DIET

饮食
  • 文章类型: Journal Article
    食肉动物在维持生态系统的结构和功能以及生态过程中起着关键作用。了解同胞物种如何在自然生态系统中共存是社区生态学和生物多样性保护的中心研究课题。在这项研究中,我们探索了沿空间的种内和种间生态位划分,temporal,和顶端食肉动物之间的饮食生态位分配(狼犬狼疮,雪豹,欧亚山猫山猫山猫)和中食肉(帕拉斯的猫Otocolobusmanul,红狐狸Vulpesvulpes,祁连山国家公园的藏狐Vulpesferrilata),中国,使用相机捕获数据和DNA元编码测序数据。我们的研究表明,顶点食肉动物物种在时间上(种间重叠系数从0.661到0.900)或在营养上(Pianka指数从0.458到0.892)有更多的重叠,中食肉物种之间有很高的饮食重叠(Pianka指数范围从0.945到0.997),顶点食肉动物和中食性动物物种具有较高的时间重叠(种间重叠系数为0.497至0.855)。在狼和雪豹(Pianka指数=0.892)以及帕拉斯猫和藏狐(Pianka指数=0.997)之间观察到较大的饮食重叠,这表明了这些物种对增加资源竞争的潜力。我们得出的结论是,空间生态位划分可能是促进顶端食肉动物物种共存的关键驱动因素,虽然时空生态位划分可能促进中食性物种的共存,空间和饮食生态位的分配促进了顶点和中食性物种之间的共存。我们的发现考虑了跨时间的划分,空间,和饮食尺寸,同时研究祁连山国家公园食肉动物物种的多种共存模式,中国。这些发现将大大有助于当前对食肉动物行会的理解以及脆弱的高山生态系统中的有效保护管理。
    Carnivores play key roles in maintaining ecosystem structure and function as well as ecological processes. Understanding how sympatric species coexist in natural ecosystems is a central research topic in community ecology and biodiversity conservation. In this study, we explored intra- and interspecific niche partitioning along spatial, temporal, and dietary niche partitioning between apex carnivores (wolf Canis lupus, snow leopard Panthera uncia, Eurasian lynx Lynx lynx) and mesocarnivores (Pallas\'s cat Otocolobus manul, red fox Vulpes vulpes, Tibetan fox Vulpes ferrilata) in Qilian Mountain National Park, China, using camera trapping data and DNA metabarcoding sequencing data. Our study showed that apex carnivore species had more overlap temporally (coefficients of interspecific overlap ranging from 0.661 to 0.900) or trophically (Pianka\'s index ranging from 0.458 to 0.892), mesocarnivore species had high dietary overlap with each other (Pianka\'s index ranging from 0.945 to 0.997), and apex carnivore and mesocarnivore species had high temporal overlap (coefficients of interspecific overlap ranging from 0.497 to 0.855). Large dietary overlap was observed between wolf and snow leopard (Pianka\'s index = 0.892) and Pallas\'s cat and Tibetan fox (Pianka\'s index = 0.997), suggesting the potential for increased resource competition for these species pairs. We concluded that spatial niche partitioning is likely to key driver in facilitating the coexistence of apex carnivore species, while spatial and temporal niche partitioning likely facilitate the coexistence of mesocarnivore species, and spatial and dietary niche partitioning facilitate the coexistence between apex and mesocarnivore species. Our findings consider partitioning across temporal, spatial, and dietary dimensions while examining diverse coexistence patterns of carnivore species in Qilian Mountain National Park, China. These findings will contribute substantially to current understanding of carnivore guilds and effective conservation management in fragile alpine ecosystems.
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  • 文章类型: Journal Article
    目的:评估通过能量调整饮食炎症指数(E-DII)测量的饮食炎症潜能与青少年炎症标志物之间的关联。
    方法:这项横断面研究是在来自圣路易斯的518名18岁和19岁青少年中进行的,Maranhão,2016年巴西。使用半定量食物频率问卷(FFQ)评估饮食摄入量,从中计算E-DII评分以确定饮食的炎症潜力。E-DII与炎症标志物(hs-CRP,IL-6,IL-4,TNF-α,和IFNγ)采用多元线性回归分析。使用有向无环图识别调整后模型中包含的变量。
    结果:这些青少年的饮食主要是促炎的;平均E-DII评分为1.71,范围为-2.44至5.58。在调整后的分析中,较高的E-DII评分与较高的IFNγ水平呈正相关(调整后的系数。:1.19;95CI:0.36-12.04)。我们观察到E-DII和其他炎症标志物之间没有关联(hs-CRP,IL-6、IL-4、TNF-α)。研究结果表明,E-DII可用于评估巴西青少年饮食的炎症潜力。
    结论:横截面E-DII评分与IFNγ浓度呈正相关。未来的研究应该纵向检查E-DII评分变化与炎症标志物水平之间的关联。
    OBJECTIVE: To evaluate the association between the inflammatory potential of the diet measured by the energy-adjusted diet inflammatory index (E-DII) and inflammatory markers in adolescents.
