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1.
Trop Anim Health Prod ; 56(4): 160, 2024 May 10.
Artigo em Inglês | MEDLINE | ID: mdl-38730050

RESUMO

The rearing of calves is an essential activity of a dairy system, as it impacts the future production of these animals. This study aims to evaluate the incidence of diarrhea, performance, and blood parameters of suckling calves that received mineral-vitamin supplementation in milk plus virginiamycin that was offered in milk (via the abomasum) or by esophageal tube (via the rumen). Twenty-seven calves were used, from the first week to 60 days of age, submitted to the following treatments: CONTROL, without supplementation; MILK, supplementation of 20 g of a mineral-vitamin complex with 100 mg of virginiamycin, diluted in milk; RUMEN, supplementation of 20 g of a mineral-vitamin complex diluted in milk and 100 mg of virginiamycin in gelatin capsules via an esophageal applicator. MILK and RUMEN calves had lower fecal consistency scoring, fewer days with scores 2 and 3 throughout the experimental period, and lower spending on medication compared to the CONTROL animals. Supplemented calves had higher fat and protein intake and reached feed intake of 600 g earlier than CONTROL animals, but did not differ in performance and hematological parameters. Supplementation with virginiamycin and vitamin-mineral complex for suckling calves reduced the incidence and days of diarrhea, and reduced medication costs, with no difference in performance, but the supplemented animals had higher initial protein and fat intake and reached targeted feed intake earlier to begin the weaning process.


Assuntos
Ração Animal , Doenças dos Bovinos , Diarreia , Suplementos Nutricionais , Virginiamicina , Animais , Bovinos , Suplementos Nutricionais/análise , Diarreia/veterinária , Diarreia/prevenção & controle , Diarreia/epidemiologia , Doenças dos Bovinos/epidemiologia , Doenças dos Bovinos/prevenção & controle , Incidência , Ração Animal/análise , Virginiamicina/administração & dosagem , Virginiamicina/farmacologia , Vitaminas/administração & dosagem , Animais Lactentes , Masculino , Feminino , Minerais/administração & dosagem , Minerais/análise , Leite/química , Dieta/veterinária
2.
Nutr J ; 23(1): 52, 2024 May 17.
Artigo em Inglês | MEDLINE | ID: mdl-38760828

RESUMO

BACKGROUND: Changes in economy and dietary guidelines brought a great shock to diet quality and meal behaviors, but if these transformations have extended to minerals intake and their sources was still poorly understood. It is essential to evaluate time trends in minerals intake and their sources to inform policy makers. OBJECTIVE: To investigate trends in minerals intake and their sources among U.S. adults. METHODS: This analysis used dietary data collected by 24-h recalls from U.S. adults (≥ 20 years) in NHANES (1999-March 2020). Minerals intake, age-adjusted percentage of participants meeting recommendations, and minerals sources were calculated among all participants and by population subgroups in each NHANES survey cycle. Weighted linear or logistic regression models were used to examine the statistical significance of time trends. RESULTS: A total of 48223 U.S. adults were included in this analysis. From 1999 to March 2020, intake of calcium (from 0.94 to 1.02 g/day), magnesium (from 308.07 to 321.85 mg/day), phosphorus (from 1.24 to 1.30 g/day), and sodium (from 3.24 to 3.26 mg/day) from food and beverages (FB) and dietary supplements (DSs) significantly increased, and intake of iron (from 19.17 to 16.38 mg/day), zinc (from 16.45 to 14.19 mg/day), copper (from 1.79 to 1.38 mg/day), and potassium (from 2.65 to 2.50 g/day) from FB + DSs decreased (all FDR < 0.05). Additionally, age-adjusted percentage of participants meeting recommendations for calcium, phosphorus, sodium, and selenium significantly increased, that for iron, potassium, zinc, and copper decreased (all FDR < 0.05). Minerals intake and time trends in minerals intake were highly variable depending on age, gender, race/ethnicity, education, and income. For example, white, higher socioeconomic status participants had a higher minerals intake (e.g. iron, zinc, and copper), but had a greater decrease in minerals intake. Furthermore, the percentage of minerals from milks and DSs decreased, and that from beverages increased. CONCLUSION: From 1999 to March 2020, both minerals intake and their sources experienced a significant alteration among U.S. adults. Many differences in minerals intake and their food sources across sociodemographic characteristics appeared to narrow over time. Although some improvements were observed, important challenges, such as overconsumption of sodium and underconsumption of potassium, calcium, and magnesium, still remained among U.S. adults.


