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1.
Mar Pollut Bull ; 129(1): 1-7, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29680525

RESUMO

Like fishing, natural regime shifts and human-induced environmental changes are often equally important factors in driving fish stock declines. In the Northwestern Arabian Gulf, many fish stocks are declining, raising questions about the reduction in the flow of Tigris-Euphrates rivers. Here we investigate the relationship between Tigris-Euphrates river flow and the estimated recruitment patterns from assessment models. We found a positive correlation between the estimated finfish recruitment trends and the flow of Tigris-Euphrates rivers. Additionally, the assessment model showed remarkably weak compensation ratio, likely indicating a reduction in the productivity of nursery area of two finfish stocks but not in that of the crustacean stock. Our investigation would be very critical in providing guidelines to the government agencies in the Northwestern Arabian Gulf as well as countries of Tigris-Euphrates basins: to consider the impacts associated with reductions in Tigris-Euphrates river flows on the ecosystem services of the region.


Assuntos
Monitoramento Ambiental/métodos , Peixes/fisiologia , Rios/química , Movimentos da Água , Animais , Ecossistema , Oceano Índico , Modelos Teóricos , Dinâmica Populacional
2.
Mar Pollut Bull ; 100(2): 673-80, 2015 Nov 30.
Artigo em Inglês | MEDLINE | ID: mdl-26409815

RESUMO

The aquatic biota of the Arabian Gulf deals with exposure to chronic oil pollution, several constituents of which cause induction of Cytochrome P450 1A that serves as a biomarker of AhR ligand exposure. In this study, fluorescent aromatic compounds (FACs) in bile and 7-ethoxyresorufin-o-deethylase (EROD) catalytic activity were determined as a measure of exposure biomarkers in two fish species, yellow fin seabream (Acanthopagrus latus) and tonguesole (Cynoglossus arel) captured from Kuwait Bay and outside the Bay area. FACs in fish bile determined by using fixed-wavelength fluorescence (FF) showed high fluorescence ratios between FF290/335 and FF380/430 indicating predominant exposure to low molecular weight, naphthalene-rich petroleum products (375±91.0 pg ml(-1)). Exposures to benzo(a)pyrene-type high-molecular weight polycyclic aromatic hydrocarbons (PAHs) originating from burnt fuel were also present in appreciable concentration in the bile. The ratio of petrogenic to pyrogenic hydrocarbon was twofold higher in winter compared to summer months in both species. Seasonal effect on EROD was significant in tonguesole in Auha site (P<0.05); whereas seabream resisted seasonal change. Tonguesole is considered to be a suitable bioindicator of oil pollution in Kuwait Bay area.


Assuntos
Ecotoxicologia/métodos , Linguados/metabolismo , Petróleo/efeitos adversos , Dourada/metabolismo , Poluentes Químicos da Água/efeitos adversos , Animais , Bile/química , Biomarcadores/análise , Citocromo P-450 CYP1A1/metabolismo , Sistema Enzimático do Citocromo P-450/metabolismo , Exposição Ambiental/efeitos adversos , Exposição Ambiental/análise , Fluorescência , Kuweit , Poluição por Petróleo/efeitos adversos , Hidrocarbonetos Policíclicos Aromáticos/efeitos adversos , Hidrocarbonetos Policíclicos Aromáticos/química , Estações do Ano
3.
Mar Pollut Bull ; 100(2): 662-72, 2015 Nov 30.
Artigo em Inglês | MEDLINE | ID: mdl-26231068

RESUMO

Two fish species yellowfin seabream (Acanthopagrus latus) and tonguesole (Cynoglossus arel) were collected from two locations in Kuwait's territorial waters in non-reproductive periods and used as bio-indicator organism for the assessment of metals in the marine environment. Species variation in fish was observed; seabream contained high metal content and metallothionein in liver and gill tissues compared to tonguesole, especially from Kuwait Bay area. Oxidative injury was registered in the gills of both species, but in tonguesole liver was also involved. Consequently, antioxidant enzyme catalase was elevated in tonguesole enabling bottom dwelling fish to combat oxidative assault. The study provided information about the current status of metals in marine sediment and levels of metals accumulated in representative species along with oxidative damage in exposed tissues and the range of biomarker protein metallothionein and enzymes of antioxidant defence mechanism enhancing our understanding about the biological response to the existing marine environment in Kuwait.