    METHODS: This cross-sectional study was conducted among 518 adolescents aged 18 and 19 years from São Luís, Maranhão, Brazil in 2016. A semiquantitative food frequency questionnaire (FFQ) was used to assess dietary intake from which E-DII scores were calculated to determine the inflammatory potential of the diet. The associations between E-DII and inflammatory markers (hs-CRP, IL-6, IL-4, TNF-α, and IFNγ) were analyzed using multivariable linear regression. The variables included in the adjusted model were identified using the directed acyclic graph.
    RESULTS: The diet of these adolescents was mostly pro-inflammatory; mean E-DII score was 1.71 and ranged from -2.44 to 5.58. Higher E-DII scores were positively associated with higher levels of IFNγ in the adjusted analysis (Adjusted Coef.: 1.19; 95%CI: 0.36-12.04). We observed no associations between E-DII and other inflammatory markers (hs-CRP, IL-6, IL-4, TNF-α). Study results indicate that E-DII is useful in evaluating the inflammatory potential of the diet of Brazilian adolescents.
    CONCLUSIONS: Cross-sectionally E-DII scores were positively associated with IFNγ concentrations. Future research should examine the association between changes in E-DII scores and levels of inflammatory markers longitudinally.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Journal Article
    背景:微量元素,如锌,镁和铜,对于改善肉鸡育种者的性能和健康以及鸡胚的发育至关重要。这些元素是参与新陈代谢的各种蛋白质的组成部分,激素分泌和免疫系统,需要将它们少量包含在家禽日粮中。
    目的:本研究旨在确定不同锌源对性能的最佳水平和影响,产蛋期结束时蛋鸡的蛋品质和免疫系统。
    方法:实验涉及520只LohmannLSL产蛋鸡,年龄80周,分为13种处理,每次复制5只,每次复制8只。饲喂母鸡的饮食补充了40、60和80mg/kg来自各种来源的锌:矿物氧化锌,矿物硫酸锌,与甘氨酸螯合的有机锌和与有机酸螯合的有机锌。测量的关键参数包括体重,鸡蛋重量和免疫反应。
    结果:基础饮食中含有63.58mg/kg的锌,根据LohmannLSL指南的要求为80mg/kg。补锌显著增加体重在第二个月,以80mg/kg为最佳剂量。与对照相比,氧化锌显著增加蛋重。母鸡利用所有来源的锌,导致体重增加和改善参数,如鸡蛋质量。免疫参数也受到锌补充的积极影响。
    结论:补充适当水平的锌可提高蛋鸡的生产性能和蛋品质,特别是在生产期结束时。它提高了生物利用度,丰富卵子并减轻与年龄相关的生产力下降。
    BACKGROUND: Trace elements, such as zinc, magnesium and copper, are essential for improving the performance and health of broiler breeders and the development of chicken embryos. These elements are integral to various proteins involved in metabolism, hormone secretion and the immune system, necessitating their inclusion in small amounts in poultry diets.
    OBJECTIVE: This study aimed to determine the optimal level and effect of different zinc sources on performance, egg quality and the immune system of laying hens at the end of the production period.
    METHODS: The experiment involved 520 Lohmann LSL laying hens, aged 80 weeks, divided into 13 treatments with 5 replications and 8 birds per replication. The hens were fed diets supplemented with 40, 60 and 80 mg/kg of zinc from various sources: mineral zinc oxide, mineral zinc sulphate, organic zinc chelated with glycine and organic zinc chelated with an organic acid. Key parameters measured included body weight, egg weight and immune response.
