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3.
Am J Emerg Med ; 60: 228.e1-228.e2, 2022 10.
Article in English | MEDLINE | ID: mdl-35909066

ABSTRACT

Lactic acid is the end-product of anaerobic glycolysis. It is generally believed that elevated blood lactate levels are associated with poor patient outcomes. Literature reports that lactic acidosis can be related to supplementary food intake in the pediatric age group however, in adult patients, it is not common to see lactic acidosis due to oral ingestion unless the patient has a history of short bowel syndrome or jejunoileal bypass surgery. With the current case presentation, we report an accidental cheese starter culture intake that resulted in resistant lactic acidosis with no signs of critical illnesses.


Subject(s)
Acidosis, Lactic , Cheese , Short Bowel Syndrome , Acidosis, Lactic/chemically induced , Acidosis, Lactic/complications , Adult , Cheese/adverse effects , Child , Eating , Humans , Lactic Acid , Short Bowel Syndrome/complications
4.
Rev. chil. infectol ; 38(5): 702-706, oct. 2021. ilus
Article in Spanish | LILACS | ID: biblio-1388285

ABSTRACT

Resumen Streptococcus equi subespecie zooepidemicus es una cocácea grampositiva, p-hemolítica, considerada parte de la microbiota de los equinos y un patógeno oportunista en otros animales. La infección en humanos es poco frecuente, pero suele manifestarse como cuadros graves. Se ha asociado al contacto con animales, especialmente caballos, y al consumo de productos lácteos no pasteurizados. Presentamos el caso de una bacteriemia en un binomio madre-hijo por este agente, asociado al consumo de quesos artesanales. Pese a que la penicilina es el tratamiento de elección, la recién nacida fue tratada en forma exitosa con ampicilina y la madre con ceftriaxona. Ninguna de ellas presentó complicaciones asociadas a la bacteriemia. A nuestro conocimiento, este es el primer reporte de infección connatal por este agente.


Abstract Streptococcus equi subspecies zooepidemicus is a Gram-positive, P-hemolytic coccus considered part of the commensal flora in horses and an opportunistic pathogen in other animals. Infection in humans is rare, but it usually manifests as serious symptoms, it has been associated with contact with animals, especially horses, and the consumption of unpasteurized dairy products. In this report we describe a case of bacteremia of the mother-child binomial by this agent, associated with the consumption of artisan cheeses. Although penicillin is the treatment of choice, the newborn was successfully treated with ampicillin and the mother with ceftriaxone, none of them presented complications associated with bacteremia. To our knowledge, this is the first report of connatal infection by this agent.


Subject(s)
Humans , Female , Infant, Newborn , Adult , Streptococcal Infections/diagnosis , Bacteremia/diagnosis , Streptococcal Infections/etiology , Streptococcal Infections/drug therapy , Ceftriaxone/therapeutic use , Cheese/adverse effects , Bacteremia/etiology , Bacteremia/drug therapy , Streptococcus equi , Mother-Child Relations
5.
Medicine (Baltimore) ; 99(30): e21255, 2020 Jul 24.
Article in English | MEDLINE | ID: mdl-32791702

ABSTRACT

Atopic dermatitis (AD) is a common chronic relapsing inflammatory skin disease associated with a personal or family history of atopic diseases. Determining the objective severity scoring of AD index (SCORAD) and total immunoglobulin E (IgE) to help to stage the severity (lesions extent and intensity of the lesions and then the itch and sleep disturbance they may cause) of AD in children.In this study, we adopted the SCORAD index, which consists of severity, area, and sleep disturbance, to evaluate the AD status of children up to 18 years old. We examined the blood levels of total serum IgE, white blood cell count/differential count (WBC/DC), eosinophil counts (EC), eosinophil cationic protein (ECP) and specific IgE.A total of 208 children with AD were enrolled in this study. Serum IgE values and a number of specific IgE that are positive significantly different SCORAD index through simple linear regression; however, after multiple linear regression, only IgE values (95% CI: 0.001-0.004, P < .001), total WBC count (95% CI: 0.112-1.736, P = .026), EC (95% CI: 0.045-6.706, P = .047), and specific IgE to Cheddar cheese (95% CI: 1.814-16.731, P = .015) remain different. After applying the Phi coefficient, we found that specific IgE to tuna (r = 0.632), codfish (r = 0.613), and clam (r = 0.613) each had a moderate correlation with specific IgE to Cheddar cheese. The 6 most common allergens were found to be mite (D. Farinae: 65.9%), mite (D. Pterony: 64.9%), house dust (47.6%), cockroach mix (37.0%), shrimp (30.8%), and crab (22.6%). Covariates of SCORAD index, severity, area, and sleep disturbance differed.In this study, we found that total IgE values, specific IgE values, WBC, EC, and specific IgE to Cheddar cheese have significant correlations with SCORAD index in AD of Taiwanese children.


