Attitudes and practice of Turkish mothers with babies between 0-24 months regarding infant nutrition: the Iowa Infant Feeding Attitude Scale / Atitudes e aplicações de mães turcas sobre a nutrição do bebê entre 0-24 meses: Iowa Nutrição do Bebê Atitude

ABSTRACT Objective This study aims to evaluate the behaviors and attitudes of mothers with 0-24-month-old babies towards infant feeding, depending on their sociodemographic characteristics. Methods This is a cross-sectional study, which was carried out with 300 mothers. Demographic characteristics of the mothers, breastfeeding and complementary feeding practices, and the Iowa Infant Feeding Attitude Scale were collected. As for the statistical evaluation, Statistical Package for the Social Sciences version 22 statistical package program was used. For the statistical analysis; percentages, mean values, Independent T-Test, One-Way ANOVA, Chi-Square test, and multinomial regression models analysis were used. Results 79.7% of the mothers gave human milk to their infants as the first food after delivery, 36.9% gave only human milk for the first 6 months, 52.0% started complementary feeding at 4-6 months. Of the mothers with a mean The Iowa Infant Feeding Attitude Scale score of 64.38±8.43, 54.0% were positive towards breastfeeding. A significant relationship was found between education and income levels and Iowa Infant Feeding Attitude Scale scores level of the mothers, respectively (χ2=10.001, χ2=10.421, p<0.05). The mothers with a postgraduate degree as educational status (AOR=1.27, 95%CI:1.06-1.53) and mothers who had more income than expenditures (AOR=1.19, 95%CI:1.03-1.63) were associated with a higher positive towards of breastfeeding. Conclusion Although most of the mothers say that they have a positive attitude towards breastfeeding, the rate of those who only breastfeed for the first 6 months is low. As the education and income level of mothers increase, their positive attitude towards breastfeeding increases. Mothers should be informed to initiate and maintain successful breastfeeding.

RESUMO Objetivo Este estudo tem como objetivo avaliar os comportamentos e atitudes de mães com bebês de 0 a 24 meses em relação à alimentação infantil, em função de suas características sociodemográficas. Métodos Este estudo é um estudo transversal, realizado com 300 mães. Foram coletadas características demográficas das mães, práticas de amamentação e alimentação complementar e a Iowa Infant Feeding Attitude Scale. Quanto à avaliação estatística, foi utilizado o programa de pacote estatístico Statistical Package for the Social Sciences versão 22. Para a análise estatística; percentagens, valores médios, Teste T independente, Anova de uma via, teste do qui-quadrado e análise de modelos de regressão multinominal. Resultados 79,7% das mães deram leite materno como primeiro alimento após o parto, 36,9% deram apenas leite materno durante os primeiros 6 meses, 52,0% iniciaram a alimentação complementar aos 4-6 meses. Das mães com escore médio Iowa Infant Feeding Attitude Scale de 64,38±8,43, 54,0% eram positivas para amamentação. Encontrou-se relação significativa entre os níveis de escolaridade e renda e o nível dos Iowa Infant Feeding Attitude Scale escores das mães, respectivamente (χ2=10,001, χ2=10,421, p<0,05). Mães com pós-graduação (AOR=1,27, IC 95%: 1,06-1,53) e mães que tinham mais renda do que despesas (AOR=1,19, IC 95%: 1,03 -1,63) foram associadas a maior positividade para amamentação. Conclusão Embora a maioria das mães diga que têm uma atitude positiva em relação à amamentação, a taxa das que amamentam apenas nos primeiros 6 meses é baixa. À medida que aumenta a escolaridade e o nível de renda das mães, sua atitude positiva em relação à amamentação aumenta. As mães devem ser informadas para iniciar e manter a amamentação com sucesso.

Effect of different protein diets on weight loss, inflammatory markers, and cardiometabolic risk factors in obese women.