Assuntos
Linguados/metabolismo , Metais/farmacocinética , Estresse Oxidativo , Dourada/metabolismo , Poluentes Químicos da Água/farmacocinética , Animais , Catalase/metabolismo , Ecotoxicologia/métodos , Brânquias/química , Brânquias/metabolismo , Kuweit , Fígado/química , Fígado/metabolismo , Metalotioneína/metabolismo , Distribuição Tecidual
4.
Mar Pollut Bull ; 100(2): 597-606, 2015 Nov 30.
Artigo em Inglês | MEDLINE | ID: mdl-26233306

RESUMO

The status of Kuwait's fisheries landings and relative abundance for major species was reviewed using research data from Kuwait Institute for Scientific Research and landing data from the Kuwait's Central Statistical Bureau. Landing data showed significant decreases for major commercial species such as zobaidy (Pampus argenteus), suboor (Tenualosa ilisha), hamoor (Epinephelus coioides), newaiby (Otolithes ruber) and hamra (Lutjanus malabaricus) while abundance data for the shrimp Penaeus semisulcatus showed significant reduction in the recent years mainly because of overfishing. The catch-rate data showed continuous decline for major species such as zobaidy, newaiby and hamoor, which indicate that stock abundances of these species are low. The reduction in stock abundance in context with changes in habitat quality, particularly the effects of reduced discharge of the Shatt Al-Arab, is discussed.


Assuntos
Pesqueiros , Peixes , Animais , Ecossistema , Kuweit , Penaeidae , Perciformes , Densidade Demográfica
6.
Eur J Clin Nutr ; 54 Suppl 2: S11-5, 2000 May.
Artigo em Inglês | MEDLINE | ID: mdl-10902982

RESUMO

OBJECTIVES: This paper describes the ecological and cultural backdrop of the subjects enrolled in an experimental study to test the validity of a conceptual model about the intellectual delay of undernourished children. DESIGN: The experiment was a 12-month clinical, randomized trial on the effects of early supplementary feeding on two cohorts of children classified as nutritionally-at-risk. Three different supplements (condensed milk + micronutrients; skimmed milk + micronutrients; skimmed milk) were given to the children during 6 or 12 months of the study. SETTING: The plantations are 1500-1800 m above sea level in Pangalengan, 50 km south of Bandung, West Java. Temperature fluctuates from 10 to 17 degrees C. A high yearly precipitation is approximately 3000 mm. Communities are laid out at 5-15 km from one another. Living conditions are modest. SUBJECTS: The 156 subjects were recruited from 24 day-care-centers (DCC) that serviced families of 24 communities in six tea plantations. The 12- and 18-month-old cohorts included 73 and 83 children, respectively; each cohort included three subgroups that received distinct supplements. OBSERVATIONS: The interactions of the caretakers with the children in the DCCs were consistent with the socialization for survival mode. A primary concern was the physical growth, health, cleanliness, sanitation and safety of the children. Stimulating children, providing toys and initiating play or other activities that would emphasize educational development had a low priority.


