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Background: Anemia, interpreted as a low blood hemoglobin values, was considered as a major health complication in the world. However, anemia in pregnancy is a global public health problem in the developing countries, posing high risk of adverse results for expecting mothers as well as their fetus. The aim of study was to compare nutrients' intake among pregnant anemic & non-anemic women. Methods: A comparative cross-sectional study was conducted at Sir Ganga Ram Hospital, Lahore over a period of 4 months. The data were collected from 150 pregnant women, including 75 anemic and 75 non-anemic women, through pre-tested questionnaire using non-probability convenient sampling method. Data were tabulated and analyzed with help of SPSS version 21.0. Results: Analysis revealed that 34% of women had carbohydrate intake between 0-150 g/day, 44% had protein intake less than 50 g daily, and 36% had daily fat intake between 0-100 g/day. Moreover, 46.7% of the pregnant women were vitamins deficient, 51% were minerals deficient, 52% were iron deficient, 54.7% consumed tea with their meals, 44% had vitamin B3 intake less than 10 mg, 48% had vitamin C intake less than 50 mg, 48% had vitamin A intake between 0-500 RAE, 42% had calcium intake between 0-500 mg, and 31% had iron intake between 0-10 mg. Conclusion: The findings showed that nutrient intake of anemic pregnant women was not sufficient in the protein rich diet; they had high consumption of tea with their meals. Their overall energy intake and micronutrients were less than the required as per recommended dietary allowance in pregnancy.

A computer-based nutritional analysis program can help to identify the nutritional status of people and provide information for nutritional counseling, nutrition education, diet planning, and menu development. Although computer-based nutritional analysis has been conducted since the 1960s in developed countries, in developing countries nutritional analysis programs either do not exist or need improving. This study tests two analysis programs developed by different countries to compare the nutrition status data calculated by two different analysts to highlight the importance of developing an appropriate nutrition analysis tool. An interview-administered 24-h dietary recall method was conducted with 100 adults aged 40∼59 years in Vientiane, Laos. Analysts from Korea and Laos, respectively, calculated nutrient intake using the Institute of Nutrition, Mahidol University CALculation (INMUCAL) nutritional analysis program (Bangkok, Thailand). Nutrient intake was also compared using two different analysis tools, INMUCAL and computer aided nutrition-al analysis program (CAN-Pro) 5.0 software (Seoul, Korea). The average nutrient intake calculated by the different analysts using INMUCAL were not significantly different. Furthermore, macronutrient intake calculated by CAN-Pro 5.0 and INMUCAL did not significantly differ, aside for intake of iron, thiamin, and vitamin C. Nutrient intake calculated by one analysis program differed from those calculated by a different program in Laos. Therefore, it is necessary to develop an appropriate nutritional analysis program that reflects the diet behavior and food culture in Laos and to understand the nutritional status of Laotians.

Purpose Vegetarian diets exclude meat, fish and poultry and/or egg and dairy products, these diets are based on grains, fruits, vegetables, legumes and seeds. The purpose of this study is to compare the nutritional status between lacto-ovo vegetarian and non-vegetarian Jordanian adults. Design/methodology/approach A case-control study was conducted during the period between (April–November 2019). In total, 200 Jordanians in early adulthood aged between 18 and 35 years participated in the present study; 100 subjects were non-vegetarians and 100 subjects were lacto-ovo vegetarians. The ratio was (1:1). Matching between the two groups was done in terms of age, sex and body mass index. A package that consisted of three structured questionnaires: Personal Information Sheet, Food Frequency Questionnaire and Seven-Day Physical Activity Recall were administered to all participants in this study. Findings The concentration of serum vitamin B12 was significantly higher (P = 0.011) in non-vegetarians than lacto-ovo vegetarians. The means of intake of calories (P = 0.003), calories from fat (P = 0.001), calories from saturated fat (P = 0.001), protein (P = 0.001), fat (P = 0.001), saturated fat (P = 0.001), monounsaturated fat (P = 0.022), polyunsaturated fat (P = 0.001), cholesterol (P = 0.001) and omega-6 (P = 0.039) were significantly higher in non-vegetarians. The intakes Mean of carbohydrates (P = 0.001), fiber (P = 0.001) and soluble fiber (P = 0.001) were significantly higher in lacto-ovo vegetarians compared to non-vegetarians. The mean of beta-carotene intake was significantly higher (P = 0.001) in lacto-ovo vegetarians compared to non-vegetarians, although the intakes of vitamin A(RAE) and retinol were significantly higher (P = 0.029, P = 0.001, respectively) in non-vegetarians as compared to lacto-ovo vegetarians. The means of vitamins B2 (P = 0.018), B3 (P = 0.001), B3NE (P = 0.001), B6 (mg) (P = 0.001), B12 (P = 0.001), E-a-Tocopherol (P = 0.001) and D (P = 0.001) intake were significantly higher in non-vegetarians compared to lacto-ovo vegetarians. The mean intakes of vitamins C (P = 0.033), folate (P = 0.005) and K (P = 0.002) were significantly in lacto-ovo vegetarians compared to non-vegetarians. Means intake of some minerals was significantly higher in non-vegetarians than lacto-ovo vegetarians. Originality/value The current study showed that lacto-ovo vegetarians had lower serum vitamin B12 levels. The consumption of fruits, vegetables and legumes was higher in lacto-ovo vegetarians than non-vegetarians. While lacto-ovo vegetarian diet provided less fat, saturated fat, polyunsaturated fat, monounsaturated fat and cholesterol than non-vegetarians, it could be considered a rich source for fiber, folate, beta-carotene, vitamin C and vitamin K.

