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The COVID-19 pandemic is predicted to trigger a global economic and food supply crisis, which further affects children's nutritional status as a vulnerable group. This study aimed to observe alterations in nutritional status before and during the COVID-19 pandemic (during 2019-2021) and determinant factors involved in the improvement of nutritional status (based on the height-for-age Z-score (HAZ) index category) during the COVID-19 pandemic. The findings were intended as evidence-based suggestions for policy formulation concerning the improvement of child nutritional status and stunting reductions. This study was part of a cohort study of children's growth and development conducted by National Institute of Health Research and Development (NIHRD) in Bogor city-Indonesia. The analysis was conducted on 565 children under five in 2019 with height measurement data in 2019 and 2021, environmental conditions, parental education, consumption habits, and social assistance. Children were classified as having an improved nutritional status if the HAZ category increased in 2021 compared to 2019. In addition, multiple logistic regression analyses were performed to predict determinant factors involved in improving the child's nutritional status. In this study, 17.5% of children had improved nutritional status, and 79.3% had a steady nutritional status. However, there were 3.2% of children with decreased nutritional status. Model factors determinant related to improved nutritional status includes consumption more than once per week of red meat (adjusted odds ratio (aOR) = 2.15;95% confidence interval (CI): 1.06-4.35, p=0.034), milk consumption more than once per week (aOR = 1.56;95% CI: 0.89-2.74, p=0.119), and age under 5 years old (aOR = 1.86;95% CI: 1.14-3.15, p=0.016). Children under five years old, the consumption of red meat and milk more than once a week have the opportunity to improve nutritional status (by height-for-age index) in children.
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Purpose: The nutritional and anthropometric status can be essential in determining their immune response to vaccines. The purpose of this paper was to investigate the association between diet quality and anthropometric indices with the side effects of the Pfizer-BioNTech COVID-19 vaccine and the SARS-CoV-2 immunoglobulin G titer among Kurdish adults. Design/methodology/approach: This cross-sectional survey-based study was conducted between December 2021 and February 2022. This paper included data on 115 adults, 20-89 years old, from the Kurdistan region. Dietary information was collected using a short food frequency questionnaire, and diet quality was assessed using a plant-based healthy diet score. A blood test was performed to measure the SARS-CoV-2 immunoglobin G (IgG) titer after the vaccination's first and second doses. Findings: Overweight and obese subjects reported more local pain, myalgia, headache, local bruising and local reactions after receiving the first dose of the vaccine (p = 0.04). People on a less healthy diet reported more local pain, myalgia and headache (p = 0.04) and more local bruising and reactions (p = 0.01) after receiving the second dose of the vaccine. On the other hand, the authors observed that those with healthy dietary habits had more IgG titer after the first and second doses of vaccination than those with less healthy dietary habits (p = 0.001). Originality/valueThe results showed that participants with a healthy diet and normal weight status had fewer side effects of the Pfizer-BioNTech COVID-19 vaccine than obese people and those with a less healthy diet.
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Coronavirus disease 2019 (COVID-19) can be life threating if untreated. Early diagnosis and effective nutritional management can save life. To assess the nutritional status and predict possible outcomes of critical patients Sequential Organ Failure Assessment (SOFA), nutrition risk in critically ill patients (NUTRIC), and acute physiology and chronic health evaluation (APACHE) score has been used. This retrospective observational study was conducted on confirmed COVID-19 cases in Intensive Care Unit (ICU) of Shifa hospital between November 24, 2020 to May 31, 2021. The demographic, clinical and laboratory information was obtained from hospital records. Risk factors for COVID-19 were identified and compared using multivariate logistic regression analysis. The nutritional risk for each patient was assessed. In this study 162 COVID-19 patients with median age of 64 years (IQR: 56-74) were included. Hypertension (59.2%) was found to be the most common comorbidity and the most prevalent symptoms upon admission were fever (54.9%). The patients in critical condition were supplied nutrients through nasogastric route (61.7%) while 37.7% and 0.6% were assisted through oral and total parenteral nutrition (TPN) route. The Glasgow comma score was found to be mild (72.2%) (GCS>12) with increased creatinine, white blood cell count, C-reactive protein (CRP C), and glycosylated haemoglobin HbA1c level were present. Interestingly based on SOFA, APACHE and NUTRIC score low insignificant malnutrition risk was observed. Our study found different demographic factors and comorbidities have a substantial impact on COVID-19 patients, as evidenced by demographic, laboratory, clinical, and nutritional risk factors.
