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1.
Poult Sci ; 99(11): 5946-5959, 2020 Nov.
Article in English | MEDLINE | ID: mdl-33142512

ABSTRACT

Four experiments were conducted to estimate the optimal standardized ileal digestible (SID) level of branched-chain amino acids in low-protein diets during the starter, grower, and finisher periods, using the response surface methodology, and to study their effects on performance and mRNA expression of genes involved in the mechanistic target of rapamycin (mTOR) pathway of broiler chickens from 8 to 21 D of age. In experiments 1, 2, and 3, a total of 1,500 Cobb male broiler chickens were assigned to 15 diets of a central composite rotatable design (CCD) of response surface methodology containing 5 levels of SID Leu, Val, and Ile with 5 replicate pens of 20 birds each. A 3-factor, 5-level CCD platform was used to fit the second-order polynomial equation of broiler performance. In experiment 4, a total of 540 8-day-old Cobb male broiler chickens were distributed in a completely randomized 2 x 3 x 3 factorial arrangement with 2 SID Leu levels (1.28 or 1.83%), 3 SID Val levels (0.65, 0.90, or 1.20%), and 3 SID Ile levels (0.54, 0.79, or 1.09%) for a total of 18 treatments with 5 replicate cages of 6 birds each. High Leu levels impaired (P < 0.05) gain:feed when birds were fed marginal Val or Ile diets. However, gain:feed was restored when both Val and Ile were supplemented to reach adequate or high levels. High Leu levels increased (P < 0.05) mRNA expression of S6K1 and eEF2 genes only in birds fed high Ile levels. Dietary SID Leu, Val, and Ile levels required for gain:feed optimization in low-protein diets were estimated at 1.37, 0.94, and 0.87% during the starter period; 1.23, 0.82, and 0.75% during the grower period; and 1.15, 0.77, and 0.70% during the finisher phase, respectively. Higher Val and Ile levels are required to optimize the effect of Leu supplementation on mRNA expression of mTOR pathway genes in the pectoralis major muscle of broilers from day 1 to 21 after hatch.


Subject(s)
Animal Nutritional Physiological Phenomena , Chickens , Diet, Protein-Restricted , Isoleucine , Leucine , Valine , Animal Feed/analysis , Animals , Chickens/genetics , Diet, Protein-Restricted/veterinary , Dietary Supplements , Growth/drug effects , Isoleucine/administration & dosage , Leucine/pharmacology , Male , Random Allocation , Valine/administration & dosage
2.
J Pediatr ; 219: 98-105.e4, 2020 04.
Article in English | MEDLINE | ID: mdl-32059815

ABSTRACT

OBJECTIVE: To compare growth in children with intestinal failure-associated liver disease (IFALD) who received a fish oil intravenous lipid emulsion (FOLE) to those who received a soybean oil intravenous lipid emulsion (SOLE). STUDY DESIGN: This multisite, retrospective study pair-matched FOLE (n = 82) to SOLE recipients (n = 41) using baseline serum direct bilirubin levels and postmenstrual age. Study subjects received open-label FOLE (1 g/kg/day) until IFALD resolved or parenteral nutrition was stopped. Historical control subjects received SOLE (up to 3 g/kg/day). Growth measures (changes in body weight, height/length, and head circumference), prealbumin, triglycerides, and glucose were compared between groups over time using the Wilcoxon rank-sum test. RESULTS: Although changes in all of the growth measures were similar for both groups (P > .05), FOLE recipients demonstrated an overall improved growth trajectory. After 28 weeks, FOLE recipients had a mean body weight within a z score range of -1 to 1 indicating age-appropriate growth. FOLE recipients consistently had higher prealbumin, lower triglyceride, and more normal glucose concentrations over time compared with SOLE recipients. CONCLUSIONS: Children with IFALD who received FOLE had similar growth and fewer metabolic abnormalities compared with those who received SOLE. TRIAL REGISTRATION: Clinicaltrials.gov: NCT00910104 and NCT00738101.


Subject(s)
Fish Oils/administration & dosage , Growth/drug effects , Intestinal Diseases/therapy , Liver Diseases/therapy , Parenteral Nutrition/methods , Case-Control Studies , Child, Preschool , Energy Intake , Fat Emulsions, Intravenous , Fatty Acids , Female , Humans , Male , Retrospective Studies
3.
Biol Trace Elem Res ; 194(1): 168-176, 2020 Mar.
Article in English | MEDLINE | ID: mdl-31127473