Objective: Maternal nutrition is considered an important pillar in the pregnancy outcomes for both mother and infant. A mother’s malnutrition and inadequate nutrient intake is associated with many undesirable pregnancy outcomes. Hence, assessing the nutritional status of the mother in the early stages of the pregnancy and preventing any inadequacy can preclude many health problems for both mother and infant. Therefore, this study aimed to assess the adequacy of nutrient intakes among Jordanian pregnant women as compared to their corresponding dietary reference intakes (DRIs). Methods: This cross-sectional study was conducted at a major University Hospital in Jordan. Three hundred pregnant women were invited to participate in the study and 286 agreed to participate. Fifty pregnant women were enrolled at week 9, then 96 pregnant women were at week 20 and 137 pregnant women were at week 30 of pregnancy. The participants completed the interview-based demographic questionnaire, pregnancy physical activity questionnaire, and quantitative food frequency questionnaire (FFQ). Results: The mean energy intake was 2768.9 ± 767.8 kcal/day and it was significantly higher in the 3rd trimester (p &lt, 0.05). Women in the 3rd trimester consumed significantly more protein, carbohydrates, and sugar than women in the 1st and 2nd trimesters (p &lt, 0.05). The pregnant women in the 3rd trimester consumed more sodium than women in the 1st and 2nd trimesters (p &lt, 0.05). The vitamin K intake was significantly (p = 0.045) lower in the 2nd trimester than the 1st and 3rd trimesters. The calcium intake was significantly higher in the 3rd trimester than the 1st and 2nd trimesters (p = 0.021). The total micronutrient (vitamins B1, B2, B3, B6, B12, and D, calcium, and iron) intakes derived from dietary supplements and food sources throughout the 3 trimesters was significantly higher in the 3rd trimester than the 1st and 2nd trimesters (p &lt, 0.05). The vitamin D, calcium, and iron intakes had the most significant increases between the 1st and 3rd trimesters (p &lt, 0.001), while folic acid intake was significantly higher in the 1st trimester than the 2nd and 3rd trimester (p &lt, 0.001). Most women exceeded the tolerable upper intake level (UL) for sodium in all trimesters, while 82% of women exceeded the UL of folic acid in the 1st trimester and from the supplement, not the diet. Conclusion: While the intake of some nutrients from food alone remains below the DRIs in the diets of pregnant women, the intake of other nutrients is above the UL. Raising the awareness of pregnant women about their diet and how a supplement intake can reduce the risk of inadequate intake for many micronutrients and improve their pregnancy outcomes is of great importance.