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Objective: To investigate the effect of perioperative oral nutritional supplementation on the short-term curative effect of obese patients after laparoscopic sleeve gastrectomy (LSG). Methods: A prospective research method was adopted. The clinical data of 218 obese patients who underwent LSG in Ningxia Medical University General Hospital from January 2018 to December 2021 were selected. The patients who received oral nutritional supplement therapy during the perioperative period were set as the experimental group, and those who received conventional treatment were set as the control group. Observation indicators: (1) Grouping of enrolled patients. (2) Postoperative and follow-up situation. (3) Nutrition-related indicators. (4) Diet compliance. (5) Status of weight loss-related indicators. Follow-up visits were conducted by telephone, We Chat and outpatient visits. The patients were followed up once 30 days after discharge, including albumin (Alb), hemoglobin (Hb), dietary compliance and weight loss-related indicators. The follow-up time will end in February 2022. The measurement data with normal distribution were expressed as x+or-s, and the comparison between groups was performed by independent sample t test. The measurement data is represented by M (range), and the comparison between groups is performed by Mann?Whitney U test. Enumeration data were expressed as absolute numbers or percentages, and the X2 test was used for comparison between groups. Repeated measures data were analyzed by repeated measures analysis of variance. The rank sum test was used to compare the rank data. Results (1) Grouping of the enrolled patients. Screened 218 eligible patients;42 males and 176 females;age (32+or-9) years;body mass index (BMI) (39+or-7) kg/m2. Among the 218 patients, there were 109 cases in the test group and 109 cases in the control group. Gender (male, female), age, BMI, preoperative Alb, and preoperative Hb of patients in the test group were 17 and 92 cases, (33+or-9) years old, (39+or-7) kg/m2, (40.6+or-4.8) g /L, (141.7+or-13.9) g/L;the above indicators in the control group were 25 and 84 cases, (31+or-8) years old, (39+or-8) kg/m2, (40.9+or-4.2) g/L, (142.9+or-9.7) g/L;there was no significant difference in the above (X2=1.89, t=-1.52, 0.51, 0.40, 0.71, P > 0.05). (2) Postoperative and follow-up situation. The first hospitalization time and first hospitalization expenses of the patients in the experimental group were (9.1+or-2.9) d and (3.6+or-0.5) ten thousand yuan respectively;the above indicators of the patients in the control group were (4.9+or-1.0) ten thousand yuan respectively;There were statistically significant differences in the above indicators between the two groups (t=5.58, 12.38, P < 0.05). Among the 218 patients, 119 were followed up, including 62 in the experimental group and 57 in the control group. The 119 patients were followed up for 31.0 (25.0-38.0) days. Among the 218 patients, 14 cases had postoperative complications and led to rehospitalization, including 2 cases in the experimental group, 1 case of nausea and vomiting and 1 case of intestinal obstruction;12 cases in the control group, 10 cases of nausea and vomiting, gastric fistula 2 cases;there was a statistically significant difference between the two groups in hospital readmission (X2=7.63, P < 0.05). The time interval between re-admission and first discharge of 14 patients was (22.0+or-6.7) days. (3) Nutrition-related indicators. The Alb and Hb levels of 62 patients in the experimental group who were followed up before operation, before the first discharge, and 1 month after operation were (40.4+or-5.5) g/L, (35.9+or-3.8) g/L, (45.4+or-2.9) g/L, respectively and (140.8+or-13.9) g/L, (130.5+or-16.9) g/L, (147.8+or-17.2) g/L;the above indicators of 57 patients in the control group were (41.2+or-3.9) g/L, (34.2 +or-3.9) g/L, (42.7+or-5.3) g/L and (143.0+or-9.7) g/L, (122.9+or-12.8) g/L, (139.0+or-11.4) g/L;There was a statistically significant difference between the Alb and Hb groups from preoperative to postoperative 1 mont
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For centuries, the Hijra enjoyed a special respect in the Hindu and Islamic cultures however, over the time, stigmatization took its toll and today the community is pushed to live on extreme societal margin. The present study was undertaken to assess the nutritional status of 304 transgender (Male to Female) residing in and around Mumbai using a mixed method approach. Participants were selected using a purposive sampling technique with the help of three Community Based Organisations (CBOs) working in close association with transgender. Data related to their nutritional status was collected before the pandemic using Food Frequency Questionnaire, 24-hr Recall and anthropometric measurements. Data related to impact of COVID-19 pandemic on food habits of transgender was collected from eight key informants working with CBOs using in-depth telephonic interviews. Results indicated that consumption of calorie dense junk foods was high and that of immunity building micronutrient dense foods such as fruits, vegetables and milk was notably low. Mean intake of macronutrients was adequate but that of micronutrients was lower for the majority. BMI assessment showed that 13 and 49% were underweight and overweight /obese respectively. COVID-19 pandemic further worsened nutritional status. The findings of the study may serve as basis for formulation of effective nutrition intervention programmes for transgender community.
