Non-carcinogenic and carcinogenic health risk assessment of heavy metals in cooked beans and vegetables in Punjab, North India.

Beans and vegetables are consumed with cereals in India on daily basis. The aim of the study was to assess carcinogenic and non-carcinogenic risk of heavy metals in cooked beans and cooked vegetables consumed by adults (18-59 years) and elderly (≥60 years) subjects from two districts (Ludhiana and Bathinda) of Punjab. A total of 150 households were selected from 30 different locations covering both rural and urban areas. The mean daily consumption of beans and vegetables in Ludhiana was recorded as 35.09 and 215.93 g, respectively. The corresponding figures in Bathinda were observed as 26.85 and 230.54 g. The average amounts of arsenic, cadmium, lead, and mercury were 1.44 × 10-5, 8.21 × 10-5, 1.30 × 10-3, and 2.61 × 10-7 mg/kg for cooked vegetables in urban households of Ludhiana district, respectively. The corresponding values for rural households were 1.53 × 10-5, 5.58 × 10-5, and 2.98 × 10-4 mg/kg while mercury was not detected. The mean chronic daily intake (CDI) of arsenic from cooked beans was significantly (p ≤ .001) higher in urban adult males of Ludhiana (7.74 × 10-9 mg/kg/day) and Bathinda (5.31 × 10-9 mg/kg/day) compared to their rural counterparts. Similar trend was observed in CDI of heavy metals from vegetables. The mean CDI of cadmium from cooked vegetables in urban adult females of Ludhiana (3.76 × 10-7 mg/kg/day) was significantly (p ≤ .001) higher than their rural counterparts and both urban and rural adult females of Bathinda. The study concluded that the subjects of both districts were found safe from non-carcinogenic and carcinogenic risk associated with heavy metals present in cooked beans and vegetables, except for urban subjects and rural adult subjects of Ludhiana district who had cancer risk due to cadmium present in cooked vegetable samples.

Aloe Barbadensis Miller (Aloe Vera).

Aloe Barbadensis Miller (Aloe Vera, AV) is a widely recognized for its diverse health-promoting, skin care, and medicinal properties. This narrative review provides a comprehensive overview of AV's bioactive compounds, pharmacological activities, potential applications, its toxic and adverse effects, as well as the clinical evidence supporting AV's efficacy in disease prevention. AV contains over 200 bioactive compounds, with the inner clear gel of the leaves containing the majority of these compounds. These include phenolic acids (274.5-307.5 mg/100 g), flavonoids. (3.63-4.70 g/kg), polysaccharides (3.82-6.55 g/kg), saponins, alkaloids, terpenoids, and anthraquinone derivatives. Findings from clinical studies involving both humans and animals highlight the therapeutic potential of AV across diverse health domains. The studies demonstrate AV's efficacy in reducing blood glucose levels, exhibiting antioxidant and immunomodulatory effects, inducing apoptosis in cancer cells, protecting the liver from damage, and displaying antimicrobial properties. In the fields of dermatology and dentistry, AV has also been observed to promote skin and oral health. However, it is imperative to acknowledge potential risks, adhere to recommended dosages, and seek guidance from healthcare experts before employing AV as a natural therapeutic option. Moreover, considering safety concerns, further well-designed randomized controlled trials are necessary to substantiate the potential benefits of AV and comprehensively assess any associated risks.

Health risk assessment of arsenic, lead and cadmium from milk consumption in Punjab, India.

Milk is an integral part of the human diet and its contamination with heavy metals may alter the health of its consumers. The study was conducted to assess the health risk associated with the heavy metals in milk samples collected from urban and rural households of Ludhiana and Bathinda districts of Punjab, India. One hundred and fifty milk samples were analyzed for heavy metals i.e. arsenic, cadmium, lead and mercury using Inductively Coupled Plasma Mass Spectrometry ICP-MS. The health risks, such as non-carcinogenic and carcinogenic risks from heavy metals in milk samples, were calculated for selected males and females of adults, children and elderly subjects. The results indicated that the arsenic, cadmium and lead content in milk samples were within permissible limit whereas mercury was not detected in any sample. The mean values showed that the selected urban and rural population of both districts was safe from non-carcinogenic risk associated with heavy metal content of milk. However, urban (50% males and 86% females) and rural (25% males) children of Bathinda district were at risk of cancer from arsenic and cadmium present in milk samples, respectively. It was also observed that the selected population of both districts were safe from carcinogenic risk due to the combined effects of heavy metals. It was concluded that even with a small amount of heavy metal in milk samples, the rural adults, rural male children and urban female children of Bathinda district had carcinogenic risk due to milk consumption. Hence, regular monitoring and testing of milk samples must be done as a public health measure to prevent heavy metal contamination in milk to safeguard the health of consumers.