SUMMARY The aim of this study was to evaluate the use of silages of different sorghum cultivars through digestibility and nutrient intake and performance of sheep. The experiment was conducted at the Pendência Experimental Station, of the State Company for Agricultural Research of Paraíba S.A. For the experiment, thirty-five rams were used, without defined breed, with average live weight of 17.7 kg, distributed in a completely randomized block design, with five diets and seven replicates to determine intake and performance; and 25 non-castrated rams, without defined breed, distributed in a completely randomized design with five diets and five replicates, to determine the digestibility of nutrients. The average daily intake of dry matter was, on average, 994.66 g. Only the average intakes of ether extract, neutral detergent fiber and non-fibrous carbohydrates, were affected by the diets. The weight gain (WG), feed conversion and feed efficiency of the animals receiving the diets suffered no effect. Silages of BRS 655, 610, 800, 810 and Ponta Negra provided similar intake and digestibility of nutrients. The use of silages of different sorghum cultivars (BRS 610, BRS 655, BRS 800, BRS 810 and Ponta Negra) in diets for confined sheep provide similar performance and intakes. RESUMO O objetivo com este estudo foi avaliar a utilização de silagens de diferentes cultivares de sorgo através do consumo, digestibilidade dos nutrientes e desempenho de ovinos. O experimento foi conduzido na Estação Experimental de Pendência, da Empresa Estadual de Pesquisa Agropecuária da Paraíba S.A. Para o experimento, foram utilizados trinta e cinco carneiros, sem raça definida, com peso vivo médio de 17,7 kg, distribuídos em um delineamento em blocos casualizados, com cinco tratamentos e sete repetições para determinar o consumo e desempenho; e 25 carneiros não castrados, sem raça definida, distribuídos em um delineamento inteiramente casualizado, com cinco tratamentos e cinco repetições, para determinar a digestibilidade dos nutrientes. O consumo médio diário de matéria seca foi, em média, 994,66 g. Somente os consumos médios de extrato etéreo, fibra em detergente neutro e carboidratos não-fibrosos, foram afetados pelas dietas. O ganho de peso (GP), conversão alimentar e eficiência alimentar dos animais que receberam as dietas não foram afetados pelos diferentes cultivares utilizados. Silagens de sorgo BRS 655, 610, 800, 810 e Ponta Negra promoveram consumo e digestibilidade de nutrientes semelhantes. A utilização de silagens de diferentes cultivares de sorgo (BRS 610, BRS 655, BRS 800, BRS 810 e Ponta Negra) em dietas para ovinos em confinamento promove desempenho e consumo similar.

The aim of this study was to examine the relationship between nutritional intake and depressive symptoms in Valencian schoolchildren. The ANIVA (Antropometria y Nutricion Infantil de Valencia) study is a descriptive cross-sectional study. During academic year 2013–2014, 710 schoolchildren aged 6–9 years were selected from eleven primary schools in Valencia (Spain). Children’s dietary intake was measured on three-day food records, completed by parents/guardians; children completed the 20-item Center for Epidemiologic Studies Depression Scale for Children (CES-DC) Questionnaire to measure depressive symptoms. Weight, height, and body mass index (BMI), and z-scores were evaluated in all subjects. Nutrient adequacy was assessed using Spanish dietary recommended intakes (DRIs); 20.70% of the sample presented depressive symptoms. We identified a positive association between children with depressive symptoms and non-depressive symptoms for thiamin, vitamin K, and bromine (p < 0.05), and a negative association for protein, carbohydrates, pantothenic acid, biotin, vitamin B12 and E, zinc, manganese, cobalt, and aluminum (p < 0.05). Statistically significant differences were found between both groups according to the DRIs for intakes of total energy (p = 0.026), fiber (p < 0.001), vitamin C (p < 0.001), vitamin E (p = 0.004), magnesium (p = 0.018), and iron (p = 0.013). Our results demonstrated that carbohydrates were the most closely associated factor with depressive symptoms, and highlight the potential significant public health implications of inadequate nutritional intake on schoolchildren’s mental health.

Calcium is an important nutrient for child development. The main objective of this study was to assess calcium intake and its adequacy with dietary reference intake (DRI) in Spanish children. The ANIVA (Antropometría y Nutrición Infantil de Valencia) study is a descriptive cross-sectional study. During two academic years 2013–2014 and 2014–2015, 1176 schoolchildren aged 6–9 years were selected from 14 primary schools in Valencia (Spain). Three-day food records were used to assess dietary intake, completed by parents/guardian. Anthropometric data (weight and height) were evaluated in all subjects. Nutritional intake was compared to estimated average requirements (EARs) and adequate intake (AI) values to determine nutritional adequacy. A percentage of 25.77% had inadequate calcium intake, and a significantly higher prevalence was observed in girls (p = 0.006). Adequate calcium intake showed a positive association with the height z-score (p = 0.032). When assessing dietary patterns, schoolchildren with adequate calcium intakes had better nutritional adequacy in all nutrients, except cholesterol (p = 0.086) and fluorine (p = 0.503). These results suggest a public health problem that must be addressed through nutrition education programs to increase intake of calcium-rich food and to correct the associated dietary pattern.

