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1.
Nat Commun ; 13(1): 4608, 2022 08 08.
Article in English | MEDLINE | ID: mdl-35941261

ABSTRACT

Connections between food security and nutrition (FSN) and mental health have been analytically investigated, but conclusions are difficult to draw given the breadth of literature. Furthermore, there is little guidance for continued research. We searched three databases for analytical studies linking FSN to mental health. Out of 30,896 records, we characterized and mapped 1945 studies onto an interactive Evidence and Gap Map (EGM). In these studies, anthropometry (especially BMI) and diets were most linked to mental health (predominantly depression). There were fewer studies on infant and young child feeding, birth outcomes, and nutrient biomarkers related to anxiety, stress, and mental well-being. Two-thirds of studies hypothesized FSN measures as the exposure influencing mental health outcomes. Most studies were observational, followed by systematic reviews as the next largest category of study. One-third of studies were carried out in low- and middle-income countries. This map visualizes the extent and nature of analytical studies relating FSN to mental health and may be useful in guiding future research.


Subject(s)
Income , Mental Health , Child , Diet , Food Security , Humans , Infant , Nutrients
2.
Front Public Health ; 9: 722290, 2021.
Article in English | MEDLINE | ID: mdl-34722437

ABSTRACT

Both malnutrition and poor mental health are leading sources of global mortality, disease, and disability. The fields of global food security and nutrition (FSN) and mental health have historically been seen as separate fields of research. Each have undergone substantial transformation, especially from clinical, primary care orientations to wider, sociopolitical approaches to achieve Sustainable Development Goals. In recent years, the trajectories of research on mental health and FSN are further evolving into an intersection of evidence. FSN impacts mental health through various pathways such as food insecurity and nutrients important for neurotransmission. Mental health drives FSN outcomes, for example through loss of motivation and caregiving capacities. They are also linked through a complex and interrelated set of determinants. However, the heterogeneity of the evidence base limits inferences about these important dynamics. Furthermore, interdisciplinary projects and programmes are gaining ground in methodology and impact, but further guidance in integration is much needed. An evidence-driven conceptual framework should inform hypothesis testing and programme implementation. The intersection of mental health and FSN can be an opportunity to invest holistically in advancing thinking in both fields.


Subject(s)
Malnutrition , Mental Health , Global Health , Humans , Nutritional Status , Sustainable Development
3.
Matern Child Nutr ; 17(4): e13230, 2021 10.
Article in English | MEDLINE | ID: mdl-34132496

ABSTRACT

Marketing of breastmilk substitutes (BMS) continues to undermine breastfeeding globally, and low income countries experiencing rapid economic growth are especially vulnerable as expanding BMS markets. The objective of the study was to understand the prevalence of exposure to BMS promotions among mothers of children 0-23 months, the frequency and type of contacts between BMS companies and health workers and the presence of educational/informational materials and branded equipment associated with such companies in health facilities in Abidjan using the World Health Organization's NetCode protocol. The methods included structured interviews with health workers and mothers and observations of equipment/materials in a sample of 42 facilities, 330 mothers and 129 health workers. Descriptive statistics were produced, and chi-squared tests were used to assess differences by child age and facility type. Forty-three per cent of mothers were advised to feed BMS products in the past 6 months, with a significantly higher percentage of mothers of older children (6-23 months) advised compared to infants 0-5 months. Two thirds (66%) of mothers had seen promotions outside of facilities. Among health workers, 63% were contacted by BMS companies, and only 8% were familiar with the International Code of Marketing of BMS. Differences were found between public/private facilities in the types of requests BMS companies made to health workers. Strong actions are needed in Côte d'Ivoire to prevent BMS promotion in the health system, including increasing health workers' knowledge of the International Code and national regulations, monitoring violations and reaching mothers and families to promote optimal breastfeeding practices.