Protein, lysine and vitamin D: critical role in muscle and bone health.

Optimum body composition in terms of higher muscle and bone mass is crucial for balancing metabolic activities for sustainability of healthy human life. Individuals with lesser muscle mass respond poorly to stressed states such as traumatic injury, sepsis and advanced cancers. Most common diseases like obesity, heart disease, cancer and diabetes can be prevented by muscle mass modification. The nutrients like protein, lysine, calcium and vitamin D play a critical role in the maintenance of muscle mass and bone health. Poor dietary protein quality owing to high amounts of cereals and little animal foods have a marked negative impact on health in resource-limited settings. Lysine intake in developing countries is low mainly due to lesser food intake, consumption of cereals as staple diet and processing loss of lysine. Furthermore, lysine intakes have been shown to be marginal in low socio-economic groups which are of even greater concern. Cereal-based diets and cereal-based food subsidy programs offer low quality proteins and pose a risk of quality protein deficiency. Diets lacking in vitamin D contribute to vitamin D deficiency which is prevalent in epidemic proportions in large part of the world. Cereal-based vegetarian diets are responsible for lesser bioaccessibility of calcium as well. For obtaining optimal health, optimal muscle mass should be maintained at a younger age, which can be achieved by improving nutritional quality of diets. Dietary and medicinal supplementation of lysine, calcium and vitamin D may improve the body composition of young adult women in the form of proportionally more muscle mass, bone mass and lesser fat mass, which in turn, may prove helpful in improving general well-being, physical fitness as well as preventing metabolic diseases in developing countries.

Effect of drying procedures on nutritional composition, bioactive compounds and antioxidant activity of wheatgrass (Triticum aestivum L).

Fresh wheatgrass was dried using shade, oven and freeze drying methods. The ascorbic acid and ß-carotene and content of oven dried wheatgrass was significantly lower (133.13 µg and 1.98 mg) in comparison to shade dried (193.62 µg and 2.30 mg) and freeze dried (230.35 µg and 3.18 mg) wheatgrass. A significantly lower iron and zinc was observed in freeze dried (13.19 and 6.55 mg) wheatgrass in comparison to shade dried (28.94 and 7.40 mg) and oven dried (19.65 and 8.35 mg) wheatgrass. The chlorophyll in freeze dried (3.61 g) wheatgrass was significantly higher than shade dried (2.35 g) and oven dried (2.14 g) wheatgrass. The tannin content in wheatgrass was significantly higher in oven dried wheatgrass (8.18 mg/100 g) as compared to shade dried (6.68 mg/100 g) and freeze dried (6.34 mg/100 g) wheatgrass. The antioxidant activity of shade, oven and freeze dried wheatgrass was 50.13, 48.94 and 53.78%, respectively. The study concluded that freeze drying had preserved maximum amounts of chlorophyll, flavonoids, saponins and antioxidant activity in wheatgrass.

Relationship of Eating Behaviors with Age, Anthropometric Measurements, and Body Composition Parameters among Professional Indian Women.

One hundred volunteer female college teachers were selected from Jalandhar, Punjab, India. General obesity was found in 56.6%, 76.9%, and 76.2%, abdominal obesity in 56.6%, 57.7%, and 81.0%, of 30- to 39-year-old (Group I), 40- to 49-year-old, (Group II) and 50- to 59-year-old (Group III) participants, respectively. A significantly (p ≤ .05) lower mean value of uncontrolled eating domain was observed in the participants belonging to Group I in comparison to Groups II and III. The cognitive restraint was less in Group III (13.71%), followed by Group II (14.04%) and I (13.71%). The mean values of emotional eating domain revealed not much difference in Group I (12.19%), Group II (12.65%), and Group III (12.00%). Adiposity showed a significant (p ≤ .10, .05) relationship with age and eating behaviors. In conclusion, lesser cognitive dietary restraint and emotional eating were the variables associated with adiposity in the participants.