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Social restriction policies increase the risk of obesity in society because it is influenced by increasingly narrow space for movement so that physical activity is reduced and consumption increases due to feeling bored at home. The effects of the COVID-19 pandemic have caused people's lifestyles to change from those previously operating offline to online, including how to get food. Large-scale social restriction policies make food service providers cooperate with the Online Food Delivery (OFD) platform to make it easier to reach consumers. This study aimed to analyze the effect of using an online food delivery application on improving the nutritional status of office workers during the COVID-19 pandemic. This research is an analytic observational study with a cross-sectional design. The study involved 408 workers in Jakarta who experienced the impact of COVID-19. The data analysis technique used SPSS 20, which adjusted test results to the variable data scale. It is known that there was an increase in body weight and nutritional status (p< 0.05) during the large-scale social restriction policy implementation. There is a correlation between physical activity and nutritional status (p< 0.05). There is no significant correlation between the frequency of ordering food online with nutritional status. There is an increase in body weight and an increased risk of obesity during the COVID-19 pandemic.
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Objective: To retrospectively analyze the clinical characteristics of 95 patients with severe coronavirus disease 2019 (COVID-19) admitted to Hankou Hospital of Wuhan, and provide evidence for clinical diagnosis and treatment of severe cases. Methods: From January to March 2020, 95 patients with severe COVID-19 were admitted to a designated Hankou Hospital of Wuhan. The clinical manifestations, laboratory examinations, chest CT, respiratory support, drug treatment, and outcomes were collected and analyzed. Results: Among the 95 patients, there were 76(80.0%) severe cases (severe group) and 19 (20.0%) critically ill cases (critically ill group);the average ages of the two groups were (56.9 .. 14.0) and (66.2 .. 14.1) years old, respectively. The main symptoms included fever [85 (89.5%)], cough [73 (76.8%)] dyspnea [57 (60.0%)], sputum expectoration [32 (33.7%)], diarrhea [20 (21.1%)], etc. The initial symptom was fever [64 (67.4%)], followed by cough [17 (17.9%)]. The main comorbidities were hypertension [29 (30.5%)], diabetes [18 (18.9%), coronary heart disease [12 (12.6%)], etc. Liver injury was the most frequently seen complication which occurred in 35 patients (36.8%), while myocardial damage in 20 patients (21.1%), heart failure in 10 patients (10.5%), and renal damage in 8 patients (8.4%). The level of urea nitrogen [7.5 (3.1-36.6) mmol/L], creatinine [88.0 (46.0-681.0) mol/L], aspartate aminotransferase (AST) [49.0 (8.0-2 290.0) U/L], total bilirubin [12.4 (6.8-112.4) mol/L], white blood cells [8.7 (2.7-16.3) .. 109], neutrophil count [7.9 (1.0-14.6) .. 109/L], high-sensitivity C-reactive protein (hsCRP) [35.6 (0.1-37.9) mg/L] and procalcitonin (PCT) [0.3 (0.1-9.6) ng/mL] in the critically ill group were higher than the severe group [4.5 (1.5-14.6) mmol/L, 70.0 (34.0-149.0) mol/L, 30.5 (10.0-184.0) U/L, 7.8 (1.4-24.5) mol/L, 4.5 (1.7- 10.7) .. 109/L 3.1 (0.6-9.1) .. 109/L, 31.8 (0.1- 40.4) mg/L, 0.1 (0.0- 1.2) ng/mL], and the difference were statistically significant (P all < 0.05);the albumin level reflecting nutritional status [30.2 (24.6-36.4) g/L] was lower than the severe group [35.2(23.5-44.5)g/L], and the difference was statistically significant (P < 0.001). Chest computed tomographic scans showed bilateral ground glass opacity or patchy shadows in the lungs of all patients. A total of 77 patients (82.1%) were discharged, and 13 patients (13.7%) died;of which, the mortality of the critically ill group was 68.4% (13 out of 19). Conclusions: The majority of patients with severe COVID- 19 were elderly. The main clinical manifestations were fever, cough, and dyspnea. Most patients had underlying diseases such as hypertension, diabetes and coronary heart disease. The occurrence of organ dysfunctions such as liver injury, cardiac damage, heart failure and kidney injury might be an important cause of death. The mortality of severe patients with COVID-19 was high, and treatment was even tough.
