[Intake of an iron-supplemented milk formula as a preventive measure to avoid low iron status in 1-3 year-olds]. / Ingesta de una fórmula láctea suplementada con hierro como medida preventiva del déficit de hierro en niños de 1 a 3 años de edad.

OBJECTIVE: Low iron status is a well known risk factor for iron deficiency anemia in infants and young children. The aim of the present study was to evaluate the influence of an iron-fortified toddler formula on iron status in 1-3 year-olds. PATIENTS AND METHODS: Thirty-three healthy infants and young children were assigned to two groups that received 500 mL/day of and iron-fortified toddler formula or 500 mL/day of unmodified cow's milk for 4 months. Allocation was random and double-blind. Daily dietary intake was calculated by dietary evaluation, and iron nutritional status was assessed (hemoglobin, hematocrit, mean corpuscular volume, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration, serum iron, ferritin, and transferrin). RESULTS: At enrollment, no anemia was found in either group, although hemoglobin concentration and hematocrit were significantly lower in the toddler formula group than in the unmodified cow's milk group. However, these differences disappeared at the end of the intervention period. After 4 months, the toddler formula group showed significantly higher serum ferritin and lower serum transferrin concentrations than the cow's milk group. CONCLUSION: Intake of iron-supplemented toddler formula for 4 months in 1-3 year-olds is more effective in maintaining iron nutritional status than cow's milk.

One-month administration of hydroxytyrosol, a phenolic antioxidant present in olive oil, to hyperlipemic rabbits improves blood lipid profile, antioxidant status and reduces atherosclerosis development.

The present study analysed the effects of hydroxytyrosol (HT) on blood lipids, antioxidant status and the progression of aortic lesions in hyperlipemic rabbits. Sixty-four rabbits were distributed into eight groups of animals (n = 8). Animal groups C, A and H were fed for 1-month with a control diet containing sunflower oil (C), an atherogenic diet (A) high in saturated fat and cholesterol or the A diet together with HT, respectively. The other five groups were fed for 2-months with diets C or A (groups CC or AA, respectively), or for 1-month with the A-diet followed by a further month with diet C, extra virgin olive oil diet (O) or diet C with HT (groups AC, AO and AH, respectively). Four milligram of HT/kg body weight were used in the study. Fifty and 42% decrease in total cholesterol and triacylglycerols, respectively, and a 2.3-fold increase in HDL-cholesterol were observed in the AH group but not in the H group. The HT-supplemented groups improved their antioxidant status and reduced the size of atherosclerotic lesions measured as intimal layer areas of the aortic arch when compared with control animals. We conclude that HT supplementation may have cardioprotective effects in vivo.

[Cardiovascular effects of omega-3-fatty acids and alternatives to increase their intake]. / Efectos cardiovasculares de los ácidos grasos omega-3 y alternativas para incrementar su ingesta.

Cardiovascular diseases are the main mortality cause in Europe, the USA and a great extent of Asia. There are several risk factors associated with cardiovascular diseases, such as increased total cholesterol, homocysteine and triglycerides, hypertension, diabetes, and reduced levels of HDL-cholesterol. Many of these risk factors are diet influenced. In spite of the great amount of foods enriched with n-3 fatty acids available at the market, the knowledge about the effects produced by regular intake of these foods still is a challenge in the majority of cases. It appears that intake of foods enriches with n-3 polyunsatured fatty acids is an option that may be effective in reducing risk factors for diseases, by substituting supplements without modifying consumer's alimentary habits. Also shown are the outcomes from a nutritional study undergone with a functional milk-bases food that contains n-3 fatty acids, oleic acid and vitamins.

Oral administration of a turmeric extract inhibits LDL oxidation and has hypocholesterolemic effects in rabbits with experimental atherosclerosis.