Relationship of dietary factors with dialyzable iron and in vitro iron bioavailability in the meals of farm women.

Sixty rural women with age varying between 25 and 35 were selected randomly to determine the role of dietary factors on bioavailability of iron in their diets. Food samples of selected subjects were collected for three major meals i.e. breakfast, lunch and dinner for three consecutive days. The samples were analyzed for meal constituents associated with iron absorption as well as for total and dialyzable iron. Based on dietary characteristics, the diets of the farm women were in the class of intermediate diets as per FAO/WHO classification with iron bioavailability of 8.11 %. The statistical analysis revealed that the meal constituents which were found to influence iron absorption positively were ascorbic acid and ß-carotene in breakfast and only ß-carotene in dinner. The meal constituents which affected iron absorption negatively were zinc and calcium in breakfast as well as lunch and phytates and NDF in dinner, however, polyphenols present in the meals of the subjects did not show any relationship with iron absorption.

Effect of inclusion of key foods on in vitro iron bioaccessibility in composite meals.

The in vitro bioaccessibility of iron in context to fortification of key foods to cereal based diets was studied to optimize the meals for enhanced iron bioaccessibility to meet the needs of vegetarian and non-vegetarian adult women. Four individual food items and thirty six composite meals were selected to represent a wide spectrum of meal ingredients. The four individual foods: chapati, rice, dal and saag were choosen on the basis of data reported on meal pattern of surveyed households of north India. The basic meals were then fortified with key food ingredients which may influence in vitro iron bioaccessibility. Eight selected key foods were salad, orange, lemonade, milk, curd, chicken, egg and tea. The results revealed that inclusion of 200 g of chicken, 135 g of salad and 120 g of orange to the basic meals of rice or chapati with either dal or saag enhanced iron bioaccessibility by 1.6 fold to 5.0 fold; 5.2 to 28.9 % and 4.7 to 10.7 %, respectively. The best enhancer of iron absorption for vegetarians was lemonade (250 ml) which resulted in 70.2 and 61.0 % increase of in vitro bioaccessibility of iron to the rice based meals with dal and saag, respectively. The inclusion of lemonade resulted in 1.3 fold increase in iron bioaccessibility in chapati based meals. The major inhibitors of iron bioaccessibility were egg and tea, the percent reduction caused by egg being 16.1 to 50.2 % while by tea, it was between 21.5 to 55.3 %. The study recommends that those vulnerable to iron deficiency should be encouraged to increase overall intake of iron from iron rich foods. The increase should be coupled with efforts to combine appropriate foods in the diet to enhance the bioaccessibility of iron and reduce inhibitory factors.

Iron and Zinc Status of 6-Month to 5-Year-Old Children From Low-Income Rural Families of Punjab, India.

BACKGROUND: Iron and zinc are the 2 micronutrients that are deficient in the diet of the people of Third World countries. OBJECTIVE: Assessment of iron and zinc status of 6-month to 5-year-old children from low-income rural families of Punjab, India. METHODS: Thirty clusters (villages) from 12 blocks of Ludhiana district of Punjab, India, were chosen randomly to select 413 households of agricultural laborers and of small and marginal farmers to obtain a sample of 312 children (6 months to 5 years). RESULTS: Wheat is the major contributor of iron (65.5%) and zinc (58.0%) in the diets of children. The percentage of adequacy of iron in 0.5- to 2-year-old and 3- to 5-year-old children was 18.5% and 37.2% when compared to the estimated average requirements of World Health Organization/Food and Agriculture Organization. The corresponding zinc adequacy was only 7.2% and 25.3%, respectively. The results showed that 65% of 2- to 5-year-old children had dietary zinc adequacy. Serum zinc values below normal values were 17.9%, whereas 84.6% and 71.8% of children had low serum iron and serum ferritin levels, respectively. The raised soluble transferrin receptors were found in 79.8% of children. Anemia was found in 55.8% children, of which 20.2%, 33.0%, and 2.9% of children were mildly, moderately, and severely anemic, respectively. CONCLUSIONS: Iron-deficiency anemia is a more serious problem among reference children, however, zinc deficiency also prevails. The suboptimal iron and zinc status pose a serious threat to the physical and mental growth of these children. Hence to curb these deficiencies necessary steps should be taken.