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Air pollution in the environment in which poultry is raised is one of the most serious problems facing the poultry sector across various aspects of production. Perhaps the most dangerous gas emitted from poultry houses is ammonia. The high concentrations of this gas in the air above the permissible limits (15 ppm) will have disastrous consequences. Ammonia directly affects the health and safety of birds, as it is a cause of ammonia blindness in birds accompanied by many respiratory diseases that destroy production and increase breeding costs. In addition, high concentrations of ammonia (above 20 ppm) contribute to enhancing the infection of birds with Newcastle and the bronchitis virus. In general, the greenhouse gases emitted from poultry houses included four main gases (carbon dioxide, nitrous oxide, methane and hydrogen sulphide). Studies regarding their direct effects on the health and productivity of birds have been insufficient. In the direct form, as the concentrations of greenhouse gases rise to very high limits, they cause suffocation and death., the behaviour of the greenhouse gases in the indirect effect is reflected being a source of nutritional stress and a group of diseases and parasites which lead to a decrease in productivity levels. The intensity and concentrations of gas emissions are directly related to many factors such as geographic location, the season of the year, ventilation technologies, humidity, litter quality, nutritional status and stocking density. The advances in ventilation technologies have played a key role in expelling all harmful gases, especially those that depend on negative pressure. However, greenhouse gases remain a real threat to the poultry industry in particular and to the planet's environment in general.
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Background: The elderly and geriatric population is the population most at risk for complications of COVID-19. Preliminary data show that individuals aged >59 years are estimated to experience five times more severe COVID-19 symptom onset than those aged 30 to 59 years. Nutritional status is believed to play a role in the body's ability to produce antibodies after COVID-19 vaccination.
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Objective: To investigate the implementation status of school lunches and simplified school lunches after a state of emergency was declared due to the coronavirus disease 2019 (COVID-19) pandemic, and the content of a simplified school lunch.
