The Effects of Dietary Taurine-Containing Jelly Supplementation on Cognitive Function and Memory Ability of the Elderly with Subjective Cognitive Decline.

The purpose of this study was to investigate the effects of dietary taurine-containing jelly supplementation on cognitive function and memory ability of the elderly. The jelly used in the study contained 3 g of taurine and was reprocessed in the soft state like pudding considering the safe intake and preference and provided for 4 weeks. The cognitive function and memory ability of subjects were assessed by MMSE-DS (Mini-Mental State Examination-Dementia Screening), DST (Digit Span Test), K-BNT (Korean version-Boston Naming Test), and K-SVLT (Korean version-Seoul Verbal Learning Test) and were conducted in a face-to-face survey. The subjective memory of subjects was assessed by a self-recording method. Statistical analysis was performed using SPSS 26.0. The results were compared before and after 4 weeks of dietary taurine-containing jelly supplementation. The subjects were 26 elderly Koreans (8 male, 18 female) with subjective cognitive decline with an average age of 72.3 years. The total average score of MMSE-DS in all subjects increased from 25.9 points before dietary taurine-containing jelly supplementation to 26.4 points 4 weeks after supplementation, but there was no significant difference. The total average scores of DST-F, K-BNT, and K-SVLT were significantly higher 4 weeks after supplementation (65.7, 51.7, and 17.8 points) than before supplementation (60.6, 46.5, and 15.2 points) (p < 0.01). In particular, the score of DST-F showed significant difference only in the female elderly (p < 0.001). The score for subjective memory showed significant difference 4 weeks after supplementation (3.0 points) than before supplementation (2.6 points) (p < 0.05). Especially, it increased significantly only in the female elderly (p < 0.01). These results show that dietary taurine-containing jelly supplementation has positive effects on the memory ability of the elderly with subjective cognitive decline. Therefore, it is suggested to supplement products for the elderly, such as pudding or jelly, with dietary taurine to improve memory ability and cognitive function of the elderly.

Comparison of consumption behaviors and development needs for the home meal replacement among Chinese college students studying abroad in Korea, Chinese college students in China, and Korean college students in Korea.

BACKGROUND/OBJECTIVES: The consumption of home meal replacement (HMR) is increasing among college students in Korea and China. In particular, Chinese college students studying abroad in Korea (CSK) show changes in their dietary behavior after migration, and HMR consumption for meal substitution is also increasing. This study was conducted to compare the HMR consumption behaviors and HMR development needs of CSK, Chinese college students in China (CSC), and Korean college students in Korea (KSK). SUBJECTS/METHODS: The subjects were 570 college students (180 CSK, 200 CSC, and 190 KSK) who had experience of HMR consumption. Data were collected by face-to-face survey in 2019 and analyzed using SPSS 25.0. RESULTS: The majority of the subjects purchased HMR to 'saving time' and 'preventing meal skipping'. Average purchase price per HMR was about 5,000 won for the CSK and KSK, and about 3,000 won for the CSC. The most important attributes when selecting HMR for the CSK and CSC were hygiene, freshness, and taste in that order, while for the KSK were taste, price, and hygiene. Rice was preferred by the KSK while grilled and fried dishes were preferred by the CSK and CSC. In terms of development needs, dessert and meat-based side dishes were highest in all three groups. The preferred food materials for more than 50% of the subjects of all groups were beef, chicken, pork, shrimp, and squid, and spinach and Chinese cabbage in the CSK, and onion in the KSK. CONCLUSIONS: This study shows more effort is needed to develop the healthy customized HMR for college students studying in Korea and China, and that focuses are placed by CSK on hygiene and freshness, by CSC on meat side dishes, hygiene, and price, and by KSK on snacks (as meal substitutes), taste, and price.

Consumption Patterns and Importance-Performance Analysis of Home Meal Replacements by Level of Taurine-Related Nutritional Knowledge in Korean Adults.