The oxidation of low-density lipoproteins (LDL) plays an important role in the development of atherosclerosis. Curcumin is a yellow pigment obtained from rhizomes of Curcuma longa and is commonly used as a spice and food colouring. Curcumin and turmeric extracts have several pharmacological effects including antitumour, anti-inflammatory, antioxidant and antiinfectious activities although the precise mechanisms involved remain to be elicited. We evaluated the effect of an ethanol-aqueous extract obtained from rhizomes of C. longa on LDL oxidation susceptibility and plasma lipids in atherosclerotic rabbits. A total of 18 rabbits were fed for 7 weeks on a diet containing 95.7% standard chow, 3% lard and 1. 3% cholesterol, to induce atherosclerosis. The rabbits were divided into groups, two of which were also orally treated with turmeric extract at doses of 1.66 (group A) and 3.2 (group B) mg/kg body weight, respectively. A third group (group C) acted as a control. Plasma and LDL lipid composition, plasma alpha-tocopherol, plasma retinol, LDL TBARS, LDL lipid hydroperoxides and analysis of aortic atherosclerotic lesions were assayed. The low but not the high dosage decreased the susceptibility of LDL to lipid peroxidation. Both doses had lower levels of total plasma cholesterol than the control group. Moreover, the lower dosage had lower levels of cholesterol, phospholipids and triglycerides in LDL than the 3.2-mg dosage. In conclusion, the use of this extract could be useful in the management of cardiovascular disease in which atherosclerosis is important.

n-3 Fatty acids plus oleic acid and vitamin supplemented milk consumption reduces total and LDL cholesterol, homocysteine and levels of endothelial adhesion molecules in healthy humans.

BACKGROUND AND AIMS: Numerous studies suggest n -3 polyunsaturated fatty acids (n -3 PUFA) and oleic acid intake have beneficial effects on health including risk reduction of coronary heart disease. The purpose of this study was to evaluate the effect of a commercially available skimmed milk supplemented with n -3 PUFA, oleic acid, and vitamins E, B(6), and folic acid (Puleva Omega3) on risk factors for cardiovascular disease. (CVD). METHODS: Thirty volunteers were given 500 ml/day of semi-skimmed milk for 4 weeks and then 500 ml/day of the n -3 enriched milk for 8 further weeks. Plasma and LDL lipoproteins were obtained from volunteers at the beginning of the study (T(pre)), and at 4, 8 and 12 weeks. RESULTS: The consumption of n -3 enriched milk produced a significant decrease in plasma concentration of total and LDL cholesterol accompanied by a reduction in plasma levels of homocysteine. Plasma and LDL oxidability and vitamin E concentration remained unchanged throughout the study. A significant reduction in plasma levels of vascular cell adhesion molecule 1, and an increase in plasma concentration of folic acid were also observed. CONCLUSION: Daily intake of n -3 PUFA and oleic acid supplemented skimmed milk plus folic acid and B-type vitamins has favourable effects on risk factors for CVD.

Influence of casein and casein hydrolysate diets on nutritional recovery of starved rats.

BACKGROUND: The aim of this study was to compare the effects of two diets, which differed in their protein source (casein and casein hydrolysate), on the nutritional recovery and intestinal repair of undernourished rats at weaning after a 3-day fasting period. Profound alterations in gut structure and signs of malnutrition appeared after the starvation period. METHODS: The casein hydrolysate was prepared by enzymatic hydrolysis and ultrafiltration. Rats were refed the casein-based or the casein hydrolysate-based diet for 96 hours. Normal-fed male Wistar rats at weaning were given the casein diet for 7 days and were used as controls. Liver acetylcholinesterase, glutamate dehydrogenase activities, serum amino acid profiles, jejunal oligosaccharidases, alkaline phosphatase, and leucine aminopeptidase activities were studied. Intestinal permeability to intact proteins was also tested by using ovalbumin and measuring its concentration in serum. RESULTS: Intestinal and liver enzyme activities and serum amino acid profiles reached normal values after 96 hours of refeeding, regardless of the diet used. Glutamate dehydrogenase activity remained higher in both diet groups. Intestinal permeability to ovalbumin remained significantly increased only in the group refed the casein diet. CONCLUSIONS: Our results show that 4 days of refeeding are sufficient for complete intestinal recovery after fasting, provided the dietary protein source is a casein hydrolysate. We suggest that patients with malnutrition or malabsorption syndrome should be fed formula composed of enzymatic protein hydrolysates (because of their low antigenicity) rather than enteral formulas composed of intact proteins.