Subject(s)
Milk, Human , Mothers , Adolescent , Breast Feeding , Child , Cote d'Ivoire , Female , Humans , Infant , Marketing
4.
Public Health Nutr ; 23(10): 1810-1819, 2020 07.
Article in English | MEDLINE | ID: mdl-32285766

ABSTRACT

OBJECTIVE: The objective was to examine the association between symptoms of maternal mental health problems and child diet and nutritional status in South Kivu, Democratic Republic of Congo. DESIGN: Maternal depression and anxiety symptoms were measured by the Hopkins Symptom Checklist-25 (HSCL-25), and post-traumatic stress was measured by the Harvard Trauma Questionnaire (HTQ). Participants were classified as having high psychological distress if their mean item score was in the upper quartile of both measures. Dependent variables included child dietary diversity, meal frequency, height-for-age z score (HAZ), weight-for-age z score (WAZ), weight-for-height z score (WHZ), stunting and underweight. Bivariate and multivariate regression analyses were conducted. SETTING: The study was nested in a larger quasi-experimental study evaluating Jenga Jamaa II, a food and nutrition assistance project in Uvira and Fizi territories. PARTICIPANTS: In total, 812 mother-child pairs participated. Children ranged from 2·6 to 5·6 years of age. RESULTS: HSCL-25 (ß: 0·18, P < 0·05) and HTQ (ß: 0·19, P < 0·05) were statistically significantly associated with higher dietary diversity scores, and all maternal mental health measures were associated with higher meal frequency (HSCL-25: ß: 0·13, P = 0·001; HTQ: ß: 0·12, P = 0·001; high distress: ß: 0·15, P < 0·05) and consumption of at least three meals/snacks per day (HSCL-25: OR: 2·06, HTQ: OR: 1·93, high distress: OR: 2·68, P < 0·001 for all). No significant associations were found with HAZ, WAZ, WHZ, stunting or underweight indicators. CONCLUSIONS: More severe symptoms of maternal mental health problems were positively associated with child diet, but not anthropometry indicators. More research is needed to understand the role of maternal mental health in child feeding practices in food insecure and resource-poor settings.


Subject(s)
Child of Impaired Parents/psychology , Diet/psychology , Feeding Behavior/psychology , Meals/psychology , Pregnancy Complications/psychology , Adult , Anxiety , Body Height , Body Weight , Child Behavior/psychology , Child, Preschool , Democratic Republic of the Congo , Depression , Female , Humans , Nutritional Status , Pregnancy , Psychological Distress , Regression Analysis
5.
BMC Public Health ; 20(1): 225, 2020 Feb 13.
Article in English | MEDLINE | ID: mdl-32054476

ABSTRACT

BACKGROUND: In developing countries, maternal mental health problems have been linked to sub-optimal child feeding practices and child underweight and stunting, but little is known about how maternal mental health is associated with mothers' own diets and nutritional status. The objective of the study was to investigate the association between mental health symptoms and diet and nutritional status of mothers of young children in South Kivu, DR Congo. METHODS: Participants were 828 mothers of young children enrolled in a larger, quasi-experimental study evaluating a multi-year food security and nutrition project. The present analysis was conducted with cross-sectional data collected from 2015 to 2016. We assessed symptoms of anxiety and depression using the Hopkins Symptom Checklist-25 (HSCL-25) and post-traumatic stress disorder (PTSD) with the Harvard Trauma Questionnaire (HTQ), using a four-point Likert scale. Mean scale scores were calculated ranging from one to four. A variable was created for high distress (participants scoring in the upper quartile of both measures). Dietary diversity scores were calculated from the number of food groups (range zero to ten) consumed the previous day, identified from an open recall. Nutritional status was measured by body mass index (BMI) and underweight (BMI < 18.5 kg/m2, or mid-upper arm circumference < 23 cm for pregnant women). Bivariate and multivariate (adjusting for parent study intervention group, education, age, health, parity, livelihoods zone, and territory of origin) regression analyses were conducted. RESULTS: Maternal mental health measures were positively and statistically significantly associated with higher dietary diversity scores in adjusted analyses (HSCL-25: ß= 0.18, p = 0.002, HTQ: ß= 0.12, p = 0.029, High Distress: ß= 0.47, p < 0.001). Mental health symptoms were not significantly associated with BMI (HSCL-25: ß = - 0.04, p = 0.824; HTQ: ß = 0.02, p = 0.913; High distress: ß= - 0.02, p = 0.938) or underweight (HSCL 25: OR = 0.91, p = 0.640; HTQ: OR = 1.03, p = 0.866; High distress: OR = 0.78, p = 0.489). CONCLUSIONS: More severe maternal mental health symptoms were associated with higher dietary diversity but not nutritional status, and the reasons for these findings are not clear from available data. More research is needed to identify underlying factors that could influence mental health symptomatology and diet quality among food insecure and extremely resource-limited populations.