ABSTRACT

This work determines the effect nopal consumption at different maturity stages (60, 200, 400, and 600 g) as the only calcium source in bone metabolism. The apparent mineral absorption, the biomarkers of bone metabolism, the bone mineral density at different femoral regions, and crystal properties of the bone were evaluated during the growth stage. The Ca absorption was increased with the rat age in most of the experimental groups, while Mg supplementation decreased intestinal absorption probably due to a saturation process. Intestinal Ca and Mg absorption showed an opposite trend; this result suggests that both ions can compete for vitamin D absorption sites. The percentage of absorption of K was lower in the groups fed with Nopal; nevertheless, due to supplementation, the net absorption was higher than the control group. In all groups, osteocalcin levels decreased with the rat age. Nopal consumption increased osteocalcin levels during the adolescence stage in comparison to the control group. Amino N-terminal propeptide of type I procollagen levels increased in puberty and adolescence in all groups compared to the control group. Bone mineral density in different femoral regions was lower in the groups fed with nopal at early maturity stages (N-60 and N-200) than the groups fed with nopal at late maturity stages (N-400 and N-600). The crystal size of hydroxyapatite exhibited changes for all the groups, indicating the inclusion of mono and divalent ions in calcium replacement. On this basis, the nopal at late maturity stage contributed to bone formation.


Subject(s)
Bone Density/drug effects , Bone and Bones/drug effects , Bone and Bones/metabolism , Calcium/metabolism , Minerals/metabolism , Opuntia/chemistry , Plant Proteins, Dietary/pharmacology , Animals , Biomarkers/analysis , Biomarkers/metabolism , Calcium/analysis , Growth/drug effects , Growth/physiology , Male , Minerals/analysis , Rats , Rats, Wistar
4.
PLoS One ; 14(5): e0216066, 2019.
Article in English | MEDLINE | ID: mdl-31050665

ABSTRACT

The aim was to evaluate the effect of different feed additives on intake, performance, and fecal consistency index (FCI) of dairy calves from 6-60 d of age and its residual effect 15 d after weaning. Fifty Holstein calves (38 ± 1.0 kg BW) were fed 5 L/d of milk plus starter feed until weaning, and corn silage and concentrate after weaning. The treatments were: control (CON), monensin (MON; 30 mg/kg of starter), probiotic E. faecium (PROB; 70 mg/kg of starter), essential oils (EO; 300 mg/kg of starter), or PROB + EO (EOPROB). Fecal score and dry matter intake (DMI) were measured daily, and animals were weighed every 15 d. A DNA extraction from feces was performed to identify the presence of microorganisms (E. coli, Hafnia, Shiguella, Lactobacillus spp, Enterococcus spp, and Enterococcus faecium NCIMB 10415) by PCR. Two 72-h digestibility trials were performed at days 20-28 and 50-56, by total fecal collection. The DMI before weaning was greater for EO (903.0 g/d) compared with MON (794.3 g/d) and EOPROB (783.1 g/d). The FCI decreased during pre-weaning for EO and MON. Average daily gain (ADG) and feed efficiency (FE) did not differ among treatments before weaning. After weaning, DMI and FCI did not differ among treatments. The EO had greater ADG (917.5 g/d) compared with CON (615.8 g/d) and PROB (592.6 g/d). The FE improved with EO (0.72 g/g) over CON (0.36 g/g), MON (0.49 g/g), and PROB (0.36 g/g). The PCR results showed absence of E. faecium NCIMB 10415 in animals fed PROB and CON. Animals fed PROB had greater intake of CP and NDF than animals fed EOPROB. The EO can be added to the dairy calf ration to improve fecal score and increase DMI. The pre-weaning FCI decrease with MON and increase with PROB.


Subject(s)
Body Weight/drug effects , Growth/drug effects , Animal Feed , Animals , Cattle , Diet/methods , Diet/veterinary , Dietary Supplements , Eating/drug effects , Female , Male , Milk , Monensin/pharmacology , Probiotics/administration & dosage , Rumen/growth & development , Silage , Weaning , Zea mays
5.
J. pediatr. (Rio J.) ; J. pediatr. (Rio J.);95(1): 7-17, Jan.-Feb. 2019. tab, graf
Article in English | LILACS | ID: biblio-984644

