Metal mixtures and oral health among children and adolescents in the National Health and Nutrition Examination Survey (NHANES), 2017-2020.

INTRODUCTION: Dental caries is the most common non-communicable human disease, yet little is known about the role of environmental metals, despite teeth consisting of a hard matrix of trace elements. We conducted a cross-sectional study of associations between environmental metals and objective assessment of dental caries and subjective assessments of oral health among a representative sample of U.S. children and adolescents. METHODS: Data were from the 2017-March 2020 pre-pandemic data file of the National Health and Nutrition Examination Survey (NHANES). To account for metal mixtures, we used weighted quantile sum (WQS) regression to estimate the joint impact of multiple trace elements assessed in blood and urine with oral disease outcomes. RESULTS: The blood metal mixture index was associated with a 32% (95% CI: 1.11, 1.56) increased risk of decayed surfaces while the urine metal mixture index was associated with a 106%, RR (95% CI = 2.06 (1.58, 2.70) increased caries risk. For both blood and urine, Mercury (Hg) had the largest contribution to the mixture index followed by Lead (Pb). The WQS blood metal mixture index was also significantly associated with poorer self-rated oral health, although the magnitude of the association was not as strong as for the objective oral disease measures, RR (95% CI) = 1.04 (1.02, 1.07). DISCUSSION: Increased exposure to a metal mixture was significantly related to poorer objective and subjective oral health outcomes among U.S. children and adolescents. These are among the first findings showing that metal mixtures are a significant contributor to poor oral health.

Effects of feeding fermented wheat with Lactobacillus reuteri on gut morphology, intestinal fermentation, nutrient digestibility, and growth performance in weaned pigs.

Feeding fermented feed to weaned pigs may improve nutrient digestibility and gut health and thereby reduce diarrhea incidence. Effects of feeding wheat grain fermented for 24 h with were evaluated with 36 weaned pigs (7.3 kg BW). Fermented wheat grain contained (DM basis) 14.2% CP, 0.45% chemically available Lys, and 7.8% NDF, whereas unfermented wheat grain contained 16.4% CP, 0.45% chemically available Lys, and 9.9% NDF. Pigs were fed 6 mash wheat-based diets balanced for water content during 2 phases: Phase 1 diets for 1 wk (d 0-7) with 20% unfermented or fermented wheat and, subsequently, Phase 2 diets for 2 wk (d 8-21) with 50% unfermented or fermented wheat. The 6 diets were unfermented wheat (CTRL), unfermented and chemically acidified wheat (ACD), fermented wheat with TMW1.656 and 10% sucrose, fermented wheat with TMW1.656 and 5% glucose + 5% fructose, fermented wheat with LTH5794 and 10% sucrose, and fermented wheat with LTH5794 and 5% glucose + 5% fructose. Diets were formulated to provide 2.5 and 2.4 Mcal NE/kg and 5.3 and 5.0 g standardized ileal digestible Lys/Mcal NE for Phase 1 and 2 diets, respectively. Feeding fermented wheat reduced ( < 0.05) apparent total tract digestibility (ATTD) of diet DM (84.7 vs. 85.4%), GE (84.4 vs. 85.3%), and CP (81.8 vs. 83.6%) for d 15 through 21 compared with the CTRL and ACD diets. Weaned pigs fed fermented wheat diets had lower ( < 0.05) ADFI than pigs fed the CTRL and ACD diets for d 0 through 7. The ADFI, ADG, and G:F did not differ between pigs fed fermented and unfermented diets. Concentrations of acetic, propionic, and branched-chain fatty acids and total VFA in feces increased ( < 0.05) for pigs fed fermented wheat diets containing exopolysaccharides (EPS). However, VFA did not differ in ileal digesta. Villus height in the duodenum and jejunum increased in pigs fed fermented wheat without EPS ( < 0.05) compared with pigs fed fermented wheat with EPS. However, pigs fed the CTRL and ACD diets had longer ( < 0.05) villi and deeper crypts in the ileum than pigs fed fermented wheat. The ratio of villus height to crypt depth did not differ in the 3 segments of small intestine of weaned pigs. In conclusion, feeding fermented wheat grain diets to weaned pigs did not affect gut morphology, intestinal fermentation, growth performance, and ATTD of nutrients; however, EPS stimulated hindgut fermentation and may promote health benefits.

Growth performance, diet nutrient digestibility, and bone mineralization in weaned pigs fed pelleted diets containing thermostable phytase.