Subject(s)
Diet/statistics & numerical data , Mental Disorders/epidemiology , Mothers/psychology , Nutritional Status , Adult , Child , Child, Preschool , Cross-Sectional Studies , Democratic Republic of the Congo/epidemiology , Female , Humans , Infant , Mothers/statistics & numerical data , Risk Factors
6.
Public Health Nutr ; 22(1): 3-14, 2019 01.
Article in English | MEDLINE | ID: mdl-30520406

ABSTRACT

OBJECTIVE: The prevention of malnutrition in children under two approach (PM2A), women's empowerment and agricultural interventions have not been widely evaluated in relation to child diet and nutrition outcomes. The present study evaluated the effectiveness of PM2A, women's empowerment groups (WEG), farmer field schools (FFS) and farmer-to-farmer training (F2F). DESIGN: Community-matched quasi-experimental design; outcome measures included children's dietary diversity, stunting and underweight. SETTING: Communities in South Kivu, Democratic Republic of the Congo.ParticipantsA total of 1312 children from 1113 households. RESULTS: Achievement of minimum dietary diversity ranged from 22·9 to 39·7 % and was significantly greater in the PM2A and FFS groups (P<0·05 for both comparisons). Fewer than 7·6 and 5·8 % of children in any group met minimum meal frequency and acceptable diet targets; only the PM2A group differed significantly from controls (P<0·05 for both comparisons). The endline stunting prevalence ranged from 54·7 % (PM2A) to 69·1 % (F2F) and underweight prevalence from 22·3 % (FFS) to 34·4 % (F2F). No significant differences were found between intervention groups and controls for nutrition measures; however, lower prevalences of stunting (PM2A, -4 %) and underweight (PM2A and FFS, -7 %) suggest potential impact on nutrition outcomes. CONCLUSIONS: Children in the PM2A and FFS groups had better child diet measures and nutrition outcomes with the best results among PM2A beneficiaries. Interventions that address multiple aspects nutrition education, health, ration provision and income generation may be more effective in improving child diet and nutrition in resource-poor settings than stand-alone approaches.


Subject(s)
Agriculture/education , Diet/statistics & numerical data , Growth Disorders/epidemiology , Infant Nutrition Disorders/prevention & control , Thinness/epidemiology , Women/education , Democratic Republic of the Congo/epidemiology , Diet Surveys , Empowerment , Female , Growth Disorders/etiology , Humans , Infant , Infant Nutrition Disorders/complications , Infant, Newborn , Male , Program Evaluation , Thinness/etiology , Women/psychology
7.
PLoS Genet ; 14(1): e1007192, 2018 01.
Article in English | MEDLINE | ID: mdl-29351294

ABSTRACT

Circadian clocks are ubiquitous in eukaryotic organisms where they are used to anticipate regularly occurring diurnal and seasonal environmental changes. Nevertheless, little is known regarding pathways connecting the core clock to its output pathways. Here, we report that the HAD family phosphatase CSP-6 is required for overt circadian clock output but not for the core oscillation. The loss of function Δcsp-6 deletion mutant is overtly arrhythmic on race tubes under free running conditions; however, reporter assays confirm that the FREQUENCY-WHITE COLLAR COMPLEX core circadian oscillator is functional, indicating a discrete block between oscillator and output. CSP-6 physically interacts with WHI-2, Δwhi-2 mutant phenotypes resemble Δcsp-6, and the CSP-6/WHI-2 complex physically interacts with WC-1, all suggesting that WC-1 is a direct target for CSP-6/WHI-2-mediated dephosphorylation and consistent with observed WC-1 hyperphosphorylation in Δcsp-6. To identify the source of the block to output, known clock-controlled transcription factors were screened for rhythmicity in Δcsp-6, identifying loss of circadian control of ADV-1, a direct target of WC-1, as responsible for the loss of overt rhythmicity. The CSP-6/WHI-2 complex thus participates in the clock output pathway by regulating WC-1 phosphorylation to promote proper transcriptional/translational activation of adv-1/ADV-1; these data establish an unexpected essential role for post-translational modification parallel to circadian transcriptional regulation in the early steps of circadian output.