    RESULTS: The basal diet contained 63.58 mg/kg of zinc, with the requirement per the Lohmann LSL guideline being 80 mg/kg. Zinc supplementation significantly increased body weight in the second month, with 80 mg/kg being the optimal dose. Zinc oxide notably increased egg weight compared to the control. The hens utilized zinc from all sources, resulting in weight gain and improved parameters such as egg quality. Immune parameters were also positively influenced by zinc supplementation.
    CONCLUSIONS: Zinc supplementation at appropriate levels enhances the performance and egg quality of laying hens, particularly at the end of the production period. It improves bioavailability, enriches eggs and mitigates age-related declines in productivity.
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  • 文章类型: Journal Article
    背景:植物源性添加剂将有助于减轻空肠弯曲菌对肉鸡生产性能和生理反应的不利影响。
    目的:进行此实验以研究紫锥菊(EP)和胸针(TS)对性能的影响,营养素消化率,血清生物化学,肠道形态学,从0到42日龄空肠弯曲杆菌攻击的肉鸡的肠道微生物群和免疫反应。
    方法:将240只雄性肉鸡分为6组,并饲喂各种饮食:对照饮食;补充有0.25%(EP25)或0.50%(EP50)的EP的对照饮食;补充有0.25%(TS25)和0.50%(TS50)的TS的对照饮食;或含有55ppm红霉素的对照饮食。在第21天和第23天用空肠杆菌对小鸡进行口服攻击。
    结果:EP和TS25饮食提高了欧洲生产效率因子,饲料转化率和干物质和有机物的消化率。TS25在第42天增加十二指肠绒毛高度(VH)和表面积。与对照和红霉素饮食相比,EP25饮食增加回肠VH。含有某些EP25和TS的饮食在第39天增加了双歧杆菌的种群并减少了空肠弯曲杆菌的种群。EP50和TS50饮食增加了针对新城疫病毒的抗体滴定。
    结论:结论:EP和TS饮食补充改善了性能,微生物,肠空肠弯曲杆菌攻击肉鸡的肠道形态和免疫反应。
    BACKGROUND: Phytogenic additives would be helpful to alleviate the adverse effect of Campylobacter jejuni on the performance and physiological responses of broiler chickens.
    OBJECTIVE: This experiment was carried out to investigate the effects of Echinacea purpurea (EP) and Thymbra spicata (TS) on the performance, nutrient digestibility, serum biochemistry, intestinal morphology, intestinal microbiota and immune responses of broilers challenged with C. jejuni from 0 to 42 days of age.
    METHODS: A total of 240 male broiler chickens were divided into 6 groups and fed various diets: a control diet; the control diet supplemented with EP at 0.25% (EP25) or 0.50% (EP50); the control diet supplemented with TS at 0.25% (TS25) and 0.50% (TS50); or the control diet containing erythromycin at 55 ppm. Chicks were orally challenged with C. jejuni on Days 21 and 23 of age.
    RESULTS: EP and TS25 diets enhanced European production efficiency factor, feed conversion ratio and digestibility of dry matter and organic matter. TS25 increased duodenal villous height (VH) and surface area on Day 42 of age. EP25 diet increased ileal VH compared to control and erythromycin diets. Diets containing certain EP25 and TS increased the Bifidobacterium population and decreased C. jejuni population on Day 39 of age. EP50 and TS50 diets increased antibody titration against Newcastle disease virus.
    CONCLUSIONS: In conclusion, EP and TS dietary supplementation improved performance, microflora, intestinal morphology and immune responses in C. jejuni-challenged broilers.
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  • 文章类型: Journal Article
    运动员经常经历焦虑和抑郁的速度类似于或高于非运动员。均衡饮食可以缓解运动员的内化症状。此外,饮食和睡眠都与内化症状有关。我们的研究调查了睡眠质量如何介导饮食习惯对运动员内化症状的影响。
    当前的横断面研究涉及758名中国年轻运动员。调整后的澳大利亚运动员饮食指数用于评估饮食模式,使用运动员睡眠筛查问卷测量睡眠。采用广泛性焦虑障碍7量表和患者健康问卷9项量表评估焦虑和抑郁症状。结构方程模型(SEM)分析用于检查睡眠质量在年轻运动员中的中介作用。原型的原始分数,睡眠质量,对焦虑和抑郁进行统计分析。
    在青少年中没有发现明显的间接影响。在成年运动员中,饮食介导了时间型与睡眠质量之间的关系(β=-0.028,p<0.001)。睡眠质量介导饮食与焦虑之间的关联(β=-0.060,p=0.001),和抑郁(β=-0.076,p=0.001)。此外,饮食和睡眠质量介导了慢性型和焦虑之间的关联(β=-0.028,p=0.001),和抑郁(β=-0.028,p=0.001)。
    睡眠质量介导了年轻成年运动员的饮食模式与内化症状之间的关系。此外,饮食和睡眠质量介导了年轻成年运动员的慢性表型和内化症状之间的关联。
    UNASSIGNED: Athletes frequently experience anxiety and depression at rates similar to or higher than non-athletes. A balanced diet can alleviate athletes internalizing symptoms. Moreover, diet and sleep are all associated with internalising symptoms. Our study investigates how sleep quality mediates the impact of dietary habits on internalizing symptoms in athletes.
