Macronutrients of mothers milk of very low birth weight infants: analysis according to gestational age and maternal variables / Macronutrientes do leite materno de recém-nascidos de muito baixo peso: análise segundo idade gestacional e variáveis maternas

ABSTRACT Objective: To analyze the composition of macronutrients present in the milk of mothers of preterm newborn infants (PTNB) - protein, fat, carbohydrate, and calories - by gestational age (GA), chronological age (CA) and maternal variables. Methods: Longitudinal study that analyzed 215 milk samples from the 51 mothers of PTNB admitted in three Neonatal Intensive Care Units of Rio de Janeiro from May/2013-January/2014. Milk collection was performed by pickup pump, on a fixed day of each week until discharge. The spectrophotometric technique with Infrared Analysis (MilkoScan Minor 104) was used for the quantitative analysis. A sample of 7 mL of human milk was taken from the total volume of milk extracted by the mother. The data was grouped by GA (25-27, 28-31, 32-36, 37-40 weeks) and by CA (zero to 4, 5-8, 9-12, 13-16 weeks). Results: Protein, carbohydrate, fat and calories did not show any pattern of change, with no difference among groups of GA. When the macronutrients were analyzed by groups of CA, protein decreased, with significant difference between the first two groups of CA. Carbohydrates, fat and calories presented increasing values in all groups, without significant differences. Weight gain during pregnancy, maternal hypertension and maternal age were associated with changes in fat and calories in the first moment of the analysis of milk. Conclusions: There was a significant decrease in the levels of protein during the first eight weeks after birth. CA may be an important factor in the composition of human milk.

RESUMO Objetivo: Analisar a composição dos macronutrientes presentes no leite de mães de recém-nascidos pré-termo (RNPT) - gorduras, carboidratos e calorias - por idade gestacional (IG), idade cronológica (IC) e variáveis maternos. Métodos: Estudo longitudinal para analisar 215 amostras de leite de 51 mães de RNPT admitidos em três unidades neonatais do Rio de Janeiro de maio/2013 a janeiro/2014. A coleta de leite foi realizada por bomba coletora, em dia fixo a cada semana até a alta. Utilizou-se a técnica espectrofotométrica com análise de infravermelho (MilkoScan Minor 104) para a análise quantitativa. Uma amostra de 7 mL de leite humano foi retirada do volume total de leite extraído pela mãe. Os dados foram agrupados por IG (25-27, 28-31, 32-36 e 37-40 semanas) e por IC (0-4, 5-8, 9-12 e 13-16 semanas). Resultados: Proteínas, carboidratos, gorduras e calorias não apresentaram nenhum padrão de mudança, não havendo diferença entre os grupos de IG. Quando os macronutrientes foram analisados por grupos de IC, a proteína diminuiu, com diferença significante entre os dois primeiros grupos de IC. Carboidratos, gorduras e calorias apresentaram valores crescentes em todos os grupos, sem diferença estatística. O ganho de peso durante a gestação, a presença de hipertensão arterial e a idade materna foram associados a alterações de gordura e calorias no primeiro momento da análise do leite. Conclusões: Observou-se redução estatisticamente significante nos níveis de proteína durante as primeiras oito semanas após o nascimento. A IC pode ser um fator importante na composição do leite humano.

Avaliação do consumo alimentar de pacientes com síndrome do intestino irritável em acompanhamento ambulatorial / Evaluation of carbohydrate and fiber consumption in patients with irritable bowel syndrome in outpatient treatment

ABSTRACT BACKGROUND: Irritable bowel syndrome (IBS) is a chronic functional condition, which main symptoms of pain, discomfort and abdominal distension, constipation, diarrhea, altered fecal consistency and sensation of incomplete evacuation can be influenced by the presence of dietary fiber and fermentable carbohydrates (FODMAPs). This study aimed to assess the relationship between the quantity of fermentable carbohydrates (FODMAP) and fiber consumed by individuals diagnosed with IBS, and their classification according to the Rome III criteria. METHODS: A transversal study was carried out in the Intestinal Outpatient Clinic of the Gastroenterology Discipline of UNIFESP. The nutrients of interest for the study were: fiber, general carbohydrates and FODMAPs, with intake quantity measured in grams, analyzed through portions consumed. A nutrition log was used, along with a semi-quantitative questionnaire of consumption frequency. RESULTS: The sample included 63 adult patients; 21 with constipated IBS, 21 with diarrhea IBS, and 21 with mixed IBS. Carbohydrate intake was suboptimal in 55.6% of patients in all groups; excessive consumption was identified in 38.1% of the diarrhea group, 14.3% of the mixed group and 38.1% of the constipated group. Low consumption of carbohydrates was found in 28.6% of diarrhea patients and 47.6% of the mixed group. A mean intake of 23 g of fiber per day was identified, lower than recommended. CONCLUSION: The study identified a number of inadequacies in the consumption of different nutrients, excessive carbohydrate intake, especially FODMAPs, identified by the respondents as responsible for a worsening of their conditions. By contrast, other food groups such as meat, eggs and dairy were consumed by the sample population in insufficient quantities.