Assuntos
Dieta , Minerais , Inquéritos Nutricionais , Humanos , Adulto , Estados Unidos , Inquéritos Nutricionais/métodos , Inquéritos Nutricionais/estatística & dados numéricos , Masculino , Feminino , Pessoa de Meia-Idade , Minerais/administração & dosagem , Dieta/métodos , Dieta/tendências , Dieta/estatística & dados numéricos , Adulto Jovem , Idoso , Cálcio da Dieta/administração & dosagem , Suplementos Nutricionais/estatística & dados numéricos
3.
Res Vet Sci ; 172: 105253, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38579632

RESUMO

The aim of the study was to examine the effects of repeated administrations of antioxidant multiminerals and vitamins in transition buffaloes on udder defense mechanism, antioxidant activity and occurrence of intramammary infection (IMI) in early lactation period. Forty clinically healthy pregnant buffaloes were enrolled 45 days before expected date of calving and randomly allocated into five different supplementation groups (n = 8): only basal ration (control), vitamin E and selenium (VES), multiminerals (MM), ascorbic acid (AA) and chromium (Cr) picolinate in basal diet. The udder defense mechanism was monitored by measuring phagocytic activity (PA), myeloperoxidase (MPO) and nitric oxide (NO) productions in milk leukocytes, antioxidant activity was evaluated by measuring total antioxidant capacity (TAC) in plasma and occurrence of IMI was assessed by milk cytology, bacterial count in milk and visible clinical signs of udder until day 28 post-calving. The results showed that the VES and MM supplementations exhibited significantly higher PA, MPO and NO productions of milk leukocytes till first week of lactation whereas, elevated mean TAC in plasma was maintained from day -7 to 1 of calving in MM supplementation group as compared to control group. Statistically, no significant difference in occurrences of subclinical or clinical IMI was noted across the groups until four weeks of lactation. Taken together, it is concluded that repeated administrations of VES and MM to transition buffaloes could be an effective strategy to maintain good udder health by augmenting milk leukocyte functions and antioxidant status and preventing incidence of IMI in early lactation.


Assuntos
Antioxidantes , Búfalos , Suplementos Nutricionais , Lactação , Glândulas Mamárias Animais , Vitaminas , Animais , Feminino , Antioxidantes/administração & dosagem , Antioxidantes/metabolismo , Lactação/efeitos dos fármacos , Vitaminas/administração & dosagem , Vitaminas/farmacologia , Glândulas Mamárias Animais/efeitos dos fármacos , Leite/química , Dieta/veterinária , Ração Animal/análise , Minerais/administração & dosagem , Gravidez , Distribuição Aleatória
4.
BMC Endocr Disord ; 22(1): 51, 2022 Mar 02.
Artigo em Inglês | MEDLINE | ID: mdl-35232417

RESUMO

BACKGROUND: Although there is growing evidence on the association between nutrient patterns and metabolic risk factors, very little is known about the relationship between nutrient patterns and metabolic syndrome (MetS). The aim of this study was to examine the associations of nutrient patterns with MetS among apparently healthy obese adults living in Tabriz, Iran. METHODS: Three hundred and forty-seven apparently healthy obese (BMI ≥ 30 kg/m2) adults aged 20-50 years were included in this cross-sectional study. Dietary intake of 38 nutrients was assessed by a validated semi-quantitative food frequency questionnaire (FFQ) of 132 food items. Nutrient patterns were determined using factor analysis. The MetS was defined based on the guidelines of the National Cholesterol Education Program Adult Treatment Panel III (ATP III). RESULTS: Three major nutrient patterns were extracted: "Mineral based pattern", "Simple sugar based pattern" and "Fat based pattern". There was no significant association between nutrient patterns and MetS, in the crude model even after adjusting for confounders. There was a significant difference between quartiles in the mineral based pattern for free mass (FFM), diastolic blood pressure (DBP), large Waist circumference (WC) and Waist-to-hip ratio (WHR). In the simple sugar based pattern, we observed a significant association for SBP, DBP, and triglyceride (TG) levels. In addition, the fat based pattern was positively associated with BMI, and weight. CONCLUSIONS: We did not observe any significant association of nutrient patterns with the risk of MetS amongst the apparently healthy obese adult's population. Whereas we confirmed the deleterious effect of the simple sugar and fat based patterns on several metabolic risk factors, our findings also showed that the mineral based pattern is related to healthier metabolic factors in an Iranian population. These results should be approved by future studies to recognize any causal relationship between adherence to specific nutrient patterns and MetS.


Assuntos
Gorduras na Dieta/administração & dosagem , Açúcares da Dieta/administração & dosagem , Comportamento Alimentar/fisiologia , Síndrome Metabólica/epidemiologia , Minerais/administração & dosagem , Adulto , Pressão Sanguínea , Composição Corporal , Índice de Massa Corporal , Estudos Transversais , Feminino , Humanos , Irã (Geográfico)/epidemiologia , Masculino , Pessoa de Meia-Idade , Obesidade , Fatores de Risco , Circunferência da Cintura
5.
Toxicology ; 465: 153025, 2022 01 15.
Artigo em Inglês | MEDLINE | ID: mdl-34748892

RESUMO

Fluoride is a natural element widely distributed in the environment and plays an important role in the growth of humans and animals. However, in many species, high concentrations of fluoride induce several problems, such as dental, skeletal, and non-skeletal fluorosis. Sheep living in endemic areas are sensitive to the chronic toxicity of fluoride, and they have been found to suffer not only from teeth and bone problems but also from other organs. Studies indicating the chronic harmful effects of fluoride on teeth, bones, blood biochemical parameters, kidney, liver, heart, reproductive system and growth in sheep have been clearly summarized in this review. Besides, this work also includes updated progress in terms of prevention or reduction of fluoride toxicity in this species.


