ABSTRACT
Needs for surgical care are growing in low- and middle-income countries. Existing surgical care capacity indicators, focusing on the availability of equipment, personnel, and operation and anaesthetic skills, are not intended to evaluate perioperative nutrition management, which influences surgical outcomes. In this narrative review, we describe the prevalence of malnutrition and its clinical consequences among surgical patients in low- and middle-income countries, suggest potential measures to improve nutrition management and discuss the necessity of considering nutrition management as a component of surgical care capacity.
Subject(s)
Developing Countries , Malnutrition/therapy , Nutritional Support/methods , Perioperative Care/methods , Poverty , Surgical Procedures, Operative , HumansABSTRACT
We have reported that newly diagnosed type 2 diabetes mellitus (DM) patients in Vietnam have a low body mass index (BMI) of around 23 and that the major factor for this is high white rice (WR) intake. Brown rice (BR) is known to be beneficial in the control of blood glucose levels; however, it has the property of unpleasant palatability. Pre-germinated brown rice (PGBR) is slightly germinated by soaking BR in water as this reduces the hardness of BR and makes it easier to eat. This study was designed to evaluate the effect of a 4-mo PGBR administration on various parameters in Vietnamese women aged 45-65 y with impaired glucose tolerance (IGT). Sixty subjects were divided into a WR or PGBR group. For the first 2 wk, WR was replaced by 50% PGBR, then for 2 wk by 75% PGBR and from the second month 100%. Before the beginning of the study and at the end of the study, 1) anthropometric measurements, 2) a nutrition survey for 3 nonconsecutive days by the 24 h recall method and 3) blood biochemical examinations were conducted. Fasting plasma concentrations of glucose and lipids and the obesity-related measurements and blood pressure were favorably improved only in the PGBR diet group. The present results suggest that replacing WR with PGBR for 4 mo may be useful in controlling body weight as well as blood glucose and lipid levels in Vietnamese women with IGT.
Subject(s)
Blood Glucose/metabolism , Glucose Intolerance/diet therapy , Oryza , Plant Preparations/administration & dosage , Weight Loss , Aged , Asian People , Cholesterol, HDL/blood , Cholesterol, LDL/blood , Cross-Over Studies , Energy Intake , Fasting , Female , Glucose Intolerance/epidemiology , Humans , Insulin/blood , Mental Recall , Middle Aged , Phytotherapy , Triglycerides/blood , Vietnam/epidemiologyABSTRACT
The study on the maternal risk factors affect to weight and height of their newborns among 813 newborns at Vinh Bao district, Hai phong city in 2001. Among these babies, 94 had low birth weight (2500g). The results showed that mother’s height under 150 cm was highest risk factor related to weight and length of newborns, followed by mother’s weight under 45kg, mother’s head round under 54cm and placental weight under 500g. BMI of mother under 18.5 and weight increased less than 1 kg in first trimester only affected to the length of newborn babies
Subject(s)
Infant, Newborn , Risk Factors , Birth Weight , Body HeightABSTRACT
Study on 825 pregnant women at Vinh Bao district – Hai Phong city in 2001 showed that: the practice of reproductive health of two groups of mothers ( Chronic Energy Deficiency (CDE) and nomal) was relatively good. Lack of nutrition status and anthropemetric indicators, especially height of mother were improved. The rate of CDE of woman before pregnancy was 29% (CDE: degree I: 21.2%; CDE degree II: 6,3%; CDE degree III: 1.5%). Weight in average: 44.96kg, height in avarage: 153.2cm. Weight gain were improved, weight in CDE group was higher than nomal group but lower than recommendation.
Subject(s)
Pregnancy , Nutritional Status , Nutrition Surveys , Weight Gain , MorbidityABSTRACT
Weight in average was 2911.4g (group of mothers with CED): 2905.6g; group of mothers without CED: 2913.8g, (boys: 2961g; girl: 2856g). Low birth weight rate was 11.6% (CED: 9.6%; normal: 12.4%); (boys: 10.4%; girls: 12.8%). Length of newborn babies in average was 48.3 cm (CED: 48.2 cm; normal: 48.4 cm), (boys: 48.6 cm; girls: 48 cm). Only 2.1% of newborn babies had length at birth lower 45 cm, nearly 98% had length at birth 45cm. Height of mother < 150 cm before pregnancy was high ralative risk to weight and length at birth of newborn babies.
Subject(s)
Child , Infant, Newborn , Risk Factors , Mothers , Body Weight , Body HeightABSTRACT
In Vinh Bao district, Hai Phong city in the year 2001, 825 female subjects aged 18-35 years old with first pregnancy or one child, without abortion or immature delivery, were divided into 2 groups according to BMI (For CED group: BMI < 18.5 and normal group: BMI 18.5). The prevalence of chronical energy deficit (CED) before pregnancy was 29%, among them, 1st grade CED 21.2%, 2nd grade 6.3%, 3rd grade 1.5%. The prevalence of common diseases (cough, fever, headache, diarrhoea…) in CED - 40.2%, higher than normal group - 26.3%. In general, for both two groups, morbidity reduced progressively in the course of pregnancy: the prevalence was 18.6% in the first trimestre, 8.8% in the second trimestre and 8.4% in the terminal 3rd trimestre. Considering body weight, in the first trimestre the weight gained by 0.48kg (CED group: 1.19lg, normal group 0.19kg), in 2nd trimestre, the weight gained 2.46kg (CED group 2.91kg, normal group 2.28kg), in the last 3rd trimestre 4.08kg (CED group 4.28kg, normal group 4.0kg).
