Search results

This study aims to examine the relationship between muscle strength, eating index and blood pressure in adolescent girls. Growing studies show earlier onset of hypertension in youth. The prevalence may deteriorate during the COVID-19 pandemic due to unhealthy behavioral changes. Muscle mass (MM) is reported to be associated with blood pressure (BP), but there are limited studies that observed the relationship between the functional properties of muscle (muscle strength [MS]), healthy eating index (HEI) and BP.

This cross-sectional study involved 499 girls aged 15–18 years. HEI was generated from a 24-h food recall. MM and body fat (BF) were measured by bioelectrical impendence analysis (BIA), and MS and BP were measured by hand grip and Tensimeter, respectively. Multiple linear tests were performed to obtain an adjusted model.

Almost five out of 100 girls had high BP (4.8%) and a good diet (4%). The majority of them had desirable MM (75.9%) and low MS (50.1%). HEI negatively and MS are positively associated with systolic blood pressure (SBP). The inclusion of MM in the model diminished the association between MS and SBP completely. After adjustment for age and BF, only MM (ß = 0.19, 95% CI = 0.35, 0.95) was associated with SBP. HEI was inversely (ß = −0.16, 95% CI = −0.31, −0.09) whereas MM (ß = 0.13, 95% CI = 0.11, 0.53) was positively associated with diastolic BP.

Studies associating MM or MS with better physical performance and metabolic health are mostly reported in the elderly; current finding contributes to the lack of literature and implies the importance of examining those associations at a younger age.

HEI and MM are associated with young girls’ BP in different directions. Healthy eating and engagement in activities to optimize muscle function should be promoted in adolescent girls to alleviate the risk of getting cardiovascular disease.

Frailty is a geriatric syndrome which can be reversible or less severe through appropriate nutritional interventions. In the present study, to test the efficiency of individualized nutritional intervention was conducted a comprehensive assessment of the nutritional status of frail older adults and evaluation of the effect of nutritional intervention on the nutritional status of pre-frail older patients.

Frail older adults (n = 43; mean age 84.6 ± 6.4 years old; 81.4% women) had nutritional status assessed using nutritional anthropometry, body composition, and food frequency questionnaire. Pre-frail patients (n = 16; mean age 68.4 ± 5.5 years old; 81.3% women) for eight weeks were consuming 1.0 g protein/kg BW/day. Robust older adults formed a control group (n = 29; mean age 69.3 ± 5.3 years old; 82.8% women).

Frail older adults had weight and muscle mass loss, and their diet variety was sufficient. After the intervention, pre-frail patients increased their protein consumption by 25.8% (P = 0.002). An increase in lean body mass (+1.0 kg), skeletal muscle mass (+0.3 kg) and improvement in physical performance was also observed.

An individual diet for pre-frail older adults can reverse weight loss and increase lean body mass, furthermore preventing or delaying the development of frailty syndrome. Moreover, increased protein consumption improves physical performance of pre-frail older adults.

This study aims to identify the dietary patterns of two groups of subjects (with and without COVID-19), and to assess the relationship of findings with the prognosis of COVID-19 and metabolic risk parameters.

This study included 100 individuals in the age range of 19–65 years. The medical history, and data on biochemical, hematological and inflammatory indicators were retrieved from the files. A questionnaire for the 24-h food record and the food intake frequency was administered in face-to-face interviews, and dietary patterns of subjects were assessed.

In individuals with COVID-19, the hip circumference, the waist-hip ratio and the body fat percentage were significantly higher (p < 0.05), and the muscle mass percentage was significantly lower (p < 0.05). Mediterranean diet adherence screener (MEDAS), dietary approaches to stop hypertension (DASH) and healthy eating ındex-2015 (HEI-2015) scores were low in the two groups. A linear correlation of DASH scores was found with the muscle mass percentage (p = 0.046) and a significant inverse correlation of with the body fat percentage (p = 0.006). HEI-2015 scores were significantly and negatively correlated with body weight, body mass index, waist circumference, hip circumference and neck circumference (p < 0.05). Every one-unit increase in MEDAS, DASH and HEI-2015 scores caused reductions in C-reactive protein levels at different magnitudes. Troponin-I was significantly and negatively correlated with fruit intake (p = 0.044), a component of a Mediterranean diet and with HEI-2015 total scores (p = 0.032).