The purpose of this study was to investigate consumption patterns and perform Importance-Performance Analysis (IPA) of selective attributes of Home Meal Replacement (HMR) products according to taurine-related nutritional knowledge levels in Koreans aged 40-64 years as a basis for developing additional HMR products. The study included 793 adults (297 males and 496 females) who had experience in consuming HMR products and who lived in Seoul and its metropolitan areas, Korea. Data were collected using self-administered questionnaires. Statistical analysis was performed by using the SPSS 18.0 program. The subjects were classified into a high-level group (HG, 467 adults) and low-level group (LG, 326 adults) based on their taurine-related nutritional knowledge scores. Analysis of HMR consumption patterns showed that the frequency of HMR consumption in the HG was one to two times a month in 41.1% of the subjects and once every 3-4 months in 22.7% of the subjects, whereas, in the LG, it was one to two times a month in 39.3% of the subjects and four to six times a month in 24.5% of the subjects. With regarding to the reasons for purchasing HMR products, there was no significant difference between HG and LG (p = 0.089). The IPA analysis of HMR selective attributes included factor analysis of 14 selective attributes that were divided into three factors: 'convenience and taste', 'reliability and health', and 'brand and awareness'. The average importance scores of the first (p < 0.01), second (p < 0.001), and third (p < 0.01) factors in the HG were significantly higher than those in the LG. In addition, the average satisfaction with the first factor (p < 0.01) in the HG was significantly higher than that in the LG. Based on the IPA results, the selective attributes with low satisfaction and high importance were price, origin, food additives, and nutrient content in both the HG and LG. In the second IPA quadrant was safety, but only in the LG. Multiple regression analysis revealed that the importance of the reliability and health factor and the satisfaction with the convenience and taste factor were positively influenced by the subject's taurine-related nutritional knowledge score. These results suggest that reliability and safety of HMR products need to be improved to meet the expectations of Korean consumers aged 40 years and older with a high level of taurine-related nutritional knowledge. Therefore, there is a need to produce HMR products that use safe and reliable food ingredients.

Demands for Development of Taurine-Containing Home Meal Replacement for Prevention of Dementia According to Age.

It has been reported that taurine intake in the past may have a positive effect on present cognitive function in the elderly. The purpose of this cross-sectional study was to investigate the need to develop an elderly-friendly home meal replacement (EF-HMR) containing taurine for the prevention of dementia in Korean adults aged 40-84 years. Study subjects included 481 adults 40-49 years group, 319 adults 50-64 years group, and 181 elderly group (65-84 years old) residing in Seoul and its metropolitan area, Korea. Data were collected from adults aged 40-64 years by self-administered questionnaires and from elderly through face-to-face interviews. Statistical analysis was performed using SPSS 18.0. The level of need for EF-HMR was significantly higher in 40-49 years and 50-64 years groups compared to the elderly group (p < 0.001). With regard to the preferred EF-HMR taste, the needs for less salty (p < 0.01) and less sweet (p < 0.001) foods were significantly higher in 40-49 years group compared to the elderly group. The main factors of consideration in the development of EF-HMR were nutrition, taste, and freshness. The level of need for EF-HMR containing taurine was significantly lower in those 40-49 years and 50-64 years groups compared to the elderly group (p < 0.01). If an EF-HMR containing taurine for prevention of dementia was developed, willingness to buy such a food was significantly higher in the elderly group than in those 40-49 years and 50-64 years groups (p < 0.01). Regarding cooked EF-HMR containing taurine, semi-prepared and ready-made meals were preferred in 71.1% and 25.4% in 40-49 years group, 69.6% and 22.6% in 50-64 years group, and 47.0% and 33.7% in the elderly group, respectively (p < 0.001). EF-HMR containing taurine sales unit sizes containing 3 servings or 1 serving was preferred by 37.2% and 26.3% of all subjects. The preferred places to purchase EF-HMR (in descending order of super-supermarket (mart), supermarket, and convenience store) were the same among the age groups. Therefore, it is necessary to understand the diversity present in the needs and purchasing characteristics of adults involved purchasing EF-HMR containing taurine, and there is a need to develop age-specific customized products for the elderly and for Korean adults 40-64 years old.