Assuntos
Antioxidantes/administração & dosagem , Doenças Ósseas/veterinária , Suplementos Nutricionais , Doenças Endêmicas/veterinária , Flúor/toxicidade , Fluorose Dentária/veterinária , Minerais/administração & dosagem , Doenças dos Ovinos/prevenção & controle , Ração Animal , Animais , Doenças Ósseas/induzido quimicamente , Doenças Ósseas/diagnóstico , Doenças Ósseas/prevenção & controle , Doenças Endêmicas/prevenção & controle , Fluorose Dentária/diagnóstico , Fluorose Dentária/etiologia , Fluorose Dentária/prevenção & controle , Fatores de Proteção , Medição de Risco , Fatores de Risco , Ovinos , Doenças dos Ovinos/induzido quimicamente , Doenças dos Ovinos/diagnóstico
7.
Nutrients ; 13(11)2021 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-34836234

RESUMO

Associations between habitual dietary intake of minerals and glucose metabolism have been extensively studied in relation to metabolic disorders. However, similar research has yet to be conducted in individuals after acute pancreatitis (AP). The main aim was to investigate the associations between habitual intake of 13 minerals and glycaemic status: new-onset prediabetes/diabetes after AP (NODAP), pre-existing prediabetes/type 2 diabetes (T2DM), and normoglycaemia after AP (NAP). Associations between the dietary intake of minerals and markers of glucose metabolism (glycated haemoglobin and fasting plasma glucose) were also studied. The EPIC-Norfolk food frequency questionnaire was used in a cross-sectional fashion to determine the habitual intake of 13 dietary minerals. ANCOVA as well as multiple linear regression analyses were conducted and five statistical models were built to adjust for covariates. The study included 106 individuals after AP. In the NODAP group, intake of 4 minerals was significantly less when compared with the NAP group: iron (B = -0.076, p = 0.013), nitrogen (B = -0.066, p = 0.003), phosphorous (B = -0.046, p = 0.006), and zinc (B = -0.078, p = 0.001). Glycated haemoglobin was significantly associated with iodine intake (B = 17.763, p = 0.032) and manganese intake (B = -17.147, p = 0.003) in the NODAP group. Fasting plasma glucose was significantly associated with manganese intake (B = -2.436, p = 0.027) in the NODAP group. Habitual intake of minerals differs between individuals with NODAP, T2DM, and NAP. Prospective longitudinal studies and randomised controlled trials are now warranted to further investigate the associations between mineral intake and NODAP.


Assuntos
Diabetes Mellitus/etiologia , Dieta , Minerais/administração & dosagem , Pancreatite/complicações , Estado Pré-Diabético/etiologia , Biomarcadores/sangue , Glicemia/metabolismo , Estudos Transversais , Diabetes Mellitus/metabolismo , Diabetes Mellitus Tipo 2/metabolismo , Feminino , Glucose/metabolismo , Humanos , Insulina/sangue , Masculino , Pessoa de Meia-Idade , Pancreatite/metabolismo , Estado Pré-Diabético/metabolismo , Estudos Prospectivos
8.
Food Chem Toxicol ; 158: 112618, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34662692

RESUMO

Optimising nutrition intake is a key component for supporting athletic performance and supporting adaption to training. Athletes often use micronutrient supplements in order to correct vitamin and mineral deficiencies, improve immune function, enhance recovery and or to optimise their performance. The aim of this review was to investigate the recent literature regarding micronutrients (specifically iron, vitamin C, vitamin E, vitamin D, calcium) and their effects on physical performance. Over the past ten years, several studies have investigated the impacts of these micronutrients on aspects of athletic performance, and several reviews have aimed to provide an overview of current use and effectiveness. Currently the balance of the literature suggests that micronutrient supplementation in well-nourished athletes does not enhance physical performance. Excessive intake of dietary supplements may impair the body's physiological responses to exercise that supports adaptation to training stress. In some cases, micronutrient supplementation is warranted, for example, with a diagnosed deficiency, when energy intake is compromised, or when training and competing at altitude, however these micronutrients should be prescribed by a medical professional. Athletes are encouraged to obtain adequate micronutrients from a wellbalanced and varied dietary intake.