RESUMO CONTEXTO: A síndrome do intestino irritável é um distúrbio funcional crônico, no qual a dieta, principalmente o teor de fibra dietética e presença de carboidratos fermentativos (FODMAPs) podem influenciar nos principais sintomas: dores, desconforto e/ou distensão abdominal, constipação, diarreia, alteração na consistência das fezes, sensação de evacuação incompleta. OBJETIVO: Este estudo teve como objetivo avaliar as quantidades de carboidratos fermentativos (FODMAP) e fibras consumidas por indivíduos com o diagnóstico de síndrome do intestino irritável e relacionar com seu modelo da classificação, segundo os critérios Roma III. MÉTODOS: Estudo transversal, realizado no Ambulatório de Doenças Intestinais da Disciplina de Gastroenterologia/UNIFESP. Os nutrientes de interesse para o estudo foram: fibras, carboidratos em geral e FODMAPs, calculando-se suas quantidades em gramas, analisadas através das porções consumidas. Os instrumentos de pesquisa utilizados: ficha de acompanhamento nutricional e questionário de frequência alimentar semi-quantitativo. RESULTADOS: A amostra incluiu 63 pacientes adultos, com síndrome do intestino irritável constipado (21), diarreico (21) e misto (21). O consumo de carboidratos mostrou-se inadequado em 55,6% dos indivíduos em todos os grupos; os que tinham alto consumo (38,1%) pertenciam ao grupo diarreia, 14,3% ao misto e 38,1 % ao constipado. Baixo consumo deste nutriente foi 28,6% nos casos de diarreia e 47,6% do misto. Observamos uma ingestão média de fibras equivalente à 23 g/dia, nos três grupos, inferior ao recomendado. CONCLUSÃO: O estudo permitiu reconhecer várias inadequações no consumo dos diferentes grupos de alimentos, particularmente excesso de carboidratos, incluindo os classificados como FODMAPs, identificados pelos doentes como responsáveis pela piora das suas queixas. Em contrapartida, nutrientes fundamentais, como carnes, ovos, leite e derivados estiveram referidos em níveis abaixo do recomendado.

Glycolysis and gluconeogenesis in the liver of catfish fed with different concentrations of proteins, lipids and carbohydrates / Glicólise e gliconeogênese no fígado de jundiá alimentado com diferentes concentrações de proteínas, lipídeos e carboidratos

The activities of enzymes from a number of metabolic pathways have been used as a tool to evaluate the best use of nutrients on fish performance. In the present study the catfish Rhamdia quelen was fed with diets containing crude protein-lipid-carbohydrate (%) as follows: treatment (T) T1: 19-19-44; T2: 26-15-39; T3: 33-12-33; and T4: 40-10-24. The fish were held in tanks of re-circulated, filtered water with controlled temperature and aeration in 2000L experimental units. The feeding experiment lasted 30 days. The following enzymes of the carbohydrate metabolism were determined: Glucokinase (GK), Phosphofructokinase 1 (PFK-1), Pyruvate kinase (PK), Fructose-1,6-biphosphatase 1 (FBP-1). The activities of 6 phosphogluconate dehydrogenase (6PGDH) and glucose 6 phosphate dehydrogenase (G6PDH) were also assayed. The influence of nutrient levels on the enzyme activities is reported. The increase of dietary protein plus reduction of carbohydrates and lipids attenuates the glycolytic activity and induces hepatic gluconeogenesis as a strategy to provide metabolic energy from amino acids. The fish performance was affected by the concentrations of protein, lipid and carbohydrates in the diet. The greatest weight gain was obtained in fish fed diet T4 containing 40.14% of crude protein, 9.70% of lipids, and 24.37% of carbohydrate, respectively.(AU)

As atividades de enzimas das vias metabólicas têm sido utilizadas como uma ferramenta para avaliar a melhor utilização dos nutrientes e o desempenho dos peixes. No presente estudo, o jundiá foi alimentado com rações contendo diferentes concentrações de proteína bruta, lipídeos e carboidratos (%), da seguinte forma: tratamento (T) T1: 19-19-44; T2: 26-15-39; T3: 33-12-33; e T4: 40-10-24. Os peixes foram mantidos em tanques de recirculação, com água filtrada, temperatura controlada e aeração em unidades experimentais de 2.000L. O período experimental foi de 30 dias. Foram aferidas as atividades das enzimas glicoquinase (GK), fosfofrutoquinase 1 (PFK-1), piruvato quinase (PK) e frutose-1,6-difosfatase (FBP-1). Também foram aferidas as atividades da 6-fosfogluconato desidrogenase (6PGDH) e glicose-6-fosfato desidrogenase (G6PDH) da via das pentoses. É relatado que níveis de nutrientes influenciam as atividades enzimáticas das vias metabólicas. No presente estudo, o aumento da proteína da dieta e a redução de hidratos de carbono e lipídeos reduziram a atividade glicolítica e induziram a gliconeogênese hepática como uma estratégia para fornecer energia pelos aminoácidos. O desempenho dos peixes foi afetado pelas concentrações de proteínas, lipídeos e carboidratos na dieta. O maior ganho de peso foi obtido em peixes alimentados com dieta T4 contendo 40,14% de proteína bruta, 9,70% de lipídeos, e 24,37% de carboidratos, respectivamente.(AU)

Ingesta de hidratos de carbono y ácidos grasos de la dieta en sujetos con esquizofrenia y trastorno bipolar, y su asociación con parámetros antropométricos / Association of carbohydrate and fatty acid intake with anthropometric parameters in subjects with schizophrenia and bipolar disorders

Background: People with psychiatric disorders have higher rates of obesity, diabetes mellitus and dyslipidemia. These comorbidities are associated with the underlying psychopathology and drug therapy. Aim: To determine the quality and quantity of carbohydrates and fatty acids in the diet and their association with anthropometric parameters in subjects with schizophrenia and bipolar disorders. Patients and Methods: We studied 30 patients with schizophrenia and bipolar disorders in treatment with atypical antipsychotics or mood stabilizers. Three 24-hour recall dietary surveys were carried out. Glycemic index, intake of carbohydrates and fatty acids (g/day) were calculated, and the ratio of saturated, monounsaturated and polyunsaturated fatty acids was determined. Body mass index, waist circumference (WC) and body fat percentage were evaluated. Results: The average intakes of carbohydrates and fatty acids were 295 ± 111 and 73 ± 38 g/day respectively. The mean glycemic index was 59% ± 5.4, while the ratio of saturated, monounsaturated and polyunsaturated fatty acids was 2: 1.4: 0.6. No association between dietary and anthropometric variables was found. Patients using second-generation antipsychotics had a significantly higher waist circumference than those using mood stabilizing drugs. Conclusions: We found no association between the amount and quality of carbohydrate or fatty acid dietary intake and anthropometric parameters.