ABSTRACT

Abstract Objectives: Human immunodeficiency virus infection can result in the early impairment of anthropometric indicators in children and adolescents. However, combined antiretroviral therapy has improved, in addition to the immune response and viral infection, the weight and height development in infected individuals. Therefore, the objective was to evaluate the effect of combined antiretroviral on the growth development of human immunodeficiency virus infected children and adolescents. Source of data: A systematic review was performed. In the study, the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) strategy was used as the eligibility criterion. The MEDLINE-PubMed and LILACS databases were searched using these descriptors: HIV, children, growth, antiretroviral therapy. The objective was defined by the population, intervention, comparison/control, and outcome (PICO) technique. Inclusion and exclusion criteria were applied for study selection. Synthesis of data: Of the 549 studies indexed in MEDLINE-PubMed and LILACS, 73 were read in full, and 44 were included in the review (33 showed a positive impact of combined antiretroviral therapy on weight/height development, ten on weight gain, and one on height gain in children and adolescents infected with human immunodeficiency virus). However, the increase in growth was not enough to normalize the height of infected children when compared to children of the same age and gender without human immunodeficiency virus infection. Conclusions: Combined antiretroviral therapy, which is known to play a role in the improvement of viral and immunological markers, may influence in the weight and height development in children infected with human immunodeficiency virus. The earlier the infection diagnosis and, concomitantly, of malnutrition and the start of combined antiretroviral therapy, the lower the growth impairment when compared to healthy children.


Resumo Objetivos: A infecção pelo vírus da imunodeficiência humana pode comprometer, precocemente, os indicadores antropométricos de crianças e adolescentes. No entanto, a terapia antirretroviral combinada tem melhorado, além da resposta imunológica e da infecção viral, o ganho pôndero-estatural dos infectados. Dessa forma, nosso objetivo foi avaliar o efeito da terapia antirretroviral combinada no crescimento, de crianças e adolescentes, infectadas pelo vírus da imunodeficiência humana. Fonte dos dados: Foi realizada uma revisão sistemática. No estudo, adotou-se como critério de elegibilidade dos artigos, a estratégia PRISMA (preferred reporting items for systematic reviews and meta-analyses). Foram consultadas as bases de dados MEDLINE-PubMed e LILACS pelos descritores: HIV (vírus da imunodeficiência humana), children, growth, antiretroviral therapy. O objetivo foi definido pela estratégia PICO (population, intervention, comparison/control, outcome). Critérios de inclusão e exclusão foram aplicados na seleção dos estudos. Síntese dos dados: Dos 549 estudos indexados no MEDLINE-PubMed e LILACS, 73 foram lidos na íntegra - 44 incluídos na revisão (33 demonstraram impacto positivo da terapia antirretroviral combinada no ganho pôndero-estatural, dez no ganho de peso e um no de estatura, em crianças e adolescentes, infectados com vírus da imunodeficiência humana). No entanto, o incremento no crescimento não foi o suficiente para normalizar a estatura de crianças infectadas, quando comparado com crianças da mesma idade e sexo, sem infecção pelo vírus da imunodeficiência humana. Conclusões: A terapia antirretroviral combinada que, conhecidamente, atua na melhora de marcadores virais e imunológicos, pode influenciar no ganho pôndero-estatural de crianças infectadas com vírus da imunodeficiência humana. Quanto mais precoce o diagnóstico da infecção e, concomitante, desnutrição e início da terapia antirretroviral combinada, menores serão os prejuízos no crescimento, quando comparado às crianças saudáveis.


Subject(s)
Humans , Infant, Newborn , Infant , Child, Preschool , Child , Adolescent , Young Adult , Body Height/drug effects , Body Weight/drug effects , Child Development/drug effects , Anti-HIV Agents/therapeutic use , Antiretroviral Therapy, Highly Active , Growth/drug effects , HIV Infections/drug therapy
6.
J Pediatr (Rio J) ; 95(1): 7-17, 2019.
Article in English | MEDLINE | ID: mdl-29660296

ABSTRACT

OBJECTIVES: Human immunodeficiency virus infection can result in the early impairment of anthropometric indicators in children and adolescents. However, combined antiretroviral therapy has improved, in addition to the immune response and viral infection, the weight and height development in infected individuals. Therefore, the objective was to evaluate the effect of combined antiretroviral on the growth development of human immunodeficiency virus infected children and adolescents. SOURCE OF DATA: A systematic review was performed. In the study, the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) strategy was used as the eligibility criterion. The MEDLINE-PubMed and LILACS databases were searched using these descriptors: HIV, children, growth, antiretroviral therapy. The objective was defined by the population, intervention, comparison/control, and outcome (PICO) technique. Inclusion and exclusion criteria were applied for study selection. SYNTHESIS OF DATA: Of the 549 studies indexed in MEDLINE-PubMed and LILACS, 73 were read in full, and 44 were included in the review (33 showed a positive impact of combined antiretroviral therapy on weight/height development, ten on weight gain, and one on height gain in children and adolescents infected with human immunodeficiency virus). However, the increase in growth was not enough to normalize the height of infected children when compared to children of the same age and gender without human immunodeficiency virus infection. CONCLUSIONS: Combined antiretroviral therapy, which is known to play a role in the improvement of viral and immunological markers, may influence in the weight and height development in children infected with human immunodeficiency virus. The earlier the infection diagnosis and, concomitantly, of malnutrition and the start of combined antiretroviral therapy, the lower the growth impairment when compared to healthy children.