Dietary intake of calcium, magnesium and phosphorus in an elderly population using duplicate diet sampling vs food composition tables.

The aim of this study was to estimate the dietary intake of calcium, magnesium and phosphorus in the elderly institutionalised population using duplicate diet sampling and to establish any related difference with the results obtained using food composition tables. The study was carried out on a sample group of 112 subjects in Granada (Spain). 1-week food duplicate samples offered by the elderly were studied. Calcium and magnesium were determined by AAS and phosphorus was determined by spectrophotometry. Anova showed significant differences (p<0.05) in all the minerals analyzed. These results suggest that the use of food composition tables is not suitable to evaluate the calcium, magnesium and phosphorus in nutritional trials. Moreover, the results show clearly that it is essential to consider these differences to establish the adequate intakes of calcium, magnesium and phosphorus for the elderly population in relation to the mineral bone status.

An ethanolic-aqueous extract of Curcuma longa decreases the susceptibility of liver microsomes and mitochondria to lipid peroxidation in atherosclerotic rabbits.

Atherosclerosis is characterized by oxidative damage which affects lipoproteins, the walls of blood vessels and subcellular membranes. This study evaluates the antioxidant capacity of a Curcuma longa extract on the lipid peroxidation of liver mitochondria and microsome membranes in atherosclerotic rabbits. Male rabbits fed a 3% (w/w) lard and 1.3% (w/w) cholesterol diet were randomly assigned to three groups. Two groups were treated with different dosages of a turmeric extract (A and B) and the third group (control) with a curcumin-free solution. Basal and in vitro 2,2'-azobis (2-amidinopropane) dihydrochloride (AAPH)-induced hydroperoxide and TBARS productions in liver mitochondria and microsomes were analyzed. Group A had the lowest concentration of mitochondrial hydroperoxides. In microsomes, the basal hydroperoxide levels were similar in all groups but, after the induction of oxidation, group C registered the highest value; TBARS production followed the same trend in mitochondria. These findings suggest that active compounds in curcuma extract may be protective in preventing lipoperoxidation of subcellular membranes in a dosage-dependent manner.

[Efficiency evaluation of the diabetic education unit at the hospital in Algeciras]. / Evaluación de la efectividad de la unidad de educación diabetológica del hospital de Algeciras.

BACKGROUND: Diabetic Education is a basic part of treating Diabetes Mellitus and is intended to improve a patient's quality of life. An analysis was made of the effectiveness of a diabetic education program at the Algeciras Regional Hospital. METHODS: Results achieved by the Diabetic Education Unit were measured according to frequency of hospital visits. A parallel study was therefore carried out on the Unit's first 86 patients and an analysis made of the percentage of patients admitted as well as the period of hospitalization, four years before the Diabetic Program was carried out and four years later. RESULTS: The 20.7% rate of patients admitted four years before the program was reduced to 6.1% in the four following years (IC 95% of the difference between 0.055 and 0.170). A significant decrease (p < 0.001) was also observed in the period of hospitalization, before and after the program, which was quantified in 3.54 days/patient in four years (IC 95%: 1.02 to 5.56 days). CONCLUSIONS: The educational program reduced complications of the disease and improved quality of life.

Serum amino acid concentrations in growing rats fed intact protein versus enzymatic protein hydrolysate-based diets.

The aim of this study was to evaluate the effect of the molecular form of dietary protein (native or enzymatically hydrolyzed) on the total serum protein concentrations and the serum amino acid profile of growing rats at weaning. Wistar male rats at weaning were randomly assigned to one of the four isocaloric and isonitrogenous (12% protein equivalent content) diets and fed for 7 days. The protein sources of the diets were: whey protein, casein and their respective hydrolysates. Differences in the serum amino acid profiles exclusively related to the amino acid composition of the protein (casein or whey proteins) were observed, but differences due to their molecular form were not observed. It is concluded that the use of enzymatic hydrolysates of whey proteins and casein has the same effects as their native proteins on nitrogen intake, body weight gain and serum amino acid profile of growing rats at weaning.