Assuntos
Antioxidantes/farmacologia , Desempenho Atlético , Minerais/farmacologia , Estado Nutricional , Fenômenos Fisiológicos da Nutrição Esportiva , Esportes , Vitaminas/farmacologia , Antioxidantes/administração & dosagem , Ácido Ascórbico/administração & dosagem , Ácido Ascórbico/farmacologia , Cálcio/administração & dosagem , Cálcio/farmacologia , Deficiências Nutricionais/tratamento farmacológico , Dieta , Suplementos Nutricionais , Feminino , Humanos , Ferro/administração & dosagem , Ferro/farmacologia , Masculino , Micronutrientes/administração & dosagem , Micronutrientes/farmacologia , Minerais/administração & dosagem , Oligoelementos , Vitamina D/administração & dosagem , Vitamina D/farmacologia , Vitamina E/administração & dosagem , Vitamina E/farmacologia , Vitaminas/administração & dosagem
9.
Sci Rep ; 11(1): 19050, 2021 09 24.
Artigo em Inglês | MEDLINE | ID: mdl-34561540

RESUMO

Healing of gastrointestinal ulcers after Hemospray application was reported in literature. The pathophysiological mechanism of action of hemostatic powders is not elucidated so far. A prospective animal model was performed to evaluate the effect of Hemospray application on the healing process of artificially induced ulcers of the upper and lower gastrointestinal tract. In 10 pigs, 20 ulcers were created in each the upper and the lower gastrointestinal tract by endoscopic mucosal resection. 50% of the pigs were immediately treated with Hemospray application, the others were not treated. Ulcer size was measured endoscopically on day 0, 2, and 7. On day 7 the ulcers were histopathological evaluated for capillary ingrowth and the thickness of the collagen layer. After 7 days the sizes of the ulcers decreased significantly (stomach: - 22.8% with Hemospray application, - 19% without Hemospray application; rectum: - 50.8% with Hemospray application, - 49.5% without Hemospray application; p = 0.005-0.037), but without significant difference between both groups. This study shows no significant effect of the hemostatic powder Hemospray on ulcer healing in the upper and lower gastrointestinal tract compared with untreated controls, neither harmful nor beneficial. However, some trends merit further trials in patients and may indicate a possible mechanism of accelerated mucosal healing.


Assuntos
Minerais/administração & dosagem , Úlcera Gástrica/fisiopatologia , Cicatrização , Animais , Modelos Animais , Suínos
10.
BMC Cancer ; 21(1): 912, 2021 Aug 11.
Artigo em Inglês | MEDLINE | ID: mdl-34380458

RESUMO

BACKGROUND: Intake time of diet has recently been demonstrated to be associated with the internal clock and circadian pattern. However, whether and how the intake time of minerals would influence the natural course of cancer was largely unknown. METHODS: This study aimed to assess the association of mineral intake at different periods with cancer and all-cause mortality. A total of 27,455 participants aged 18-85 years old in the National Health and Nutrition Examination Survey were recruited. The main exposures were the mineral intakes in the morning, afternoon and evening, which were categorized into quintiles, respectively. The main outcomes were mortality of cancer and all causes. RESULTS: During the 178,182 person-years of follow-up, 2680 deaths, including 601 deaths due to cancer, were documented. After adjusting for potential confounders, compared to the participants who were in the lowest quintile(quintile-1) of mineral intakes at dinner, the participants in the highest quintile intake(quintile-5) of dietary potassium, calcium and magnesium had lower mortality risks of cancer (HRpotassium = 0.72, 95% CI:0.55-0.94, P for trend = 0.023; HRcalcium = 0.74, 95% CI:0.57-0.98, P for trend = 0.05; HRmagnesium = 0.75, 95% CI:0.56-0.99, P for trend = 0.037) and all-cause (HRpotassium = 0.83, 95% CI:0.73-0.94, P for trend = 0.012; HRcalcium = 0.87, 95% CI:0.76-0.99, P for trend = 0.025; HRmagnesium = 0.85, 95% CI:0.74-0.97, P for trend = 0.011; HRcopper = 0.80, 95%CI: 0.68-0.94, P for trend = 0.012). Further, equivalently replacing 10% of dietary potassium, calcium and magnesium consumed in the morning with those in the evening were associated with lower mortality risk of cancer (HRpotassium = 0.94, 95%CI:0.91-0.97; HRcalcium = 0.95, 95%CI:0.92-0.98; HRmagnesium = 0.95, 95%CI: 0.92-0.98). CONCLUSIONS: This study demonstrated that the optimal intake time of potassium, calcium and magnesium for reducing the risk of cancer and all-cause mortality was in the evening.