Subject(s)
Anti-HIV Agents/therapeutic use , Antiretroviral Therapy, Highly Active , Body Height/drug effects , Body Weight/drug effects , Child Development/drug effects , Growth/drug effects , HIV Infections/drug therapy , Adolescent , Child , Child, Preschool , Humans , Infant , Infant, Newborn , Young Adult
7.
J Pediatr ; 175: 159-166.e2, 2016 08.
Article in English | MEDLINE | ID: mdl-27189679

ABSTRACT

OBJECTIVE: To investigate the longitudinal effects of perinatal exposure to dioxin on neurodevelopment and physical growth of a birth cohort during the first 3 years of life. STUDY DESIGN: A total of 217 mother-infant pairs living in a dioxin-contaminated area in Vietnam were followed up. Perinatal dioxin exposure of infants was estimated by the measurement of dioxin levels in breast milk of nursing mothers. Neurodevelopment of infants and children, including cognitive, language, and motor development, was determined at 4 months, 1 year, and 3 years of age. Physical growth, including weight, height, and head and abdominal circumferences, was measured at birth, 1 and 4 months, and 1 and 3 years of age. Multivariate mixed models were applied for analyzing repeated measures. RESULTS: In boys, composite motor and gross motor scores were decreased with increasing exposure of 2,3,7,8-tetrachlorodibenzo-p-dioxin (2,3,7,8-TetraCDD). The high toxic equivalent of polychlorinated dibenzo-p-dioxins and polychlorinated dibenzofurans (PCDDs/PCDFs-TEQ) group showed a significant decrease in expressive communication score. In girls, there was no decreased score in any neurodevelopment aspects in high-exposure groups. All body size measures in boys were decreased in the high-exposure groups of 2,3,7,8-TetraCDD and PCDDs/PCDFs-TEQ. In girls, high 2,3,7,8-TetraCDD and PCDDs/PCDFs-TEQ exposure was associated with increased head and abdominal circumferences. CONCLUSIONS: Perinatal dioxin exposure affects physical growth and neurodevelopment of infants and children in the first 3 years of life in a sex-specific manner.


Subject(s)
Child Development/drug effects , Environmental Pollutants/toxicity , Growth/drug effects , Maternal Exposure/adverse effects , Polychlorinated Dibenzodioxins/toxicity , Prenatal Exposure Delayed Effects/chemically induced , Child, Preschool , Cognition/drug effects , Environmental Pollutants/analysis , Female , Follow-Up Studies , Humans , Infant , Language Development , Male , Milk, Human/chemistry , Motor Skills/drug effects , Multivariate Analysis , Neuropsychological Tests , Polychlorinated Dibenzodioxins/analysis , Pregnancy , Sex Factors , Vietnam
10.
Eur J Clin Nutr ; 69(2): 198-204, 2015 Feb.
Article in English | MEDLINE | ID: mdl-25335446

ABSTRACT

BACKGROUND/OBJECTIVES: Studies evaluating the effect of folic acid supplementation, either alone or in combination with iron, on the linear and ponderal growth of children are practically nonexistent. The aim of this study was to assess the effect of folic acid supplementation with ferrous sulfate on both linear growth and weight gain in anemic and nonanemic children attending Municipal Daycare Centers in Goiania, State of Goias, Brazil. SUBJECTS/METHODS: A double-blind, randomized, controlled trial was conducted on 188 children aged 6-24 months. The effects of ferrous sulfate and folic acid supplementation were evaluated using the analysis of variance procedure, based on a double factorial model with two factors of fixed effects (folic acid supplementation and ferrous sulfate supplementation), adjusted for initial weight. The level of significance was 0.05. RESULTS: The children who received folic acid supplementation showed greater weight gain than the monthly average weight gain of those not given the supplement (P=0.026). This effect was independent of the dose of ferrous sulfate (P for interaction=0.693). Folic acid supplementation increased the gain of weight-for-age Z-score when compared with the placebo group (P=0.018), independent of the dose of ferrous sulfate. CONCLUSION: Folic acid had no effect on linear growth. The use of folic acid supplementation increased the monthly average weight gain and the gain in weight-for-age Z-score compared with the placebo group. This effect was independent of the dose of ferrous sulfate.