Subject(s)
Circadian Rhythm/genetics , Fungal Proteins/physiology , Hydrolases/physiology , Neurospora crassa/genetics , Phosphoric Monoester Hydrolases/physiology , Circadian Clocks/genetics , DNA-Binding Proteins/genetics , DNA-Binding Proteins/metabolism , DNA-Binding Proteins/physiology , Fungal Proteins/genetics , Fungal Proteins/metabolism , Gene Expression Regulation, Fungal , Hydrolases/genetics , Neurospora crassa/enzymology , Organisms, Genetically Modified , Phosphorylation , Protein Binding , Signal Transduction/genetics , Transcription Factors/genetics , Transcription Factors/metabolism , Transcription Factors/physiology
8.
Glob Health Sci Pract ; 5(4): 630-643, 2017 12 28.
Article in English | MEDLINE | ID: mdl-29284698

ABSTRACT

BACKGROUND: Food and nutrition security in eastern Democratic Republic of the Congo are threatened by political instability and chronic poverty. The Jenga Jamaa II project, implemented between 2011 and 2016 in South Kivu Province, aimed to improve household food security and child nutritional status using various intervention strategies, including farmer field school (FFS) programs. OBJECTIVE: To characterize the changes in agricultural production techniques, household food security, and child nutritional status associated with participation in FFS programs. METHODS: We used a community-matched design to select FFS intervention and control households from 3 health zones in which the project was operating. Data on food security (Household Dietary Diversity Score [HDDS] and Household Food Insecurity Access Scale [HFIAS]) and child anthropometry were collected semiannually for 3.5 years in both groups. Additional data on agricultural practices were collected annually in the FFS group only. Focus groups with FFS staff and beneficiaries were conducted in the final project year. Statistical analyses included basic descriptive statistics such as paired t tests and analysis of covariance; regression models using a bootstrap were applied to generate P values and confidence intervals while accounting for differences between groups. RESULTS: The study enrolled 388 FFS beneficiaries and their households in the intervention group and 324 non-FFS households in the control group. FFS participants reported increasing the number of different agricultural techniques they used by an average of 2.7 techniques over the project period, from 5.1 in 2013 to 7.9 in 2016 (P<.001). The mean HDDS and HFIAS improved more in the FFS group than in the control group (mean difference between intervention and control for HDDS was 0.9 points and for HFIAS was -4.6 points; P<.001). However, the prevalence of child stunting (60.2% intervention vs. 58.8% control) and underweight (22.3% intervention vs. 29.8% control) were similar in both groups at endline (P>.05). CONCLUSION: Although FFS participants diversified their agricultural production strategies and experienced improvements in household food security, there was not a positive impact on child nutritional status. In this food-insecure context, improvements in agricultural production alone are unlikely to significantly change child nutritional status-a health outcome with a complex, multilevel causal chain.


Subject(s)
Agriculture/education , Child Nutrition Disorders/prevention & control , Food Supply/statistics & numerical data , Health Promotion/methods , Nutritional Status , Adult , Child , Democratic Republic of the Congo , Female , Humans , Male , Program Evaluation
9.
ACS Appl Mater Interfaces ; 9(39): 34480-34488, 2017 Oct 04.
Article in English | MEDLINE | ID: mdl-28945331