The limitation of this study includes the small sample size and the lack of dietary interventions. Another limitation is the use of the food recall method for the assessment of dietary patterns. This way assessments were performed based on participants’ memory and statements.

Following a healthy diet pattern can help reduce the metabolic risks of COVİD-19 disease.

Despite these limitations, this study is valuable because, to the best of the authors’ knowledge, it is the first study demonstrating the association of dietary patterns with disease prognosis and metabolic risks concerning COVID-19. This study suggests that dietary patterns during the COVID-19 process may be associated with several metabolic risks and inflammatory biomarkers.

Meteorin like-peptide (Metrnl) modulates energy hemostasis and relieves inflammation and oxidative stress. This study aims to investigate the relationship between Metrnl levels and inflammatory cytokines, oxidative stress biomarkers and body composition parameters in obese type 2 diabetic patients.

This analytical cross-sectional study was carried out between August 2020 and March 2021on 93 people (n = 32 obese type 2 diabetic patients, n = 31 healthy obese, n = 30 healthy normal weight). Serum Metrnl levels were measured by enzyme-linked immunosorbent assay. Serum levels of interleukin-6 (IL-6), tumor necrosis factor-alpha (TNF-α), high-sensitivity C-reactive protein (hs-CRP), malondialdehyde and total antioxidant capacity were measured using standard methods. Body composition was assessed by bioelectrical impedance analysis. p-Value less than 0.05 was considered significant.

Serum Metrnl levels were lower in obese diabetic patients than in healthy normal-weight subjects (82.5 [72.4–94.5] ng/mL compared to 154 [129–189] ng/mL). The difference in Metrnl levels between the two groups was significant (p < 0.001). The difference in Metrnl levels between the two groups was significant. Moreover, a significant correlation between Metrnl level and both TNF-a and hs-CRP was detected (p = 0.006 and p < 0.001, respectively) and the correlation between Metrnl and IL-6 was borderline (p = 0.051). A negative correlation was revealed between Metrnl level and anthropometric measurements and body composition (p < 0.05) with the exception of fat-free mass and skeletal muscle mass.

To discover sufficient evidence for the therapeutic function of Metrnl and its use as a prognostic biomarker in the management of type 2 diabetes mellitus, future clinical studies are needed to highlight other factors influencing Metrnl serum levels.

Aging adults from low-income residential areas were found to have poor nutritional status and mental health based on National Health and Morbidity Survey Malaysia (2015). Good nutrient intake contributes positively in averting these problems. Traditional Asian vegetables (ulam) are rich in polyphenols, antioxidants and fibres which could enhance nutritional status and mood state. This study intended to determine the relationship between habitual ulam intake and nutritional status, mood state and cognition among 252 aging Malaysian adults aged 45–80 years from the low-income residential areas in Klang Valley, Malaysia.

It was a cross-sectional study that used convenient sampling. Advertisement and invitation letters were sent to three selected community centres in Klang Valley prior to data collection. Informed consent was obtained prior to the collection of socio-demographic data. Anthropometric measurement was performed as per standard protocols. Validated surveys were conducted to obtain information on ulam consumption, mood state and cognitive status using validated food frequency questionnaires, Profile of Mood State and Mini-Mental State Examination questionnaires, respectively.

The average of ulam intake was 20.5 ± 2.5 g/day (½ serving daily). Habitual ulam intake was associated with lower waist circumference (R² = 0.166, β = −0.216, p < 0.01), better MMSE scores (R² = 0.337, β = 0.128, p < 0.05), less anger (R² = 0.081, β = −0.116, p < 0.05), less tension (R² = 0.139, β = −0.204, p < 0.01) and positive total mood disturbance (R² = 0.095, β = 0.164, p < 0.05) after adjustment for gender, age, energy intake, total fruits and vegetables (non-ulam) consumption. The ulam intake at 100th percentile (=30g/day) associated to a better nutritional status, mood state and cognitive status in comparison to 25th percentile (<7.9 g/day) (p < 0.05).