Composición de leche materna en madres de recién nacidos de pretermino menor a 33 semanas / Composition of breast milk in mothers of preterm infants less than 33 weeks

Introducción: La leche materna es recomendada como el alimento más adecuado en el primer año de vida, ya que proporciona los sustratos necesarios para el crecimiento del recién nacido. En los últimos años se ha ampliado el estudio de la composición de la leche materna y su relación sobre el efecto de la nutrición en los recién nacidos de pre termino. Objetivo: investigar la composición de macronutrientes en leche materna de recién nacidos prematuros (<33 semanas). Métodos: análisis de contenido de proteínas, carbohidratos y lípidos en muestras de leche materna de recién nacidos prematuros (menor que 33 semanas) recolectadas longitudinalmente, según protocolo de estudio. Resultados: Se presenta variabilidad en muestras recolectadas en tres semanas consecutivas de edad posnatal, dando contenido de proteína que vario de 1,34g/dl (DS +/- 0.11) a 1,05 g/dl (DS +/- 0.10) con (p menor que 0,05). Hidratos de carbono vario de 6,20 g/dl (DS +/- 0.17) a 6.77 g/dl (DS+/-±0.22) con (p menor que 0,05). Lípidos vario de 4.10 g/dl (DS +/- 0.39) a 4.33 g/dl (DS +/- 0.26) con (p=0,075).Discusión: Estos datos proporcionan una visión más detallada de la ingesta de nutrientes de los recién nacidos prematuros alimentados con leche materna.

Introduction: Breast milk is recommended as the most suitable food in the first year of life, as it provides the substrates required for growth of the newborn. In recent years it has expanded the study of the composition of breast milk and their relationship on the effect of nutrition in preterm infants. Objective: To investigate the macronutrient composition of breast milk in preterm infants (33 weeks). Methods: Analysis of protein, carbohydrates and lipids in breast milk samples from preterm (<33 weeks) collected longitudinally, according study protocol. Results: We present variability in samples collected in three consecutive weeks of postnatal age, giving protein content ranged from 1.34 g / dl (SD +/- 0.11) to 1.05 g / dl (SD +/- 0.10) with (p < 0.05). Carbon hydrates 6.20 g / dl (SD +/- 0.17) to 6.77 g / dl (SD +/- 0.22) with (p <0.05). Fat of 4.10 g / dl (SD +/- 0.39) to 4.33 g / dl (SD +/- 0.26) with (p = 0.075).Discussion: These data provide a more detailed picture of the nutrient intake ofpreterm infants fed breast milk.

Medición del índice glucémico de 2 variedades de pastas y 2 variedades de arroz / Glycemic index of two varieties of pasta and two varieties of rice

El IG ha sido ampliamente estudiado como un indicador de los efectos fisiológicos de una comida con carbohidratos y es de interés en el manejo y la prevención de la diabetes, las dislipemias y la obesidad. Para medir el índice glucémico (IG) de dos importantes alimentos fuente de carbohidratos se realizó un ensayo con voluntarios siguiendo la metodología recomendada por la Organización Mundial de la Salud (OMS), consistente en realizar mediciones de glucemia capilar al comenzar y a los 15, 30, 45, 60, 90 y 120 minutos de ingerir el alimento en un panel de 9 individuos y calcular el área incremental bajo la curva respecto del mismo ensayo con el alimento control en este caso solución de glucosa al 20% . Se obtuvieron los siguientes resultados: Pasta de sémola de trigo candeal (Triticum durum): 38; Pasta de harina de trigo común (Triticum aestivum): 73; Arroz parboil: 59 y Arroz blanco grano largo: 71. Este ensayo confirma el bajo índice glucémico de las pastas de harina de trigo candeal, es la primera medición para una pasta de harina de trigo común adecuadamente caracterizada y señala los valores de las presentaciones predominantes de arroz en numerosos países, añadiendo una referencia para profesionales y autoridades.

The IG has been extensively studied as an indicator of the physiological effects of a carbohydrate meal with applications in the management and prevention of diabetes, dyslipidemia and obesity. A standard assay was performed to measure the glycemic index ( GI) of two significant sources of carbohydrates following the World Health Organization (WHO) recommended methodology, determining the incremental area under the blood glucose response curve of a 50g carbohydrate portion of the test food compared to the same amount of carbohydrate from a glucose solution by the same subject measured in capillary whole blood before and 15, 30, 45, 60, 90 and 120 minutes after ingestion in a total of 9 subjects. The following results were obtained: Parboil rice: 73, Long Grain White Rice: 59; Pasta of durum wheat (Triticum durum): 71, Pasta of regular flour (Triticum aestivium): 38. This test confirms the low glycemic index of pasta made from durum wheat, and is the first measurement for pasta of common wheat flour properly characterized. It also indicates the values of the prevailing presentations of rice in the region, adding a reference for professionals and authorities.

Desempenho de vacas mestiças em função de suplementação energética e proteica em dietas à base de silagem de milho / Performance of crossbred cows as a result of energetic and protein supplementation in corn silage based diets

