Metabolic Syndrome in obese and normal weight Myanmar children / Journal of the ASEAN Federation of Endocrine Societies

Objectives@#To estimate the frequency of Metabolic Syndrome (MS in Myanmar obese children and to determine the risk factors associated with MS in obese children comparing with normal weight children. @*Methodology@#A cross-sectional study was conducted to compare the risk factors for metabolic syndrome between normal and obese children by using the pediatric definition for metabolic syndrome [International Diabetes Federation (IDF), 2007]. Twenty-three obese children (BMI, ≥ 97th percentile) and 23 normal weight children (BMI, < 85th percentile) aged 5-12 years were included in the study. Blood pressure, body weight, height, waist circumference (WC), fasting triglycerides, HDL-cholesterol, total cholesterol and glucose concentrations were determined. @*Results@#Based on the IDF pediatric criteria, 9 obese children (39.1%) had metabolic syndrome while no normal weight child had metabolic syndrome. Ten (43.5%) normal weight children and 3 (13.0%) obese children had at least one risk factor for the metabolic syndrome. Central obesity (WC ³ 90th percentile for age and sex), the most common risk factor, was observed in 25 children (54.4% of the total population). @*Conclusion@#This study highlights the need for early recognition of risk factors for metabolic syndrome in all children to halt the progression of type 2 diabetes and cardiovascular diseases (CVD) in later life.

Calcium Intake among Myanmar Residing in Bago, Kayin, and Yangon Areas

A cross-sectional survey combined with 24-hour dietary recall and food diary was undertaken to assess the calcium intake of the Myanmar population. The study was conducted from November 2003 to October 2005. A total of 886 subjects of both sexes aged above 2 years from three States and Divisions (Bago, Kayin, and Yangon) of Myanmar were included in the study. The major measures were mean daily calcium intake (mg/day) and major sources of calcium in the diet. Overall mean calcium intake was 197+13mg/day (2-9 years), 421+2mg/day (10-19 years), 399+21 mg/day (20-49 years), and 383+25mg/day (>50 years) for males, while the corresponding values for females were 207+17 mg/day, 366+19 mg/day, 387+16 mg/day, and 327 +19 mg/day. Calcium intake was less than 80% of the recommended dietary allowances (RDA) for Myanmar for ages 2-9 years and 10-29 years in all the study areas, and for the 50 years and above age group in Yangon. Fish paste was found to be the major source of calcium. Milk and milk products contributed very little to total calcium intake, contributing 2.1% for residents in Yangon, 5.1% in Pa-an and none in Bago. Consumption of calciumrich foods, particularly milk and milk products, should be encouraged among the Myanmar people. Towards this end, appropriate nutrition education materials should be developed for promotional purposes.

Glycaemic indices if three commonly eaten varieties of Myanmar Banana

In order to provide information for the nutritional management of diabetes mellitus, glycaemic indices (GI) of three varieties of banana commonly eaten in Myanmar were determined using twelve healty women volunteers with normalglucose tolerance. After an 8-10 hour overnight fast, the subjects consumed one kind of selected banana in amount equivalent to 50 g available carbohydrate portion {~ three and a half pieces of Phee-Kyan (189 g); ~four and a half pieces of Rakhine (165 g)~~ three pieces of Thee-hmwe (yellow) (192 g)}. After a week interval, GI was determined for another kind of banana. Venous blood samples were collected and immediately analyzed for plasma glucose by glucose oxidase method.GIs of Myanmar bananas (mean -+ S.E.M) were 51.7 -+ 7.69 percent for Rakhine, 55.29 -+ 5.66 for Phee-Kyan and 63.73 -+ 8.46 for Thee-hmwe (yellow). They were lower than GI of commonly eaten Myanmar rice, Pawsun. Banana also contains vitamins A and C which were not provided by cooked polished rice. Furthermore, banana hasa higher calcium and fibre content. Therefore, all three varieties of Myanamr banana can be recommended as a source of complex carbohydrate with low or moderateGI for diabetic diet

Comparative study on the dietary behaviour, and serum/urinary electrolytes levels of hypertensive males in Thonegwa Township

This study was a cross-sectional, hospital hased, comparative study. It was conducted on 31 pairs of the hypertensive and apparently healthy males between 25-59 years. At the time of hospital admission, dietary bahaviour was interviewed by means of the structured questionnaires.The blood pressure was measured at the time of admission and dischange.Serum sodium and potassium levels and urinary excretion of them were also measured.Family history of hypertension was strongly associated with the hypertensives (p<0.05).Hypertensive subjects consumed palm oil two times (old ratio=2.2) more than normotensive subjects. a significant association of hypertension and daily consumption of soda rich snacks was found in the cases (p<0.05). Tthe mean serum sodium level of the cases was significantly higher than that of the controls (p<0.03) but 24 hour urinary sodium excretion of them was not significantly lower. Thus, increased salt consumption with imparired renal handling of sodium homeostasis would be responsible for higher prevalence of hypertension in Thonegwa Township.