Assuntos
Desenvolvimento Infantil , Educação Infantil , Proteção da Criança , Cultura , Fenômenos Fisiológicos da Nutrição do Lactente , Distúrbios Nutricionais/etnologia , Creches , Pré-Escolar , Estudos de Coortes , Comparação Transcultural , Feminino , Humanos , Indonésia/epidemiologia , Lactente , Masculino , População Rural , Fatores Socioeconômicos
7.
Eur J Clin Nutr ; 54 Suppl 2: S16-20, 2000 May.
Artigo em Inglês | MEDLINE | ID: mdl-10902983

RESUMO

OBJECTIVES: To describe the methodologies of a clinical trial on the effects of an energy and micronutrient supplement on the growth and development of undernourished children. DESIGN: This trial included two cohorts of children classified as nutritionally-at-risk who were randomly assigned to three treatments (condensed milk + micronutrients (E); skimmed milk + micronutrients (M); skimmed milk (S)). Supplements were given for a period up to 12 months. SETTING: Six tea plantations in Pangalengan, West Java were the site for this study. SUBJECTS: A 12-month-old (N=53) and an 18-month-old (N=83) cohort were recruited from 24 day-care-centers (DCC). Twenty children that received the S supplement were part of the 12- and 18 month-old cohort. Criteria for case inclusion were absence of chronic disease; length-for-age < or = -1 standard deviation (s.d.) and weight-for-length between -1 and -2 s.d. of the median of the reference of the World Health Organization. VARIABLES: Social variables included assessment of health facilities, childcare, housing, income and parental education. Nutrition and growth variables included dietary intake measured over a 24 hr period every 2 months; hemoglobin and three iron indicators measured at baseline, 6 and 12 months; anthropometry measured every 2 months and skeletal maturation measured every 6 months. Cognition and behavior included the assessment of mental and motor development and the behavior of the child under natural conditions. DATA ANALYSIS: An ANOVA was the statistic most frequently used to test inter-group differences and structural equation modeling was used to test the internal validity of the conceptual model of the study.


Assuntos
Desenvolvimento Infantil , Fenômenos Fisiológicos da Nutrição Infantil , Proteção da Criança , Ingestão de Energia/fisiologia , Micronutrientes , Distúrbios Nutricionais/epidemiologia , Análise de Variância , Antropometria , Criança , Creches , Pré-Escolar , Estudos de Coortes , Ingestão de Alimentos , Métodos Epidemiológicos , Feminino , Humanos , Indonésia/epidemiologia , Lactente , Fenômenos Fisiológicos da Nutrição do Lactente , Ferro/sangue , Masculino , Distúrbios Nutricionais/fisiopatologia , Distúrbios Nutricionais/prevenção & controle , Fatores Socioeconômicos , Fatores de Tempo
8.
Eur J Clin Nutr ; 54 Suppl 2: S28-42, 2000 May.
Artigo em Inglês | MEDLINE | ID: mdl-10902985

RESUMO

OBJECTIVES: The paper presents the results of an ecological-economic approach to identifying community-level factors that influence the physical growth of young children. DESIGN: A cross-sectional design was used to obtain both the anthropometry and the ecological-economic data. SETTING: The sites were 24 communities located in a tea plantation near Bandung, West Java, Indonesia. SUBJECTS: 415 children between the ages of 6 and 18 months. METHODS: Epidemiological and ethnographic methods were used to measure community infrastructure and services related to child growth. Anthropometry was used to measure child growth. Econometric methods, including probit and ordinary least squares regression, were used to analyze the effect of community-level factors on child growth. RESULTS: Community vaccination programs, child care services, environmental sanitation and latrines were associated with better child growth. We concluded that community-level goods and services substantially contributed to health in early childhood.


Assuntos
Desenvolvimento Infantil , Distúrbios Nutricionais/fisiopatologia , População Rural , Seguridade Social , Agricultura , Antropometria , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Programas de Imunização , Indonésia/epidemiologia , Lactente , Masculino , Modelos Econométricos , Distúrbios Nutricionais/epidemiologia , Análise de Regressão , Fatores Socioeconômicos , Chá
9.
Eur J Clin Nutr ; 54 Suppl 2: S43-51, 2000 May.
Artigo em Inglês | MEDLINE | ID: mdl-10902986