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Background & Aims: Beginning in 2020, a deadly disease called COVID-19 spread throughout the world, plunging all countries into a viral infection. Viral infections are naturally associated with upper respiratory tract infections, which are commonly reported with fever, headache, and cough. COVID-19 virus can infect a person's respiratory system and lungs, eventually leading to death. The virus can first activate and infect macrophages. Macrophages then transfer COVID 19 to T cells and make them weak. In addition, by weakening T cells, T cell subsets are activated to increase cytokines to enhance the immune response. T cells, CD4 + T cells and CD8 + T cells play an important antiviral role in the body. It is noteworthy that CD4 + T cells in the body produce T cell-dependent (B) cells to increase virus-specific antibodies. On the other hand, CD8 + T cells are a toxic cell and can kill virus-infected cells. Most published studies have focused on the effect of aerobic exercise on immune system function. Recent studies have shown that tai chi and yoga exercises can also be beneficial for immune system function. Exercise has long been known as an important modulator of inflammatory processes. Exercise can apparently have both tonic and suppressive effects on the immune system. The effect of exercise on innate and acquired safety parameters depends on the intensity, load and duration of exercise. As the severity increases, immune function and ultimately the risk of infection increase. These risks depend on immune system regulators (genetics, nutritional status, psychological stress, circadian rhythms), environmental stressors (extreme temperatures, airway irritants) that increase inflammation. In response to exercise, immune cells grow, proliferate, and produce molecules such as cytokines and cytotoxic granules. Prolonged exercise, at least in healthy individuals, appears to reduce basal inflammatory status by reducing the circulation of inflammatory cytokines. Regular periods of short-term training (i.e., up to 45 minutes) with moderate intensity boost the immune system (increase T cells) while frequent periods of long-term high-intensity training (> 2 hours) can suppress the immune system. Acute exercise, even in healthy individuals, leads to a strong inflammatory response that is mediated by leukocyte mobilization (even for short periods of 6 minutes) and increases potent inflammatory mediators such as TNF-a, IL-1. The effect of increasing aerobic capacity on improving lung function and preventing lung injury can be summarized in four mechanisms. The first mechanism of aerobic exercise can prevent the suppression of the immune system by affecting the immune system and increase anti-inflammatory factors. The second mechanism contains the role of aerobic capacity in restoring the elasticity of lung tissue to normal and increasing the strength and endurance of the respiratory muscles, which helps increase ventilation, and reduce lung damage. The third mechanism includes the role of aerobic capacity as an antioxidant to limit the production of free radicals and oxidative damage. The fourth mechanism involves the role of aerobic capacity in reducing cough and clearing the airways by improving pulmonary safety and autonomic modulation.
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Objective: To investigate whether Royal Free Hospital Nutritional Prioritizing Tool (RFH-NPT) is more suitable than Nutritional Risk Screening 2002 (NRS-2002) in nutritional risk screening for patients with liver cirrhosis, as well as the applicability of subjective global assessment (SGA) in the nutritional assessment of patients with liver cirrhosis.
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Background : The virus SARS COV-2 caused coronavirus disease (covid-19) across the world. So we have some other nutritional therapy. It can prevent and treat Covid 19. This deteriorated nutritional status seems to be involved within the virulence of the virus, and doubtless within the clinical outcome. Aim: The aim of this study was to assess the awareness about diet modification in COVID19 among dental students.
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Background: Considering the role of the data that indicate the importance of Vitamin D adequacy in protecting human being against different pathogens in patients exposed to infectious agents, the role of this Vitamin in Covid-19 patients is a matter of debate. Objectives: to identify the association between vitamin D level and infection with SARS-COV-2 of adult patients attending or admitted to Merjan Teaching Hospital, Babylon, Iraq. Methodology: this was a cross sectional comparison study of 240 participants, the total sample mean ..SD age was 46.9..15.4 years, 120 confirmed diagnosed cases and admitted to coronavirus unit and 120 negative cases (comparison group). The study carried out from January to June 2021 in Merjan Teaching Hospital, Babylon, Iraq. A pretested questionnaire used to interview patients after obtaining their verbal consents. Serum 25(OH) vitamin D measured to both groups of participants using immunoassay method (maglumi instrument) and body mass index (BMI) measured. The questionnaire included demographic information, clinical symptoms, unhealthy habits, and underlying health conditions, (comorbidities related to each participant elicited and recorded).
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Aim: The aim of the study is to examine the eating attitudes of the students studying at the Nigde ..mer Halisdemir University Faculty of Sports Sciences during the Covid-19 epidemic.
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Commercially available food supplements, especially vitamins and minerals, are be-coming increasingly popular in the era of COVID-19 pandemic. Sales of food supplements increased dynamically because of the belief that they could be more effective than conventional antiviral or corticosteroid drugs as well as missing the specific medical therapy for preventing or treating this disease. The greatest interest is associated with immune-related nutrients and antioxidant agents, including vitamin C, vitamin D, vitamin E, selenium (Se), and zinc (Zn). These are currently under clinical investigation for possible application in the prevention and management of COVID-19. This review summarizes postulated mechanisms of commonly used supplements suggested reducing the duration and severity of viral infections by improving immune response. Their toxicity in the context of potential adverse effects is also discussed. Whether these molecules and the amount could hurt patients with COVID-19 are research questions worth evaluating. Considering both efficacy and safety, evidence supporting larger intakes of specific nutrients with immune-boosting and/or antioxidant properties needs further research. Until relevant responses are provided, age and gender related tolerable upper intake levels for vitamins and minerals should be considered to avoid weight gaining as an additional risk factor of developing complications during the disease course, besides the risk of inappropriate doses associated with toxicity. Herein, high-quality information respecting specific nutrients proposed to have positive effect against COVID-19 is disseminated and certain research gaps are addressed, requiring the research on the health effects of supplements to be tightly correlated to age, nutritional status, wellbeing and particular to existing co-morbidities.