BACKGROUND: Reducing and maintaining body weight has become more important than ever as obesity is becoming increasingly common worldwide. This study was aimed to investigate the effects of diets with different protein contents administered to obese women on anthropometric measurements, inflammatory markers, and cardiometabolic risk factors. MATERIALS AND METHODS: This randomized controlled trial was conducted with sixty volunteering obese women aged between 20 and 45 years. The subjects were divided into two groups in equal numbers. The high-protein (HP) group (n = 30) was administered an iso-caloric HP diet (25% protein, 30% fat, and 45% carbohydrate), and the control group (n = 30) an isocaloric low-protein diet (15% protein, 30% fat, and 55% carbohydrate), and both groups were followed up for 8 weeks. The subjects' descriptive data, anthropometric measurements, homeostatic model assessment-insulin resistance (HOMA-IR), lipid profiles, and high-sensitive C-reactive protein (hs-CRP), tumor necrosis factor-alpha (TNF-α), and interleukin-6 (IL-6) levels were analyzed. RESULTS: There was no significant difference at baseline (except for low-density lipoprotein cholesterol [LDL-C]), and end-of-study (except for IL-6, systolic blood pressure [SBP], and diastolic blood pressure) values of parameters between the two groups; after adjusted for baseline measurements, a significant difference was observed between the groups for body weight, body mass index, waist circumference, HOMA-IR, LDL-C, hs-CRP, TNF-α, IL-6, and SBP (P = 0.004, P = 0.001, P = 0.003, P = 0.029, P = 0.004, P = 0.016, P = 0.004, P = 0.010, and P = 0.000, respectively) and were greater in the HP group than in the control group (P < 0.05). CONCLUSION: The HP diet was effective on improvement in HOMA-IR, SBP, LDL-C, hs-CRP, TNF-α, IL-6, and resulted in body weight loss.

Production of Bovine Colostrum for Human Consumption to Improve Health.

Colostrum contains all essential nutrients for the neonate during the first days of life, with impacts that continue far beyond these first days. Bovine colostrum has been used for human consumption due to the high concentrations of bioactive proteins, vitamins, minerals, growth factors, as well as free and conjugated oligosaccharides. Processes involved in the preparation of bovine colostrum for human consumption play a pivotal role in preserving and maintaining the activity of the bioactive molecules. As bovine colostrum is a multifunctional food that offers a myriad of benefits for human health, assessing the main processes used in preparing it with both advantages and disadvantages is a crucial point to discuss. We discuss major processes effects for colostrum production on the nutritional value, some advanced technologies to preserve processed bovine colostrum and the end-product forms consumed by humans whether as dairy products or dietary supplements.

Evaluation of emotional (depression) and behavioural (nutritional, physical activity and sleep) status of Turkish adults during the COVID-19 pandemic period.

OBJECTIVE: To evaluate emotional (depression) and behavioural (nutritional behaviours, physical activity status and sleep patterns) of Turkish adult individuals during the COVID-19 pandemic period. DESIGN: Cross-sectional online survey. The participants filled out a questionnaire (developed by using Google Forms) that contained descriptive characteristics, nutritional behaviours, sleep patterns, physical activity status, anthropometric measurements, COVID-19-related level of knowledge and the questions of the Center for Epidemiological Studies Depression Scale through e-mail or social media (WhatsApp). SETTING: Turkey. PARTICIPANTS: Totally, 1120 adult individuals who completed an online survey between April and May 2020. RESULTS: It was determined that 29·1 % of the individuals showed mild, 34·2 % moderate and 23·4 % severe depression symptoms during the pandemic period. A significant relationship was found between gender, age and educational status, marital status and depression levels of the individuals, respectively (χ2 = 35·292, χ2 = 103·46, χ2 = 24·524 and χ2 = 86·208, P < 0·05). The top three foods consumed most during the pandemic period are tea and coffee (66·6 %), pastry (e.g. cake and cookie) (56·4 %) and desserts (49·6 %). During the pandemic period, 42·5 % of the individuals stated that they slept more and 40·2 % stated that there was no change in their sleep patterns. Daily physical activity durations were determined as 8·25 ± 1·77 h for sleep, 4·21 ± 2·68 h for lying down, 5·42 ± 2·64 h for sitting and 6·16 ± 4·82 h for standing activities. CONCLUSION: It was determined that the individuals showed different levels of depression symptoms during the pandemic period. Especially, carbohydrate food consumption increased, and physical activity status and sleep patterns changed due to the increased time spent sitting and lying.

The effect of zinc supplementation on the urinary excretion of elements in female athletes.

