The relationship of long-term school milk consumption and their attention, cognitive ability among children / 中华预防医学杂志

<p><b>OBJECTIVE</b>To evaluate the status of attention and cognitive ability among children who consumed school milk for relative long-term period.</p><p><b>METHODS</b>From July to August 2009, a cluster of 435 children aged 10-12 year-old (including 188 boys and 247 girls) were sampled in Changsha, Hunan Province and divided into two groups, which were long-term milk-consumption group (the children drank school milk four times per week and continued for over one year or one to three times per week and continued for over three years, 220 cases) and seldom milk-consumption group (the others, 215 cases). Children's growth and anemia status were evaluated, the mental work ability index (IMC) was evaluated by Alimov searching table and both the attention and memory function of children were evaluated by clinical memory scale.</p><p><b>RESULT</b>The average height, hemoglobin (Hb) concentration and anemia rate in long term milk-consumed group were (147.6 ± 8.1) cm, (40.1 ± 9.0) g/L and 7.1% (15/212), and the indexes of the seldom milk-consumed group were (145.9 ± 8.3) cm, (38.7 ± 10.0) g/L and 13.3% (27/203). There were significant statistical differences (t = 2.124, 2.621; χ(2) = 4.418, all P values < 0.05). The scores of the third IMC in the long term milk-consumed group (233.6 ± 44.1) were higher than the seldom milk-consumed group (222.8 ± 42.3), (t = 2.505, P < 0.05). The scores of picture free recall (14.7 ± 5.0) and memory quotient (86.7 ± 17.2) were higher than that in the seldom milk-consumed group (13.4 ± 4.8 and 82.7 ± 16.1 respectively) (t = 2.539, 2.433; all P values < 0.05).</p><p><b>CONCLUSION</b>Drinking milk for long-term can help increasing attention and memory of children.</p>

The nutritional status of reproductive women at one year after the disaster of Earthquake in Wenchuan / 中华预防医学杂志

<p><b>OBJECTIVE</b>To evaluate the effects of Wenchuan Earthquake on the nutritional status and the prevalence of nutritional anemia, vitamin A deficiency (VAD) and vitamin D deficiency among reproductive women (15 - 44 years old) in the disaster areas one year after the Earthquake.</p><p><b>METHODS</b>A nutritional survey was conducted in 3 counties in April 2009, one year after the Earthquake. Two towns from each county were selected as study sites, and this survey recruited 58 pregnant, 66 lactating and 242 non-pregnant-non-lactating women. A comparison was made to the results of 2002 Chinese Nutrition and Health Survey.</p><p><b>RESULTS</b>The cereals and roots intakes of the pregnant, lactating and non-pregnant-non-lactating women living in the disaster area were (426.8 ± 271.8), (568.0 ± 306.1), and (483.0 ± 277.7) g/d respectively, which were almost the same results (486.8, 509.3 and 495.1 g/d, respectively) from 2002 National Nutrition and Health Survey. The fat and oil intakes were (41.9 ± 51.6), (55.5 ± 69.2), and (66.9 ± 125.7) g/d, respectively, which were also the same ad the results (45.2, 43.9 and 41.4 g/d, respectively) from 2002 National Nutrition and Health Survey. The intakes of meats and poultries were only (58.1 ± 67.7), (76.3 ± 218.7), and (23.9 ± 29.6) g/d respectively, which were much lower than the recommended food intakes from the Branch of Maternal and Child Nutrition of Chinese Nutrition Society. The vitamin A deficiency and marginal deficiency prevalence were 6.9% (24/347) and 18.2% (63/347), respectively. The deficiency and insufficiency of vitamin D was sum to 93.9% (323/344). The prevalence of anemia was 32.6% (112/344). 51.0% (171/335) reproductive women were iron deficient, and 61.6% (210/347) women were suffering zinc deficiency.</p><p><b>CONCLUSION</b>The study findings indicated that the dietary structure was seriously effected by the Earthquake. The sources from animal and legume products were relatively low. The micronutrients nutritional status was poor. The vitamin A, vitamin D, and iron, zinc deficiencies were highly prevalent in the disaster area.</p>