Effects of Dietary Taurine Supplementation on Blood and Urine Taurine Concentrations in the Elderly Women with Dementia.

The purpose of this research is to investigate the effects of dietary taurine supplementation on blood and urine taurine concentrations of the elderly women with dementia. Subjects were 31 female elderly with dementia hospitalized in a geriatric hospital. They were divided randomly into control group and dietary taurine supplemented group. Basically, same meals were served to both groups. Scorched rice water without taurine were served to control group. Scorched rice water containing 3 g of taurine were reserved to taurine group with lunch similarly. Food ingredients containing high concentration of taurine were eliminated from the meal menu. Blood and urine samples were obtained from each subject at the beginning of study, after 2 week and 4 weeks in the morning fasting state. Taurine concentrations in serum and urine were measured as taurine-fluorescamine derivatives using high performance liquid chromatography (HPLC). Data were analyzed using SPSS 20.0. The average taurine concentrations in serum and urine of subjects were 89.2 ± 9.5 µM and 876.7 ± 97.1 µM at the beginning. After 4 weeks, the taurine concentrations in serum and urine of dietary taurine supplemented group were 218.0 ± 15.6 µM and 6502.6 ± 380.6 µM, which were significantly higher compared to control group. Dietary taurine supplemented group showed positive changes in the score on language and execute performance. So taurine supplementation can provide beneficial effects to the elderly and the elderly with dementia.

Food Preference of the Elderly for the Development of Taurine-Containing Elderly-Friendly Foods.

The purpose of this study was to investigate food preference of the elderly for the development of taurine-containing elderly-friendly foods (TEF). The subjects in this study were 278 elderly people who were over 65 years old. All data were collected by face to face interview. Statistical analysis was performed by using SPSS 20.0 for Windows. The 'low-salt diet', 'nutritional enriched diet', and 'swallow able diet' were diets that all subjects preferred. All subjects preferred a diet to be sold as three items in separate packaging, as a semi-cooked type. The food types and cooking methods that showed high preference and had a high intention to purchase were cooked rice, porridges, soups and stews, meat side dishes, fish side dishes, kimchi, and vegetable dishes and steaming Among the taurine-containing foods, whip-arm octopus, manila clam, dried anchovy, flatfish, pollack, laver, green laver, sea tangle, seaweed, cod, croaker, and cutlassfish were the preferred foods of most subjects. Elderly females preferred significantly more squid, octopus, eel, mudfish, and sea cucumber than that of elderly males (p < 0.05). Elderly males preferred and consumed significantly more taurine-supplement than did elderly females (p < 0.05). These results will be used as baseline data for development of a customized TEF for Korean elderly.

Taurine-Related Nutritional Knowledge Has a Positive Effect on Intake of Taurine and Cognitive Function in the Elderly.

The purpose of this study was to investigate the correlations among taurine-related nutritional knowledge (TNK), taurine intake frequency (TIF), and cognitive function (CF) in Korean elderly. Subjects of this cross-sectional study were 278 elderly persons in Korea without dementia (men 76, women 202). The subjects were divided into two groups: a group with a lower than average TNK score (LAG) and a group with a higher than average TNK score (HAG). Data were obtained via questionnaires and 1: 1 interviews. Correlation analysis available in SPSS 20.0 was used to analyze associations among the three factors. Average TNK score of all subjects was 4 out of 10 points, while that of the LAG (1.9 points) was significantly lower than that of the HAG (6.6 points) (p < 0.001). Average TIF score in the HAG (195.3 points) was significantly higher than that of the LAG (180.8 points) (p < 0.001). Compared to the LAG, the HAG members more frequently consumed foods such as webfoot octopus, whelk, dried anchovy, dried shrimp, mackerel, anglerfish, skate, short-necked clam, shrimp, and dried squid (p < 0.01). There was no significant difference in CF scores between the LAG and HAG. There was positive correlation between TNK and TIF scores in all the subjects (p < 0.01). There was no significant difference, but there was a tendency for a positive correlation, between TNK and CF scores (p = 0.072). These results suggest that nutritional education of the elderly about taurine is needed, and it is strongly recommended that the elderly frequently consume taurine-containing foods and supplements to prevent dementia.