Findings from this research would recommend people to consume not less than 1 serving of ulam everyday in order to have improved nutritional status, mood and cognition; nonetheless, future studies are required to clarify the causal mechanism concerning this relationship.

This study was designed to assess the physical fitness and health status in 36 life‐long vegetarians. Besides a general questionnaire a dietary diary was completed and several blood parameters were determined. Physical fitness profile was estimated by testing handgrip strength, leg explosive strength, dynamic abdominal muscle endurance and cardiorespiratory endurance capacity. Body mass and length were measured for the determination of the BMI. The general questionnaire revealed that most of the subjects had healthy lifestyles. Nutritional intakes were not optimal with excess of some nutrients, but equally with some intakes not reaching the recommended daily allowances. Blood profile was normal for all evaluated parameters. Physical performance capacity was rather weak for strength‐oriented tasks while a normal cardiorespiratory endurance capacity was measured. Our results indicate that a vegetarian diet is not automatically a healthy diet. Proper food choices need to be made to assure the completeness and to avoid excesses or deficiencies in the diet.

This study aims to examine the effect of socio-demographic, lifestyle and dietary factors on body composition among students from a private Lebanese University.

In this cross-sectional study, socio-demographic and lifestyle variables were collected. Height and waist circumference were measured. Inbody 720 (Biospace, Korea) was used to assess body composition (percentage body fat [PBF], visceral fat area [VFA], skeletal muscle mass [SMM]) and fitness score. Diet was assessed using the MEDFICTS (meats, eggs, dairy, fried foods, fat in baked goods, convenience foods, fats added at the table and snacks) questionnaire.

Out of 392 students, 3.1 per cent were underweight, 59 per cent were normal and 40 per cent were overweight and obese. In women,10.5 per cent adhered to the therapeutic lifestyle changes (TLC) compared to men (2.5 per cent), while 52.5 per cent of men needed dietary changes compared to 39.5 per cent of women, (p < 0.01). The most important predictors of PBF were being a woman, older age, lower fitness score and lower MEDFICTS score. The predictors of VFA were being a man, older age, less sleep time and lower fitness score. Being a man, smoking, higher fitness score and higher MEDFICTS score were predictors of SMM.

Upon university acceptance and as part of usual health screenings in universities, the authors’ study recommends screening of lifestyle and dietary habits of students, identifying students at risk and providing appropriate health interventions tailored to students’ needs.

This study is the first, in Lebanon, to assess the effects of sleep, stress, fitness and dietary habits on body composition of Lebanese university students.

The study aims to design metabolic syndrome (MetS) ingredient mix with optimum amino acid makeup using key foods with reported functional properties and study the efficacy of this mix to alleviate the symptoms of MetS among adult men and women with MetS.

In total, 25 MetS-specific ingredient mixes that included wheat flour, common legumes, fenugreek and flaxseeds were formulated by correcting their amino acid score. The suitability of these mixes was tested for the preparation of chapati (an unleavened Indian bread). Owing to its highest lysine content, the ingredient mix of whole wheat flour, oat flour, soybean, flaxseeds and fenugreek seeds was selected for the 12-week supplementation trial among patients with MetS.

The sensory scores of chapatis made using nine ingredient mixes was comparable with those of chapati made from whole wheat flour (control). The test chapatis had a significantly (p = 0.05) higher protein, ash, fibre and fat content, and lysine was also higher (591-1,006 mg/100 g) than the control chapatis (314 mg). Positive and significant changes in the anthropometry, body composition, fasting blood glucose levels, blood pressure and lipid profile of the patients with MS was seen after consumption of the selected ingredient mix.

Keeping in view the traditional vegetarian Indian meals which usually take care of including foods from different sources to improve their protein quality, the concern for providing protein quality to prevent metabolic abnormalities is significant for a large lacto-vegetarian population in India which depends on plant foods for obtaining essential amino acids. Obtaining optimum protein quality from meals along with maintaining a physically active lifestyle may help people have the appropriate fat to lean mass proportion which may have a protective role against MetS.