The nutritional status among children under 60 months year-old after one year of the Earthquake in Wenchuan / 中华预防医学杂志

<p><b>OBJECTIVE</b>To evaluate the effects of Wenchuan Earthquake on the nutritional status, growth, and the prevalence nutritional anemia, vitamin A deficiency (VAD) and vitamin D deficiency among children under 60 months old living in the disaster areas.</p><p><b>METHODS</b>A nutritional survey was conducted in April 2009. The survey recruited 466 under 60 months old children, including 162 children aged 0 months old and 304 children aged 24 - 59 months old. The children's growth status, prevalence of anemia, and the iron deficiency prevalence, vitamin A, D, B(12), folic acid status were measured. The study findings were compared to the results from 2002 Chinese Nutritional and Health Survey.</p><p><b>RESULTS</b>The exclusive breast milk feeding rate among infants under 6-months was 58.8% (30/51). Among the 0 - 23 months old children, only 10.7% (16/150) got breast feeding within one hour after delivery. Ninety-two per cent (149/162) 0 - 23 months old children never received any nutrient supplements. The average cereals and roots intakes of the 24 - 59 months old children living in the disaster area were (267.2 ± 154.3) g/d, higher than the result of rural children average (178.75 g/d) of 2002 National Nutrition and Health Survey (u = 9.995, P < 0.01). The average intakes of vegetables, aquatic products, meat and poultries were (63.6 ± 56.7), (2.6 ± 7.9), (19.4 ± 24.0) g/d, respectively, significantly lower than 2002 results 135.05, 8.82 and 32.23 g/d (u = 21.971, 13.728 and 9.321, P < 0.01). Fruits, dairy products and legumes intakes were (102.2 ± 110.8), (65.2 ± 123.8) and (20.5 ± 29.0) g/d, respectively, higher than 2002 results (32.81, 2.87 and 6.50 g/d; u = 10.919, 8.778 and 8.417, P < 0.01). The prevalence of vitamin A deficiency and marginal deficiency was 15.4% (29/188) and 30.3% (57/188), respectively. The sum of vitamin D deficiency and insufficiency was 92.0% (183/199). The prevalence of anemia of the 0-months old children and 24 - 59 months old children was 47.5% (77/162) and 21.5% (60/279), respectively. The prevalence of iron and zinc deficiencies was 45.7% (86/188) and 65.5% (127/197). The prevalence of stunt was 13.6% (38/279) among the 24 - 59 months old children.</p><p><b>CONCLUSION</b>The results indicated that the dietary structure of the children living in the disaster area was not ideal. Although, the intakes of energy and protein supporting foods could meet the requirements, but the dietary lacks of meats, poultries, dairy products, legume products, aquatic products and vegetables. The vitamin A, vitamin D deficiency, iron and zinc deficiencies are of a high prevalence in the disaster area.</p>

The nutrition status of special population living in the areas affected by Wenchuan Earthquake after 3 months / 中华预防医学杂志