RESUMO

OBJECTIVES: This paper reports the dietary intake (home, day care centers, supplement and breast milk) of the children in the clinical trial in Pangalengan. DESIGN: Two cohorts of children were randomly assigned to three treatments: E = 1171 kJ + 12 mg iron; M = 209 kJ + 12 mg iron; S = 104 kJ. Supplementation was given for 12 months. SETTING: The sites were six tea plantations in Pangalengan, West Java. SUBJECTS: A 12-month-old (n = 53) and an 18-month-old (n = 83) cohort were recruited from day-care-centers. Twenty children who received S belong to the 12- and 18-month-old cohorts. Inclusion criteria were: no chronic disease; length-for-age < or = -1 standard deviation (s.d.) and weight-for-length between -1 and -2 s.d. of the median of the reference of the World Health Organization. METHODS: E = 1171 kJ + 12 mg iron; M = 209 kJ + 12 mg iron; S = 104 kJ. Supplementation was given for 12 months. Evaluations of intake were made at baseline and every 2 months thereafter. RESULTS: For the 12-month-old cohort the mean increase in daily energy intake approximately 2931 kJ for E, approximately 1675 kJ for M, and approximately 837 kJ increase over the 6 months for the S group. For the 18-month-old cohort the changes were approximately 2512 kJ for E approximately 1675 for the M group and approximately 1047 for the S group.


Assuntos
Suplementos Nutricionais , Ingestão de Alimentos , Ingestão de Energia , Fenômenos Fisiológicos da Nutrição do Lactente , Micronutrientes/administração & dosagem , Distúrbios Nutricionais/dietoterapia , Antropometria , Desenvolvimento Infantil , Ingestão de Energia/fisiologia , Metabolismo Energético/fisiologia , Exercício Físico , Feminino , Humanos , Indonésia/epidemiologia , Lactente , Bem-Estar do Lactente , Masculino , Micronutrientes/farmacologia , Avaliação Nutricional , Distúrbios Nutricionais/epidemiologia
10.
Eur J Clin Nutr ; 54 Suppl 2: S60-8, 2000 May.
Artigo em Inglês | MEDLINE | ID: mdl-10902988

RESUMO

OBJECTIVES: This paper reports the effects of an energy and micronutrient supplement on the motor development, motor milestones and motor activity of nutritionally at risk infants and toddlers in Pangalengan, Indonesia. DESIGN: Two cohorts of children were randomly assigned to three treatments E = 1171 kJ + 12 mg iron; M = 209 kJ + 12 mg iron; S = 104 kJ. Supplementation was given for 12 months. SETTING: The sites were six tea plantations in Pangalengan, West Java. SUBJECTS: A 12-month-old (n = 53) and an 18-month-old (n = 83) cohort were recruited from day-care-centers. Twenty children that received S belonged to the 12- and 18-month-old cohorts. Inclusion criteria were: no chronic disease; length-for-age < or = -1 standard deviation (s.d.) and weight-for-length between -1 and -2 s.d. of the median of the reference of the World Health Organization. METHODS: Evaluations of intake were made at baseline and every 2 months thereafter. Motor development was assessed with the Bayley Scale and with a custom-made scale to assess gross motor development leading to bipedal locomotion. Motor activity was assessed through 4 h continuous observations of the child's interaction with the social and physical environment. RESULTS: In the 12-month-old cohort, as compared to the M and S groups the children that received the E supplement walked at an earlier age, had higher scores in the Bayley Scale and were motorically more active. Similar intergroup differences were observed in the 18-month-old cohort in the total motor activity score.