Objetivou-se avaliar níveis de concentrados energéticos e proteicos sobre o desempenho de vacas leiteiras Holandês x Zebu, com peso corporal de 452±77kg, de terceira e quarta lactação, 80 dias pós-parto e produção de 12,8kg de leite/dia. Nove vacas foram distribuídas em três quadrados latinos 3x3, em períodos experimentais de 10 dias, distribuídas segundo número de lactações, sendo os tratamentos níveis de farelo de soja (FS) em substituição ao fubá de milho (FM) (0,8; 1,6 e 2,4kg/vaca dia, completando para 3,2kg/vaca dia com FM), níveis de FS ou de FM (0,8; 1,6 e 3,2kg/vaca/dia) e silagem de milho como volumoso. Somente o consumo de proteína bruta se elevou com o aumento nos níveis de FS em dietas contendo FM+FS, ao passo que os consumos diários de matéria seca (MS) e das frações nutricionais aumentaram com a elevação do FS ou FM. Os coeficientes de digestibilidade da MS e dos nutrientes não diferiram em dietas contendo FM+FS. A digestibilidade da proteína bruta (PB) aumentou ao passar de 1,6 para 3,2kg/dia de FS. Houve diminuição da digestibilidade da MS, MO e CNF ao passar de 0,8 para 3,2kg/dia de FM e diminuição do NDT ao passar de 1,6 para 3,2kg/dia de FM. As exigências de NDT e PB só foram satisfeitas plenamente com 0,8+2,4kg (FM+FS) e 3,2kg de FS. As dietas contendo FM não atenderam sequer às exigências de NDT. A produção de leite e a sua composição bem como o peso corporal e a eficiência alimentar relacionada ao CMS não foram influenciados pelos tratamentos. A eficiência alimentar em relação ao fornecimento de concentrado decresceu quando se adicionaram níveis crescentes de FS ou FM. Tendo como volumoso a silagem de milho, o fornecimento de fubá de milho ou farelo de soja, nas quantidades analisadas neste experimento, não promove aumento da produção de leite ou de seus constituintes, sendo que a eficiência do uso do concentrado diminui ao se elevar o nível de suplementação.

The aim was to evaluate levels of energy and protein concentrates on performance of crossbred Holstein x Zebu dairy cows, with body weight of 452 ± 77kg, third and fourth lactation, 80 days post-partum and with a production of 12.8kg of milk per day. Nine cows were distributed in three 3 x 3 Latin squares, with experimental periods of 10 days, distributed according to the number of lactations, with treatment levels of soybean meal (SBM) replacing corn meal (CM) (0.8; 1.6 and 2.4kg/cow/day completing 3.2kg/cow/day with CM); CM or SBM levels (0.8; 1.6 and 3.2kg/cow/day) and corn silage as forage. Only crude protein consumption rose with the increase in levels of SBM in diets containing CM + SBM, while the daily consumption of dry mass (DM) and the nutrient fractions increased with the elevation of CM or SBM. The coefficients of digestibility of DM and nutrients did not differ in diets containing CM + SBM. The crude protein (CP) digestibility increased when changing from 1.6 to 3.2kg/day of SBM. There was reduction of digestibility of DM, OM, and NFC when passing from 0.8 to 3.2kg/day of CM and decrease of TDN when changing from 1.6 to 3.2kg/day of CM. The requirements for TDN and CP were only fully satisfied fully in diets containing 0.8+2.4kg (CM+SBM) and 3.2kg of SBM. Diets containing CM did not attend even the demands of TDN. Milk production and composition, as well as the body weight and food efficiency related to the DMI were not influenced by the treatments. Feed efficiency in relation to the supply of concentrate decreased when increasing levels of CM or SBM were added. Having corn silage as forage, the supply of corn meal or soybean meal in quantities analyzed in this experiment does not promote increase in production of milk or their constituents, and the efficiency of the use of concentrate decreases when raising the level of supplementation.

The use of halloysite clay and carboxyl-functionalised multi-walled carbon nanotubes for recombinant LipL32 antigen delivery enhanced the IgG response

We studied the feasibility of using halloysite clay nanotubes (HNTs) and carboxyl-functionalised multi-walled carbon nanotubes (COOH-MWCNTs) as antigen carriers to improve immune responses against a recombinant LipL32 protein (rLipL32). Immunisation using the HNTs or COOH-MWCNTs significantly increased the rLipL32-specific IgG antibody titres (p < 0.05) of Golden Syrian hamsters. None of the vaccines tested conferred protection against a challenge using a virulent Leptospira interrogans strain. These results demonstrated that nanotubes can be used as antigen carriers for delivery in hosts and the induction of a humoral immune response against purified leptospiral antigens used in subunit vaccine preparations.

Neutralising antibodies for Mayaro virus in Pantanal, Brazil

The Pantanal hosts diverse wildlife species and therefore is a hotspot for arbovirus studies in South America. A serosurvey for Mayaro virus (MAYV), eastern (EEEV), western (WEEV) and Venezuelan (VEEV) equine encephalitis viruses was conducted with 237 sheep, 87 free-ranging caimans and 748 equids, including 37 collected from a ranch where a neurologic disorder outbreak had been recently reported. Sera were tested for specific viral antibodies using plaque-reduction neutralisation test. From a total of 748 equids, of which 264 were immunised with vaccine composed of EEEV and WEEV and 484 had no history of immunisation, 10 (1.3%) were seropositive for MAYV and two (0.3%) for VEEV using criteria of a ≥ 4-fold antibody titre difference. Among the 484 equids without history of immunisation, 48 (9.9%) were seropositive for EEEV and four (0.8%) for WEEV using the same criteria. Among the sheep, five were sero- positive for equine encephalitis alphaviruses, with one (0.4%) for EEEV, one (0.4%) for WEEV and three (1.3%) for VEEV. Regarding free-ranging caimans, one (1.1%) and three (3.4%), respectively, had low titres for neutralising antibodies to VEEV and undetermined alphaviruses. The neurological disorder outbreak could not be linked to the alphaviruses tested. Our findings represent strong evidence that MAYV and all equine encephalitis alphaviruses circulated in the Pantanal.