<p><b>OBJECTIVE</b>To investigate and analyze the nutritional status of infants, preschool and primary school students, pregnant and lactating women in Wenchuan earthquake disaster area after 3 months.</p><p><b>METHODS</b>In August 2008, the nutritional and health status information of special population were collected and evaluated using the questionnaires, anthropometric and hemoglobin concentration measurements from four settlements of villages and towns in Mao and Mianzhu Country of Sichuan and Kang Country and Wudu District in Gansu provinces. A total of 236 infants aged below 36 months, 48 preschool children, 368 primary students, 32 pregnant women and 72 lactating women were investigated. Principal investigator indexes included the low body weight, growth retardation, anemia prevalence, two-week prevalence of diarrhea and respiratory disease, food intake and nutrition-related diseases, the percentage of patients morbidity of 36 months infants, preschool and primary school students; the prevalence of anemia, the prevalence of nutrition-related diseases of pregnant and lactating women.</p><p><b>RESULTS</b>The stunting prevalence was 14.6% (34/236) and the anemia prevalence was up to 40.1% (61/236) among infants younger than 36 months. Besides, the percentages of infants and young children suffered from the respiratory-infected disease and diarrhea within recent two weeks were 40.4% (95/236) and 30.2% (71/236) respectively. The percentage of low body weight of preschool children was 14.6% (7/48) and the growth retardation and anemia prevalence was 14.6% (7/48) and 39.6% (19/48), respectively. Among primary students, 6.3% (23/368) showed growth retardation and 12.2% (45/368) were anemia. The prevalence of anemia status of pregnant women and lactating mothers were 53.9% (17/32) and 24.4% (18/72) respectively. The main food composition of 45.8% (33/72) lactating women were grain and vegetables, 29 (40.3%), 32 (44.4%), 28 (38.9%) and 53 (73.6%) lactating women did not have animal originated (including meat, aquatic, livestock and poultry products) food, eggs, beans and their products, milk and dairy products, respectively.</p><p><b>CONCLUSION</b>Special population lived in disaster area have suffered different degree of malnutrition. The main dietary pattern was vegetable food. The consumption of meat, eggs, milk and milk products was relatively insufficient.</p>

Effects of nutritional education on improvement of nutritional knowledge of infant's mothers in rural area in China / 中华预防医学杂志

<p><b>OBJECTIVE</b>To investigate the knowledge, attitude and practice (KAP) of young children's mothers on infant feeding and to evaluate the effects of nutritional education in the rural areas.</p><p><b>METHODS</b>A cluster sampling method was used to select the local health station. Five hundred and fifteen mothers, who had infants with age of 4 - 6 months, were recruited for the questionnaire survey on the nutritional knowledge in rural areas of Tianjin municipality. The mothers were randomly divided into intervention group I (160), intervention group II (180) and control group (175). The mothers in the intervention group I were educated with feeding guideline on infants and young children and had had Group lectures and advisory from experts about maternal and child nutrition for teaching them how to feed their children; while, the mothers in the intervention group II were trained with feeding guideline on infants and young children by themselves; and the mothers in the control group received routine guidance at the local health station. The follow-up evaluation on nutritional knowledge of the mothers in each group was carried out after 3 and 6 months intervention, respectively.</p><p><b>RESULTS</b>The educational background had significant effect on KAP scores: KAP scores of the mothers with primary education or less (8.3 +/- 2.2) were significantly lower than that of the mothers educated with high school (9.4 +/- 1.6) and university (9.6 +/- 1.8) (LSD t = 3.70, P < 0.001). After being educated with feeding guideline on infants and young children, the knowledge of infant's mothers was greatly improved and KAP scores of the mothers after intervention were higher than that of the baseline (F = 183.556, P = 0.006); the percentage of correct answer on nutrition knowledge in the intervention groups was significantly higher than that of the control group. At six months of intervention, the KAP scores of intervention group I (12.0) and intervention group II (11.6) were higher than that of the control group (10.5) (LSD t = 5.96, P < 0.001; LSD t = 4.25, P < 0.001).</p><p><b>CONCLUSION</b>Providing nutritional and health education to the infant's mothers should be helpful for improving infant's feeding pattern and ensuring the adequate growth and development of infants.</p>

Effects of different feeding patterns on body weight of perinatal women in rural area / 中华预防医学杂志