    UNASSIGNED: The current cross-sectional study involved 758 Chinese young athletes. The adapted Australian Athletes Diet Index was used to assess dietary patterns, and sleep was measured using the Athletes Sleep Screening Questionnaire. The Generalised Anxiety Disorder 7 scale and the Patient Health Questionnaire 9-item scale were used to assess symptoms of anxiety and depression. Structural Equation Modelling (SEM) analysis was used to examine the mediating role of sleep quality in young athletes. Raw scores of chronotypes, sleep quality, anxiety and depression were calculated for the statistical analysis.
    UNASSIGNED: No significant indirect effects were found in adolescents. In adult athletes, diet mediated the relationship between chronotype and sleep quality (β = -0.028, p  <  0.001). Sleep quality mediated the association between diet and anxiety (β = -0.060, p = 0.001), and depression (β = -0.076, p = 0.001). Additionally, diet and sleep quality mediated the association between chronotypes and anxiety (β = -0.028, p = 0.001), and depression (β = -0.028, p = 0.001).
    UNASSIGNED: Sleep quality mediated the relationship between dietary patterns and internalising symptoms in young adult athletes. Additionally, diet and sleep quality mediated the association between chronotypes and internalising symptoms in young adult athletes.
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  • 文章类型: Journal Article
    背景:围产期构成了母马的微妙生理时刻,表现出短暂的氧化应激状态。女性怀孕期间补充抗氧化剂似乎对母亲和新生儿健康有有益的影响。这项工作的目的是评估含有抗氧化剂混合物(Oxyliver®,念珠菌)在妊娠的长度上,体重,意大利Salernitano母马及其新生小马驹的血液生化参数。将八只晚期妊娠母马随机分为两组:Antiox组接受30g/天的抗氧化剂,和Car组接受相同量的胡萝卜粉,从怀孕290到320天。在母马中评估了以下参数:体重,初乳成分,血液生化参数,黄体酮,和皮质醇血液浓度,以及血液中的氧化剂/抗氧化剂状态。在特定的时间点进行评估:在饮食补充开始之前(T0),(T1)后15天,在饮食补充结束时(T2),分娩后8小时内(T3),产后10天(T4)。Foal参数,如重量,血液生化值,皮质醇浓度,在出生后8小时(TF0)和10天龄(TF1)内评估血液氧化应激变量。
    结果:与Car组相比,Antiox组的妊娠时间更短(P<0.05);与Car组(28.6%)相比,Antiox组(40%)的马驹体重增加更高(P<0.05)。Antiox组的初乳表现出更高水平的Brix,总固体,蛋白质,非脂肪固体,酪蛋白,尿素,密度,游离脂肪酸,和葡萄糖,与Car组相比,脂肪和乳糖水平较低(P<0.05)。T1和T3时的血清白蛋白,肌酐,葡萄糖,总蛋白质,总胆红素,AST,Antiox组T3时的ALT低于Car组。在小马驹中没有发现显着差异。
    结论:虽然有限的样本量和评估参数的潜在变异性,观察结果表明,在马术中补充Oxyliver®可能安全地减少妊娠长度并增强肝功能,从而潜在地改善初乳质量和后代发育。
    BACKGROUND: The peripartum period constitutes a delicate physiological moment in mares showing a transient state of oxidative stress. Diet supplementation with antioxidants during pregnancy in women appears to have a beneficial effect on mother and neonate health. The aim of this work was to evaluate the effects of diet supplementation with a commercial product containing a mix of antioxidants (Oxyliver®, Candioli) on the length of gestation, weight, and haemato-biochemical parameters in Italian Salernitano mares and their newborn foals. Eight late-term pregnant mares were randomly divided into two groups: Antiox group receiving 30 g/day of antioxidants, and Car group receiving the same amount of carrot powder, from 290 to 320 days of gestation. The following parameters were evaluated in mares: weight, colostrum composition, haemato-biochemical parameters, progesterone, and cortisol blood concentrations, along with blood oxidant/antioxidant status. Assessments were conducted at specific time points: immediately before the start of diet supplementation (T0), 15 days after (T1), at the end of diet supplementation (T2), within 8 h after parturition (T3), and 10 days post-partum (T4). Foal parameters such as weight, haemato-biochemical values, cortisol concentration, and blood oxidative stress variables were assessed within 8 h of birth (TF0) and at 10 days of age (TF1).