Subject(s)
Anemia, Iron-Deficiency/prevention & control , Dietary Supplements , Ferrous Compounds/therapeutic use , Folic Acid/pharmacology , Growth Disorders/prevention & control , Iron/therapeutic use , Vitamin B Complex/pharmacology , Anemia, Iron-Deficiency/drug therapy , Body Height/drug effects , Child, Preschool , Double-Blind Method , Female , Ferrous Compounds/pharmacology , Folic Acid/therapeutic use , Growth/drug effects , Humans , Infant , Iron/pharmacology , Iron Deficiencies , Male , Thinness/prevention & control , Vitamin B Complex/therapeutic use , Weight Gain/drug effects
11.
J Pediatr ; 165(6): 1252-4, 2014 Dec.
Article in English | MEDLINE | ID: mdl-25241178

ABSTRACT

Effects on linear growth were noted in children treated with peginterferon ± ribavirin in the Pediatric Study of Hepatitis C trial. Growth was further examined in a subset of patients followed for up to 6 years post-treatment. No long-term effects on height-for-age z scores were observed that could be attributed to hepatitis C virus treatment.


Subject(s)
Antiviral Agents/therapeutic use , Body Height/drug effects , Growth/drug effects , Hepatitis C, Chronic/drug therapy , Ribavirin/therapeutic use , Child , Female , Follow-Up Studies , Humans , Interferon-alpha , Male , Polyethylene Glycols , Recombinant Proteins
12.
J Pediatr ; 165(6): 1190-1193.e1, 2014 Dec.
Article in English | MEDLINE | ID: mdl-25241181

ABSTRACT

OBJECTIVE: To determine the effect of nutritional supplementation on height, weight, and body mass index (BMI) in short and lean prepubertal children. STUDY DESIGN: A prospective, randomized, double-blinded, placebo-controlled trial of nutritional supplementation at the endocrinology department of a tertiary pediatric medical center of healthy, lean, short, prepubertal children 3-9-years-old. Anthropometry measurements were measured at 6 months. RESULTS: Two hundred participants (149 boys) entered the study and 171 (85.5%) completed the intervention period. Baseline characteristics including age, sex, height-SDS, weight-SDS, BMI-SDS, and dietary caloric and protein intakes were similar in the formula and placebo groups. 'Good' consumers (intake of ≥50% of the recommended dose) in the formula group significantly improved height-SDS (P < .001) and weight-SDS (P = .005) with no change in BMI-SDS compared with 'poor' consumers and the placebo group. In the formula-treated group a positive correlation was found between the amount of formula consumed per body weight and the gain in height-SDS (r = 0.44, P < .001) and weight-SDS (r = 0.35, P = .002); no significant correlations were found in the placebo group. No serious adverse events were reported during the study. CONCLUSIONS: Nutritional intervention with the formula was found to be a feasible, effective, and safe approach for promoting the physical growth of short and lean prepubertal children.


Subject(s)
Dietary Supplements , Growth/drug effects , Body Height/drug effects , Body Mass Index , Body Weight/drug effects , Child , Child, Preschool , Double-Blind Method , Female , Humans , Male , Prospective Studies
13.
Clinics (Sao Paulo) ; 69 Suppl 1: 3-7, 2014.
Article in English | MEDLINE | ID: mdl-24860852

ABSTRACT

One of the ultimate goals of successful solid organ transplantation in pediatric recipients is attaining an optimal final adult height. This manuscript will discuss growth following transplantation in pediatric recipients of kidney, liver, heart, lung or small bowel transplants. Remarkably similar factors impact growth in all of these recipients. Age is a primary factor, with younger recipients exhibiting the greatest immediate catch-up growth. Graft function is a significant contributing factor, with a reduced glomerular filtration rate correlating with poor growth in kidney recipients and the need for re-transplantation with impaired growth in liver recipients. The known adverse impact of steroids on growth has led to modification of the steroid dose and even steroid withdrawal and avoidance. In kidney and liver recipients, this strategy has been associated with the development of acute rejection. In infant heart transplantation, avoiding maintenance corticosteroid immunosuppression is associated with normal growth velocity in the majority of patients. With marked improvements in patient and graft survival rates in pediatric organ recipients, quality of life issues, such as normal adult height, should now receive paramount attention. In general, normal growth following solid organ transplantation should be an achievable goal that results in normal adult height.