ABSTRACT

We employed a systematic processing approach to control phase separation in polymer blend thin films and significantly reduce dynamic friction coefficients (µ)s. We leveraged this modulation of phase separation to generate composite surfaces with dynamic friction coefficients that were substantially lower than expected on the basis of simple mixing rules, and in several cases, these friction coefficients were lower than those of both pure components. Using a model polyisoprene [PI]/polystyrene [PS] composite system, a minimum µ was found in films with PS mass fractions between 0.60 and 0.80 (µblend = 0.11 ± 0.03); that value was significantly lower than the friction coefficient of PS (µPS = 0.52 ± 0.01) or PI (µPI = 1.3 ± 0.09) homopolymers and was comparable to the friction coefficient of poly(tetrafluoroethylene) [PTFE] (µPTFE = 0.09 ± 0.01) measured under similar conditions. Additionally, through experiments in which the domain size was systematically varied at constant composition (through an annealing process), we demonstrated that µ decreased with decreasing characteristic domain size. Thus, the tribological synergy between PS and PI domains (discrete size, physical domain isolation, and overall film composition) was shown to play an integral role in the friction and wear of these PS/PI composites. Overall, our results suggest that even high friction polymers can be used to create low friction polymer blends by following appropriate design rules and demonstrate that engineering microstructure is critical for controlling the friction and adhesion properties of composite films for tribologically relevant coatings.

10.
Food Nutr Bull ; 38(3): 319-337, 2017 09.
Article in English | MEDLINE | ID: mdl-28627261

ABSTRACT

BACKGROUND: Maternal mental health problems are associated with poor child growth and suboptimal child feeding practices, yet little qualitative research has been conducted to understand mothers' perceptions about how maternal mental ill health and child nutrition are related. OBJECTIVE: The objective of the study was to understand maternal perceptions on sources of psychological distress, and how distress impacts functioning, especially related to childcare and feeding practices among mothers of young children in South Kivu, DR Congo. METHODS: Mothers of young children who were participating in a larger study were eligible. Using purposive sampling, participants were selected if they had high or low levels of psychological distress, based on their mean item score on measures of symptoms of depression, anxiety, and post-traumatic stress. Twenty in-depth interviews and 2 focus group discussions were conducted, with a total of 35 mothers. Key informant interviews were conducted with 5 local health workers. Audio recordings were transcribed and coded, and the analysis was guided by Grounded Theory methodology. RESULTS: Major themes to emerge were that women's husbands were a significant source of distress, with husbands' infidelity, abandonment, and lack of financial support mentioned by participants. Psychological distress resulted in appetite and weight loss, and poor nutritional status made it difficult to breastfeed. Participants perceived psychological distress caused milk insufficiency and difficulty breastfeeding. CONCLUSION: Mothers experiencing psychological distress may need greater support for maternal nutrition and breastfeeding, and engaging fathers through responsible parenting interventions may reduce psychological distress and have a positive impact on child health.


Subject(s)
Breast Feeding/psychology , Mothers/psychology , Stress, Psychological/psychology , Adolescent , Adult , Child Nutritional Physiological Phenomena , Child, Preschool , Congo , Feeding Behavior , Female , Humans , Infant , Male , Maternal Nutritional Physiological Phenomena , Rural Population , Young Adult
11.
Matern Child Nutr ; 13(1)2017 01.
Article in English | MEDLINE | ID: mdl-26898604

ABSTRACT

Postpartum, low-income mothers are at risk for mental health symptoms and obesity, and disordered eating attitudes may be associated with both mental health and obesity in this vulnerable population. The study objective is to determine whether higher levels of mental health symptoms are associated with increased odds of emotional and restrained eating attitudes in this sample of Special Supplemental Nutrition Program for Women, Infants and Children (WIC) participants. Data on 711 mothers of infants <13 months from a statewide sample of Maryland WIC participants were collected via telephone survey. Maternal mental health symptoms were measured on continuous scales for depression (PRIME-MD), stress (Perceived Stress Scale) and anxiety (Spielberger State-Trait Anxiety Inventory). Emotional and restrained eating attitudes were measured with questions adapted from the Dutch Eating Behavior Questionnaire. Multivariate logistic regression analysis was used. Obesity [body mass index (BMI) ≥ 30] was explored as a moderating variable. Mothers reporting higher levels of depression symptoms [odds ratio (OR) = 3.93, 95%CI: 2.71-5.69], anxiety symptoms (OR = 1.96, 95%CI: 1.47-2.65), stress symptoms (OR = 2.09, 95%CI: 1.67-2.61) and high overall mental health symptomatology (OR = 3.51, 95%CI: 2.43-5.3) had increased odds of emotional eating attitudes. There were significant associations between symptoms of depression (OR = 1.59, 95% CI: 1.12-2.25) and increased odds of restrained eating attitudes. Obesity did not moderate the association. Mothers with mental health symptoms are at risk for disordered eating attitudes, which may increase risk of poor diet. These findings underscore the need for greater focus on addressing maternal mental health status and eating attitudes in the postpartum period.