Assuntos
Desenvolvimento Infantil , Suplementos Nutricionais , Ingestão de Energia/fisiologia , Micronutrientes/administração & dosagem , Atividade Motora/fisiologia , Distúrbios Nutricionais/dietoterapia , Fatores Etários , Antropometria , Pré-Escolar , Estudos de Coortes , Exercício Físico , Feminino , Humanos , Indonésia , Lactente , Fenômenos Fisiológicos da Nutrição do Lactente , Locomoção , Estudos Longitudinais , Masculino , Micronutrientes/farmacologia , Destreza Motora/fisiologia , Distúrbios Nutricionais/fisiopatologia
11.
Eur J Clin Nutr ; 54 Suppl 2: S74-9, 2000 May.
Artigo em Inglês | MEDLINE | ID: mdl-10902990

RESUMO

OBJECTIVES: This paper reports the effects of an energy and micronutrient supplement on skeletal maturation of nutritionally at risk infants and toddlers in Pangalengan, Indonesia. DESIGN: Two cohorts of children were randomly assigned to three treatments: E = 1171 kJoule + 12 mg iron; M = 12 mg iron + 209 kJ; S = 104 kJ. Supplementation was given for 12 months. SETTING: The sites were six tea plantations in Pangalengan, West Java. SUBJECTS: A 12-month-old (n = 53) and an 18-month-old (n = 83) cohort were recruited from day-care-centers. Twenty children that received S belonged to the 12- and 18-month-old cohorts. Inclusion criteria were: no chronic disease; length-for-age < or = -1 standard deviation (s.d.) and weight-for-length between -1 and -2 s.d. of the median of the reference of the World Health Organization. METHODS: Skeletal maturation was measured by X-ray of the left hand and wrist. The number of ossified centers and two different measures of skeletal age (Skel-1 and Skel-2) were the outcome variables measured. RESULTS: In the 12-month-old cohort, there were intergroup differences 6 and 12 months after baseline. First, the children in the E group were about 2 months more advanced in ossified centers than the children in the S group (P < 0.10). At 12 months, the children in the E group were about 3 months more advanced in skeletal age than the children in the M group. M group children were about 2.5 months behind the children in the S group.


Assuntos
Desenvolvimento Ósseo , Desenvolvimento Infantil/fisiologia , Suplementos Nutricionais , Ingestão de Energia/fisiologia , Fenômenos Fisiológicos da Nutrição do Lactente , Micronutrientes/administração & dosagem , Determinação da Idade pelo Esqueleto , Fatores Etários , Osso e Ossos/diagnóstico por imagem , Estudos de Coortes , Feminino , Humanos , Indonésia , Lactente , Masculino
12.
Eur J Clin Nutr ; 54 Suppl 2: S80-90, 2000 May.
Artigo em Inglês | MEDLINE | ID: mdl-10902991

RESUMO

OBJECTIVES: This paper reports the effects of an energy and micronutrient supplement on mental development and on the social cognitive and emotionally regulatory behaviors of nutritionally at risk infants and toddlers in Pangalengan, Indonesia. DESIGN: Two cohorts of children were randomly assigned to three treatments: E = 1171 kJ + 12 mg iron; M = 12 mg iron + 209 kJ; S = 104 kJoule. Supplementation was given for 12 months. SETTING: The sites were six tea plantations in Pangalengan, West Java. SUBJECTS: A 12-month-old (N = 53) and an 18-month-old (N = 83) cohort were recruited from day-care-centers. Twenty children who received S belonged to the 12- and 18-month-old cohort. Inclusion criteria were: no chronic disease; length-for-age < or = -1 standard deviation (s.d.) and weight-for-length between -1 and -2 s.d. of the median of the reference of the World Health Organization. METHODS: Evaluations of intake were made at baseline and every 2 months thereafter. Motor development was assessed with the Bayley Scale and with a custom-made scale to assess gross motor development leading to bipedal locomotion. Four hours of continuous observations were made of the child's interaction with the social and physical environment. RESULTS: In the 12-month-old cohort, as compared with the M and S groups, the children who received the E supplement walked at an earlier age, had higher scores in the Bayley Scale and showed more mature social-cognitive and emotional regulatory behaviors. Similar intergroup differences were observed in the 18-month-old cohort in social cognition and regulation of emotions.