Subject(s)
Child Development/physiology , Growth/physiology , Organ Transplantation , Adolescent , Adult , Child , Child, Preschool , Graft Rejection/drug therapy , Growth/drug effects , Humans , Immunosuppressive Agents/therapeutic use , Infant , Infant, Newborn , Organ Transplantation/adverse effects , Quality of Life , Steroids/therapeutic use , Young Adult
14.
BMC Pediatr ; 14: 99, 2014 Apr 10.
Article in English | MEDLINE | ID: mdl-24721026

ABSTRACT

BACKGROUND: There is strong evidence of an association between maternal smoking during pregnancy and restriction of intrauterine growth, but the effects of this exposure on postnatal linear growth are not well defined. Furthermore, few studies have investigated the role of tobacco smoke exposure also after pregnancy on linear growth until adolescence. In this study we investigated the effect of maternal smoking exposure during pregnancy and preschool age on linear growth from birth to adolescence. METHODS: We evaluated a cohort of children born between 1994 and 1999 in Cuiabá, Brazil, who attended primary health clinics for vaccination between the years 1999 and 2000 (at preschool age) and followed-up after approximately ten years. Individuals were located in public and private schools throughout the country using the national school census. Height/length was measured, and length at birth was collected at maternity departments. Stature in childhood and adolescence was assessed using the height-for-age index sex-specific expressed as z-score from curves published by the World Health Organization. Linear mixed effects models were used to estimate the association between exposure to maternal smoking, during pregnancy and preschool age, and height of children assessed at birth, preschool and school age, adjusted for age of the children. RESULTS: We evaluated 2405 children in 1999-2000, length at birth was obtained from 2394 (99.5%), and 1716 at follow-up (71.4% of baseline), 50.7% of the adolescents were male. The z-score of height-for-age was lower among adolescents exposed to maternal smoking both during pregnancy and childhood (p < 0.01). Adjusting for age, sex, maternal height, maternal schooling, socioeconomic position at preschool age, and breastfeeding, children exposed to maternal smoking both during pregnancy and preschool age showed persistent lower height-for-age since birth to adolescence (coefficient: -0.32, p < 0.001) compared to non-exposed. Paternal smoking at preschool age was not associated with growth after adjustment for confounders. CONCLUSION: Exposure to maternal smoking not only during pregnancy, but also at early childhood, showed long-term negative effect on height of children until adolescence.


Subject(s)
Growth/drug effects , Prenatal Exposure Delayed Effects , Tobacco Smoke Pollution/adverse effects , Adolescent , Body Height/drug effects , Brazil , Breast Feeding , Child , Child, Preschool , Cohort Studies , Female , Humans , Infant , Infant, Newborn , Male , Maternal Exposure , Models, Statistical , Pregnancy , Smoking , Socioeconomic Factors
15.
Clinics ; Clinics;69(supl.1): 3-7, 1/2014.
Article in English | LILACS | ID: lil-699018

ABSTRACT

One of the ultimate goals of successful solid organ transplantation in pediatric recipients is attaining an optimal final adult height. This manuscript will discuss growth following transplantation in pediatric recipients of kidney, liver, heart, lung or small bowel transplants. Remarkably similar factors impact growth in all of these recipients. Age is a primary factor, with younger recipients exhibiting the greatest immediate catch-up growth. Graft function is a significant contributing factor, with a reduced glomerular filtration rate correlating with poor growth in kidney recipients and the need for re-transplantation with impaired growth in liver recipients. The known adverse impact of steroids on growth has led to modification of the steroid dose and even steroid withdrawal and avoidance. In kidney and liver recipients, this strategy has been associated with the development of acute rejection. In infant heart transplantation, avoiding maintenance corticosteroid immunosuppression is associated with normal growth velocity in the majority of patients. With marked improvements in patient and graft survival rates in pediatric organ recipients, quality of life issues, such as normal adult height, should now receive paramount attention. In general, normal growth following solid organ transplantation should be an achievable goal that results in normal adult height.


Subject(s)
Adolescent , Adult , Child , Child, Preschool , Humans , Infant , Infant, Newborn , Young Adult , Child Development/physiology , Growth/physiology , Organ Transplantation , Graft Rejection/drug therapy , Growth/drug effects , Immunosuppressive Agents/therapeutic use , Organ Transplantation/adverse effects , Quality of Life , Steroids/therapeutic use
16.
J Immunotoxicol ; 10(4): 349-54, 2013.
Article in English | MEDLINE | ID: mdl-23244546

ABSTRACT

The present study aimed to evaluate the effect of Roundup(®) (RU, glyphosate-based formulation) on some parameters of the immune system and growth of Caiman latirostris. Seventy-two caimans (20-day-old) from Proyecto Yacaré (Gob. Santa Fe/MUPCN) were used. Two groups were exposed for 2 months to different concentrations of RU (11 or 21 mg/L; taking into account the concentration recommended for its application in the field), while one group was maintained as control. The RU concentration was progressively decreased through the exposure period to simulate glyphosate degradation in water. Animals were measured and weighed at the beginning and end of the experiment, and blood samples taken after exposure to determine total and differential white blood cell (WBC) counts as well as total protein concentration (TPC), and for performing protein electrophoresis. The results showed that, compared against control hosts, there was a decrease in WBC counts, a higher percentage of heterophils, a higher TPC (with a low percentage of F2 protein fraction), and a negative effect on growth in the young caimans exposed to RU. These results demonstrate that in vivo exposure to RU induced alterations in the selected immune parameters, plasma proteins, and growth of caimans, thereby providing relevant information about the effects of this type of pesticide in this important species in the Argentinian wetlands.