The Development of Taurine Supplementary Menus for the Prevention of Dementia and Their Positive Effect on the Cognitive Function in the Elderly with Dementia.

This study was conducted to investigate the effects on the cognitive function of the elderly with dementia, after consumption of menus developed to prevent dementia. For the purpose of this study, we developed two menus incorporating lotus seeds and taurine which are known to be effective in preventing dementia: tea supplemented with taurine and lotus seed (TATL) and scorched glutinous rice water supplemented with taurine and lotus seed (SATL). The most optimized supplement was determined through sensory evaluation, and was served with the normal diet for 4 weeks. The subjects of this study were 46 elderly women with dementia, divided into three groups: 16 subjects in the taurine supplement group (TG), 15 subjects in the taurine and lotus seeds supplement group (TLG), and 15 subjects in the control group (CG). Cognitive function was assessed by comparing the scores of MMSE-DS (Mini-Mental State Examination-Dementia Screening) before and after dietary supplementation, with higher scores indicating better cognitive functions. Statistical analysis was performed using SPSS 20.0 for Windows. The total score of MMSE-DS before supplementation SATL was not significantly different between CG (14.1 points), TG (14.2 points), and TLG (13.8 points). However, after consuming the SATL supplement, the total score of TG (16.7 points) and TLG (16.9 points) significantly increased (p < 0.01). In particular, in the case of TG, a significant increase was observed in the score for 'Judgment and abstract thinking' (p < 0.05). An increased tendency was also observed for scores of 'Place orientation' (p = 0.071) and 'Ability to execute' (p = 0.054), although statistically not significant. In the case of TLG, score of 'Place orientation' and 'Judgment and abstract thinking' was significantly increased (p < 0.05). These results show that dietary taurine supplementation has positive effects on the cognitive function (MMSE-DS) of elderly women with dementia. There-fore, it is necessary to include dietary taurine supplementation for the treatment and prevention of dementia. In addition, it is necessary to develop and supply a variety of menus containing taurine.

Comparison of Urinary Excretion of Taurine Between Elderly with Dementia and Normal Elderly.

The purpose of this study was to investigate the differences in dietary intake, serum level and urinary excretion of taurine between the elderly with dementia and the normal elderly. Subjects with dementia were 22 (8 men, 14 women) and normal were 26 (2 men, 24 women). The general characteristics, anthropometric data were considered together. The blood and urine samples were obtained from the elderly in the morning fasting state. Taurine concentrations in serum and urinary excretion were determined using high performance liquid chromatography (HPLC). Dietary intake data were collected using questionnaires, and analyzed by Computer Aided Nutritional analysis program (CAN-pro 4.0). Statistical analyses were carried out using SPSS 20.0. There were no significant differences in age and BMI (body mass index) between the elderly with dementia and the normal elderly, however, blood total cholesterol, LDL cholesterol and HDL cholesterol levels of the elderly with dementia were relatively higher than the normal elderly. The elderly men with dementia took more lipid, riboflavin higher than the normal elderly men (P < 0.05). The elderly women with dementia took more nutrients except vitamin D, vitamin B12 and taurine than the normal elderly (P < 0.001). There were slight differences in serum taurine level between the two groups. However, urinary excretion of taurine in the elderly with dementia was significantly higher than the normal elderly (41.2%, P < 0.05).

Past Taurine Intake Has a Positive Effect on Present Cognitive Function in the Elderly.