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GLOBAL. What we know: The COVID-19 pandemic required that outpatient and community-based management of acute malnutrition (CMAM) programmes was adapted to reduce the risk of virus transmission. What this article adds: Experiences and lessons learned around initial adaptations made to CMAM programmes in the light of COVID-19 were gathered through multiple surveys and interviews with programmers in over 40 countries. The adaptations implemented most frequently were Family mid-upper arm circumference (MUAC), a change in the frequency and method of follow-up visits and modified admissions and discharge criteria. This article presents initial lessons learned and recommendations for each of these adaptations. Regardless of the adaptation made, close collaboration and clear communication between caregivers, communities, partners and government entities were found to be critical. Programme implementers should continue to aim to protect staff and programme participants while continuing service provision, using personal protective equipment and capitalising on virtual trainings and meetings as much as possible. Building staff surge capacity may also mitigate unexpected shifts in staffing structures due to illness or travel restrictions. Innovations and adaptability in the face of supply chain and other programmatic disruptions require flexible funding sources and partnerships.
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Coronavirus (COVID-19) pandemic spread in India is steeply rising. A 21-day lockdown has been imposed by the Government of India, to curtail its spread. This has impacted all walks of life, including availability of food and nutrition related services which would affect nutritional status of children throughout India. The two major schemes, i.e. Integrated Child Development Services Scheme and Mid-day Meal Scheme have been affected leading to risk of worsening of child nutrition. Some states have evolved their own strategies to mitigate the effect of lockdown. Here we discuss the challenges and way forward for ensuring availability of food for child nutrition during this health crisis. No single, optimal response to a public health emergency exists. The government and non-government partners must coordinate and scale up child nutrition services in the community through strengthening of public distribution system and home delivery of food parcels wherever feasible for beneficiaries of child nutrition programs.
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South Sudan, Nigeria, Malawi, Kenya. What we know: Delivery of treatment for uncomplicated wasting by community health workers (CHWs) is a simplified approach that can ensure continuity of detection and treatment, particularly in the context of the COVID-19 pandemic. What this article adds: This article summarises operational insights developed by the RISE study consortium, a multi-partner, multi-country initiative to develop and test a simplified treatment protocol, tools and job aids for literate and low-literate CHWs to deliver treatment for uncomplicated wasting treatment services through the integrated community case management (iCCM) platform in several locations. The following operational aspects must be considered before embarking on this model: context-specific underlying epidemiology (burden of malnutrition and seasonality), extent to which the model will remove top barriers to treatment in the context, existence of a community health system to embed the model within and the presence of a supply chain, supervision and financing. Once deemed appropriate, recommendations to improve implementation and uptake include the simplification of protocols to streamline CHW decision-making, the simplification and integration of CHW tools, the strengthening of referral mechanisms for complicated cases, the provision of motivations and incentives for CHWs, the tracking and addressing of defaulting, enhancing CHW training and supervision and engagement of communities. Full quantitative and qualitative results will be submitted for peer review publication in 2021. Further application of the considerations and recommendations listed here is needed to inform the operational feasibility, scalability and sustainability of the approach.
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This special issue contains 23 articles that discusses the topic of diseases, nutrition, and malnutrition, especially in Mexico. Topics include the nutritional status of iron, vitamin B12, vitamin A, and anaemia in Mexican children, vitamin D status in Mexican women at reproductive age, prevalence of iron deficiency and anaemia during 2006-2018 in Mexican women 20-49 years of age, the increasing incidence of SARS-CoV- 2 in older adolescents and younger adults during the epidemic in Mexico, stakeholder analysis of the deliberation of an increase to the excise tax on sweetened beverages in Mexico, among others.