Sugars, organic acids, and phenolic compounds of ancient grape cultivars (Vitis vinifera L.) from Igdir province of Eastern Turkey

BACKGROUND: The Eurasian grapevine (Vitis vinifera L.) is the most widely cultivated and economically important horticultural crop in the world. As a one of the origin area, Anatolia played an important role in the diversification and spread of the cultivated form V. vinifera ssp. vinifera cultivars and also the wild form V. vinifera ssp. sylvestris ecotypes. Although several biodiversity studies have been conducted with local cultivars in different regions of Anatolia, no information has been reported so far on the biochemical (organic acids, sugars, phenolic acids, vitamin C) and antioxidant diversity of local historical table V. vinifera cultivars grown in Igdir province. In this work, we studied these traits in nine local table grape cultivars viz. 'Beyaz Kismis' (synonym name of Sultanina or Thompson seedless), 'Askeri', 'El Hakki', 'Kirmizi Kismis', 'Inek Emcegi', 'Hacabas', 'Kerim Gandi', 'Yazen Dayi', and 'Miskali' spread in the Igdir province of Eastern part of Turkey. RESULTS: Variability of all studied parameters is strongly influenced by cultivars (P < 0.01). Among the cultivars investigated, 'Miskali' showed the highest citric acid content (0.959 g/l) while 'Kirmizi Kismis' produced predominant contents in tartaric acid (12.71 g/l). The highest glucose (16.47 g/100 g) and fructose (15.55 g/100 g) contents were provided with 'Beyaz Kismis'. 'Kirmizi Kismis' cultivar had also the highest quercetin (0.55 mg/l), o-coumaric acid (1.90 mg/l), and caffeic acid (2.73 mg/l) content. The highest ferulic acid (0.94 mg/l), and syringic acid (2.00 mg/l) contents were observed with 'Beyaz Kismis' cultivar. The highest antioxidant capacity was obtained as 9.09 μmol TE g-1 from 'Inek Emcegi' in TEAC (Trolox equivalent Antioxidant Capacity) assay. 'Hacabas' cultivar had the highest vitamin C content of 35.74 mg/100 g. CONCLUSIONS: Present results illustrated that the historical table grape cultivars grown in Igdir province of Eastern part of Turkey contained diverse and valuable sugars, organic acids, phenolic acids, Vitamin C values and demonstrated important antioxidant capacity for human health benefits. Further preservation and use of this gene pool will be helpful to avoid genetic erosion and to promote continued agriculture in the region.

Organic acids, sugars, vitamin C content and some pomological characteristics of eleven hawthorn species (Crataegus spp) from Turkey

BACKGROUND: The Hawthorn (Crateagus sp.) mostly occurs around the temperate region of the world with a high number of species, producing a fruit with numerous beneficial effects for human health. The aim of the study was to determine organic acid and sugar contents in the fruit of a number of hawthorn species grown in Erzincan province of Turkey. RESULTS: Citric acid was the predominant organic acid in all hawthorn species and C. pseudoheterophylla had the highest citric acid content (23.688 g/100 g). There were not statistically significant differences among hawthorn species (except C. atrosanguinea Pojark) in terms of fumaric acid content. C. pontica C.Koch had a higher content of vitamin C (9.418 mg/100 g) compared to other species. Fructose was the predominant sugar component in all species and C. monogyna subsp. monogyna Joiq had the highest fructose content (18.378 g/100 g). CONCLUSIONS: The high fruit quality of the studied species indicates the importance of this fruit in human nutrition as a natural source. The study revealed that there were differences in terms of fruit characteristics among hawthorn species and thus better quality hawthorn genotypes can be selected within the species. Hence, this study is considered to be a valuable reference for forthcoming studies. The high fruit quality of the studied species indicates the importance of this fruit in human nutrition as a natural source.

Macronutrientes en la leche madura de madres adolescentes y adultas / Macronutrients in mature milk of teenagers and adult mothers

Estudio no experimental, prospectivo y comparativo para evaluar los niveles de macronutrientes en la leche madura de madres adolescentes. Fueron analizadas 52 muestras de leche madura de madres sanas y eutróficas, divididas en 2 grupos: Grupo A n=24 constituido por la leche de madres adolescentes de 10 a 18 años y Grupo B n=28 conformado por leche de madres adultas de 19 a 35 años, quienes acompañaban a sus hijos 1 a 6 meses de edad hospitalizados desde agosto 2009 a agosto de 2010. Las muestras fueron analizadas para determinar las concentraciones de carbohidratos, lípidos y proteínas. Las características maternas de los grupo A y B respectivamente fueron; etnia mestiza el 59,4% y el 39,9%, promedio de índice de masa corporal: fue de 23,55±1,01 kg/m2 y 24,2±0,38 kg/m2. Fueron primigestas 87,5% en el A y 35,7% en el B. Edad de los niños entre 1 a 2 meses: grupo A 66,6% y grupo B 71,4%. Edad maternal: grupo A 75% tenían entre 16 y 18 años y en el B 28,5% tenían entre 19 y 21 años. En A la concentración de proteínas fue 1,8±0,7 g/100ml y en B 1,9±0,7 g/100ml. La concentración de grasas en las adolescentes fue 3,8±1,5 g/100ml y en las adultas 3,9±1,3 g/100ml. La concentración de los carbohidratos en las adolescentes fue 6,8±0,8 g/100ml y en las adultas 6,6±0,9 g/100ml, siendo P>0,05 no estadísticamente significativo en los 3 casos. La concentración de macronutrientes en la leche madura de madres adolescentes y el valor energético de la misma fue similar al de las madres adultas.

This is a comparative, prospective and non-experimental study that evaluated the level of macronutrients in teenage mothers’mature breastmilk. The sample was represented by mature milk of 52 healthy and eutrophic mothers, divided in two groups: A n=24 constituted by adolescent mothers’s milk among 10 and 18 years and B n=28 formed by adult mothers’s milk among 19 and 35 years who accompanied their children 1-6 months of age hospitalized, from august 2009 to august 2010. The samples were analyzed to determine concentrations of carbohydrates, lipids and proteins. The maternal characteristics of group A and B respectively were: mestizo ethnicity 59.4% and 39.9%, average BMI: were 23.55 ± 1.01 kg/m2 and 24.2 ± 0.38 kg/m2. Primiparous were 87.5% in A and 35.7% in B. Age of children aged 1-2 months was 66.6% (A) 71.4% (B). Maternal age: group A 75% had between 16 and 18 years and group B 28.5% were between 19 and 21 years. About macronutrient concentrations, median protein level in A was 1,8 ± 0,7 g/100ml and 1,9 ± 0,7 g/100ml for B median fat concentration in teenage group was 3,8 ± 1,5 g/100ml and in adults 3,9 ± 1,3 g/100ml. Median carbohydrates level in teenage was 6,8 ± 0,8 g/100ml and in B Group was 6,6 ± 0,9 g/100ml, being non statistically significative in all three cases. The macronutrient concentrations and energetic value in teenage mothers’s mature breastmilk were similar than the adult mother’s milk.