Objectives To study calorie and nutrients intake in a group of patients diagnosed with attention deficit hyperactivity disorder (ADHD) under treatment with extended-release methylphenidate (MPH-ER), and to analyse the need to design nutrition intervention strategies. Design Observational (case-control). Setting Navarra Hospital Complex, Pamplona, Spain. Participants A total of 100 patients diagnosed with ADHD under treatment with MPH-ER and 100 healthy children (control group). Main outcome measures A nutrition survey was carried out (food intake registration of 3 consecutive school days). Calorie and nutrient intake, as well as nutrition status, were evaluated and compared in both groups. Results Nutritional status in ADHD group was significantly lower ( p Conclusions The daily calorie and nutrients intake in patients under treatment with MPH-ER is, generally, lower than in healthy population of similar age. The need to impart programmes of nutrition education simultaneously with multimodal treatment in order to avoid the nutrition consequences of treatment with MPH should be considered.

OBJETIVO: Estimar a prevalência de hipovitaminose A em pré-escolares de creches públicas da cidade do Recife, Estado de Pernambuco, Brasil. MÉTODOS: Estudo de corte transversal, envolvendo 311 crianças menores de cinco anos, de ambos os sexos, aleatoriamente selecionadas, e avaliadas pelos indicadores bioquímico (retinol sérico), dietético (inquérito de consumo alimentar) e antropométrico (peso/idade, altura/idade e peso/altura). RESULTADOS: A prevalência de níveis de retinol sérico baixos (0,05). O consumo dietético de vitamina A mostrou sensibilidade reduzida (43,0%) e baixíssimo valor preditivo positivo (6,8%) no diagnóstico da hiporretinolemia. CONCLUSÃO: A identificação de grupos populacionais vulneráveis, bem como a seleção de indicadores fidedignos do estado nutricional de vitamina A, são elementos essenciais para o diagnóstico e o planejamento de ações visando à prevenção e ao controle dessa carência nutricional específica. OBJECTIVE: To evaluate the extent of vitamin A deficiency among preschool children attending public day care centres in Recife, State of Pernambuco, Brazil. METHODS: A cross-sectional survey involving 311 under 5-year-old children of both sexes, randomly selected, and assessed by biochemical (serum retinol), dietetic (vitamin A rich-food consumption) and anthropometric indicators (weight-for-height, weight-for-age and height-for-age). RESULTS: The prevalence of hyporetinolemia (serum retinol 0.05). Vitamin A rich-food intake showed low sensitivity (43.0%) and a very low positive predictive value (6.8%) as a screening diagnostic test for vitamin A deficiency. CONCLUSION: The identification of vulnerable population groups, and the selection of reliable indicators for the assessment of vitamin A status, are both essential for the diagnosis and planning aimed at preventing and controlling vitamin A deficiency.

Background : Nutrient intakes may influence nutritional status of patients during health care. It was reported that nutritional status of 75% of hospitalized patients declined during hospitalization.Objective: The objectives of this study was to assess factors that may influence malnutrition among adult patients in hospital.Methods: This study was done using a nested case control study design. Subjects were inpatients of internal and neurology departments of Sanglah, Sardjito and M. Jamil hospitals. They were all given oral feeding, inconsciousness condition, cooperative, and non-ascites. Data on food consumption were obtained using comstock methods, while nutritional status were measured using Subjective Global Assessment.Results: Low energy intake, length of stay, infection, and special diet were all associated with a higher risk of hospital malnutrition. Patients with low energy intakes were 2.4 (OR=2.4, 95%CI= 1.17-4.92) times more likely to be malnourished than those with sufficient energy intakes. Patients with length of stay >= 7 days were 8 (OR=8.15, 95% CI =1.87-35.51) times more likely to be malnourished than those with length of stay < 7 days. Patients with infectious diseases were 3 (OR= 0.33, 95% CI= 0.17-0.64) times less likely to be malnourished than those with non infectious diseases. Lastly, patients with special diet were 2 (OR=1.96, 95% CI= 1.05-3.68) times more likely to be malnourished than those without special diet.Conclusions: Low energy intake, length of stay, non infectious diseases, and special diet are risk factors of malnutrition in adult hospitalized patients.