Subject(s)
Anxiety/psychology , Depression/psychology , Diet/psychology , Feeding Behavior/psychology , Mental Health , Adult , Cross-Sectional Studies , Emotions , Feeding and Eating Disorders/psychology , Female , Food Assistance , Health Behavior , Health Knowledge, Attitudes, Practice , Humans , Infant , Maryland/epidemiology , Mothers/psychology , Obesity/psychology , Postpartum Period/psychology , Poverty , Pregnancy , Risk Factors , Surveys and Questionnaires , Young Adult
12.
G3 (Bethesda) ; 7(1): 129-142, 2017 01 05.
Article in English | MEDLINE | ID: mdl-27856696

ABSTRACT

Light and the circadian clock have a profound effect on the biology of organisms through the regulation of large sets of genes. Toward understanding how light and the circadian clock regulate gene expression, we used genome-wide approaches to identify the direct and indirect targets of the light-responsive and clock-controlled transcription factor ADV-1 in Neurospora crassa A large proportion of ADV-1 targets were found to be light- and/or clock-controlled, and enriched for genes involved in development, metabolism, cell growth, and cell fusion. We show that ADV-1 is necessary for transducing light and/or temporal information to its immediate downstream targets, including controlling rhythms in genes critical to somatic cell fusion. However, while ADV-1 targets are altered in predictable ways in Δadv-1 cells in response to light, this is not always the case for rhythmic target gene expression. These data suggest that a complex regulatory network downstream of ADV-1 functions to generate distinct temporal dynamics of target gene expression relative to the central clock mechanism.


Subject(s)
Circadian Clocks/genetics , Gene Regulatory Networks/genetics , Neurospora crassa/genetics , Transcription Factors/genetics , Circadian Clocks/physiology , Circadian Rhythm/genetics , Fungal Proteins/genetics , Gene Expression Regulation, Fungal , Genome, Fungal , Light , Neurospora crassa/physiology
13.
Genetics ; 204(1): 163-76, 2016 09.
Article in English | MEDLINE | ID: mdl-27449058

ABSTRACT

Neurospora crassa is a model organism for the study of circadian clocks, molecular machineries that confer ∼24-hr rhythms to different processes at the cellular and organismal levels. The FREQUENCY (FRQ) protein is a central component of the Neurospora core clock, a transcription/translation negative feedback loop that controls genome-wide rhythmic gene expression. A genetic screen aimed at determining new components involved in the latter process identified regulation of conidiation 1 (rco-1), the ortholog of the Saccharomyces cerevisiae Tup1 corepressor, as affecting period length. By employing bioluminescent transcriptional and translational fusion reporters, we evaluated frq and FRQ expression levels in the rco-1 mutant background observing that, in contrast to prior reports, frq and FRQ expression are robustly rhythmic in the absence of RCO-1, although both amplitude and period length of the core clock are affected. Moreover, we detected a defect in metabolic compensation, such that high-glucose concentrations in the medium result in a significant decrease in period when RCO-1 is absent. Proteins physically interacting with RCO-1 were identified through co-immunoprecipitation and mass spectrometry; these include several components involved in chromatin remodeling and transcription, some of which, when absent, lead to a slight change in period. In the aggregate, these results indicate a dual role for RCO-1: although it is not essential for core-clock function, it regulates proper period and amplitude of core-clock dynamics and is also required for the rhythmic regulation of several clock-controlled genes.


