The malnutrition screening tool STRONGKIDS performed better than other screening tools for children hospitalised in Egypt.

AIM: To compare the accuracy of three different screening tools, namely, the Paediatric Yorkhill Malnutrition Score (PYMS), Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP), and Screening Tool for Risk on Nutritional Status and Growth (STRONGKIDS), in assessing malnutrition risk in hospitalised children. METHODS: A cross-sectional study was conducted on 300 children aged 6 months to 15 years at Alexandria University Children's Hospital, Egypt. The sensitivity and specificity of each tool were calculated to detect acute and chronic malnutrition, and an agreement test was conducted between the nutritional screening tools. The patients were classified into different nutritional risk groups, and their classification was compared with anthropometric measures and clinical variables, such as the length of hospital stay (LOS). RESULTS: The prevalence of stunting and wasting on admission was found to be 3% and 6.6%, respectively. Children categorised as high-risk on admission had a longer LOS than those at low risk. The agreement test between the STAMP score and STRONGKIDS score on admission showed the most significant agreement, and STRONGKIDS had the best accuracy in detecting acute and chronic malnutrition. CONCLUSION: The comparison of the three screening tools revealed that STRONGKIDS exhibited the best accuracy in detecting acute and chronic malnutrition.

Low FODMAP diet in Egyptian patients with Crohn's disease in remission phase with functional gastrointestinal symptoms.

BACKGROUND AND AIM: Despite being in remission, functional gastrointestinal disease (FGID) in Crohn's disease (CD) patients can reduce their quality of life. The Egyptian daily diet contains a high amount of FODMAP (Fermentable Oligosaccharides, Disaccharides, Monosaccharides, And Polyols). As the low FODMAP diet has been proven to be effective in irritable bowel syndrome worldwide, it was reasonable to take a step further and begin to study the effect of low FODMAP in Egyptian CD patients with FGID. The outcomes were assessed in terms of improvement in symptoms and hence the quality of life, and the factors that led to this improvement were also recorded. METHODS: In total, 100 CD patients with FGID in the remission stage who were already on a low-fiber diet (± lactose-free diet) were selected to follow the low FODMAP diet. A structured interview was performed after 3 months with a number of scored-scale questionnaires comparing symptoms before and after the diet and the impact on quality of life. Evaluation of the adherence, satisfaction, palatability, and affordability of the diet was performed. Different demographic data were also evaluated in correspondence with improvements in the quality of life. RESULTS: The mean score of FGID improvement was 38.45 ± 21.56%. The quality of life was significantly improved; 90% of female patients versus 49.4% males had a better quality of life. The households (not working) as well as those with morning jobs (6 hours) reported an increase in quality of life. Although the Egyptian low FODMAP diet was expensive (in terms of gluten-free wheat), 67% were adherent to it (18.16 ± 6.85). CONCLUSION: As a first step in Egypt, the low FODMAP diet was effective in improving the quality of life of CD patients with FGID.

Dietary pattern and blood pressure levels of adolescents in Sohag, Egypt.

BACKGROUND: Poor eating patterns formed early in life may lead to health problems in later years. These poor dietary habits are carried over into adolescence in Upper Egypt. The study aimed to assess the relationship between dietary pattern and blood pressure levels of adolescents in Sohag as one of Upper Egypt Governorates. PARTICIPANTS AND METHODS: A comparative cross-sectional study was carried out on 300 school students of both sexes between 12 and 18 years of age in Sohag. Schools from one educational district were stratified into private or public and boys or girls sectors. From each stratum, about 35-40 students were selected from one class at random. Data on sociodemographic characteristics, medical history, lifestyle, and dietary habits and intake were collected from each student. Anthropometric measurements and both systolic blood pressure (SBP) and diastolic blood pressure (DBP) were taken at the time of the interview. RESULTS: Hypertension was detected among 7.7% of the adolescents studied and prehypertension was detected among 34% of the adolescents. The entire studied sample consumed energy, protein, and sodium that exceeded their daily requirements, whereas their intake of potassium was less, with no statistically significant difference. The prehypertensive group consumed the highest daily intake of energy, macronutrients, sodium, and potassium. High BMI and low consumption of fruits and vegetables were associated with increased SBP and DBP. High consumption of chips was a predictor for increased SBP, whereas daily consumption of soft drinks was a predictor for increased DBP. CONCLUSION AND RECOMMENDATION: The study revealed significant association between the unhealthy dietary pattern and the risk of hypertension and prehypertension among adolescents in Sohag. Changes in their eating habits and dietary intake are highly recommended. Implementing a comprehensive nutrition promotion program has the potential to decrease the risk of hypertension during adulthood.

Use of dietary supplements among Alexandria University employees, Egypt.

BACKGROUND: There is insufficient information on the usage of dietary supplements among Egyptians. The aim of this study was to identify the pattern of dietary supplement usage among employees of Alexandria University. PARTICIPANTS AND METHODS: A comparative cross-sectional study was carried out on 500 staff members, clerks, and workers of Alexandria University. The sample studied was equally allocated between seven institutions (three from medical sectors and four from nonmedical sectors), and was randomly selected from each institution after obtaining their verbal consent. Data on sociodemographic characteristics, medical history, lifestyle practices, dietary intake, and pattern of dietary supplement usage were collected from each participant. RESULTS: The use of dietary supplement was reported by 31.2% of the participants. These supplements were mainly multivitamins, iron, or calcium. Almost half of the users (52.6%) had used supplements regularly for years. The supplements were prescribed by doctors among 70.6% of the users for protection against diseases or to improve mental and physical well-being. The daily intake of the studied nutrients for both users and nonusers was found to be lesser than their requirements; also there was no statistically significant difference in the levels of nutrients studied, except in the adequacy of riboflavin, which was found to be higher among users than among nonusers (P=0.040). Female sex, higher educational and occupational levels, and the presence of chronic diseases were associated with the increased usage of dietary supplements. CONCLUSION AND RECOMMENDATION: Dietary intake of the studied nutrients for both users and nonusers of supplements was found to be less than their daily requirements. Nutritional education programs highlighting the importance of eating a balanced diet or the usage of dietary supplements are recommended for university employees.