Diet and physical activity in relation to metabolic syndrome among urban Indian men and women.

The relationship of diet and physical activity with metabolic syndrome (MS) was studied among 60 male and female (40-60 y) urban Indian MS patients. Intake of green leafy vegetables, other vegetables, fruits and milk were significantly (p ≤ .01) associated with reduced fat mass and waist circumference and increased lean body mass. Energy, carbohydrates, and fat intakes were significantly (p ≤ .01) correlated with increased body fat and waist circumference and reduced lean body mass. Energy, total and saturated fat intake were positively and significantly (p ≤ .05; .01) correlated with total cholesterol. Total fat was also significantly (p ≤ .05; .01) correlated with increased systolic blood pressure (r = 0.33), serum triglycerides (r = 0.33), LDL-C (r = 0.29) and VLDL-C (r = 0.28). Increased TDEE was significantly (p ≤ .01) associated with decreased body fat and waist circumference (r = 0.53 and 0.60) and increased lean body mass (r = 0.68).

Effect of household processing on the in vitro bioavailability of iron in mungbean (Vigna radiata).

BACKGROUND: Mungbean (Vigna radiata) is a major source of energy and protein in developing countries, especially for the vegetarian population. Improvement of the bioavailability of iron in mungbean by common household processes could make a significant contribution to the nutrition of people in countries where iron-deficiency anemia is widespread. OBJECTIVE: The study was conducted to determine the effect of common household processes on nutritional and antinutritional factors as well as in vitro bioavailability of iron in mungbean. METHODS: Mungbean was subjected to various domestic processes such as dehulling, pressure cooking, germination, and fermentation. The effects of these processes on proximate composition, antinutritional factors (phytin phosphorus, polyphenols, and neutral detergent), and iron, including ionizable iron, were determined. RESULTS: No significant change in crude protein content was observed. There was a significant (p < or = .05) increase in fiber content after germination. Ash content decreased significantly (p < or = .05) after all processing methods. The processing methods resulted in a significant (p < or = .05) reduction in phytin phosphorus and polyphenols. Pressure cooking significantly (p < or = .05) decreased the neutral detergent fiber, whereas fermentation and germination increased it. The phytate:iron molar ratio of processed mungbean revealed that the maximum reduction was in germinated and fermented samples. Ascorbic acid content increased significantly (p < or = .05) after germination. The in vitro bioavailability of iron in raw mungbean was 7.32%. All of the processing methods resulted in an increase in iron bioavailability in vitro; the maximum bioavailability was in germinated cooked mungbean (12.52%), followed by fermented cooked mungbean and germinated raw mungbean (both 11.04%). CONCLUSIONS: Suitable processing techniques can improve the in vitro bioavailability of iron from mungbean. If mungbean products with enhanced iron bioavailabilty are developed, they could help improve the iron status of the population.

Iron and energy supplementation improves the physical work capacity of female college students.

A nutritionally controlled study was conducted on two groups of 15 female college students aged 16 to 20 years, selected from Punjab Agricultural University, Ludhiana, Punjab, India. The girls were either anemic (hemoglobin 7.7 g/dl) but energy adequate (AEA), or anemic (hemoglobin 7.4 g/dl) and energy deficient (AED). The AEA group was given iron supplementation (60 mg iron/day) for 6 to 9 months along with 100 mg of ascorbic acid, and the AED group was given iron as well as energy supplementation for 3 months. There was a significant (p < .01) increase in weight, body mass index, mid-upper-arm circumference, and body fat in the AED group after iron-energy supplementation. Hemoglobin, serum iron, transferrin saturation, total iron-binding capacity, and unsaturated iron-binding capacity were below normal in both groups; however, after iron and iron-energy supplementation, there was a significant (p < .01) increase, and these indices were in the normal range. There was a significant (p < .01) increase in exercise time and maximum work load tolerance after iron and iron-energy supplementation. Combined energy and iron deficiency had a greater adverse effect on physical work capacity than energy or iron deficiency alone.