospective analysis of 456 FEES reports (I’2015–III’2020), 24 results of patients with CPA tumor were selected (14 men, 10 women, age 22–72). FEES examination according to protocol: anatomy and physiology assessment, oral tests, effectiveness of therapeutic manoeuvres. Agree for nutritional assessment (n = 4). Part II: Prospective; clinical swallowing examination before and after CPA tumor surgery: 10 consecutive patients (I–VI’2029, 8 men, 2 women, age 18–67). Results Part I: Dysphagia was most often related to pharyngeal phase (91%). In the case of the oral phase, the most common were: difficulties in bolus preparation (41%), premature swallowing (20%) and leaking (20%). In the pharyngeal phase: absence of larynx reflex (66%), penetration (70%), residue and multiswallows (54%). The most frequently nerves paresis were: VII (62%), X (62%) and IX (45%); Most patients required adaptive (91%) and compensatory (66%) therapy. NF2 group: 83.33% of patients had multiple cranial nerve paresis (VII, IX, X). Problems with larynx elevation led to penetration (90%) and aspiration (60%). Residue connected with multiswallows (56%). Paralysis of n. XII was connected with bolus preparation problems and premature swallows (83%). Risk of malnutrition (25% of patients). Part II: Post-operative CSE showed: impaired motor control of the tongue (30%), lips (40%), n. VII paresis (70%), reduction in the jaw extend, 3-times increase of positive result in a water screening test. Discussion Swallowing disorders are a significant problem after CPA surgery, connected with swallowing safety and efficiency. Patients should undergo screening tests, clinical and instrumental examination.
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Wstęp Powikłaniem operacji guzów kąta mostowo-móżdżkowego są porażenia nerwów czaszkowych (V, VII, IX-XII). Materiał i metoda Część I – retrospektywna analiza 456 raportów z badania FEES (I’2015–III’2020); do dalszej analizy włączono 24 wyniki pacjentów z rozpoznaniem CPA (14 mężczyzn, 10 kobiet, w wieku 22–72 lata). Badanie FEES przeprowadzono zgodnie z protokołem: ocena anatomii i fizjologii, próby oralne, ocena skuteczności manewrów terapeutycznych. Zgoda na ocenę stanu odżywienia (n = 4). Część II – prospektywna; kliniczna ocena połykania u 10 kolejnych pacjentów przed zabiegiem i do siedmiu dni po operacji CPA (I–VI’ 2019, ośmiu mężczyzn, dwie kobiety, w wieku 18–67 lat). Wyniki Część I – stwierdzono zaburzenia gł. fazy gardłowej połykania (91%). Zaburzenia fazy ustnej najczęściej obejmowały: trudności z obróbką oralną kęsa (41%), przedwczesne połykanie (20%) i wyciek treści przez usta (20%). W fazie gardłowej stwierdzono: zaburzenie odruchów obronnych krtani (66%), penetracje (70%), zlegania i multipołknięcia (54%). Najczęściej uszkodzonymi nerwami były: VII (62%), X (62%) i IX (45%); Wykorzystano terapię adaptacyjną (91%) oraz kompensacyjną (66%). W grupie NF2 83% pacjentów miała mnogie porażenia nerwów czaszkowych (nn. VII, IX, X). Obniżenie elewacji krtani prowadziło do penetracji (90%) i aspiracji (60%). Zalegania współwystępowały z multipołknięciami (56%). Porażenie n. XII zaburzało obórkę oralną i skutkowało przedwczesnym połykaniem (83%). Ryzyko niedożywienia (25% chorych). Część II – badanie po zabiegu w porównaniu z badaniem wyjściowym wykazało: zaburzenia motoryki języka (30%), warg (40%), niedowład n. VII (70%), zmniejszenie zakresu odwiedzania żuchwy, trzykrotny wzrost pozytywnego wyniku przesiewowego testu połykania wody. Dyskusja Operacje CPA zaburzają bezpieczeństwo i efektywności połykania. Testy przesiewowe i ocena kliniczna połykania powinny być wykonywane każdorazowo u tych chorych, zaś w razie wskazań – także badania instrumentalne.
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