Subject(s)
Glycine/analogs & derivatives , Leukocytes/drug effects , Pesticides/toxicity , Alligators and Crocodiles , Animals , Argentina , Body Weight/drug effects , Drug Dosage Calculations , Environmental Exposure/adverse effects , Glycine/administration & dosage , Glycine/toxicity , Growth/drug effects , Immune System/drug effects , Immune System/growth & development , Leukocyte Count , Leukocytes/immunology , Glyphosate
17.
Biochim Biophys Acta ; 1820(10): 1490-5, 2012 Oct.
Article in English | MEDLINE | ID: mdl-22659523

ABSTRACT

BACKGROUND: Conjugated linoleic acids (CLA) are fatty acids that are found in the lipids from goat milk, and appear to protect neurons from excitotoxicity. METHODS: We investigated in developing rats the effects of a maternal CLA-rich diet (containing 7% lipids from goat milk) on body development and cerebral electrical activity of the progeny from dams receiving the CLA diet during gestation (G), lactation (L) or both periods (G+L). RESULTS: Compared to a control group (C) receiving a diet with 7% soybean oil, body weight increased at 14, 21 and 28 days, but not at 35-45 days, in L and G+L groups (P<0.05). No intergroup difference was found on body and brain weights, body length, abdominal and thoracic circumferences, body mass index and abdominal to thoracic circumference ratio at 35-45 days. In contrast, at this later age the CSD velocities of propagation were significantly higher (P<0.05) in L as compared with the C and G group, and in the L+G, as compared with the C, G and L groups, suggesting a long-lasting brain effect. CONCLUSION: These data indicate that a maternal CLA-rich diet can differentially influence body weight increment (short-term effect), and CSD propagation (long-term effect) in the progeny, and the lactation is the most critical period for such diet actions. GENERAL SIGNIFICANCE: The facilitating effect of the lipids from goat milk on an excitability-related phenomenon in the brain (CSD) can be of clinical relevance, since CSD has been associated to neurological disturbances like migraine and epilepsy.


Subject(s)
Cortical Spreading Depression/drug effects , Dietary Fats, Unsaturated/pharmacology , Growth/drug effects , Linoleic Acids, Conjugated/pharmacology , Prenatal Exposure Delayed Effects/physiopathology , Animals , Animals, Newborn/growth & development , Animals, Newborn/physiology , Brain/drug effects , Brain/growth & development , Brain/metabolism , Brain Chemistry/drug effects , Diet , Fatty Acids/analysis , Fatty Acids/metabolism , Female , Male , Maternal Nutritional Physiological Phenomena/drug effects , Pregnancy , Prenatal Exposure Delayed Effects/etiology , Prenatal Exposure Delayed Effects/psychology , Rats , Rats, Wistar
18.
Environ Res ; 113: 58-62, 2012 Feb.
Article in English | MEDLINE | ID: mdl-22244494

ABSTRACT

BACKGROUND: Due to its long-term persistence in the environment and its ability to cross the placental barrier, prenatal p,p'-dichlorodiphenyldichloroethene (DDE) exposure continues to be a public health concern. This study aimed to evaluate the association between prenatal DDE exposure and child growth, at birth and during the first year of life. METHODS: 253 pregnant women were recruited between January 2001 and June 2005 in a prospective cohort in Morelos, Mexico. Serum levels of DDE were measured during each trimester of pregnancy by gas chromatography with an electron capture detector. Using the generalized mixed-effects models, the association between DDE and child growth parameters (weight-for-age, length-for-age, weight-for-length, BMI-for-age and head circumference-for-age Z-scores) from birth to 1 year of age was assessed. Maternal dietary intake was considered as covariable among others. RESULTS: DDE levels were 6.3±2.8 ng/mL (first trimester), 6.6±2.9 ng/mL (second trimester), and 7.6±2.9 ng/mL (third trimester). After adjusting for potential confounder variables, no significant associations were observed with prenatal DDE exposure and each of the selected parameters. CONCLUSIONS: Our results show no evidence of an association between prenatal DDE exposure and child growth during the first year of life.