Subject(s)
Circadian Clocks/genetics , Circadian Rhythm/genetics , Fungal Proteins/biosynthesis , Fungal Proteins/genetics , Neurospora crassa/genetics , Neurospora crassa/metabolism , Repressor Proteins/biosynthesis , Repressor Proteins/genetics , Circadian Clocks/physiology , Fungal Proteins/metabolism , Gene Expression Regulation, Fungal , Phosphorylation , Repressor Proteins/metabolism
14.
Food Nutr Bull ; 37(2): 119-31, 2016 06.
Article in English | MEDLINE | ID: mdl-27053492

ABSTRACT

BACKGROUND: Suboptimal infant and young child feeding (IYCF) practices are determinants of poor child nutritional status. In the Democratic Republic of Congo, few children are fed according to international guidelines; this combined with endemic poverty and food insecurity have contributed to the high prevalence of child undernutrition. OBJECTIVE: To characterize IYCF practices and barriers and enablers to optimal child feeding in South Kivu. METHODS: Focus group discussions, structured and in-depth interviews with women of reproductive age, mothers of children <2 years, and health workers were conducted in 2012 as part of formative research for the US Agency for International Development (USAID)-funded Jenga Jamaa II multiyear assistance program. RESULTS: Although breastfeeding was prevalent, few mothers engaged in optimal feeding practices. Barriers included poverty, high work burden, lack of decision-making power in the household, and perceived milk insufficiency. Health provider guidance and mothers' motivation to breastfeed and feed nutrient-dense foods emerged as facilitators to optimal practices. CONCLUSIONS: Structural factors, especially long hours working in agricultural fields, impeded mothers' ability to feed their children optimally. Interventions to address child nutrition and improve IYCF practices should take into account these factors, in addition to food access, nutrition education, and behavior change.


Subject(s)
Breast Feeding/statistics & numerical data , Health Knowledge, Attitudes, Practice , Infant Nutritional Physiological Phenomena , Adult , Democratic Republic of the Congo , Evaluation Studies as Topic , Female , Focus Groups , Humans , Infant , Interviews as Topic , Male
15.
Proc Natl Acad Sci U S A ; 112(51): 15707-12, 2015 Dec 22.
Article in English | MEDLINE | ID: mdl-26647184

ABSTRACT

Mutants in the period-1 (prd-1) gene, characterized by a recessive allele, display a reduced growth rate and period lengthening of the developmental cycle controlled by the circadian clock. We refined the genetic location of prd-1 and used whole genome sequencing to find the mutation defining it, confirming the identity of prd-1 by rescuing the mutant circadian phenotype via transformation. PRD-1 is an RNA helicase whose orthologs, DDX5 [DEAD (Asp-Glu-Ala-Asp) Box Helicase 5] and DDX17 in humans and DBP2 (Dead Box Protein 2) in yeast, are implicated in various processes, including transcriptional regulation, elongation, and termination, ribosome biogenesis, and mRNA decay. Although prd-1 mutants display a long period (∼25 h) circadian developmental cycle, they interestingly display a WT period when the core circadian oscillator is tracked using a frq-luciferase transcriptional fusion under conditions of limiting nutritional carbon; the core oscillator in the prd-1 mutant strain runs with a long period under glucose-sufficient conditions. Thus, PRD-1 clearly impacts the circadian oscillator and is not only part of a metabolic oscillator ancillary to the core clock. PRD-1 is an essential protein, and its expression is neither light-regulated nor clock-regulated. However, it is transiently induced by glucose; in the presence of sufficient glucose, PRD-1 is in the nucleus until glucose runs out, which elicits its disappearance from the nucleus. Because circadian period length is carbon concentration-dependent, prd-1 may be formally viewed as a clock mutant with defective nutritional compensation of circadian period length.