Dietary adequacy of HIV infected individuals in north India - A cross-sectional analysis.

Background & objectives: Dietary inadequacy is common in developing countries and so is in immunedeficient HIV infected individuals. Hence, an assessment of dietary patterns was done among a group of HIV infected individuals and compared with recommended dietary allowances. Methods: One hundred consecutive HIV infected individuals were interviewed from the Immunodeficiency Clinic of a tertiary care center at Chandigarh. Dietary intake was assessed by 24 h recall method. Mean carbohydrate, protein and fat intakes were evaluated. Mean difference in the calorie intake from recommended dietary intake was then calculated. Mean absolute CD4 cell count was calculated and correlated with BMI and mean calorie intake. Results: Mean weight and BMI of the individuals participated in the study was 58.6 ± 11.7 (range, 34 - 94) kg and 21.5 ± 3.7 (range, 13.6 - 36.7) kg/m2, respectively. Mean total calories intake was 1713 ± 292.8 (860 - 2525) calories/day and mean difference in the calories taken from the standard values was 249.5 ± 190.7 (10.6 - 967.5) calories/day. There was no significant correlation between CD4 cell count and total calories taken. Interpretation & conclusions: In HIV-infected individuals the energy intake was significantly lower than the recommended average intake. Hence, efforts should be taken to ensure that HIV-infected individuals have access to high-quality, nutritious food choices that promote optimal dietary patterns.

Dieta hiperlipídico-proteica utilizada para emagrecimento induz obesidade em ratos / Low-carbohydrate diet used for weight loss induces obesity in rats

OBJETIVO: Neste trabalho, analisa-se o efeito de dieta hiperlipídico-proteica com baixo teor de carboidrato sobre o peso corporal, peso de órgãos, consumo de ração, parâmetros bioquímicos e alterações histopatológicas no fígado de ratos. MÉTODOS: Foram utilizados 24 animais - 12 no grupo-controle e 12 no grupo-experimental - com peso médio de 160 gramas no início do experimento. Semanalmente, foram verificados o peso corporal e o consumo de ração, e ao final de oito semanas foram feitas as dosagens bioquímicas sanguíneas, pesagem de órgãos e análise histopatológica dos fígados. RESULTADOS: Os animais do grupo-experimental tiveram maior ganho de peso corporal e acumularam mais tecido adiposo que os animais do grupo-controle. Fígado, rins e baço não sofreram alterações quanto ao peso. Os animais que receberam dieta hiperlipídico-proteica tiveram um aumento na ingestão energética acumulada nas oito semanas do estudo. O grupo-experimental desenvolveu hiperglicemia e hipertrigliceridemia, aumento da fração lipoproteína de alta densidade do colesterol e da creatinina sérica quando comparado ao grupo-controle. Foi detectada esteatose hepática no grupo-experimental. CONCLUSÃO: Os resultados demonstraram que dietas pobres em carboidratos e ricas em gordura e proteínas podem acarretar alterações metabólicas prejudiciais ao organismo.

OBJECTIVE: This study analyzed the effect of a high fat, high protein and low carbohydrate diet on the body weight, organ weight, food intake and biochemical parameters of rats and the histopathological changes in their livers. METHODS: A total of 24 animals were used, 12 in the control group and 12 in the experimental group, with a mean weight of 160 grams at baseline. Body weight and food intake were collected weekly. At the end of 8 weeks, the animals were killed for the biochemical tests and weighing of organs and the livers were submitted to histopathological analysis. RESULTS: The animals in the experimental group gained more weight and accumulated more body fat than the animals in the control group. The weight of the liver, kidneys and spleen did not change. The animals fed the low carbohydrate diet consumed more calories during the 8 weeks of the study period. They also developed hyperglycemia and hypertriglyceridemia and presented high high-density lipoprotein cholesterol and serum creatinine. The experimental group also presented hepatic steatosis. CONCLUSION: The results show that low carbohydrate diets that are rich in fats and proteins may result in harmful metabolic changes in rats.

Nutritional reserves of Vochysiaceae seeds: chemical diversity and potential economic uses

Contents of proteins, carbohydrates and oil of seeds of 57 individuals of Vochysiaceae, involving one species of Callisthene, six of Qualea, one of Salvertia and eight of Vochysia were determined. The main nutritional reserves of Vochysiaceae seeds are proteins (20 percent in average) and oils (21. 6 percent). Mean of carbohydrate contents was 5. 8 percent. Callisthene showed the lowest protein content (16. 9 percent), while Q. cordata was the species with the highest content (30 percent in average). The contents of ethanol soluble carbohydrates were much higher than those of water soluble carbohydrates. Oil contents lay above 20 percent for most species (30. 4 percent in V. pygmaea and V. pyramidalis seeds). The predominant fatty acids are lauric (Q. grandiflora), oleic (Qualea and Salvertia) or acids with longer carbon chains (Salvertia and a group of Vochysia species). The distribution of Vochysiaceae fatty acids suggests for seeds of some species an exploitation as food sources (predominance of oleic acid), for other species an alternative to cocoa butter (high contents or predominance of stearic acid) or the production of lubricants, surfactants, detergents, cosmetics and plastic (predominance of acids with C20 or C22 chains) or biodiesel (predominance of monounsaturated acids). The possibility of exploitation of Vochysiaceae products in a cultivation regimen and in extractive reserves is discussed.