Assuntos
Suplementos Nutricionais , Refeições , Minerais/administração & dosagem , Neoplasias/epidemiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Causas de Morte , Feminino , História do Século XXI , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias/história , Neoplasias/mortalidade , Inquéritos Nutricionais , Estado Nutricional , Modelos de Riscos Proporcionais , Fatores de Risco , Estados Unidos/epidemiologia
11.
Nutrients ; 13(8)2021 Jul 27.
Artigo em Inglês | MEDLINE | ID: mdl-34444735

RESUMO

We reviewed the literature to evaluate potential associations between vitamins, nutrients, nutritional status or nutritional interventions and presence or healing of foot ulceration in diabetes. Embase, Medline, PubMed, and the Cochrane Library were searched for studies published prior to September 2020. We assessed eligible studies for the association between nutritional status or interventions and foot ulcers. Fifteen studies met the inclusion criteria and were included in this review. Overall, there is a correlation between poor nutritional status and the presence of foot ulceration or a delay in healing. However, there is not enough data to reach conclusions about whether the relationships are causal or only association. Further research is required to test whether any forms of nutritional supplementation improve foot ulcer healing.


Assuntos
Pé Diabético , Suplementos Nutricionais , Desnutrição/complicações , Estado Nutricional , Idoso , Aminoácidos/administração & dosagem , Pé Diabético/complicações , Pé Diabético/fisiopatologia , Gorduras na Dieta/administração & dosagem , Ácidos Graxos Ômega-3/administração & dosagem , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Minerais/administração & dosagem , Probióticos , Vitaminas/administração & dosagem , Cicatrização
12.
Reprod Biol ; 21(3): 100533, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34280724

RESUMO

The present study aimed to determine the differential protein profile of seminal plasma proteins of bucks supplemented with trace minerals. Forty bucks of uniform size and body weight were assigned as ten groups (n = 4). The control group (T1) was fed with the control diet (concentration mixture and roughages) whereas the remaining groups were supplemented the control diet with Zn20 mg (T2), Zn40 mg (T3), Zn60 mg (T4), Cu12.5 mg (T5), Cu25 mg (T6), Cu37.5 mg (T7), Zn20 mg + Cu12.5 mg (T8), Zn40 mg + Cu25 mg (T9), and Zn60 mg + Cu37.5 mg (T10) for eight months. Seminal plasma proteins from each group were subjected to two-dimensional electrophoresis and fifteen differential proteins were selected based on differential expression, subjected to identification using Nano-LC-MS/MS (LTQ-Qrbitrap-MS). The identified proteins were Triacylglycerol lipase, EGF like repeats and discoidin domains 3, Lipocalin, Iodothyronine deiodinase, Transcription factor AP2-delta, 60S ribosomal protein L13, IST1 factor associated with ESCRT-III, Lysozyme, Uncharacterized protein (BRI3-binding protein), Uncharacterized protein, Histone deacetylase 11, General transcription factor IIF subunit 2, Nudix hydrolase 6, Protein kinase cAMP-activated catalytic subunit beta and Elongin C. The organic Cu supplemented group is the better than the organic Zn and organic Zn + Cu supplemented groups.


Assuntos
Cobre/administração & dosagem , Regulação da Expressão Gênica/efeitos dos fármacos , Cabras/fisiologia , Minerais/administração & dosagem , Zinco/administração & dosagem , Ração Animal , Fenômenos Fisiológicos da Nutrição Animal , Animais , Dieta/veterinária , Suplementos Nutricionais , Relação Dose-Resposta a Droga , Masculino , Oligoelementos/administração & dosagem
13.
Nutrients ; 13(6)2021 05 28.
Artigo em Inglês | MEDLINE | ID: mdl-34071548

RESUMO

The levels of many essential minerals decrease during pregnancy if un-supplemented, including calcium, iron, magnesium, selenium, zinc, and possibly chromium and iodine. Sub-optimal intake of minerals from preconception through pregnancy increases the risk of many pregnancy complications and infant health problems. In the U.S., dietary intake of minerals is often below the Recommended Dietary Allowance (RDA), especially for iodine and magnesium, and 28% of women develop iron deficiency anemia during their third trimester. The goal of this paper is to propose evidence-based recommendations for the optimal level of prenatal supplementation for each mineral for most women in the United States. Overall, the evidence suggests that optimal mineral supplementation can significantly reduce a wide range of pregnancy complications (including anemia, gestational hypertension, gestational diabetes, hyperthyroidism, miscarriage, and pre-eclampsia) and infant health problems (including anemia, asthma/wheeze, autism, cerebral palsy, hypothyroidism, intellectual disability, low birth weight, neural tube defects, preterm birth, rickets, and wheeze). An evaluation of 180 commercial prenatal supplements found that they varied widely in mineral content, often contained only a subset of essential minerals, and the levels were often below our recommendations. Therefore, there is a need to establish recommendations on the optimal level of mineral supplementation during pregnancy.


