Nutrition
-
Diabetes mellitus is a major global public health issue. Cross-sectional studies have demonstrated that skeletal muscle quality and quantity by computed tomography (CT) is related to glucose metabolism. However, to our knowledge, no longitudinal study has yet to elucidate the association between muscle quality determined by CT and glucose metabolism. Thus, the aim of this study was to evaluate the association between muscle quality and glucose metabolism. ⋯ Both LAM index and total SMD were associated with a higher risk for incident diabetes mellitus, whereas NAM index and total SMI were not.
-
The aims of this study were to assess the capacity of tri-ponderal mass index (TMI) to screen and predict insulin resistance (IR) in overweight Brazilian adolescents, comparing it with body mass index (BMI) predictive capacity; and to verify the IR predictive capacity of other assessment tools such as waist circumference (WC), and waist-to-height ratio (WHR). ⋯ TMI did not present a superior predictive accuracy for IR screening in overweight Brazilian adolescents when compared with BMI. TMI and BMI presented similar values of sensitivity and specificity for boys and WC a slightly superior IR predictive capacity for girls.
-
A very low-calorie ketogenic diet (VLCKD) has been associated with a significant reduction in visceral adipose tissue and ketone bodies that likely possess antiinflammatory properties. We evaluated the efficacy of an aggressive weight-loss (WL) program with a ketogenic induction phase as first-line treatment for chronic plaque psoriasis. ⋯ In drug-naïve adult overweight patients with stable chronic plaque psoriasis, an aggressive dietary WL program consisting of a VLCKD, followed by a balanced, hypocaloric, Mediterranean-like diet, appeared to be an effective first-line strategy to reduce disease severity.
-
The aim of this study was to analyze the effect of nighttime energy intake on daily energy and macronutrient distribution and weight gain during pregnancy. ⋯ Pregnant women with a higher energy intake at night had a lower percentage of energy, protein, and lipid intake in morning meals and a higher percentage of energy and macronutrient intake in the evening meals during pregnancy. A worse standard of gestational weight gain in the third trimester was also observed in pregnant women with a higher energy intake at night.
-
In India, childhood malnutrition continues to be a major public health problem, especially in slums. Research mostly focuses on the role of the mother in child feeding, as she spends significantly more time with children. However, the role of fathers, their parenting skills, and child-feeding practices may also affect child development and eating behavior, independent of maternal factors. To our knowledge, there is limited research on the role of the father in child undernutrition, especially in the Indian context. Thus, the aim of this study was to address this knowledge gap and to explore paternal child-feeding patterns, their involvement in feeding, and its association with malnutrition in the slums. ⋯ We recruited 116 boys and 94 girls and their fathers. The mean age of the children was 15.94 mo (SD 4.85). One-fourth of the fathers were illiterate and most of the families belonged to the middle class. Almost half of the fathers fed their children once a day (57.1%) and engaged them during feeding by telling stories (47.1%). The most common paternal feeding style was uninvolved (36%) followed by authoritative (29.5%). Prevalence of undernutrition, stunting, and wasting was 44.3%, 42.8%, and 9.5%, respectively. Religion, type of family, and per capita income were independently associated with uninvolved feeding style. There was no association between paternal child-feeding style malnutrition (P > 0.05) CONCLUSION: The present study explored the dimensions of paternal involvement in child feeding in a slum setting and its effect on child nutrition. A good proportion of fathers were actively involved in child feeding and neither involvement nor paternal feeding styles were associated with the nutritional status of children.