Teores de proteínas, carboidratos solúveis e óleos de sementes de 57 indivíduos de Vochysiaceae, compreendendo uma espécie de Callisthene, seis de Qualea, uma de Salvertia e oito de Vochysia foram determinados. As principais reservas de sementes de Vochysiaceae são proteínas (20 por cento em média) e óleos (21, 6 por cento). A média dos teores de carboidratos foi de 5, 8 por cento. Callisthene apresentou o mais baixo teor de proteínas (16, 9 por cento), enquanto Q. cordata foi a espécie com o mais elevado teor (30 por cento em média). Teores de carboidratos solúveis em etanol foram muito superiores aos solúveis em água. Os teores de óleo foram superiores a 20 por cento na maioria das espécies (30, 4 por cento em V. pygmaea e V. pyramidalis). Ácidos graxos predominantes foram láurico (Q. grandiflora), oleico (Qualea e Salvertia) ou ácidos com cadeias mais longas (Salvertia e um grupo de espécies de Vochysia). A distribuição de ácidos graxos de Vochysiaceae sugere para as sementes de algumas espécies o uso em alimentação (predominância de ácido oléico), para outras, uma alternativa à manteiga de cacau (teores elevadosde ácido esteárico) ou produção de lubrificantes, tensoativos, detergentes, cosméticos e plásticos (predominância de ácidoscom cadeias C20 ou C22) ou biodiesel (predominância de ácidos monoinsaturados). Discute-se a possibilidade de aproveitamento de produtos de Vochysiaceae em regime de cultivo eem reservas extrativas.

Determinación de las concentraciones de proteínas, hidratos de carbono y grasas en leche de madres en relactancia / Determination of the concentrations of proteins, carbohydrates and fat in milk of mothers in relactation

Estudio prospectivo y comparativo, realizado con el objetivo de determinar las concentraciones de grasas, proteínas y carbohidratos de la leche de 20 madres en relactancia y 20 madres con lactancia exclusiva, de niños hospitalizados en el Servicio de Emergencia Pediátrica del Hospital Universitario de Maracaibo, Venezuela, entre Septiembre 2006 y Septiembre 2007. En la leche de las madres en relactancia la concentración de grasas fue de 3,6±1,5 g/dl y en las del grupo control de 5,5±1,0 g/dl, estadísticamente significativo (p = 0,0001). La concentración de carbohidratos en la leche de madres en relactancia fue de 6,4±1,7 g/dl y de 5,7±0,8 g/dl en la del grupo control, estadísticamente significativo (p = 0,0001). La concentración de proteínas en la leche de madres en relactancia fue de 2,1±1,2 g/dl y de 2,4±0,3 g/dl en la leche del grupo control, estadísticamente no significativo (p>0,05). La leche de las madres en relactancia tuvo un valor calórico de 66,7±17,8 cal/dl y la de las madres del grupo control 83,2±9,4 siendo estadísticamente significativo (p = 0,0001). En conclusión, en este estudio se evidenciaron diferencias estadísticamente significativas entre la concentración de grasas, carbohidratos y valor calórico en la leche de madres en relactancia y en lactancia exclusiva.

In a prospective, randomized and comparative trial the milk of 40 lactating mothers of hospitalized children at the Department of Pediatrics, University Hospital in Maracaibo, Venezuela was analyzed in a year period. They were divided in two groups of 20 mothers each: Group A, mothers in a relactation situation, and Group B (Control): Exclusive breastfeeding. Both types of milk were analyzed in a blind fashion to determine fat, proteins and carbohydrates. Results show that fat concentration (g/dL) was significantly more concentrated in Group B than in A, from 3.6 ±1.5 to 5.5 ±1.0 (p < 0.001), while in contrast, the carbohydrates concentration (g/dL) was decreased from 6.4 ± 5.7 to 5.7 ± 0.8 (p < 0.001). Moreover, proteins concentration (g/dL) was not significantly modified, since in group A it was 2.1 ± 1.2 as compared to group B (2.4 ± 0.3.) Caloric value was also significantly decreased from the control value of 83.2 ± 9.4 to 66.7 ± 17.8 in the relactation group (p < 0.001). In conclusion, it a clear difference between the two types of milk in this study.

Adecuación de la dieta servida a escolares en albergues indigenistas de la Sierra Tarahumara, México / Adequacy of the diet served to Tarahumara children in indigenous boarding schools of northern Mexico

OBJETIVO: Evaluar la adecuación y variación de la dieta servida a escolares de albergues indigenistas. MATERIAL Y MÉTODOS: Durante diez semanas se evaluó la dieta servida en dos albergues documentando el tipo/cantidad de ingredientes empleados para preparar alimentos/bebidas y registrando la ración ofrecida mediante la técnica de pesos y medidas; se analizó la dieta servida los martes-miércoles-jueves de las semanas 3-5-7. RESULTADOS: Se utilizaron 33-46 ingredientes/semana; los más frecuentes fueron aceite, tortillas de harina de maíz fortificada, leche, cebolla, azúcar y frijol. La energía total en la ración diaria fluctuó entre 1309 y 2919 kcal; las proteínas constituyeron 10.5-21.2 por ciento (45-127 g/día), los hidratos de carbono 40.7-61.9 por ciento (145-433 g/día), y los lípidos 22.5-48.1 por ciento (45-125 g/día). El contenido diario de micronutrimentos fue el siguiente: hierro, 15-33 mg; calcio, 686-1795 mg; zinc, 8-19 mg; vitamina A, 118-756 mcg; vitamina B9, 42-212 mcg y vitamina B12, 0.8-5 mcg. CONCLUSIÓN: Existe una variación importante en la dieta servida que resulta relativamente hipercalórica por exceso de lípidos, pero con un contenido insuficiente de vitaminas B9, B12 y A.