Subject(s)
Dermatitis, Atopic/blood , Food Hypersensitivity/blood , Immunoglobulin E/blood , Allergens/blood , Biomarkers/blood , Cheese/adverse effects , Child , Child, Preschool , Dermatitis, Atopic/etiology , Food Hypersensitivity/complications , Humans , Infant , Leukocyte Count , Severity of Illness Index , Taiwan
6.
BMJ Case Rep ; 13(1)2020 Jan 08.
Article in English | MEDLINE | ID: mdl-31919067

ABSTRACT

Immune-mediated reactions to dairy products may vary depending on the mammalian source. We present a case of anaphylaxis to goat/sheep's milk with tolerance to cow's milk. A 4-year-old boy of Eastern European descent presented with gastrointestinal and respiratory symptoms within minutes after eating a goat/sheep's milk-derived food product. The tryptase level measured 1 hour post initial symptoms and 1 month after the allergic reaction were 14.6 µg/L and 5.1 µg/L, respectively (norm: 0.0-13.5 µg/L), confirming the diagnosis of anaphylaxis. A skin prick test performed 1 month after the reaction was highly positive for goat/sheep's milk, but negative for cow's milk. Skin prick tests may establish a life-threatening goat/sheep's milk allergy. Goat/sheep's milk allergy should always be considered in cow's milk-tolerant patients who present with an allergic reaction to dairy products, or when undergoing/have completed of oral immunotherapy for cow's milk allergy.


Subject(s)
Anaphylaxis/etiology , Cheese/adverse effects , Goats , Milk Hypersensitivity/immunology , Sheep , Anaphylaxis/drug therapy , Animals , Child, Preschool , Diagnosis, Differential , Humans , Male , Milk Hypersensitivity/drug therapy , Skin Tests
7.
Nutr Cancer ; 72(3): 409-420, 2020.
Article in English | MEDLINE | ID: mdl-31298944

ABSTRACT

The role of dairy products in cancer is unclear. We assessed consumption of fermented milk, non-fermented milk, cheese, and butter, estimated from semi-quantitative food frequency questionnaires, in relation to prospective risk of breast, prostate, colorectal, smoking-, and obesity-related cancers in 101,235 subjects, including 12,552 cancer cases, in the population-based Northern Sweden Health and Disease Study. Most analyses (n = 20) rendered null results. In men, we observed an increased prostate cancer risk among high-consumers of cheese (hazard ratio (HR) for highest vs. lowest quintile (Q5-Q1), 1.11; 95% CI, 0.97-1.27; Ptrend = 0.013). In women, high-consumers of cheese had a decreased risk of overall cancer (HR Q5-Q1, 0.95; 95% CI, 0.88-1.04; Ptrend = 0.039), smoking-related (HR Q5-Q1, 0.84; 95% CI, 0.72-0.97; Ptrend ≤ 0.001), and colorectal cancers (HR Q5-Q1, 0.82; 95% CI, 0.63-1.07; Ptrend = 0.048). Butter yielded a weak decreased obesity-related cancer risk in women (HR Q5-Q1, 0.91; 95% CI, 0.81-1.02; Ptrend = 0.049). Fermented milk yielded HRs below zero in women, but with no clear linear associations. In conclusion, this study does not support any major adverse or beneficial effects of fermented milk, non-fermented milk, cheese, and butter in the diet from a cancer risk perspective.


Subject(s)
Dairy Products/statistics & numerical data , Neoplasms/epidemiology , Adult , Animals , Butter/adverse effects , Butter/statistics & numerical data , Cheese/adverse effects , Cheese/statistics & numerical data , Cultured Milk Products/adverse effects , Cultured Milk Products/statistics & numerical data , Dairy Products/adverse effects , Diet/adverse effects , Diet/statistics & numerical data , Female , Humans , Male , Middle Aged , Milk/adverse effects , Milk/statistics & numerical data , Neoplasms/etiology , Proportional Hazards Models , Prospective Studies , Risk Factors , Surveys and Questionnaires , Sweden/epidemiology
8.
Rev. chil. nutr ; 46(6): 776-782, dic. 2019. tab, graf
Article in Spanish | LILACS | ID: biblio-1058141

ABSTRACT

RESUMEN La enfermedad cardiovascular (ECV) sigue siendo la principal causa de muerte en los países occidentales, aunque ha habido una disminución sustancial en su incidencia en las últimas 2 décadas. A pesar de la reducción en la incidencia, la prevalencia de ECV sigue creciendo debido al aumento de la población que envejece en estos países. Entre los factores modificables de las ECV se pueden nombrar la diabetes (DM) y la hipertensión arterial (HTA). Los lácteos son un grupo de alimentos heterogéneos con productos que difieren en el contenido de agua, cantidad de fermentación y nutrientes como grasa y sodio, y ha excepción de lácteos bajos en grasa, no se ven como alimentos saludables en la prevención de estas 2 enfermedades. El presente trabajo muestra los resultados especialmente de metaanálisis de los últimos años que relacionan el consumo de lácteos con DM e HTA.