    RESULTS: Pregnancy was shorter in the Antiox group (P < 0.05) compared with the Car group; the foals\' weight increase of group Antiox (40%) was higher (P < 0.05) compared to those of the Car group (28.6%). The colostrum of the Antiox group exhibited higher levels of Brix, total solids, protein, nonfat solids, casein, urea, density, free fatty acids, and glucose, while lower levels of fat and lactose were observed compared to the Car group (P < 0.05). Mares\' serum albumin at T1 and T3, creatinine, glucose, total proteins, total bilirubin, AST, and ALT at T3 were lower in Antiox than in the Car group. No significant differences were found in foals.
    CONCLUSIONS: While the limited sample size and the potential variability of evaluated parameters, the observed outcomes suggest that Oxyliver® supplementation in mares might safely decrease gestation length and enhance liver function, thus potentially improving colostrum quality and offspring development.
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  • 文章类型: Journal Article
    背景:饮食相关疾病,比如2型糖尿病,要求严格的饮食管理以减缓疾病进展,并呼吁创新的管理策略。传统的饮食监测给患者带来了巨大的记忆负担,他们可能不准确地记住他们的饮食细节,因此经常在预防疾病进展方面做得不够。传感器和计算技术的最新进展引起了人们对开发饮食检测平台的兴趣。
    目的:这篇综述研究了中枢血流动力学和体温调节反应作为进食检测的潜在生物标志物。
    方法:我们搜索了PubMed索引的同行评审文献,WebofScience,和Scopus在2022年6月20日,没有日期限制。我们还在同一数据库中进行了手动搜索,直到2024年4月21日。我们纳入了英文论文,证明了饮食对健康个体中枢血液动力学和体温调节的影响。评估整体研究质量,评估偏倚风险,我们设计了一个受Cochrane评估框架启发的定制工具。这个工具有4个类别:高,中等,低,而且很低。共有2名独立审稿人进行了标题和摘要筛选,全文回顾,并研究偏倚分析的质量和风险。在两位审稿人意见不一致的情况下,第三位审稿人担任评委。
    结果:我们的搜索检索了11,450项研究,和25符合我们的纳入标准。在纳入的25项研究中,32%(8/25)被归类为高质量,52%(13/25)为中等质量,16%(4/25)为低质量。此外,我们在纳入的任何研究中均未发现发表偏倚的证据.餐后心率持续增加,心输出量,在调查这些变量对进食的反应的研究中,至少有95%(心率:19/19,心输出量:18/19,每搏输出量:11/11)观察到每搏输出量。具体来说,心输出量增加9%-100%,每搏输出量减少18%-41%,在这些研究中,心率下降了6%-21%。这些变化具有统计学意义(P<0.05)。相比之下,调查餐后体温调节效应的8项研究显示出严重不一致的结果,反应差异很大,没有明确的变化模式,表明这些研究之间存在高度的变异性。
    结论:我们的研究结果表明,中枢血流动力学反应,尤其是心率,为可穿戴式饮食检测提供了希望,因为心输出量和每搏输出量无法通过任何当前可用的非侵入性医疗或消费级可穿戴设备进行测量。
    背景:PROSPEROCRD42022360600;https://www.crd.约克。AC.uk/prospro/display_record.php?RecordID=360600。
    BACKGROUND: Diet-related diseases, such as type 2 diabetes, require strict dietary management to slow down disease progression and call for innovative management strategies. Conventional diet monitoring places a significant memory burden on patients, who may not accurately remember details of their meals and thus frequently falls short in preventing disease progression. Recent advances in sensor and computational technologies have sparked interest in developing eating detection platforms.