Protein v. enzymic protein hydrolysates. Nitrogen utilization in starved rats.

The present study was carried out to compare the effects of four isoenergetic and isonitrogenous diets on the N utilization, total serum protein concentration and serum amino acid profile in starved rats at weaning. These diets differed only in the molecular form of two milk proteins (whey protein and casein), which were either native or partly hydrolysed. Male Wistar rats at weaning were fasted for 3 d and then refed with one of the four diets for 48 h. No differences were observed in the body weight gain, protein digestibility and total serum protein concentration between groups after the refeeding period and all the N balances were positive. N retention was higher in the two groups of rats given the protein-hydrolysate-based diets compared with those given the intact-protein-based diets. This was associated with a lower urinary N excretion in rats, given the whey-protein-hydrolysate and the casein-hydrolysate diets. Despite this fact, the serum amino acid pattern of rats given the hydrolysed protein diet was very similar to that of those given the corresponding native protein diet. In conclusion, we have proved that enzymic hydrolysates from milk proteins have equivalent effects to native proteins in recovery after starvation in rats at weaning, on N absorption, total serum protein concentration and serum amino acid profile, and even give a higher N retention. We did not observe any harmful effect in using protein hydrolysates instead of native proteins.

Abnormalities in plasma and red blood cell fatty acid profiles of patients with colorectal cancer.

We evaluated total plasma fatty acid concentrations and percentages, and the fatty acid profiles for the different plasma lipid fractions and red blood cell lipids, in 17 patients with untreated colorectal cancer and 12 age-matched controls with no malignant diseases, from the same geographical area. Cancer patients had significantly lower total plasma concentrations of saturated, monounsaturated and essential fatty acids and their polyunsaturated derivatives than healthy controls; when the values were expressed as relative percentages, cancer patients had significantly higher proportions of oleic acid and lower levels of linoleic acid than controls. With regard to lipid fractions, cancer patients had higher proportions of oleic acid in plasma phospholipids, triglycerides and cholesterol esters, and lower percentages of linoleic acid and its derivatives. On the other hand, alpha-linolenic acid was significantly lower in triglycerides from cancer patients and tended to be lower in phospholipids. Its derivatives also tended to be lower in phospholipids and triglycerides from cancer patients. Our findings suggest that colorectal cancer patients present abnormalities in plasma and red blood cell fatty acid profiles characterized by lower amounts of most saturated, monounsaturated and essential fatty acids and their polyunsaturated derivatives, especially members of the n-6 series, than their healthy age-matched counterparts. These changes are probably due to metabolic changes caused by the illness per se but not to malnutrition.

Effects of native and hydrolyzed whey protein on intestinal repair of severely starved rats at weaning.

The aim of this study was to evaluate the effect of two sources of dietary nitrogen (isolated whey protein and hydrolyzed whey protein) on the intestinal repair of malnourished rats at weaning. The malnutrition was achieved by a 3 days' starvation period. Normally fed male Wistar rats were used as controls. Intestinal repair was studied after a refeeding period of 4 days. The parameters studied included nitrogen balance, lactase, sucrase, isomaltase, and maltase activities of the jejunum; liver acetylcholinesterase and glutamate dehydrogenase activities; and the serum amino acid profile. In addition, tests of intestinal permeability to macromolecules were performed by measurement of ovalbumin and beta-lactoglobulin in serum. Both diets of led to the recovery of the severely starved rats, in terms of the values of all the parameters evaluated. The serum beta-lactoglobulin was the only exception, because its concentration was significantly lower in the normally fed animals. This study suggests that the intestinal mucosal barrier is not completely repaired, even after a 4-day refeeding period, to the point of being suitable to accept an increase in the uptake of antigens.