ABSTRACT Although there has been a substantial decrease in cardiovascular disease (CVD) incidence in the last 2 decades, it remains the leading cause of death in Western countries. Despite a reduction in incidence, the prevalence of CVD continues to grow due to the increase in the aging population in these countries. Among the modifiable factors of CVD we can name diabetes mellitus and high blood pressure. Dairy products are a group of heterogeneous foods with products that differ in water content, amount of fermentation and nutrients such as fat and sodium, and, except for low-fat dairy products, they are not seen as healthy foods in the prevention of these 2 diseases. The present work shows the results of a meta-analysis of the last years that relate the consumption of dairy products with diabetes and high blood pressure.


Subject(s)
Humans , Dairy Products/adverse effects , Diabetes Mellitus/epidemiology , Hypertension/epidemiology , Yogurt/adverse effects , Cheese/adverse effects , Milk/adverse effects , Diabetes Mellitus/etiology , Hypertension/etiology
9.
Adv Nutr ; 10(suppl_2): S97-S104, 2019 05 01.
Article in English | MEDLINE | ID: mdl-31089743

ABSTRACT

The effect of dairy product consumption on health has received substantial attention in the last decade. However, a number of prospective cohort studies have shown contradictory results, which causes uncertainty about the effects of dairy products on health. We conducted an overview of existing systematic reviews and meta-analyses to examine the association between dairy product consumption and all-cause mortality risk. A literature search was conducted in MEDLINE (via PubMed), EMBASE, the Cochrane Central Database of Systematic Reviews, and the Web of Science databases from their inception to April, 2018. We evaluated the risk of bias of each study included using the AMSTAR 2 tool. The risk ratios (RRs) for each meta-analysis were displayed in a forest plot for dose-response and for high compared with low dairy consumption. The initial search retrieved 2154 articles; a total of 8 meta-analyses were finally included after applying the inclusion and exclusion criteria. The number of included studies in each meta-analysis ranged from 6 to 26 cohort studies, which reported data from 6-28 populations. The sample sizes varied across studies from 24,466 participants reporting 5092 mortality cases to 938,817 participants reporting 126,759 mortality cases. After assessing the risk of bias, 25% of the studies were categorized as acceptable, 25% as good, and 50% as very good. The RRs reported by the meta-analyses ranged from 0.96 to 1.01 per 200 g/d of dairy product consumption (including total, high-fat, low-fat, and fermented dairy products), from 0.99 to 1.01 per 200-244 g/d of milk consumption, and from 0.99 to 1.03 per 10-50 g/d of cheese consumption. The RR per 50 g/d of yogurt consumption was 0.97 (95% CI: 0.85, 1.11). In conclusion, dairy product consumption is not associated with risk of all-cause mortality. This study was registered in PROSPERO as CRD42018091856.


Subject(s)
Cause of Death , Dairy Products , Diet , Feeding Behavior , Adolescent , Adult , Aged , Aged, 80 and over , Animals , Cheese/adverse effects , Dairy Products/adverse effects , Dietary Fats/administration & dosage , Dietary Fats/adverse effects , Female , Humans , Male , Middle Aged , Milk/adverse effects , Yogurt/adverse effects , Young Adult
10.
Sci Rep ; 9(1): 296, 2019 01 22.
Article in English | MEDLINE | ID: mdl-30670795

ABSTRACT

The incidence of colorectal cancer (CRC) has increased among Norwegian women, and is among the highest in the world. In order to understand this increase, country specific dietary exposures have been investigated. The aim of this study was to quantify the association between consumption of brown cheese, a common bread topping in Norway, and colorectal, colon, and rectal cancer in the prospective Norwegian Women and Cancer (NOWAC) Study. Data on brown cheese consumption and adjustment factors was available for 82 527 women. During a mean of 14.6 years of follow-up (1.2 million person-years), there were 1360 cases of colorectal cancer (907 colon; 453 rectal). Multivariable Cox proportional hazards models were used to calculate hazard ratios (HR) with 95% confidence intervals (CI) for colorectal, colon, and rectal cancer sites. We modelled restricted cubic splines with 4 knots, to assess a possible non-linear relationship between brown cheese intake and the investigated cancer sites. In the age-adjusted model, consumption of more than 2 slices (>16 grams) of brown cheese per day was associated with 13% reduced risk of colon cancer (95% CI 4%-21%) compared to women who did not consume brown cheese. The multivariable-adjusted model, however, showed no association between brown cheese consumption and the risk of colorectal, colon, or rectal cancer (colorectal: HR = 0.93, 95% CI 0.76-1.13, p-trend 0.37; colon: HR = 0.83, 95% CI 0.65-1.06; p-trend = 0.10; rectal: HR = 1.16, 95% CI 0.84-1.1.61, p-trend = 0.41). In this large, prospective cohort study of women, consumption of brown cheese was suggestively protective against colon cancer. However, adjustment attenuated the inverse risk association. Brown cheese consumption was not associated with rectal cancer, or colorectal cancer overall.