    OBJECTIVE: This review investigates central hemodynamic and thermoregulatory responses as potential biomarkers for eating detection.
    METHODS: We searched peer-reviewed literature indexed in PubMed, Web of Science, and Scopus on June 20, 2022, with no date limits. We also conducted manual searches in the same databases until April 21, 2024. We included English-language papers demonstrating the impact of eating on central hemodynamics and thermoregulation in healthy individuals. To evaluate the overall study quality and assess the risk of bias, we designed a customized tool inspired by the Cochrane assessment framework. This tool has 4 categories: high, medium, low, and very low. A total of 2 independent reviewers conducted title and abstract screening, full-text review, and study quality and risk of bias analysis. In instances of disagreement between the 2 reviewers, a third reviewer served as an adjudicator.
    RESULTS: Our search retrieved 11,450 studies, and 25 met our inclusion criteria. Among the 25 included studies, 32% (8/25) were classified as high quality, 52% (13/25) as medium quality, and 16% (4/25) as low quality. Furthermore, we found no evidence of publication bias in any of the included studies. A consistent postprandial increase in heart rate, cardiac output, and stroke volume was observed in at least 95% (heart rate: 19/19, cardiac output: 18/19, stroke volume: 11/11) of the studies that investigated these variables\' responses to eating. Specifically, cardiac output increased by 9%-100%, stroke volume by 18%-41%, and heart rate by 6%-21% across these studies. These changes were statistically significant (P<.05). In contrast, the 8 studies that investigated postprandial thermoregulatory effects displayed grossly inconsistent results, showing wide variations in response with no clear patterns of change, indicating a high degree of variability among these studies.
    CONCLUSIONS: Our findings demonstrate that central hemodynamic responses, particularly heart rate, hold promise for wearable-based eating detection, as cardiac output and stroke volume cannot be measured by any currently available noninvasive medical or consumer-grade wearables.
    BACKGROUND: PROSPERO CRD42022360600; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=360600.
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  • 文章类型: Journal Article
    背景:母亲在怀孕期间的饮食可能会影响婴儿的免疫发育。然而,因为我们的膳食摄入成分之间的潜在相互作用会使任何营养分析变得复杂,在这里,我们采取了多组分膳食分析方法。
    方法:使用经过验证的半定量食物频率问卷从639名孕妇收集营养摄入数据,以反映他们在妊娠32-36周期间的饮食摄入。为了调查他们的饮食摄入模式,我们计算了饮食炎症指数评分。产妇食用12种食物,20个单独的全食物,和18种特定的营养素摄入量,以及任何维生素和矿物质补充剂,决心。婴儿结局包括湿疹,过敏原致敏,和IgE介导的食物过敏。应用基于回归的分析和协变量调整。
    结果:白面包消费量较高的女性更有可能生下患有医生诊断的湿疹(调整后的相对危险度[aRR]1.16;95%CI1.08,1.24;p<.001)和IgE介导的食物过敏(aRR1.14;95%CI1.02,1.28;p=.02)。富含纤维的面包(aRR1.14;95%CI1.04,1.25;p=.01)和豆类(aRR1.11;95%CI1.02,1.21;p=.02)的母亲摄入量较高也与婴儿医生诊断的湿疹相关。母亲硫胺素摄入量较高与父母报告的婴儿湿疹增加相关(aRR1.08;95%CI1.03,1.12;p<.001)。
    结论:在澳大利亚,用硫胺素强化面包粉,我们确定了孕妇高含硫胺素的饮食与婴儿湿疹和食物过敏风险增加之间的一致联系.我们的结果强调需要进一步研究高硫胺素暴露对免疫发育的潜在影响。尤其是子宫内.
    BACKGROUND: A mother\'s diet during pregnancy may influence her infant\'s immune development. However, as potential interactions between components of our dietary intakes can make any nutritional analysis complex, here we took a multi-component dietary analysis approach.
    METHODS: Nutritional intake data was collected from 639 pregnant women using a validated semi-quantitative food frequency questionnaire to reflect their dietary intakes during 32-36 weeks of gestation. To investigate their dietary intake pattern, we calculated Dietary Inflammatory Index scores. Maternal consumption of 12 food groups, 20 individual whole foods, and 18 specific nutrient intakes, along with any vitamin and mineral supplementation, were determined. Infant outcomes included eczema, allergen sensitization, and IgE-mediated food allergy. Regression-based analyses with covariates adjustment were applied.