<p><b>OBJECTIVE</b>To study the relations between different feeding patterns and the body weight retention of the perinatal women living in rural areas of China.</p><p><b>METHODS</b>A cluster sampling method was used to investigate 409 women, who are currently living in rural areas of Tianjin, at pregnant and perinatal status. While, their body weights and heights before pregnancy, antepartum and postpartum were measured, respectively. Body weight retention was the difference of the measured data after postpartum minus pre-pregnant weight. Variance analysis was used for statistic comparison.</p><p><b>RESULTS</b>The rate of exclusive breastfeeding was 70.9% (290/409) within four months. The net body weight retention of women (5.8 kg) using the exclusive breastfeeding was lower than that of the women (7.0 kg) using artificial feeding within 4 - 6 months, but there was no significantly statistic difference (F = 1.45, P = 0.236). However, there was the opposite result within 7 - 9 months, the data showed that the body weight retention in the women using the exclusive breastfeeding was 4.9 kg, which was significantly higher than that the women (2.9 kg) with artificial feeding (F = 3.17, P = 0.043). The food consumption of the women (901 g) using exclusive breastfeeding was the highest, followed by those (877 g) using mixed feeding and the women (750 g) using artificial feeding.</p><p><b>CONCLUSION</b>The body weight retention after postpartum should be related to infant feeding patterns. After postpartum, the weight loss of women using the exclusive breastfeeding is relatively low. While, for the women using the exclusive breastfeeding, the net weight retention during pregnancy and after postpartum were lower than those with artificial feeding. Therefore, it is necessary to enhance health education and guidance on promoting exclusive breast-feeding as well as increasing awareness on pre-pregnant health.</p>

The methods to reduce the prevalence of lactose intolerance in children / 中华预防医学杂志

<p><b>OBJECTIVE</b>To identify methods in reducing the prevalence of lactose intolerance in children.</p><p><b>METHODS</b>A hydrogen respiration test (HRT) method was used in screening lactose intolerance (LI) subjects after taking 25 g of lactose among 106 children aged from 10 to 11 years old in a primary school located in the suburban area of Beijing. A cross-design was used to detect the effects of low lactose milk, yogurt and cereal-effect among 68 selected LI children.</p><p><b>RESULTS</b>The incidence of LI was 80.2% after the children took 25 g of lactose, and after taking a 250 ml of full milk, lactase-fermented milk, coinfected milk, yogurt, or milk with meal, the LI incidences were 21.1% (12/57), 0% (0/25), 6.1% (2/33), 8.6% (3/35) and 13.6% (3/22) respectively.</p><p><b>CONCLUSION</b>Low lactose milks and yogurt could reduce the LI incidence among LI children significantly.</p>

Effects of ferrous sulfate supplementation on bone marrow hemopoiesis in rats / 中华预防医学杂志

<p><b>OBJECTIVE</b>To explore the influences of different dosage ferrous sulfate supplements on bone marrow hemopoiesis in rats.</p><p><b>METHODS</b>Female weaning Wistar rats were fed with an iron deficient diet (< 10 mg/kg diet) until the level of hemoglobin of rats was lower than 100 g/L. Rats (n = 50) were randomly divided into five groups according to the levels of hemoglobin and body weight, iron deficiency control (ID), daily low iron diet supplement (LDs), daily high iron diet supplement (HDs), weekly low iron supplement (LWs), and weekly high iron supplement (HWs).</p><p><b>RESULTS</b>After 12 weeks, bone marrow stainable iron was seldom in ID group, and ample in supplement groups. The proportions of iron staining of bone marrow smear in supplement groups were more than 30%. Bone marrow cells in all rats were hyperplastic or active hyperplastic.</p><p><b>CONCLUSIONS</b>Daily high iron supplement or once weekly high iron supplement were safe to bone marrow hemopoiesis in rats.</p>

A study on absorption and utilization of calcium, iron and zinc in mineral-fortified and dephytinized soy milk powder consumed by boys aged 12 to 14 years / 中华预防医学杂志