Subject(s)
Cheese/adverse effects , Colorectal Neoplasms/etiology , Diet/adverse effects , Lactose , Whey , Adult , Aged , Colonic Neoplasms/epidemiology , Colorectal Neoplasms/epidemiology , Female , Humans , Middle Aged , Norway/epidemiology , Prospective Studies , Rectal Neoplasms/epidemiology , Risk Factors
11.
Cardiovasc Toxicol ; 18(6): 583-586, 2018 12.
Article in English | MEDLINE | ID: mdl-30083815

ABSTRACT

Monoamine oxidase inhibitors (MAOIs) are known to cause hypertensive crisis when combined with intake of tyramine, classically found in cheese. We present a case of MAOI-induced hypertensive crisis leading to significant troponin release after soft cheese intake. A 51-year-old lady presented with left-sided chest pain, palpitations and headache in the context of significant hypertension after eating soft cheese. She had a similar episode 2 month prior to this presentation, which resulted in a diagnosis of non-ST elevation myocardial infarction after a troponin of 2768 ng/L (Ref < 17 ng/L) with normal cardiac investigations and CT pulmonary angiogram. She was known to be on tranylcypromine for bipolar depression. Subsequent cardiac investigations were normal, as were those for phaeochromocytoma and Conn's disease. Tranylcypromine is a non-selective irreversible MAOI used in refractory depression and bipolar disorder. MAOIs are known to cause hypertensive crisis when combined with soft cheese due to unopposed release of catecholamines from reduced tyramine metabolisation, leading to injury and possible myonecrosis. Three previous case reports have demonstrated either creatinine kinase or troponin rise with myocardial infarction due to this hypertensive crisis and our case is the fourth with significant hypertension and cardiac biomarker rise related to MAOI, specifically tranylcypromine.


Subject(s)
Blood Pressure/drug effects , Cheese/adverse effects , Heart Diseases/chemically induced , Hypertension/chemically induced , Monoamine Oxidase Inhibitors/adverse effects , Myocardium/pathology , Tranylcypromine/adverse effects , Tyramine/adverse effects , Antihypertensive Agents/therapeutic use , Cardiotoxicity , Electrocardiography , Female , Heart Diseases/drug therapy , Heart Diseases/pathology , Humans , Hypertension/diagnosis , Hypertension/drug therapy , Hypertension/physiopathology , Middle Aged , Necrosis , Platelet Aggregation Inhibitors/therapeutic use , Risk Factors , Treatment Outcome
12.
Nutrients ; 10(6)2018 05 31.
Article in English | MEDLINE | ID: mdl-29857508

ABSTRACT

Recent studies have suggested the possible effect of dairy product intake on cardiovascular risk markers, including arterial stiffness. Our aim was to investigate whether dairy food intake is associated with arterial stiffness, which we assessed by carotid-femoral pulse wave velocity (cfPWV) and pulse pressure (PP) in a cross-sectional analysis of baseline data (2008­2010; n = 12,892) of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Dairy consumption was evaluated with a validated food-frequency questionnaire (FFQ) by computing servings per day for total and subgroups of dairy products. Dairy consumption was described in four categories (≤1 serving/day to >4 servings/day). Covariance analysis (ANCOVA) was used to compare cfPWV across increasing intake of dairy food, adjusting for confounding factors, including non-dairy food groups. The intake of total dairy was inversely associated with cfPWV and PP (­0.13 m/s and ­1.3 mmHg, from the lowest and to the highest category of dairy intake). Low-fat dairy, fermented dairy and cheese showed an inverse relationship with cfPWV and PP. These findings suggest a beneficial effect of dairy consumption to reduce arterial stiffness. However, further evidence from longitudinal studies or long-term intervention is needed to support reduction of cfPWV and PP mediating the beneficial effects of dairy products on cardiovascular health.


Subject(s)
Cardiovascular Diseases/prevention & control , Cheese , Dairy Products , Diet, Fat-Restricted , Fermented Foods , Vascular Stiffness , Adult , Aged , Brazil/epidemiology , Cardiovascular Diseases/epidemiology , Cardiovascular Diseases/etiology , Cardiovascular Diseases/physiopathology , Cheese/adverse effects , Cheese/microbiology , Cohort Studies , Confounding Factors, Epidemiologic , Cross-Sectional Studies , Dairy Products/adverse effects , Dairy Products/microbiology , Diet, High-Fat/adverse effects , Female , Fermented Foods/adverse effects , Fermented Foods/microbiology , Humans , Longitudinal Studies , Male , Middle Aged , Pulse Wave Analysis , Retrospective Studies , Risk Factors , Self Report
13.
J Nutr ; 148(4): 573-580, 2018 04 01.
Article in English | MEDLINE | ID: mdl-29659963