Assuntos
Suplementos Nutricionais , Metais , Minerais , Cuidado Pré-Natal , Adulto , Medicina Baseada em Evidências , Feminino , Humanos , Metais/administração & dosagem , Metais/uso terapêutico , Minerais/administração & dosagem , Minerais/uso terapêutico , Gravidez , Complicações na Gravidez/tratamento farmacológico , Complicações na Gravidez/prevenção & controle , Estados Unidos , Adulto Jovem
14.
J Gastroenterol Hepatol ; 36(11): 3027-3032, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34132412

RESUMO

BACKGROUND AND AIM: Upper gastrointestinal tumors account for 5% of upper gastrointestinal bleeds. These patients are challenging to treat due to the diffuse nature of the neoplastic bleeding lesions, high rebleeding rates, and significant transfusion requirements. TC-325 (Cook Medical, North Carolina, USA) is a hemostatic powder for gastrointestinal bleeding. The aim of this study was to examine the outcomes of upper gastrointestinal bleeds secondary to tumors treated with Hemospray therapy. METHODS: Data were prospectively collected on the use of Hemospray from 17 centers. Hemospray was used during emergency endoscopy for upper gastrointestinal bleeds secondary to tumors at the discretion of the endoscopist as a monotherapy, dual therapy with standard hemostatic techniques, or rescue therapy. RESULTS: One hundred and five patients with upper gastrointestinal bleeds secondary to tumors were recruited. The median Blatchford score at baseline was 10 (interquartile range [IQR], 7-12). The median Rockall score was 8 (IQR, 7-9). Immediate hemostasis was achieved in 102/105 (97%) patients, 15% of patients had a 30-day rebleed, 20% of patients died within 30 days (all-cause mortality). There was a significant improvement in transfusion requirements following treatment (P < 0.001) when comparing the number of units transfused 3 weeks before and after treatment. The mean reduction was one unit per patient. CONCLUSIONS: Hemospray achieved high rates of immediate hemostasis, with comparable rebleed rates following treatment of tumor-related upper gastrointestinal bleeds. Hemospray helped in improving transfusion requirements in these patients. This allows for patient stabilization and bridges towards definitive surgery or radiotherapy to treat the underlying tumor.


Assuntos
Hemorragia Gastrointestinal , Neoplasias Gastrointestinais , Hemostase Endoscópica , Hemostáticos , Minerais , Idoso , Idoso de 80 Anos ou mais , Neoplasias Duodenais/complicações , Neoplasias Esofágicas/complicações , Feminino , Hemorragia Gastrointestinal/etiologia , Hemorragia Gastrointestinal/terapia , Neoplasias Gastrointestinais/complicações , Hemostáticos/administração & dosagem , Hemostáticos/uso terapêutico , Humanos , Masculino , Pessoa de Meia-Idade , Minerais/administração & dosagem , Minerais/uso terapêutico , Pós , Recidiva , Sistema de Registros , Neoplasias Gástricas/complicações , Resultado do Tratamento
15.
Inflammopharmacology ; 29(4): 1001-1016, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34110533

RESUMO

Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) known as coronavirus disease (COVID-19), emerged in Wuhan, China, in December 2019. On March 11, 2020, it was declared a global pandemic. As the world grapples with COVID-19 and the paucity of clinically meaningful therapies, attention has been shifted to modalities that may aid in immune system strengthening. Taking into consideration that the COVID-19 infection strongly affects the immune system via multiple inflammatory responses, pharmaceutical companies are working to develop targeted drugs and vaccines against SARS-CoV-2 COVID-19. A balanced nutritional diet may play an essential role in maintaining general wellbeing by controlling chronic infectious diseases. A balanced diet including vitamin A, B, C, D, E, and K, and some micronutrients such as zinc, sodium, potassium, calcium, chloride, and phosphorus may be beneficial in various infectious diseases. This study aimed to discuss and present recent data regarding the role of vitamins and minerals in the treatment of COVID-19. A deficiency of these vitamins and minerals in the plasma concentration may lead to a reduction in the good performance of the immune system, which is one of the constituents that lead to a poor immune state. This is a narrative review concerning the features of the COVID-19 and data related to the usage of vitamins and minerals as preventive measures to decrease the morbidity and mortality rate in patients with COVID-19.