Assuntos
Comportamento/fisiologia , Desenvolvimento Infantil , Cognição , Suplementos Nutricionais , Ingestão de Energia/fisiologia , Micronutrientes/administração & dosagem , Distúrbios Nutricionais/prevenção & controle , Anemia Ferropriva/complicações , Encéfalo/crescimento & desenvolvimento , Proteção da Criança/psicologia , Pré-Escolar , Estudos de Coortes , Feminino , Humanos , Indonésia/epidemiologia , Lactente , Fenômenos Fisiológicos da Nutrição do Lactente , Masculino , Micronutrientes/farmacologia , Distúrbios Nutricionais/complicações , Distúrbios Nutricionais/epidemiologia
13.
Eur J Clin Nutr ; 54 Suppl 2: S91-106, 2000 May.
Artigo em Inglês | MEDLINE | ID: mdl-10902992

RESUMO

OBJECTIVES: This paper reports the effects of an energy and micronutrient supplementation on quantitative and qualitative aspects of play among poorly nourished children. At issue is whether the supplement led to a progression in complexity of play. DESIGN: Two cohorts of children were randomly assigned to three treatments: E = 1171 kJ + 12 mg iron; M = 12 mg iron + 209 kJ; S = 104 kJ. Supplementation was given for 6 months. Evaluations of play behavior were repeated four times. SETTING: The sites were six tea plantations in Pangalengan, West Java. SUBJECTS: The present study utilized a subsample of 55 children recruited for the larger Pangalengan project 6 months into the study. Thirty-eight children were recruited late enough to allow for longitudinal observations. The remaining cases were used for cross sectional observations only. Inclusion criteria were: no chronic disease; length-for-age < or = -1 standard deviation (s.d.) and weight-for-length between -1 and -2 s.d. of the median of the reference of the World Health Organization. METHODS: The children were videotaped during play. These tapes were coded for eight mutually exclusive categories of activities. Four activities coded represented manipulative, relational, functional and symbolic play. RESULTS: Treatment did not affect qualitative play. Girls that received E increased functional play but boys showed the opposite effect. Children in the S group were breastfed more during play as compared to the E group. Children in the E group waited less to begin play.


Assuntos
Suplementos Nutricionais , Ingestão de Energia/fisiologia , Comportamento do Lactente , Micronutrientes/administração & dosagem , Distúrbios Nutricionais/psicologia , Jogos e Brinquedos , Encéfalo/crescimento & desenvolvimento , Desenvolvimento Infantil , Cognição , Comparação Transcultural , Feminino , Humanos , Indonésia , Lactente , Fenômenos Fisiológicos da Nutrição do Lactente , Masculino , Micronutrientes/farmacologia , Distúrbios Nutricionais/dietoterapia , Fatores Sexuais
14.
Eur J Clin Nutr ; 54 Suppl 2: S114-9, 2000 May.
Artigo em Inglês | MEDLINE | ID: mdl-10902994

RESUMO

OBJECTIVES: This paper reports the effects of an energy and micronutrient supplementation on mental and motor development, activity and behavior under natural conditions of children classified as iron deficient anemic and iron replete. DESIGN: Children were randomly assigned to two different nutritional supplements: (1) 12 mg iron + either 1171 or 209 kJ; (2) 104 kJ + 0 iron. Treatment lasted for 6 months. SETTING: The sites were six tea plantations in Pangalengan, West Java. SUBJECTS: Eighteen anemic subjects (hemoglobin < 110 g/L; transferrin saturation (TS) < 16%) and 18 matched (sex and age) controls (hemoglobin > 110 g/L; TS > 16%) were selected from a pool of children with the following characteristics: no chronic disease; length-for-age < or = -1 standard deviation (s.d.) and weight-for-length between -1 and -2 s.d. of the median of the reference of the World Health Organization. METHODS: Hemoglobin, ferritin, transferrin saturation and erythrocyte protoporphyrin were evaluated before and 6 months after treatment. The following psychological measurements were obtained at baseline and 2, 4 and 6 months later. Mental and motor development was evaluated with the Bayley Scale. Motor activity was measured by 4 h continuous observations at home and at day care centers. The interactions between the child and its social and physical environment were also evaluated during 4 h of observations. RESULTS: Anemic children showed faster motor development and greater physical activity than the control children did. None of the other tests showed inter-group differences.