<p><b>OBJECTIVES</b>In order to understand the absorption and utilization of calcium, iron and zinc in cow milk, soy milk powder and dephytinized soy milk powder in the children and adolescents, and to lay a foundation for the improvement of protein and mineral nutrition in Chinese residents with popularizing consumption of soy milk powder.</p><p><b>METHODS</b>Totally, 57 boys aged 12 to 14 years were selected and divided into three groups, matched by age, hemoglobin concentration, height and weight. The boys were given 220 ml of fortified and dephytinized soy milk, soy milk or cow milk, respectively, containing calcium 270 mg, iron 4 mg and zinc 4 mg, which were labeled with stable isotopes (44)Ca, (58)Fe and (70)Zn in a single serving size, and their feces were labeled with brilliant blue and dysprosium. Feces specimens were collected for all the subjects and absorption rate of calcium, iron and zinc were measured for all the children who took fortified and dephytinized soy milk, soy milk or cow milk, respectively. Calcium in feces was measured with heat ionized mass spectrometry, and recovery of (58)Fe and (70)Zn in feces and content of dysprosium were measured with induction coupling iso-ionic mass spectrometry, and then absorption rates of iron and zinc were calculated and adjusted by the recovery rate of dysprosium.</p><p><b>RESULTS</b>Iron absorption rate was (6.7 +/- 3.8)% in soy milk powder group, (15.5 +/- 9.2)% in the cow milk group and (20.6 +/- 7.3)% in dephytinized soy milk powder group, respectively. Calcium absorption rate was (43.5 +/- 10.7)%, (64.2 +/- 11.4)%, and (50.9 +/- 6.6)% in the three groups, respectively. Absorption rate of zinc was (11.3 +/- 6.5)%, (31.2 +/- 10.4)% and (20.1 +/- 7.4)%, respectively. Significant increase in absorption of calcium, iron and zinc was observed in the groups with fortified and dephytinized soy milk powder, as compared with those consuming nondephytinized soy milk powder. Absorption rate of calcium and zinc was significantly higher in the group with cow milk than that in the group with dephytinized and fortified soy milk powder, and iron bioavailability was lower in the group with cow milk than that with dephytinized soy milk powder, with no significant difference. Absorption rates of calcium, iron and zinc were higher in children of China due to their long term adaptation to dietary intake of lower mineral and protein, and higher fiber.</p><p><b>CONCLUSIONS</b>Bioavailability of calcium, iron and zinc in soy milk powder could be increased by dephytinized treatment for it.</p>

Effect of long term supplementation of mineral-fortified dephytinized soy milk powder on biomarkers of bone turnover in boys aged 12 to 14 years / 中华预防医学杂志

<p><b>OBJECTIVES</b>In order to understand the effect of long term consumption of mineral-fortified dephytinized soy milk powder on skeletal health in children, biological effects of mineral-fortified dephytinized soy milk powder, dephytinized mineral-unfortified soy milk powder and fresh mineral-fortified cow milk were compared.</p><p><b>METHODS</b>Totally, 90 boys aged 12 to 14 years were involved in the study and were given daily with mineral-fortified dephytinized soy milk powder, dephytinized soy milk powder and fresh fortified cow milk, respectively, for two months. The blood samples were collected from all the subjects for measuring activity of serum bone specific alkaline phosphatase and serum level of oesteocalcin, and the urine samples were collected for determining urine C-terminal telopeptides of type I collagen (CTx).</p><p><b>RESULTS</b>After two-month intervention, serum level of oesteocalcin increased significantly in the all groups, (16.42 +/- 11.25) micro g/L for the group with fortified soy milk powder, (18.86 +/- 11.57) microg/L for the group with unfortified soy milk powder and (13.81 +/- 10.06) microg/L for the group with fortified cow milk, respectively. The activity of bone specific alkaline phosphatase significantly decreased in the all groups, by (0.28 +/- 0.40) micromol x s(-1) x L(-1) for the group with fortified soy milk powder, (0.26 +/- 0.35) micromol x s(-1) x L(-1) for the group with unfortified soy milk powder, and (0.17 +/- 0.28) micromol x s(-1) x L(-1) for the group with fortified cow milk, respectively. As well as, urine level of CTx decreased significantly, by (349.1 +/- 380.3) mg/L for the group with fortified soy milk powder, (260.4 +/- 412.4) mg/L for the group with unfortified soy milk powder, and (354.4 +/- 404.7) mg/L for the group with fortified cow milk, respectively.</p><p><b>CONCLUSIONS</b>Long term consumption of mineral-fortified and dephytinized soy milk powder could improve bone mass retention and calcium nutrition status efficiently in children.</p>