Assuntos
COVID-19/imunologia , COVID-19/prevenção & controle , Suplementos Nutricionais , Sistema Imunitário/imunologia , Micronutrientes/administração & dosagem , Minerais/administração & dosagem , Vitaminas/administração & dosagem , Humanos , Sistema Imunitário/efeitos dos fármacos
16.
BMC Endocr Disord ; 21(1): 106, 2021 May 24.
Artigo em Inglês | MEDLINE | ID: mdl-34030674

RESUMO

BACKGROUND: The effects of vitamin and mineral supplementation on women with gestational diabetes mellitus (GDM) have not been well established. We conduct a meta-analysis to evaluate the effects of vitamin and mineral supplementation on glycemic control, inflammation and oxidative stress for women with GDM. METHODS: A systematic search of randomized controlled trials (RCTs) was conducted from PubMed, Embase, Web of Science and Cochrane Library up to July, 2020. Various results were pooled by using Review manager 5.3 and Stata 12.0. Mean difference (MD) with 95% confidence interval (CI) was estimated. Heterogeneity between studies was assessed by I-squared (I2) tests. RESULTS: Six hundred ninety-eight patients from 12 trials were included in our meta-analysis. Magnesium, zinc, selenium, calcium, vitamin D and E (alone or in combination) were found to significantly improve glycemic control in women with GDM compared to those receiving placebos: fasting plasma glucose (FPG) (MD = - 9.02; 95% CI: - 12.09, - 5.96; P < 0.00001), serum insulin (MD = - 4.33; 95% CI: - 5.35, - 3.32; P < 0.00001), homeostasis model assessment-insulin resistance (HOMA-IR) (MD = - 1.34; 95% CI: - 1.60, - 1.07; P < 0.00001), and homeostasis model of assessment for ß cell function (HOMA-B) (MD = - 15.58; 95% CI: - 23.70, - 7.46; P = 0.0002). Vitamin and mineral supplementation was found to attenuated inflammation and oxidative stress through decreasing high-sensitivity C-reactive protein (hs-CRP) (MD = - 1.29; 95% CI: - 1.82, - 0.76; P < 0.00001), malondialdehyde (MDA) (MD = - 0.71; 95% CI: - 0.97, - 0.45; P < 0.00001), and increasing total antioxidant capacity (TAC) (MD = 45.55; 95% CI: 22.02, 69.08; P = 0.0001). CONCLUSIONS: This meta-analysis shows that vitamin and mineral supplementation significantly improved glycemic control, attenuated inflammation and oxidative stress in women with GDM.


Assuntos
Diabetes Gestacional/dietoterapia , Suplementos Nutricionais , Minerais/administração & dosagem , Terapia Nutricional/métodos , Vitaminas/administração & dosagem , Feminino , Humanos , Gravidez , Prognóstico , Ensaios Clínicos Controlados Aleatórios como Assunto
17.
Nutrients ; 13(5)2021 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-33946331

RESUMO

We investigated the association between dietary micronutrient intakes and the risk of chronic kidney disease (CKD) in the Ansan-Ansung study of the Korean Genome and Epidemiologic Study (KoGES), a population-based prospective cohort study. Of 9079 cohort participants with a baseline estimate glomerular filtration rate (eGFR) ≥60 mL/min/1.73 m2 and a urine albumin to creatinine ratio (UACR) <300 mg/g and who were not diagnosed with CKD, we ascertained 1392 new CKD cases over 12 year follow-up periods. The risk of CKD according to dietary micronutrient intakes was presented using hazard ratios (HRs) and 95% confidence intervals (95% CIs) in a full multivariable Cox proportional hazard models, adjusted for multiple micronutrients and important clinico-epidemiological risk factors. Low dietary intakes of phosphorus (<400 mg/day), vitamin B2 (<0.7 mg/day) and high dietary intake of vitamin B6 (≥1.6 mg/day) and C (≥100 mg/day) were associated with an increased risk of CKD stage 3B and over, compared with the intake at recommended levels (HR = 6.78 [95%CI = 2.18-21.11]; HR = 2.90 [95%CI = 1.01-8.33]; HR = 2.71 [95%CI = 1.26-5.81]; HR = 1.83 [95%CI = 1.00-3.33], respectively). In the restricted population, excluding new CKD cases defined within 2 years, an additional association with low folate levels (<100 µg/day) in higher risk of CKD stage 3B and over was observed (HR = 6.72 [95%CI = 1.40-32.16]). None of the micronutrients showed a significant association with the risk of developing CKD stage 3A. Adequate intake of micronutrients may lower the risk of CKD stage 3B and over, suggesting that dietary guidelines are needed in the general population to prevent CKD.


Assuntos
Dieta , Micronutrientes/administração & dosagem , Insuficiência Renal Crônica/prevenção & controle , Adulto , Idoso , Estudos de Coortes , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Minerais/administração & dosagem , Fenômenos Fisiológicos da Nutrição , Fatores de Risco
18.
PLoS One ; 16(4): e0250738, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33901261