This study was carried out to find out how oral zinc supplementation to elite athletes affects the element changes in the urine. The study registered 10 female athletes who were on the women's volleyball team of Gazi University Sports Club and whose mean age, weight, and height were 14.2±0.42 years, 59.8±7.79kg and 173.6±6.15 cm. The study protocol was approved by the local ethics committee. The athletes who continued their daily routine training sessions (6 days/week) were supplemented with 220mg/day oral zinc sulfate for 4 weeks. In order to induce exhaustion, the subjects were put to a 20-meter shuttle run test before and after supplementation. A total, 7 times urine samples were collected follows as pre and post exercise before the start of the experiment and at the end (4 times), at the end of first, second and third week (3 times). Urinary levels of magnesium, phosphorus, and calcium (mg/dl), as well as zinc, copper, and selenium (µg/dl) were analyzed in the atomic emission device (ICP-MS). Arithmetic means and standard errors of the data were calculated. Kruskal Wallis test was used to determine differences between weeks. Values for which p<0,05 were considered significant. When compared to resting values, urinary excretion of copper and selenium decreased in exercise (p<0,05), but increased with zinc supplementation (p<0,05). Pre- and post-supplementation exercise resulted in reduced urinary zinc excretion (p<0,05). Zinc supplementation increased urinary zinc excretion in one-week intervals over the course of 4 weeks (p<0,05), and reduced selenium levels (p<0,05). When zinc is supplemented to athletes, the relation between the duration and dose of supplementation is important. The results of the study indicated that zinc does not have any negative effect on the urinary excretion of the concerned elements. It can thus be concluded that athletes may benefit from zinc support.

An evaluation of wheelchair basketball players' nutritional status and nutritional knowledge levels.

BACKGROUND: This study aimed to assess the nutritional status of women paralympic athletes and their nutritional knowledge. METHODS: Twenty two players of National Wheelchair Women Basketball Team (15-38 years) participated in this study and answered a questionnaire (76 questions) Players were at sport camp during the assessment where their body weight is measured regularly by the team coach. The waist, hip size and the height of the players who are able to stand have been used for the assessment, while the knee height of the players who are not able to stand have been measured for the study. SPSS 15.0 and BEBIS (Nutritional Data System) have been used for statistical assessment. RESULTS: The average age and sport years as a player of the participants are; respectively; 25.5±7.2 years and 3.9±2.8 years. The average daily energy consumption is 2867.8±523.6 kcal/day. The average proportion of energy, converted from carbohydrate, protein, fat are been calculated as, respectively; 42.7% (5.3±1.5 g/kg/day), 13.3% (1.6±0.3 g/kg/day), 44% (2.5±0.8 g/kg/day). It is also found that Vitamin B1, folic acid, magnesium, iron and fiber have not been consumed enough. The questions about sport nutrition have been mostly answered incorrectly. CONCLUSIONS: Athletes have inadequate food consumption and nutrition information. The athletes have to be educated more about nutrition and they should have nutritional counseling support.

The Importance of Vitaminsfor Soccer Players.

Soccer is one of the most widely played and complex sports in the world, where success depends on technical, tactical and physical skills of the players. Studies to improve performance in soccer have often focused on technique and tactics. However, nutrition is one of the most important factors influencing athletic performance of the players. The duration of matches is long and the training is intense. This leads to increased requirements for energy and nutrients, as well as increased reactive oxygen radicals and hence increased muscle damage. Vitamins are micronutrients that a living organism requires in trace quantities for health. As these assume crucial functions in the body, the performance of the player is negatively affected particularly during long-term deficiency. Beta-carotene, C and E vitamins are antioxidants that protect against oxygen radicals. In case of their deficiency, oxidative stress and muscle fatigue increases. Vitamin D is involved in maintaining mineral balance, and it increases absorption of dietary calcium and phosphorus. In case of vitamin D deficiency, injuries resulting from the musculoskeletal system might increase. B Vitamins (B1, B2, niacin, B6, B12, biotin, folic acid and pantothenic acid) perform duties such as energy production, absorption and transport of iron and blood cell production. Athletes who follow an energy-restricted and imbalanced diet might develop vitamin deficiency. In such a case, supplements can be used as recommended by the doctor/dietician. It is further reported that supplement use by athletes who have an adequate and balanced nutrition does not increase performance.