Comparative study on the dietary behaviour and serum/urine electrolyte levels of hypertensive males in thonegwa township

This study was a cross-sectional, hospital based, comparative study. It was conducted on 31 pairs of the hypertensive and apparently health males between 25-59 years. At the time of hospital admission, dietary bahaviour was interviewed by menas of the structured questionnaires. The blood pressure was measured at the time of admission and discharge. Serum sodium and potassium levels and urinary excretion of them were also measured. Family history of hypertension was strongly associated with the hypertensives (P<0.05). Hypertensive subjects consumed palm oil two times (odd ratio=2.2) more than normotensive subjects. A significant association of hypertension and daily consumption of soda rich snacks was found in the cases (p<0.05). The mean serum sodium level of the cases was significantly higer than that of the controls (P<0.03) but 24 hour urinary sodium excretion of them was not significantly lower. Thus, increased salt consumption with impaired renal handling of sodium homeostasis would be responsible for higher prevalence of hypertension in Thonegwa Township.

A study on thiamine nutritional status of Khayan Township

As staple food of Myanmar is rice, there is a risk to develop thiamine deficiency. So a study was conducted in Khayan township to assess its thiamine nutritional status. Transketolase enzyme activity stimulation test of 59 pregnant women and 26 lactating mothers were studied and 12.9 per cent of them were found to be in deficient state. Thiamine concentration of breast milk samples collected from 31 lactating mothers was also measured; the mean value was 6.7 + or - 4.3 mcg/100ml. Rice samples were collected from conventinal type rice mills, Huller type rice mills and residences of Paukone village, and their thiamine content were 59.7 + or - 23.6 mcg/100gm (n=5), 66.8 + or - 22.7 mcg/100gm (n=20) and 73.97 + or - 41.2 mcg/100gm (n=26) respectively. Boiled rice samples were also collected from Paukone village and the mean thiamine content was 10.74 + or - 8.73 mcg/100gm (n=33). Thus it seems that thiamine nutritional status of Khayan is not in a satisfactory state.

Anthropometrical characteristics and dietary intake of omnivorous and vegetarian postmenopausal women in two rural communities

Stool specimens from 200 cases of children with ages of less than five years with history of acute diarrhoea from Yangon Children's Hospital were proceeded for isolation of bacterial pathogens. Enterotoxigenic Escherichia coli ETEC (15.5 per cent), enteropathogenic Escherichia coli EPEC (19 per cent), Shigellae (3.5 per cent), Salmonellae (2.5 per cent), ETEC + EPEC (6.5 per cent), ETEC+Shigellae (1.0 per cent) were isolated. Antibiotic susceptibility pattern of EPEC revealed that they were resistant to ampicillin (96 per cent), tetracycline (90 per cent), streptomycin (82 per cent), chloramphenicol (80 per cent) and septrin (61 per cent); but were sensitive to nalidixic acid (100 per cent), furazolidone (92 per cent), sisomycin (90 per cent), gentamicin (88 per cent), norfloxacin (70 per cent), and cephalothin (66 per cent). For Shigellae they were resistant to ampicillin (100 per cent), cephalothin, chloramphenicol, furazolidone, streptomycin (66.7 per cent) but were 100

sensitive to sisomycin, minocycline, norfloxacin, gentamicin; tobramycin (89 per cent), neomycin (67 per cent) and septrin (56 per cent). For Salmonellae they were resistant to ampicillin (100 per cent), chloramphenicol and tetracycline (80 per cent) but were 100 per cent sensitive to cephalothin, furazolidone, gentamicin, nalidixic acid, norfloxacin, septrin and sisomycin. For ETEC they were resistant to ampicillin (100 per cent), tetracycline (79 per cent), chloramphenicol (53 per cent) and septrin (53 per cent ). They were 100 per cent sensitive to cephalothin, furazolidone, gentamicin, nalidixic acid, neomycin, norfloxacin, septrin and sisomycin.