ABSTRACT

Background: Recent evidence suggests that the association between dietary saturated fatty acids (SFAs) and coronary artery disease risk varies according to food sources. How SFAs from butter and cheese influence HDL-mediated cholesterol efflux capacity (CEC), a key process in reverse cholesterol transport, is currently unknown. Objective: In a predefined secondary analysis of a previously published trial, we have examined how diets rich in SFAs from either cheese or butter influence HDL-mediated CEC, compared with diets rich in either monounsaturated fatty acids (MUFAs) or polyunsaturated fatty acids (PUFAs). Methods: In a randomized crossover controlled consumption trial, 46 men and women with abdominal obesity consumed 5 isocaloric diets, each for 4 wk. Two diets were rich in SFAs either from cheese (CHEESE) or butter (BUTTER) [12.4-12.6% of energy (%E) as SFAs, 32%E as fat, 52%E as carbohydrates]. In 2 other diets, SFAs (5.8%E) were replaced with either MUFAs from refined olive oil (MUFA) or PUFAs from corn oil (PUFA). Finally, a lower fat and carbohydrate diet was used as a control (5.8%E as SFAs, 25.0%E as fat, 59%E as carbohydrates; CHO). Post-diet HDL-mediated CEC was determined ex vivo using radiolabelled J774 macrophages incubated with apolipoprotein B-depleted serum from the participants. Results: Mean (±SD) age was 41.4 ± 14.2 y, and waist circumference was 107.6 ± 11.5 cm in men and 94.3 ± 12.4 cm in women. BUTTER and MUFA increased HDL-mediated CEC compared with CHEESE (+4.3%, P = 0.026 and +4.7%, P = 0.031, respectively). Exploring the significant diet × sex interaction (P = 0.044) revealed that the increase in HDL-mediated CEC after BUTTER compared with CHEESE was significant among men (+6.0%, P = 0.047) but not women (+2.9%, P = 0.19), whereas the increase after MUFA compared with CHEESE was significant among women (+9.1%, P = 0.008) but not men (-0.6%, P = 0.99). Conclusion: These results provide evidence of a food matrix effect modulating the impact of dairy SFAs on HDL-mediated CEC with potential sex-related differences that deserve further investigation. This trial was registered at clinicaltrials.gov as NCT02106208.


Subject(s)
Adult , Butter , Cheese , Cholesterol, HDL/metabolism , Diet , Fatty Acids/pharmacology , Obesity, Abdominal/metabolism , Apolipoproteins B/metabolism , Butter/adverse effects , Cheese/adverse effects , Cholesterol/blood , Corn Oil/metabolism , Coronary Artery Disease/etiology , Coronary Artery Disease/metabolism , Cross-Over Studies , Dietary Fats/administration & dosage , Dietary Fats/adverse effects , Dietary Fats/metabolism , Dietary Fats/pharmacology , Fatty Acids/administration & dosage , Fatty Acids/metabolism , Fatty Acids, Unsaturated/administration & dosage , Fatty Acids, Unsaturated/metabolism , Fatty Acids, Unsaturated/pharmacology , Feeding Behavior , Female , Humans , Macrophages/drug effects , Macrophages/metabolism , Male , Middle Aged , Obesity, Abdominal/complications , Olive Oil/metabolism , Risk Factors , Waist Circumference
14.
BMC Public Health ; 18(1): 264, 2018 02 20.
Article in English | MEDLINE | ID: mdl-29458352

ABSTRACT

BACKGROUND: The typical Western diet is associated with high levels of greenhouse gas (GHG) emissions and with obesity and other diet-related diseases. This study aims to determine the impact of adjustments to the current diet at specific moments of food consumption, to lower GHG emissions and improve diet quality. METHODS: Food consumption in the Netherlands was assessed by two non-consecutive 24-h recalls for adults aged 19-69 years (n = 2102). GHG emission of food consumption was evaluated with the use of life cycle assessments. The population was stratified by gender and according to tertiles of dietary GHG emission. Scenarios were developed to lower GHG emissions of people in the highest tertile of dietary GHG emission; 1) reducing red and processed meat consumed during dinner by 50% and 75%, 2) replacing 50% and 100% of alcoholic and soft drinks (including fruit and vegetable juice and mineral water) by tap water, 3) replacing cheese consumed in between meals by plant-based alternatives and 4) two combinations of these scenarios. Effects on GHG emission as well as nutrient content of the diet were assessed. RESULTS: The mean habitual daily dietary GHG emission in the highest tertile of dietary GHG emission was 6.7 kg CO2-equivalents for men and 5.1 kg CO2-equivalents for women. The scenarios with reduced meat consumption and/or replacement of all alcoholic and soft drinks were most successful in reducing dietary GHG emissions (ranging from - 15% to - 34%) and also reduced saturated fatty acid intake and/or sugar intake. Both types of scenarios lead to reduced energy and iron intakes. Protein intake remained adequate. CONCLUSIONS: Reducing the consumption of red and processed meat during dinner and of soft and alcoholic drinks throughout the day leads to significantly lower dietary GHG emissions of people in the Netherlands in the highest tertile of dietary GHG emissions, while also having health benefits. For subgroups of the population not meeting energy or iron requirements as a result of these dietary changes, low GHG emission and nutritious replacement foods might be needed in order to meet energy and iron requirements.