RESUMO

Given the importance of using the vitamin-mineral supplements to guarantee the minimum nutritional recommendations for pets in homemade foods, and hypothesizing that these products may contribute to toxic metals contamination, the present study aimed to determine the concentrations of essential minerals and toxic metals in vitamin-mineral supplements available in the Brazilian market and calculate if the amount recommended by the manufacturer guarantees the minimum recommendations of NRC (2006) and FEDIAF (2020), as well as calculating the amount of toxic metals that animals would consume, according to the amounts recommended by the manufacturer. Seven vitamin-mineral supplements were analyzed. The determination of essential minerals and toxic metals was performed using ICP-OES. Comparisons were made with the minimum recommendations for essential minerals, and with the maximum tolerated levels of toxic metals established by the FDA (2011), descriptively. Most of the vitamin-mineral supplements, in the quantities recommended by the manufacturers, do not guarantee the minimum recommendations of NCR (2006) and FEDIAF (2020) for the following elements: calcium, potassium, magnesium, sodium, phosphorus, selenium, and zinc. Only one supplement had detectable selenium concentrations. Three supplements provided more than 0.02mg of mercury/kg of body weight, the safe upper limit used to establish the maximum tolerated level of this element. It is concluded that most vitamin-mineral supplements do not meet the minimum recommendations for most essential minerals and, if formulated by untrained professionals, even with supplementation, homemade foods may still be nutritionally deficient. Furthermore, some vitamin-mineral supplements analyzed may imply risks of mercury poisoning in pets.


Assuntos
Suplementos Nutricionais/efeitos adversos , Intoxicação por Mercúrio/etiologia , Minerais/análise , Vitaminas/análise , Animais , Doenças do Gato/etiologia , Gatos , Suplementos Nutricionais/análise , Doenças do Cão/etiologia , Cães , Magnésio/análise , Minerais/administração & dosagem , Selênio/análise , Vitaminas/administração & dosagem , Zinco/análise
19.
Genes (Basel) ; 12(4)2021 04 19.
Artigo em Inglês | MEDLINE | ID: mdl-33921813

RESUMO

The crustacean ectoparasite salmon louse (Lepeophtheirus salmonis), which severely affects Atlantic salmon health and welfare is one of the main problems of commercial aquaculture. In the present study, fish were fed a diet supplemented with extra minerals through the inclusion of a commercial additive (Biofeed Forte Salmon), substituting wheat in the control diet, before experimental infestation with salmon lice. Lice counts reduced with time but with no apparent effect of the diets. Further, fish fed the mineral diet had an overall higher number of blue (acidic) mucous cells, while the ratio of purple mucous cells was higher in the mineral diet. The transcriptional response in skin was enhanced at 7 dpc (copepodite life stage) in fish fed the mineral diet including immune and stress responses, while at 21 dpc (pre-adult life stage), the difference disappeared, or reversed with stronger induction in the control diet. Overall, 9.3% of the genes affected with lice also responded to the feed, with marked differences in outer (scale + epidermis) and inner (dermis) skin layers. A comparison of transcriptome data with five datasets from previous trials revealed common features and gene markers of responses to lice, stress, and mechanically induced wounds. Results suggested a prevalence of generic responses in wounded skin and lice-infected salmon.


Assuntos
Copépodes/fisiologia , Suplementos Nutricionais , Doenças dos Peixes/genética , Minerais/administração & dosagem , Salmo salar/genética , Pele/metabolismo , Transcriptoma/efeitos dos fármacos , Animais , Doenças dos Peixes/imunologia , Doenças dos Peixes/parasitologia , Salmo salar/imunologia , Salmo salar/parasitologia , Pele/efeitos dos fármacos , Pele/imunologia , Pele/parasitologia
20.
Nutrients ; 13(5)2021 Apr 27.
Artigo em Inglês | MEDLINE | ID: mdl-33925281

RESUMO

BACKGROUND: With current Ca and P recommendations for enteral nutrition, preterm infants, especially VLBW, fail to achieve a bone mineral content (BMC) equivalent to term infants. During the first 3 years, most notably in light at term equivalent age (<-2 Z score) VLBW infants' BMC does not catch up. In adults born preterm with VLBW or SGA, lower adult bone mass, lower peak bone mass, and higher frequency of osteopenia/osteoporosis have been found, implying an increased risk for future bone fractures. The aim of the present narrative review was to provide recommendation for enteral mineral intake for improving bone mineral accretion. METHODS: Current preterm infant mineral recommendations together with fetal and preterm infant physiology of mineral accretion were reviewed to provide recommendations for improving bone mineral accretion. RESULTS: Current Ca and P recommendations systematically underestimate the needs, especially for Ca. CONCLUSION: Higher enteral fortifier/formula mineral content or individual supplementation is required. Higher general mineral intake (especially Ca) will most likely improve bone mineralization in preterm infants and possibly the long-term bone health. However, the nephrocalcinosis risk may increase in infants with high Ca absorption. Therefore, individual additional enteral Ca and/or P supplementations are recommended to improve current fortifier/formula mineral intake.


Assuntos
Cálcio/administração & dosagem , Nutrição Enteral/métodos , Minerais/administração & dosagem , Fósforo/administração & dosagem , Guias de Prática Clínica como Assunto , Recomendações Nutricionais , Humanos , Lactente , Recém-Nascido , Recém-Nascido Prematuro
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