Efectos cardiovasculares de los ácidos grasos omega-3 y alternativas para incrementar su ingesta / Cardiovascular effects of omega-3-fatty acids and alternatives to increase their intake

Las enfermedades cardiovasculares son la principal causa de mortalidad en Europa, Estados Unidos y gran parte de Asia. Existen varios factores de riesgo asociados a las enfermedades cardiovasculares, entre ellos están el colesterol total, la homocisteína y los triglicéridos elevados, la hipertensión, la diabetes y niveles reducidos de colesterol HDL. Muchos de estos factores de riesgo son influenciables por la dieta. A pesar de la gran cantidad de alimentos enriquecidos en ácidos grasos n-3 disponibles en el mercado, el conocimiento de los efectos originados por el consumo regular de estos alimentos supone aún un reto en la mayoría de los casos. La ingesta de alimentos enriquecidos en ácidos grasos poliinsaturados n-3 parece ser una opción que puede ser eficaz en la reducción de factores de riesgo de enfermedades, sustituyendo a los suplementos sin originar cambios en los hábitos alimentarios del consumidor. También se muestran los resultados procedentes de un estudio nutricional que hemos llevado a cabo con un alimento funcional de base láctea que contiene ácidos grasos n-3, ácido oleico y vitaminas (AU)

Cardiovascular diseases are the main mortality cause in Europe, the USA and a great extent of Asia. There are several risk factors associated with cardiovascular diseases, such as increased total cholesterol, homocysteine and triglycerides, hypertension, diabetes, and reduced levels of HDL-cholesterol. Many of these risk factors are diet influenced. In spite of the great amount of foods enriched with n-3 fatty acids available at the market, the knowledge about the effects produced by regular intake of these foods still is a challenge in the majority of cases. It appears that intake of foods enriches with n-3 polyunsatured fatty acids is an option that may be effective in reducing risk factors for diseases, by substituting supplements without modifying consumer's alimentary habits. Also shown are the outcomes from a nutritional study undergone with a functional milk-bases food that contains n-3 fatty acids, oleic acid and vitamins (AU)

Ingesta de una fórmula láctea suplementada con hierro como medida preventiva del déficit de hierro en niños de 1 a 3 años de edad / Intake of an iron-supplemented milk formula as a preventive measure to avoid low iron status in 1-3 year-olds

Objetivo. La baja ingesta de hierro es un factor bien conocido como responsable de anemia por deficiencia de hierro en lactantes y niños pequeños. En el presente estudio se ha evaluado la influencia de la ingesta de una fórmula láctea para niños pequeños suplementada con hierro sobre el estado nutricional del hierro en niños de 1 a 3 años de edad. Pacientes y métodos. Se han estudiado 33 niños sanos distribuidos de forma aleatorizada y doble ciego en 2 grupos, uno que tomó 500 ml/día de una fórmula láctea suplementada con hierro y otro 500 ml/día de leche entera de vaca. Todos los niños tomaron la fórmula o la leche de vaca durante 4 meses. La ingesta de nutrientes fue calculada mediante la valoración de la dieta y se evaluó el estado nutricional del hierro (hemoglobina, hematócrito, volumen corpuscular medio, hemoglobina corpuscular media, concentración de hemoglobina corpuscular media, hierro, ferritina y transferrina). Resultados. Al inicio del estudio, ningún niño presentaba anemia, aunque el grupo que tomó la fórmula láctea suplementada con hierro presentaba una concentración de hemoglobina y hematócrito significativamente más baja. Sin embargo, las diferencias desaparecieron al final del período de intervención. Además, al final del estudio el grupo que tomó la fórmula láctea suplementada con hierro mostró unas concentraciones en suero significativamente más elevadas de ferritina y más bajas de transferrina que el grupo que tomó leche entera de vaca. Conclusión. La ingesta de una fórmula suplementada con hierro para niños pequeños durante 4 meses en niños de 1 a 3 años de edad, contribuye mejor que la leche de vaca a mantener el estado nutricional de hierro