Subject(s)
Diet/standards , Greenhouse Effect/prevention & control , Greenhouse Gases/analysis , Adult , Aged , Alcoholic Beverages/adverse effects , Alcoholic Beverages/statistics & numerical data , Carbonated Beverages/adverse effects , Carbonated Beverages/statistics & numerical data , Cheese/adverse effects , Cheese/statistics & numerical data , Diet/adverse effects , Diet/statistics & numerical data , Diet Surveys , Female , Humans , Male , Meat/adverse effects , Meat/statistics & numerical data , Middle Aged , Netherlands , Time Factors , Young Adult
15.
Nutrition ; 48: 1-5, 2018 04.
Article in English | MEDLINE | ID: mdl-29469009

ABSTRACT

OBJECTIVES: The aim of this study was to investigate the association between dairy product consumption and plasma inflammatory biomarkers levels among a representative sample of Brazilian adults from São Paulo City. METHODS: Data were acquired from the Health Survey for São Paulo, a cross-sectional population-based study. All individuals 20 to 59 y of age with complete food consumption information (24-h dietary recall and food frequency questionnaire) and blood sample analysis were included (N = 259). The sample was separated into two groups according to systemic inflammatory pattern considering plasma levels of C-reactive protein; tumor necrosis factor-α; soluble intracellular adhesion molecule; soluble vascular cell adhesion molecule, monocyte chemoattractant protein; interleukin-1ß, -6, -8, -10, and -12; adiponectin; leptin; and homocysteine. Multiple logistic regression tests were conducted to estimate the odds ratio for the inflammatory cluster across tertiles of dairy consumption. RESULTS: When adjusted by age, smoking status, and energy intake the odds ratio for the inflammatory cluster group in the highest tertile of yogurt consumption was 0.34 (95% confidence interval [CI], 0.14-0.81) relative to the reference tertile, demonstrating also a linear effect (Ptrend = 0.015). Cheese consumption exhibited an odds ratio of 2.49 (95% CI, 1.09-5.75) relative to the reference. CONCLUSIONS: Increasing yogurt consumption might have a protective effect on inflammation, whereas cheese consumption appears to be associated with a proinflammatory status. The results of the present study aggregate a new perspective on existing evidence demonstrating the importance of assessing the contribution of dairy products on diet and their effect on the development of non-communicable diseases and associated risk factors.


Subject(s)
Cheese/adverse effects , Dairy Products/adverse effects , Diet/adverse effects , Inflammation Mediators/blood , Yogurt/adverse effects , Adiponectin/blood , Adult , Brazil/epidemiology , C-Reactive Protein/analysis , Cell Adhesion Molecules/blood , Cross-Sectional Studies , Diet Surveys , Energy Intake , Female , Health Surveys , Homocysteine/blood , Humans , Interleukins/blood , Leptin/blood , Logistic Models , Male , Middle Aged , Monocyte Chemoattractant Proteins/blood , Noncommunicable Diseases/epidemiology , Odds Ratio , Risk Factors , Tumor Necrosis Factor-alpha/blood , Young Adult
17.
Nutr Health ; 23(1): 47-50, 2017 Mar.
Article in English | MEDLINE | ID: mdl-28298151

ABSTRACT

BACKGROUND: Although dietary factors are known to trigger headaches, the relationship between food and headache in children remains unclear. This prospective, observational case series aimed to evaluate the effect of exclusion of frequently-consumed foods in a cohort of children with headache. METHODS: One hundred and fifteen children aged 3-15 (mean 10.5) years with primary headache were followed in a paediatric outpatient clinic. Patients who frequently consumed foods or food additives known to trigger headaches were advised to exclude them for six weeks and to return for follow-up with headache and food diary. RESULTS: One hundred patients attended follow-up. Of these 13 (13%) did not respond to dietary exclusion; 87 (87%) achieved complete resolution of headaches by exclusion of 1-3 of the identified food(s). Caffeine was the most common implicated trigger (28), followed by monosodium glutamate (25), cocoa (22), aspartame (13), cheese (13), citrus (10) and nitrites (six). One patient was sensitive to tomatoes. CONCLUSIONS: This study demonstrates the potential scale and significance of seven frequently consumed foods or food additives as triggers for primary headache in children. Also this is the first study to show that headaches can be triggered by the cumulative effect of a food that is frequently consumed, rather than by single time ingestion.


Subject(s)
Diet/adverse effects , Feeding Behavior , Headache/diet therapy , Migraine Disorders/diet therapy , Adolescent , Aspartame/administration & dosage , Aspartame/adverse effects , Cacao/adverse effects , Caffeine/administration & dosage , Caffeine/adverse effects , Cheese/adverse effects , Child , Child, Preschool , Chocolate/adverse effects , Citrus/adverse effects , Diet Records , Female , Food Additives/administration & dosage , Food Additives/adverse effects , Headache/etiology , Headache Disorders/diet therapy , Headache Disorders/etiology , Humans , Male , Migraine Disorders/etiology , Nitrites/administration & dosage , Nitrites/adverse effects , Precipitating Factors , Prospective Studies , Sodium Glutamate/administration & dosage , Sodium Glutamate/adverse effects
18.
Nutrients ; 9(1)2017 Jan 13.
Article in English | MEDLINE | ID: mdl-28098767