OBJECTIVE: To assess the adequacy and variability of the diet served to Tarahumara children in indigenous boarding schools. MATERIAL AND METHODS: Records of food and drinks served for meals, weighed daily, were obtained from Monday through Friday for 10 consecutive weeks in two selected boarding schools. Nutrient intake for Tuesdays, Wednesdays and Thursdays was calculated and analyzed for weeks 3, 5 and 7. RESULTS: The number of food items used per week ranged from 33 to 46. The most frequently utilized items were cooking oil, fortified corn tortilla, milk, onion, sugar and beans. Total energy served per day fluctuated between 1309 and 2919 Kcal; proteins comprised 10.5 to 21.2 percent (45 to 127 g/day), carbohydrates 40.7 to 61.9 percent (145 to 433 g/day), and lipids 22.5 to 48.1 percent (45 to 125 g/day) of the total. Daily micronutrient content ranges were: iron 15-33 mg, calcium 686-1795 mg, zinc 8-19 mg, vitamin A 118-756 mcg, vitamin B9 42-212 mcg, and vitamin B12 0.8-5 mcg. CONCLUSION: There was significant daily variability in the diet, which was hypercaloric due to the high lipid content, and yet insufficient in vitamins B9, B12 and A.

Índice glicémico, índice insulinémico y carga glicémica de bebidas de soya con un contenido bajo y alto en hidratos de carbono / Glycemic, insulinemic index, glycemic load of soy beverage with low and high content of carbohydrates

Consumption of soy has increased in Western countries due to the benefits on health and the attitude of the people to consume natural products as alternative to the use of pharmacological therapies. However, there is no evidence whether the consumption of 25 g of soy protein as recommended by the Food and Drug Administration has some effect on glucose absorption and consequently on insulin secretion. The aim of the present study was to determine glycemic index (GI), insulinemic index (InIn), and glycemic load (GL) of several soy beverages containing low or high concentration of carbohydrates, and compare them with other foods such as peanuts, whole milk, soluble fiber and a mixed meal on GI and InIn. The results showed that soy beverages had low or moderate GI, depending of the presence of other compounds like carbohydrates and fiber. Consumption of soy beverages with low concentration of carbohydrates produced the lowest insulin secretion. Therefore, these products can be recommended in obese and diabetic patients. Finally soy beverages should contain low maltodextrins concentration and be added of soluble fiber.

El consumo de soya se ha incrementado en países occidentales debido a sus beneficios sobre la salud y por la toma de conciencia de la gente a consumir productos naturales como alternativa a los medicamentos. Sin embargo, no se conoce totalmente si el consumo de 25 g de proteína de soya como recomienda la Administración de Alimentos y Medicamentos de Estados Unidos (FDA) tiene algún efecto sobre la absorción de glucosa y su respuesta sobre la secreción de insulina. Por lo que el objetivo del presente trabajo fue determinar el índice glicémico (IG), índice insulinémico (InIn) y la carga glicémica (CG) de diferentes bebidas de soya con un bajo y alto contenido de hidratos de carbono y compararlos con otros alimentos como cacahuates, la leche entera, la fibra soluble y una comida para ver el efecto de los hidratos de carbono, la fibra y la grasa sobre los IG e InIn. Los resultados muestran que las bebidas de soya presentan un IG bajo a moderado dependiendo de la presencia de otros componentes como son los hidratos de carbono y la fibra. La secreción de insulina fue significativamente menor en las bebidas de soya con bajo contenido de hidratos de carbono, por lo que pueden ser recomendadas en pacientes obesos con resistencia a la insulina o en pacientes diabéticos. Se recomienda que estas bebidas tengan bajo contenido en maltodextrinas y de preferencia con la adición de fibra soluble.

Comparação de substratos com diferentes quantidades de carboidratos solúveis utilizando a técnica in vitro semi-automática de produção de gases / Comparison among substrates with different soluble carbohydrates concentration using the in vitro semi-automatic gas production technique

Estudou-se a diferença entre a produção de gases (PG) e a degradação da matéria seca (DMS) para substratos com diferentes quantidades de carboidratos solúveis avaliados pela técnica in vitro de produção de gases. Foram utilizados cinco substratos (cana-de-açúcar, silagem de milho, capim-colonião, milho em grão e ração comercial para vacas em lactação) antes e após a retirada parcial dos carboidratos solúveis (lavados). A PG foi maior e a DMS menor para o material lavado. A concentração de carboidratos solúveis influenciou os resultados obtidos pela técnica de produção de gases.

The difference between the gas production (GP) and the dry matter degradation (DMD) of substrates with different amounts of soluble carbohydrates using the in vitro gas production technique was studied. Five substrates (sugarcane, maize silage, Panicum maximum grass, corn grain, 20 percent CP commercial lactating cow ration and soybean meal) and the same substrates with part of its soluble carbohydrate removed (washed materials) were evaluated. The GP was higher and DMD was lower for washed materials than for the original materials. The carbohydrate concentration affects the results of the gas production technique.

Postprandial leptin response to Thai meals with different macronutrient mixtures.

The objective of this study was to investigate the postprandial response of leptin, an appetite-regulating hormone, to different macronutrient mixtures in Thai meals. A within-subject repeat measurement was performed. Two groups of healthy Thais (10 men and 10 women in each group) received a single meal of equal calories composed either a high carbohydrate, low fat, low protein diet (HC-LFLP, carbohydrate:fat:protein = 70%:15%:15%) or a low carbohydrate, high fat, high protein diet (LC-HFHP, carbohydrate:fat:protein = 20%:50%:30%). Fasting and 30-minute interval postprandial blood levels of leptin, insulin and glucose were measured for a 2-hour period. In comparison to the LC-HFHP meal, the HC-LFLP meal produced a greater increase in glucose and insulin levels, but halted leptin from decreasing. Postprandial leptin levels were suppressed by a LC-HFHP meal but not by a HC-LFLP meal. The reduced leptin in conjunction with lower glucose and insulin levels may encourage overeating in habitual LC-HFHP diet consumers.