Assuntos
Anemia Ferropriva/fisiopatologia , Desenvolvimento Infantil , Suplementos Nutricionais , Ingestão de Energia/fisiologia , Micronutrientes/administração & dosagem , Atividade Motora , Distúrbios Nutricionais/dietoterapia , Anemia Ferropriva/dietoterapia , Encéfalo/crescimento & desenvolvimento , Cognição , Estudos de Coortes , Eritrócitos/metabolismo , Exercício Físico , Feminino , Ferritinas/metabolismo , Hemoglobinas/metabolismo , Humanos , Indonésia , Lactente , Comportamento do Lactente , Fenômenos Fisiológicos da Nutrição do Lactente , Ferro/sangue , Masculino , Micronutrientes/metabolismo , Distúrbios Nutricionais/fisiopatologia , Distúrbios Nutricionais/psicologia
15.
Am J Clin Nutr ; 66(6): 1357-63, 1997 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-9394687

RESUMO

Does short-term supplementary feeding during infancy and childhood have long-lasting effects? In 1986, 334 children aged 6-60 mo living on rural tea plantations in West Java, Indonesia, participated in a 3-mo randomized trial to test the effects of a dietary supplement providing approximately 1672 kJ (400 kcal) energy/d, with about the same nutrient density as local foods. We returned to the same communities in 1994 and enrolled 231 (125 supplemented, 106 control) of the original subjects in a follow-up study of the long-term effects of supplementation. We assessed these subjects by using several measures: anthropometry, iron status, information processing, Peabody Picture Vocabulary Test, word fluency, and an arithmetic test. The supplemented group showed no differences from those in the control group. However, when the analysis was limited to subjects who had received the supplement before the age of 18 mo (n = 73), the supplemented children performed better than control children on the Sternberg test of working memory (decision time intercept: probe absent, P = 0.002; probe present, P = 0.053). After considering possible confounders, we concluded that the supplementation during infancy was responsible for the difference. This finding shows that supplementation can have long-lasting effects on a specific domain if the child receives it at the appropriate stage of development.


PIP: This study sought to determine whether short-term supplementary feeding during infancy and childhood has long-lasting effects. In 1986, 334 children aged 6-60 months living on rural tea plantations in West Java, Indonesia, participated in a 3-month randomized trial to test the effects of a dietary supplement providing approximately 1672 kJ (400 kcal) energy/day, with about the same nutrient density as local foods. The authors returned to the same communities in 1994 and enrolled 231 (125 supplemented, 106 control) of the original subjects in a follow-up study of the long-term effects of supplementation. They assessed these subjects by using several measures: anthropometry, iron status, information processing, Peabody Picture Vocabulary Test, word fluency, and an arithmetic test. The supplemented group showed no differences compared to the control group. However, when the analysis was limited to subjects who had received the supplement before the age of 18 months (n = 73), the supplemented children performed better than control children on the Sternberg test of working memory (decision time intercept: probe absent, P = 0.002; probe present, P = 0.053). After considering possible confounders, the authors concluded that the supplementation during infancy was responsible for the difference. This finding shows that supplementation can have long-lasting effects on a specific domain, if the child receives it at the appropriate stage of development.