ABSTRACT

The association between cheese consumption and risk for major health endpoints has been investigated in many epidemiologic studies, but findings are inconsistent. As all-cause mortality can be viewed as the final net health effect of dietary intakes, we conducted a meta-analysis to examine the long-term association of cheese consumption with all-cause mortality. Relevant studies were identified by a search of the PubMed database through May 2016. Reference lists from retrieved articles were also reviewed. Summary relative risks (RR) and 95% confidence intervals (CI) were calculated using a random-effects model. Pre-specified stratified and dose-response analyses were also performed. The final analysis included nine prospective cohort studies involving 21,365 deaths. The summary RR of all-cause mortality for the highest compared with the lowest cheese consumption was 1.02 (95% CI: 0.97, 1.06), and little evidence of heterogeneity was observed. The association between cheese consumption and risk of all-cause mortality did not significantly differ by study location, sex, age, number of events, study quality score or baseline diseases excluded. There was no dose-response relationship between cheese consumption and risk of all-cause mortality (RR per 43 g/day = 1.03, 95% CI: 0.99-1.07). No significant publication bias was observed. Our findings suggest that long-term cheese consumption was not associated with an increased risk of all-cause mortality.


Subject(s)
Cheese/adverse effects , Mortality , Humans , Risk Assessment , Risk Factors
19.
Arthritis Care Res (Hoboken) ; 69(9): 1429-1436, 2017 09.
Article in English | MEDLINE | ID: mdl-27863145

ABSTRACT

OBJECTIVE: The nature and impact of food and other external triggers in recurrences of Behçet's disease (BD)-related oral ulcers (OUs) remain unknown. This survey investigated dietary and nondietary triggers of BD-related OU recurrences. METHODS: Patients with BD who were followed in 7 French hospital departments completed a self-administered patient questionnaire. General and specific dietary triggering factors were sought in open questions. The questionnaire also included closed questions, notably to evaluate the effect of 6 general triggering situations and 24 selected foods. The results were expressed as number (percentage) of positive responses. RESULTS: Among the 101 questionnaires distributed, 81 were usable. Among the 81 patients, 96% fulfilled the International Criteria for Behçet's Disease classification criteria, and 53% qualified their OU recurrences during the previous 12 months as very discomforting or discomforting. For the 6 general situations suggested, 50 patients (62%) declared ≥1 as a "sure" trigger of OU recurrences. In both open and closed questions, the most frequent triggers were fatigue/stress (37-47% of patients) and food (32-35%). Among the 24 suggested foods, nuts (48%), pineapple (42%), peanuts (32%), Emmental cheese (30%), almonds (23%), lemons (22%), and other cheeses (21%) were the most frequently reported. The corresponding open question gave consistent findings but with lower frequencies. CONCLUSION: Most patients can identify triggers of recurring BD-related OUs, with fatigue/stress and food representing the most frequent triggers. The management of OU must consider such external factors. The histamine-rich or -liberating properties of the commonly cited OU-triggering foods suggest a hyperreactivity mechanism.


Subject(s)
Behcet Syndrome/complications , Diet/adverse effects , Fatigue/complications , Oral Ulcer/etiology , Stress, Psychological/complications , Adult , Ananas/adverse effects , Cheese/adverse effects , Citrus/adverse effects , Female , France , Humans , Male , Middle Aged , Nuts/adverse effects , Recurrence , Surveys and Questionnaires
20.
São Paulo; s.n; s.n; 2017. 197p ilus, tab, graf.
Thesis in Portuguese | LILACS | ID: biblio-874973

ABSTRACT

Bacteriocins are antimicrobial peptides ribosomally synthesized by various bacteria. In particular, the bacteriocins produced by lactic acid bacteria have recently received great attention due to their wide applicability and also because they are produced by microorganisms safe for human consumption. There are numerous studies reporting bacteriocin production by different lactic acid bacteria, as well as its optimization by using alternative substrate. Some of these studies point to milk/cheese whey as a potential low-cost source for the cultivation of lactic acid bacteria and the production of biocomposites, such as bacteriocins. Several researches refer to the production of bacteriocins, mainly nisin. On the other hand, the production of bacteriocins by Lactobacillus plantarum strains still limited. In this context, the present work first studied the growth and production of bacteriocin by L. plantarum strain ST16Pa when cultivated in Man, Rogosa and Sharpe (MRS) broth with and without inulin supplementation incubated under shaken and stationary conditions. The results indicated that this strain has higher growth when cultured in aerobiosis; however, the highest bacteriocin activity is obtained in stationary condition. The stability and partitioning of bacteriocin from the fermented MRS broth of L. plantarum ST16Pa in the PEG/NaPA/electrolytes aqueous two-phase systems was also studied. After 1 h in temperatures from 50 °C to 80 °C and pH from 3.0 to 8.0, the produced bacteriocin remained stable. In addition, the proposed partition system has proved to be an economical alternative for the recovery and purification of this biomolecule. Motivated by the trend in use industrial by products aiming the production of high value-added biocomposites, we investigated the performance of milk/cheese whey as alternative substrate for L. plantarum ST16Pa growth and for the production of antimicrobial biomolecules by this strain. For this purpose, the study was divided in two steps, being the first developed using whey powder supplemented according to the Plackett & Burman experimental design, with 12 trials and 4 central points. Although the proposed design was not the ideal statistical tool to optimize the bacteriocin ST16Pa production, through it was possible to obtain a formulation, which resulted in greater inhibition zones when compared with previous date reported by other authors using the same strain cultured in cheese whey. Later, still using L. plantarum strain ST16Pa, we investigated the production of bacteriocin and lactate in fresh cheese whey previously hydrolyzed by Flavourzyme or Lactozym. The cultures were optimized by supplementing this medium with different concentrations of soybean flour, which were incubated under aerobic and microaerophilic/anaerobic conditions. The highest values of bacteriocin activity (7,367.23 AU/mL) and lactate yield (Ylactate/lactose = 1.39 g/g) were obtained under anaerobic conditions using 10 g/L of soybean flour to supplement cheese whey prehydrolyzed with Flavourzyme during 3 h. Finally, the cell-free supernatant resulted from this cultivation was applied on the surfaces of chicken breast fillets artificially contaminated with Enterococcus faecium 711, showing biopreservative efficiency during 7 days of storage under refrigeration.