Traditional supplemental dietary phytase loses activity during steam pelleting. The thermal tolerance and bioefficacy of a phytase product with a thermoprotective coating [coated phytase (C-phytase)] was compared in mash and pelleted diets to a traditional, uncoated phytase (U-phytase) added to a negative control (NC) diet, formulated with reduced dietary Ca and P, and compared with a corn-soybean meal based positive control (POC) diet. Growth performance, nutrient digestibility, and third metacarpal bone characteristics were response variables. Weaned pigs (n = 56; 8.20 ± 0.5 kg initial BW; 28 d of age) were individually housed and randomly allotted to 1 of 7 diets for 21 d. The diets were 1) POC mash, 2) NC mash, 3) NC pelleted at 90°C, 4) NC mash + 500 U/kg U-phytase, 5) NC mash + 500 U/kg C-phytase, 6) NC + 500 U/kg C-phytase pelleted at 80°C, and 7) NC + 500 U/kg C-phytase pelleted at 90°C. The POC and NC diets were formulated to be isoenergetic and isolysinic. The content of Ca and available P was 1.01 and 0.40% and 0.83 and 0.22% in the POC and NC diets, respectively. Pig BW and feed intake were measured on d 7, 14, and 21, and feces were collected for 2 d. On d 21, pigs were killed and ileal digesta and the third metacarpal bone collected. Pigs fed POC had greater (P < 0.05) ADG, G:F, P digestibility, and bone mineralization but lower (P < 0.01) energy digestibility than pigs fed NC. Pelleting the NC diet did not improve performance, nutrient digestibility, or P use. Adding the U-phytase to NC mash diet increased (P < 0.05) ADG, G:F, apparent ileal digestibility (AID) of CP and Ile, Leu, Phe, Thr, Val, and Ser, and apparent total tract digestibility (ATTD) of P compared with pigs fed NC. Pigs fed C-phytase in NC mash diets had increased (P < 0.05) G:F and an AID of CP and AA and ATTD of P compared with pigs fed NC but not different than pigs fed U-phytase NC mash diets. Pigs fed pelleted NC diet with C-phytase had a greater (P < 0.05) ATTD of P and energy than pigs fed mash NC diet with C-phytase but had similar growth performance, AID of CP and AA, and bone mineralization to pigs fed U-phytase. In conclusion, release and bioefficacy of phytase after pelleting was not affected by the thermal protective coating.

Growth performance and preference studies to evaluate solvent-extracted Brassica napus or Brassica juncea canola meal fed to weaned pigs.

Inclusion of conventional dark-seeded (Brassica napus) and novel yellow-seeded (Brassica juncea) canola meal (CM) can potentially replace soybean (Glycine max) meal (SBM) in pig diets. Our objective was to examine the preference of weaned pigs fed diets containing SBM or B. napus or B. juncea CM and to compare it against previously reported growth performance data (Exp. 1 and 2). In Exp. 1 and 2, growth performance was evaluated using 220 and 240 weaned pigs, respectively, by replacing dietary SBM with up to 20% B. napus (Exp. 1) or 24% B. juncea CM (Exp. 2). Feeding up to 20% B. napus CM to pigs did not affect growth performance, but increasing inclusion of B. juncea CM linearly reduced (P < 0.001) ADFI, ADG, and G:F most likely due to the higher content of glucosinolates, particularly gluconapin in B. juncea CM as confirmed by principle component analysis. In Exp. 3 and 4, SBM and B. napus and B. juncea CM fed at 20% dietary inclusion were evaluated in 2 preference studies using 216 and 144 pigs of 35 d of age, respectively. Pens equipped with 2 feeders housed 8 or 4 pigs per pen, in Exp. 3 and 4, respectively. Diets formulated to equal NE and standardized ileal digestible AA were offered in a paired choice as mash (Exp. 3) or pellets (Exp. 4) for 3 consecutive 7-d periods (3 d nontest and 4 d preference test). The 3 treatments offered were (i) SBM vs. B. napus CM, (ii) SBM vs. B. juncea CM, and (iii) B. napus vs. B. juncea CM. Pigs preferred SBM (P < 0.001) over B. napus and B. juncea CM diets, and pigs preferred B. napus (P < 0.001) over B. juncea CM diet. High content of the glucosinolate gluconapin likely reduced feed preference in B. juncea more than in B. napus CM. In conclusion, the contrast between preference and performance studies feeding CM to pigs indicates that preference studies should be interpreted cautiously until validated by growth performance data.