Assuntos
Desenvolvimento Infantil , Fenômenos Fisiológicos da Nutrição do Lactente , Inteligência , Antropometria , Criança , Cognição , Feminino , Seguimentos , Humanos , Indonésia , Lactente , Masculino , Classe Social
16.
Biomed Environ Sci ; 9(2-3): 325-40, 1996 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-8886347

RESUMO

The study assessed the effects of supplementary feeding over 180 consecutive days on iron status of infants and toddlers at six tea plantation in West Java, Indonesia. The design used was a clinical trial: two eohorts (i.e., 12 and 18 months old children) and three treatment groups (i.e., energy + micronutrient, micronutrient alone, and placebo) per cohort. Every day except Sunday, the infants attended day-care centers. Twenty four centers and 136 infants were selected. The infants were screened for weight and length and those meeting the criteria (i.e., < -1 SD of length-for-age, and between -1 and -2 SD of weight-for-length of the NCHS reference) were included. The experimental unit was the day-care centers (DCC), where each DCC was randomly assigned to one of the three treatment. As expected, groups of energy + micronutrient and micronutrient alone of the 12 months cohort experienced a significant upward shift in hemoglobin, ferritin and TS and a downward change in FEP, while the values for the group of placebo remain about the same as at base line. In the first 6 month of treatments, the ANOVA for each iron indicator yielded significant main effects of treatment (P < 0.01) and for Hb with (P = 0.059) on 12 months cohort. On the other hand, the main effects of treatment on hemoglobin, TS, ferritin and FEP were not significant for the 18 months cohort. In the second 6 months of treatments, the only significant of the treatment effect (P < 0.01) was in serum ferritin on 18-month cohort. Under these circumstances, energy has a positive role in improving iron stores. It is likely that the equilibrium of hemoglobin and each iron indicators were reached in 6 months of treatment except ferritin still continued to increase up to 12 month. The effects of treatment on the improvement of iron status was stronger in 12 months than in 18 months.


Assuntos
Envelhecimento/metabolismo , Metabolismo Energético/fisiologia , Alimentos Fortificados , Ferro/farmacologia , Micronutrientes/farmacologia , Estado Nutricional , Análise de Variância , Ferritinas/sangue , Testes Hematológicos , Hemoglobinas/metabolismo , Humanos , Lactente , Protoporfirinas/sangue , Método Simples-Cego , Transferrina/metabolismo
17.
Malays J Nutr ; 2(2): 156-67, 1996 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22692138

RESUMO

The incidence of low birth weight in Indonesia as well as other developing countries is high. This can be reduced, if at risk pregnant women can be identified and their risks lowered. A 2-year cohort prospective study of 1,281 pregnant women found that maternal nutrition, including height and weight during pregnancy affected the birth weight of infants. On the basis of these findings, a Mother's Health Card was developed to monitor maternal weight during pregnancy and to observe factors affecting low birth weight. The validation study of the use of this card in four different ethnic and geographic areas found that the prediction values for identifying women who were at risk of delivering low birth weight infants was adequately high. The card proved simple, usable by village cadres, action oriented, and facilitated health nutrition education as well as persuading women to use available health care services. It also promoted better maternal and foetal nutrition by increasing the level of awareness of the women, the cadres, and the health personnel.

20.
Am J Clin Nutr ; 54(5): 799-804, 1991 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-1951149

RESUMO

This study assessed the developmental effects of supplementary feeding over 90 consecutive days on infants aged 6-20 mo at six tea plantations in West Java, Indonesia. Every day except Sunday, the infants attended day-care centers distributed throughout the plantations. Twenty centers and 113 infants were selected; the infants in 9 centers received a dietary supplement, while the infants in 11 centers served as control subjects. Supplements were given twice a day providing, on average, 10.66 kJ (400 kcal) and 5 g protein/d. Measurements of body growth, dietary intake, and mental and motor development were made on all infants. Supplementary feeding had significant effects on weight gain and on motor development. Changes in caloric intake were independently associated with changes in weight and in motor test scores. The data suggest that the effects of the supplement may not have followed a simple mechanistic relationship from intake to weight change to motor development, but, rather, intake may have affected both growth and development domains simultaneously.


Assuntos
Comportamento , Peso Corporal , Fenômenos Fisiológicos da Nutrição do Lactente , Desempenho Psicomotor , Antropometria , Ingestão de Energia , Humanos , Indonésia , Lactente , Fatores de Risco , Fatores de Tempo
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