Bacteriocinas são peptídeos antimicrobianos sintetizados por diversas bactérias. Em particular, as bacteriocinas produzidas por bactérias ácido-láticas têm recebido crescente destaque devido sua ampla aplicabilidade e também por serem produzidas por microorganismos seguros para o consumo humano. Inúmeros estudos relatam a produção de bacteriocina por diversas bactérias ácido-láticas, bem como a otimização da produção desta biomolécula utilizando fontes alternativas de substrato. Alguns destes estudos apontam o soro de leite/queijo como uma fonte potencial e de baixo custo para o cultivo de bactérias láticas e produção de biocompostos, tais como bacteriocinas. Diversas pesquisas se referem à produção de bacteriocinas, principalmente a nisina. Por outro lado, a produção de bacteriocinas por cepas de Lactobacillus plantarum ainda é limitada. Neste âmbito, o presente trabalho estudou, primeiramente, o crescimento e produção de bacteriocina pela cepa L. plantarum ST16Pa quando cultivada em caldo Man, Rogosa e Sharpe (MRS) com e sem suplementação de inulina sob condições aeradas e sem agitação. Os resultados indicaram que este micro-organismo tem maior crescimento quando cultivado em aerobiose, entretanto, os maiores valores de atividade da bacteriocina produzida foram obtidos em cultivos não agitados. Ainda utilizando MRS para o cultivo desta cepa, investigou-se a estabilidade e partição da bacteriocina em sistema aquoso de duas fases do tipo PEG/NaPA/electrólitos. Após 1 h submetida à temperaturas entre 50 °C e 80 °C e pH entre 3,0 e 8,0, a bacteriocina produzida permaneceu estável. Além disso, o sistema de partição proposto demonstrou ser uma alternativa econômica para recuperação e purificação desta biomolécula. Motivados pela tendência do uso de subprodutos industriais para a produção de biocompostos de alto valor agregado, investigou-se o desempenho do soro de leite/queijo como substrato alternativo para o crescimento de L. plantarum ST16Pa e a consequente produção de biomoléculas antimicrobianas por esta cepa. O estudo foi divido em duas etapas, sendo a primeira desenvolvida utilizando soro de leite em pó suplementado de acordo com o delineamento experimental Plackett & Burman, com 12 ensaios e mais 4 pontos centrais. Embora o delineamento proposto não tenha sido a ferramenta estatística ideal para alcançar a otimização da produção de bacteriocina ST16Pa, através do mesmo foi possível obter uma formulação, a qual gerou maiores halos de inibição quando comparados com resultados prévios reportados por outros autores utilizando a mesma cepa cultivada em soro de queijo. Posteriormente, ainda utilizando L. plantarum ST16Pa, investigou-se a produção de bacteriocina e lactato em soro de queijo fresco previamente hidrolisado por Flavourzyme ou Lactozym. Os cultivos foram otimizado através da suplementação deste meio de cultura com diferentes concentrações de farinha de soja, os quais foram incubados sob condições aeróbicas e microaerofílicas/anaeróbicas. Os maiores valores de atividade da bacteriocina (7367,23 AU/mL) e rendimento de lactato (Ylactate/lactose = 1,39 g/g) foram obtidos sob condições anaeróbicas utilizando 10 g/L de farinha de soja para suplementar o soro de queijo hidrolizado por Flavourzyme durante 3 h. Por fim, o sobrenadante resultante deste cultivo foi aplicado sobre a superfície de filés de peito de frango artificialmente contaminados por Enterococcus faecium 711, demonstrando eficiência como bioconservante durante 7 dias de armazenamento sob refrigeração.


Subject(s)
Cheese/adverse effects , Process Optimization , Whey/adverse effects , Bacteriocins/analysis , Lactobacillus plantarum/classification
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