Subject(s)
Body Size/drug effects , Dichlorodiphenyl Dichloroethylene/toxicity , Growth/drug effects , Insecticides/toxicity , Maternal Exposure/adverse effects , Prenatal Exposure Delayed Effects/chemically induced , Adult , Chromatography, Gas , Dichlorodiphenyl Dichloroethylene/blood , Female , Humans , Infant , Infant, Newborn , Insecticides/blood , Linear Models , Male , Mexico , Pregnancy , Prospective Studies
19.
Nutrition ; 28(4): 458-64, 2012 Apr.
Article in English | MEDLINE | ID: mdl-22169117

ABSTRACT

OBJECTIVE: To investigate whether dietary trans fatty acids (TFAs) are incorporated in the hippocampus and its effects on the growth and aversive and spatial memories of young rats. METHODS: Wistar rat offspring whose mothers were fed with normolipidic diets containing soybean oil (soy group) or hydrogenated vegetable oil (trans group) during gestation and lactation were used. Male and female pups received the same diets as their mothers until the end of behavioral testing. The composition of fatty acids in the total lipids of the diets and hippocampus was quantified by gas chromatography. The results were evaluated by Student's t test or analysis of variance followed by the Bonferroni correction. RESULTS: The trans male and female body weights were higher during lactation and after weaning, with trans males having the lower body weight of the two. There was incorporation of 0.11% and 0.17% of TFAs in the hippocampi of male and female rats, respectively. During passive avoidance test, there was no significant difference. In the water maze test, there was no significant difference between male groups in the training and retention phases, except on day 4, when there was a significant decrease in latency in trans males. Trans females were worse on day 2 only and showed an improvement in spatial memory during the probe trial. CONCLUSION: The TFAs were incorporated in small amounts in the hippocampus and did not affect aversive memory. However, spatial memory was modified in young rats fed with a diet rich in TFAs. These findings suggested that, in addition to the TFA content of the diet provided, it is important to consider the provision of essential fatty acids and the ω-6/ω-3 ratio.


Subject(s)
Body Weight/drug effects , Diet , Dietary Fats/pharmacology , Growth/drug effects , Hippocampus/drug effects , Memory/drug effects , Trans Fatty Acids/pharmacology , Animals , Avoidance Learning/drug effects , Dietary Fats/metabolism , Fatty Acids/metabolism , Fatty Acids/pharmacology , Female , Hippocampus/metabolism , Lactation , Male , Maze Learning/drug effects , Plant Oils/administration & dosage , Plant Oils/metabolism , Pregnancy , Prenatal Exposure Delayed Effects , Prenatal Nutritional Physiological Phenomena , Rats , Sex Factors , Trans Fatty Acids/metabolism , Weaning
20.
Arq. bras. endocrinol. metab ; Arq. bras. endocrinol. metab;55(9): 671-676, dez. 2011. tab
Article in Portuguese | LILACS | ID: lil-610473

ABSTRACT

O hormônio de crescimento recombinante humano (rhGH) pode melhorar o ganho ponderal, o crescimento físico e as condições clínicas e pulmonares na fibrose cística (FC). Entretanto, o uso rotineiro, embora promissor, não está estabelecido na literatura. O objetivo deste trabalho foi verificar os benefícios do rhGH em crianças e adolescentes com FC. Realizou-se uma revisão sistemática nas bases de dados PubMed, Lilacs, SciELO, Cochrane, no período de 20002010, utilizando-se as palavras-chave: "fibrose cística", "hormônio de crescimento", "crianças" e "adolescentes". Foram encontrados 77 artigos, sendo incluídos 11 estudos randomizados controlados, com 290 crianças e adolescentes com FC. O uso em curto prazo (1-24 meses) do rhGH melhorou estatura, peso, velocidade de crescimento, massa óssea e componentes da função pulmonar. Efeitos adversos como diabetes não foram observados nos estudos. O uso em curto prazo do rhGH melhorou o crescimento e a composição corporal em pacientes com FC.


The recombinant human growth hormone (rhGH) can improve weight gain, physical growth, clinical and lung in cystic fibrosis (CF). However, the routine use, although promising, is not established in the literature. The objective of this study was to assess the benefits of rhGH in children and adolescents with CF. We conducted a systematic review in the database PubMed, Lilacs, SciELO and Cochrane, in the period 2000-2010, using the keywords: "cystic fibrosis", "growth hormone", "children" and "adolescents". We found 77 articles and included 11 randomized controlled trials, with 290 children and adolescents with CF. The short-term use (1-24 months) of rhGH improved the height, weight, growth rate, bone mineral content and components of pulmonary function. Adverse effects, like diabetes, were not observed in the studies. The short-term use of rhGH improved growth and body composition in patients with CF.


Subject(s)
Adolescent , Child , Humans , Young Adult , Cystic Fibrosis/drug therapy , Growth Hormone/therapeutic use , Growth/drug effects , Body Composition , Body Height , Body Weight , Cystic Fibrosis/physiopathology , Randomized Controlled Trials as Topic , Weight Gain
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