The purpose of this paper is to assess eight weeks individualized balanced low-calorie diet on anthropometric measurements and body composition in apparently healthy obese women.

Forty apparently healthy obese women (body mass index: 27.5-40 kg/m² and age: 18-40 years) were recruited from the nutrition clinic in the north-west of Iran, Ardabil city. Anthropometric measurements and body composition analysis were done at baseline and after the intervention.

During eight weeks, individualized balanced low-calorie diet resulted in a significant decrease in body weight (−4.0 ± 0.3 kg, p < 0.001), body mass index (−1.6 ± 0.1 kg/m², p < 0.001), waist circumference (−2.9 ± 0.3 cm, p < 0.001), waist-to-hip ratio (−0.01 ± 0.004, p = 0.001), waist-to-height ratio (−0.02 ± 0.002, p < 0.001), per cent body fat (−1.1 ± 0.2 per cent, p < 0.001), fat mass (−2.5 ± 0.3 kg, p < 0.001), visceral fat level (−0.8 ± 0.1, p < 0.001), visceral fat area (−11.3 ± 2.3 cm², p < 0.001), trunk mass fat (−1.2 ± 0.1 kg, p < 0.001), left arm mass fat (−0.2 ± 0.03 kg, p < 0.001), right arm mass fat (−0.2 ± 0.03 kg, p < 0.001), left leg mass fat (−0.4 ± 0.1 kg, p < 0.001), right leg mass fat (−0.4 ± 0.05 kg, p < 0.001), abdominal volume index (−1.1 ± 0.1 m², p < 0.001), conicity index (−0.007 ± 0.002 m^2/3/kg^1/2, p = 0.001) and body adiposity index (1.0 ± 0.1 per cent, p < 0.001).

The limitation concerns the generalizability to the general population of obese women. Future studies should take sex differences into consideration. These studies may focus on the long-term benefits.

Balanced low-calorie diet-induced moderate weight loss alone may represent an effective strategy for reducing metabolic risk factors among obese women.

Adipose tissue accumulation by trapping vitamin D and reducing its level may cause serious side effects. The purpose of this study is to determine the effects of vitamin D supplementation on dehydroepiandrosterone (DHEA), paraoxonase 1 (PON 1), insulin, free fatty acid (FFA), apolipoprotein-AI (Apo-AI) and apolipoprotein B (Apo-B) concentration in obese and overweight participants under low-calorie diet (LCD) program.

Healthy overweight and obese individuals (n = 70) with vitamin D deficiency were randomly assigned into 2 groups to receive either vitamin D supplements (an oral 2,000 IU vitamin D supplement) or placebo for 8 weeks.

All the participants were given an LCD program during the intervention. Vitamin D supplementation led to a significant increase in the levels of 25(OH)D (vitamin D vs placebo groups: 36.6 ± 9.8 vs 19.9 ± 3.5 ng/mL, p < 0.001), PON 1 levels (vitamin D vs placebo groups: 80 ± 25 vs 58 ± 23.2 ng/mL, p = 0.001), DHEA concentration (vitamin D vs placebo groups: 2.3 ± 0.7 vs 1.5 ± 0.6 ng/mL, p < 0.001) and Apo-AI levels (vitamin D vs placebo groups 3.7 ± 0.5 vs 3 ± 0.5 mg/dL, p < 0.001). Besides, intake of vitamin D supplements led to a significant decrease in FFA (vitamin D vs placebo groups: 3.1 ± 0.75 vs 3.5 ± 0.5 ng/mL, p = 0.001). After adjusting the analyses based on baseline levels, age and baseline body mass index measures, significant changes were observed in the insulin levels (0.03 ± 0.06 vs −1.7 ± 0.6 µIU/ml, p = 0.04). But the authors did not find any significant difference in the concentration of Apo-B between groups (vitamin D vs placebo groups: 71.5 ± 35.5 vs 66.6 ± 28.5 mg/dL, p = 0.05).

Overall vitamin D supplementation for eight weeks among vitamin D-deficient obese and overweight participants had beneficial effects on serum DHEA PON 1 FFA insulin and Apo- AI while it did not affect the Apo-B concentration.