    RESULTS: Women with higher white bread consumption were more likely to have an infant with doctor-diagnosed eczema (adjusted relative risk [aRR] 1.16; 95% CI 1.08, 1.24; p < .001) and IgE-mediated food allergy (aRR 1.14; 95% CI 1.02, 1.28; p = .02). Higher maternal intakes of fiber-rich bread (aRR 1.14; 95% CI 1.04, 1.25; p = .01) and legumes (aRR 1.11; 95% CI 1.02, 1.21; p = .02) were also associated with infant doctor-diagnosed eczema. Higher maternal thiamine intakes were associated with increased parent-reported infant eczema (aRR 1.08; 95% CI 1.03, 1.12; p < .001).
    CONCLUSIONS: In Australia, where bread flour is fortified with thiamine, we identified consistent links between higher maternal thiamine-rich diets and increased risk of infant eczema and food allergy. Our results highlight a need for further investigation of potential effects of high thiamine exposures on immune development, especially in-utero.
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  • 文章类型: Journal Article
    目的:评估低收入/低获取(LILA)普查区食物沙漠居民与非LILA居民之间阻塞性睡眠呼吸暂停(OSA)相关健康参数的差异研究设计:回顾性回顾。
    方法:从2017年到2023年,为南加州的一个大地区提供服务的单一机构。
    方法:如果相当大比例的居民生活在贫困线以下并且远离健康食品供应商,则将人口普查区定义为LILA。包括在多导睡眠图上新诊断为OSA的成年人。通过在美国农业部食品获取研究地图集中搜索患者地址来确定食品获取状态。收集基线和1年随访体重指数(BMI)和生命体征,并根据食物获取和其他人口统计学变量进行比较。
    结果:LILA+组共379例患者和LILA-组2281例患者符合纳入标准。LILA组的BMI较高(36.6±9.4vs35.2±8.9;P=.006)。食物获取的影响在某些人口统计学群体中最为显著:年龄<65岁的患者,男性,亚洲/太平洋岛民,西班牙裔,与LILA-组相比,LILA+组的医疗补助覆盖患者的BMI均较高。在考虑保险时,LILA+医疗补助覆盖患者的BMI显著高于LILA-非医疗补助覆盖患者(40.4±10.3vs34.2±8.4,P<0.001。血压,心率,LILA+/Medicaid组的呼吸暂停低通气指数也显著升高。在1年的随访中,所有人口群体的BMI变化都很小。
    结论:生活在LILA普查区可能会导致OSA相关健康参数恶化。在核算保险状况时,影响更加深远。关于体重管理重要性的强化咨询应该从OSA的诊断开始。
    OBJECTIVE: To assess differences in obstructive sleep apnea (OSA)-related health parameters between residents of low income/low access (LILA) census tracts-food deserts-and non-LILA residents STUDY DESIGN: Retrospective review.
    METHODS: Single institution serving a large region in Southern California from 2017 to 2023.
    METHODS: Census tracts are defined as LILA if a significant proportion of residents live below the poverty threshold and far from healthy food vendors. Adults newly diagnosed with OSA on polysomnography were included. Food access status was determined by searching patient addresses in the US Department of Agriculture Food Access Research Atlas. Baseline and 1-year follow-up body mass index (BMI) and vitals were collected and compared based on food access and other demographic variables.
    RESULTS: A total of 379 patients in the LILA+ group and 2281 patients in the LILA- group met inclusion criteria. BMI was higher in the LILA group (36.6 ± 9.4 vs 35.2 ± 8.9; P = .006). The effect of food access was most significant in certain demographic groups: patients aged < 65, males, Asian/Pacific Islanders, Hispanics, and patients with Medicaid coverage all had a higher BMI when in the LILA+ group compared to the LILA- group. When considering insurance, LILA+ patients with Medicaid coverage had a significantly higher BMI than LILA- patients with non-Medicaid coverage (40.4 ± 10.3 vs 34.2 ± 8.4, P < .001. Blood pressure, heart rate, and apnea-hypopnea index were also significantly higher in LILA+/Medicaid group. BMI change across all demographic groups was minimal at 1-year follow-up.
    CONCLUSIONS: Living in a LILA census tract may result in worse OSA-related health parameters. When accounting for insurance status, the effects are even more profound. Intensive counseling on the importance of weight management should begin at the diagnosis of OSA.
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