Subject(s)
Circadian Clocks/physiology , Neurospora crassa/physiology , Period Circadian Proteins/genetics , RNA Helicases/physiology , Adenosine Triphosphate/metabolism , Amino Acid Sequence , Carbon/metabolism , Glucose/metabolism , Molecular Sequence Data , Period Circadian Proteins/physiology
16.
Curr Biol ; 25(7): 964-8, 2015 Mar 30.
Article in English | MEDLINE | ID: mdl-25802150

ABSTRACT

Bioluminescence, the creation and emission of light by organisms, affords insight into the lives of organisms doing it. Luminous living things are widespread and access diverse mechanisms to generate and control luminescence [1-5]. Among the least studied bioluminescent organisms are phylogenetically rare fungi-only 71 species, all within the ∼ 9,000 fungi of the temperate and tropical Agaricales order-are reported from among ∼ 100,000 described fungal species [6, 7]. All require oxygen [8] and energy (NADH or NADPH) for bioluminescence and are reported to emit green light (λmax 530 nm) continuously, implying a metabolic function for bioluminescence, perhaps as a byproduct of oxidative metabolism in lignin degradation. Here, however, we report that bioluminescence from the mycelium of Neonothopanus gardneri is controlled by a temperature-compensated circadian clock, the result of cycles in content/activity of the luciferase, reductase, and luciferin that comprise the luminescent system. Because regulation implies an adaptive function for bioluminescence, a controversial question for more than two millennia [8-15], we examined interactions between luminescent fungi and insects [16]. Prosthetic acrylic resin "mushrooms," internally illuminated by a green LED emitting light similar to the bioluminescence, attract staphilinid rove beetles (coleopterans), as well as hemipterans (true bugs), dipterans (flies), and hymenopterans (wasps and ants), at numbers far greater than dark control traps. Thus, circadian control may optimize energy use for when bioluminescence is most visible, attracting insects that can in turn help in spore dispersal, thereby benefitting fungi growing under the forest canopy, where wind flow is greatly reduced.


Subject(s)
Circadian Rhythm/physiology , Fungi/physiology , Luminescence , Temperature , Animals , Insecta , Luciferases/metabolism , Luminescent Measurements/methods , Oxidoreductases/metabolism
17.
Proc Natl Acad Sci U S A ; 111(48): 16995-7002, 2014 Dec 02.
Article in English | MEDLINE | ID: mdl-25362047

ABSTRACT

Neurospora crassa has been for decades a principal model for filamentous fungal genetics and physiology as well as for understanding the mechanism of circadian clocks. Eukaryotic fungal and animal clocks comprise transcription-translation-based feedback loops that control rhythmic transcription of a substantial fraction of these transcriptomes, yielding the changes in protein abundance that mediate circadian regulation of physiology and metabolism: Understanding circadian control of gene expression is key to understanding eukaryotic, including fungal, physiology. Indeed, the isolation of clock-controlled genes (ccgs) was pioneered in Neurospora where circadian output begins with binding of the core circadian transcription factor WCC to a subset of ccg promoters, including those of many transcription factors. High temporal resolution (2-h) sampling over 48 h using RNA sequencing (RNA-Seq) identified circadianly expressed genes in Neurospora, revealing that from ∼10% to as much 40% of the transcriptome can be expressed under circadian control. Functional classifications of these genes revealed strong enrichment in pathways involving metabolism, protein synthesis, and stress responses; in broad terms, daytime metabolic potential favors catabolism, energy production, and precursor assembly, whereas night activities favor biosynthesis of cellular components and growth. Discriminative regular expression motif elicitation (DREME) identified key promoter motifs highly correlated with the temporal regulation of ccgs. Correlations between ccg abundance from RNA-Seq, the degree of ccg-promoter activation as reported by ccg-promoter-luciferase fusions, and binding of WCC as measured by ChIP-Seq, are not strong. Therefore, although circadian activation is critical to ccg rhythmicity, posttranscriptional regulation plays a major role in determining rhythmicity at the mRNA level.


Subject(s)
Circadian Clocks , Gene Expression Regulation, Fungal , Neurospora crassa/genetics , Transcriptome/genetics , Energy Metabolism/genetics , Feedback, Physiological , Fungal Proteins/genetics , Fungal Proteins/metabolism , Genes, Fungal/genetics , High-Throughput Nucleotide Sequencing , Neurospora crassa/metabolism , RNA, Messenger/genetics , RNA, Messenger/metabolism , Reverse Transcriptase Polymerase Chain Reaction , Sequence Analysis, RNA , Signal Transduction/genetics
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