This study investigated the associations between dietary history of past taurine intake and cognitive function in the elderly. Subjects of this study were 40 elderly persons with dementia (men 14, women 26) and 37 normal elderly persons (men 5, women 32). Data were collected using questionnaires by investigator-based interview to the elderly and family caregivers. We examined their general characteristics, anthropometric data, cognitive function, and taurine index. Cognitive function was measured using MMSE-DS and higher score means better cognitive function. As dietary history of past taurine intake, taurine index was evaluated by scoring the intake frequency of 41 kinds of taurine-containing foods. Part correlation analysis (sex, age, and school educational period correction) was used to analyze associations between taurine index and cognitive function. The analysis of all data was carried out by the SPSS 20.0 program for windows. The age, height, weight, and BMI of elderly with dementia showed no statistical significance compared to normal elderly. The elderly with dementia had significantly higher school education period (7.4 years) than the normal elderly (4.8 years) (p < 0.01). Nevertheless, the average total score of cognitive function (MMSE-DS) of the elderly with dementia (18.1 points) was significantly lower than score of the normal elderly (21.7 points) (p < 0.05). The average taurine index of the elderly with dementia (104.7 points) was significantly lower than average taurine index of the normal elderly (123.7 points) (p < 0.01). There were positive correlations between total taurine index and total score of cognitive function in all the elderly subjects (p < 0.05). In particular, as taurine index was higher, there were significantly higher scores of cognitive function such as 'time orientation' and 'judgement and abstract thinking' (p < 0.01). In conclusion, these results suggest that past taurine intake may have a positive effect on present cognitive function in the elderly.

Angioimmunoblastic T-Cell Lymphoma in a Patient with Klinefelter Syndrome.

BACKGROUND Although patients with Klinefelter syndrome have elevated risk and incidence rates for several solid cancers, reports on the incidence of hematological malignancies have been equivocal. CASE REPORT We report a patient diagnosed with angioimmunoblastic T-cell lymphoma in whom Klinefelter syndrome was newly detected. Moreover, we discuss the development of a variety of lymphomas in patients with Klinefelter syndrome. CONCLUSIONS This is the first case describing angioimmunoblastic T-cell lymphoma in a patient with Klinefelter syndrome who was treated with chemotherapy.

Comparison of tenofovir plus lamivudine versus tenofovir monotherapy in patients with lamivudine-resistant chronic hepatitis B.

BACKGROUND/AIMS: Tenofovir disoproxil fumarate (TDF) exhibits similar antiviral efficacy against treatment-naïve and lamivudine (LAM)-resistant chronic hepatitis B (CHB). However, there are few clinical reports on the antiviral effects of TDF-LAM combination therapy compared to TDF monotherapy in patients with LAM-resistant CHB. METHODS: We investigated the antiviral efficacy of TDF monotherapy vs. TDF-LAM combination therapy in 103 patients with LAM-resistant CHB. RESULTS: The study subjects were treated with TDF alone (n=40) or TDF-LAM combination therapy (n=63) for ≥6 months. The patients had previously been treated with TDF-based rescue therapy for a median of 30.0 months (range, 8-36 months). A virologic response (VR) was achieved in 99 patients (96.1%): 95.0% (38/40) of patients in the TDF monotherapy group and 96.8% (61/63) of patients in the TDF-LAM combination therapy group. The VR rates were not significantly different between the TDF monotherapy and TDF-LAM combination therapy groups (88.9 vs. 87.3% at month 12, and 94.4 vs. 93.7% at month 24, log-rank p=0.652). Univariate and multivariate analyses revealed that none of the pretreatment factors were significantly associated with VR. CONCLUSIONS: TDF monotherapy was as effective as TDF-LAM combination therapy for maintaining viral suppression in the vast majority of patients with LAM-resistant CHB, which suggests that TDF add-on therapy with LAM is unnecessary.

Gynecomastia induced by H1-antihistamine (ebastine) in a patient with idiopathic anaphylaxis.

H1-antihistamine is generally a well-tolerated and safe drug. However, in resemblance with all other drugs, H1-antihistamines can also prompt adverse drug reactions (ADRs). We recently encountered the very unusual ADR of H1-antihistamine-induced gynecomastia. A 21-year-old man with idiopathic anaphylaxis was treated with ebastine (Ebastel), a second-generation H1-antihistamine, for the prevention of anaphylaxis. Three months later, the patient remained well without anaphylaxis, but had newly developed gynecomastia. Because anaphylaxis recurred after the cessation of H1-antihistamine, the preventive medication was changed to omalizumab. A few months later, his gynecomastia had entirely disappeared. Physicians should be aware of this exceptional ADR of H1-antihistamine.