Objective. Low iron status is a well known risk factor for iron deficiency anemia in infants and young children. The aim of the present study was to evaluate the influence of an iron-fortified toddler formula on iron status in 1-3 year-olds. Patients and methods. Thirty-three healthy infants and young children were assigned to two groups that received 500 mL/day of and iron-fortified toddler formula or 500 mL/day of unmodified cow's milk for 4 months. Allocation was random and double-blind. Daily dietary intake was calculated by dietary evaluation, and iron nutritional status was assessed (hemoglobin, hematocrit, mean corpuscular volume, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration, serum iron, ferritin, and transferrin). Results. At enrollment, no anemia was found in either group, although hemoglobin concentration and hematocrit were significantly lower in the toddler formula group than in the unmodified cow's milk group. However, these differences disappeared at the end of the intervention period. After 4 months, the toddler formula group showed significantly higher serum ferritin and lower serum transferrin concentrations than the cow's milk group. Conclusion. Intake of iron-supplemented toddler formula for 4 months in 1-3 year-olds is more effective in maintaining iron nutritional status than cow's milk

Análisis de la composición mineral en alimentos congelados precocinados de consumo habitual / Analyses of mineral compositions in habitually consumed pre-cooked frozen foods

La realización del presente estudio analítico ha tenido como principal objetivo ampliar y mejorar los datos que actualmente vienen reflejados en las tablas de composición de alimentos españoles, aportando datos que, además de propios, corresponden a alimentos ampliamente distribuidos en el mercado español y son consumidos de forma habitual en nuestro país. El análisis de los diferentes minerales se ha realizado en 28 alimentos precocinados congelados, previamente seleccionados, entre los que se incluyen pastas, pizzas, arroces y fritos de mayor consumo. Este tipo de alimentos son susceptibles de sufrir pérdidas en minerales debido a los procesos de elaboración, congelación y pretratamiento culinario a que son sometidos antes de su consumo, por lo que es de gran interés el conocimiento de su composición mineral, dando respuesta a las exigencias de un amplio grupo de profesionales y consumidores que requieren de esta información nutricional (AU)

Componentes biológicamente activosde la leche materna / Bioactive compounds derived from human milk

La leche materna es un complejo fluido biológico que aporta la energía y los nutrientes esenciales para el desarrollo y crecimiento del recién nacido. Pero además, la leche materna contiene toda una serie de compuestos bioactivos como enzimas, hormonas, factores de crecimiento, proteínas específicas, poliaminas, nucleótidos, oligosacáridos, etc., que ejercen efectos biológicos y que en conjunto reciben el nombre de "factores tróficos de la leche". Estos compuestos biactivos son considerados nutrientes potencialmente esenciales en periodos de desarrollo y en determinadas enfermedades, cuando la capacidad de síntesis no supera las necesidades de los mismos. Aunque las fórmulas infantiles aportan todos los nutrientes para un adecuado desarrollo del recién nacido, carecen de muchos de estos compuestos. Este artículo pretende realizar una revisión acerca de los conocimientos actuales sobre los efectos biológicos de la lactoferrina, nucleótidos, poliaminas y oligosacáridos (AU)

Péptidos y proteínas de la lechecon propiedades funcionales / Bioactive milk peptidos and proteins

La fracción proteica de la leche contiene un gran número de compuestos biológicamente activos. Además de las proteínas de la leche, caseínas y proteínas del suero lácteo, existen también pequeñas cantidades de otras proteínas y péptidos. Estos péptidos, que son inactivos dentro de la secuencia de la proteína nativa, pueden ser liberados por hidrólisis enzimática, por ejemplo, durante la digestión gastrointestinal o durante el procesado del alimento. Estos péptidos bioactivos procedentes de proteínas lácteas presentan una actividad moduladora de numerosos procesos metabólicos del organismo. Asimismo, las proteínas del suero lácteo representan una mezcla variada de proteínas secretadas, tales como á-lactoalbúmina, â-lactoglobulina, lactoferrina, lactoperoxidasa, inmunoglobulinas, glicomacropéptido y una gran cantidad de factores de crecimiento. Estas proteínas tienen una serie de efectos biológicos, que van desde un efecto anticancerígenos hasta efectos en la función digestiva (AU)