Nutrient density, but not cost of diet, is associated with anemia and iron deficiency in school-age children in South Africa

Visser, Marina; Zyl, Tertia van; Hanekom, Susanna M.; Baumgartner, Jeannine; Hoeven, Marinka van der; Taljaard-Krugell, Christine; Smuts, Cornelius M.; Faber, Mieke

doi:10.1016/j.nut.2020.111096

Cited by 7 publications

(4 citation statements)

References 43 publications

(58 reference statements)

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“…Demir eksikliği ve anemisi, öğrenme yeteneğinin azalması ve artan morbidite oranları ile ilişkilidir (31). Besin ögesi yoğunluğunun anemi ve demir eksikliği ile ilişkisini değerlendiren bir çalışmada, anemisi veya demir eksikliği olan çocuklar, olmayanlara kıyasla daha düşük besin ögesi yoğunluğu puanına sahip olarak görülmüştür (sırasıyla p<0.001 ve p=0.039) (32). Bu noktada diyetin besin ögesi yoğunluğunu artırmak, diyet maliyetini etkilemeden demir eksikliği ve demir eksikliği anemisi riskini önlemeye yardımcı olabilir gözükmektedir.…”

Section: Hastalıklarda Besin öGesi Yoğunluğunun Yeri Ve öNemiunclassified

Overview of Nutrient Density

PINARLI,

KARAAĞAÇ

2023

Sağlık Bilimlerinde Değer

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Besin ögesi yoğunluğu, sağladığı enerjiden daha fazla besin ögesi içeren besinleri tanımlamak için kullanılmaktadır. Diyetteki enerji yoğunluğu ile besin ögesi yoğunluğu ters orantılıdır. Diyetteki enerji yoğunluğunun azaltılması, vücut ağırlığı yönetimi veya genel sağlığın korunması amacıyla da olsa, besin ögesi yoğunluğunun artmasıyla sonuçlanmaktadır. Besin ögesi yoğunluğu ölçümleri, besin ögesi örüntü profillemelerine dayanmaktadır. Yüksek gelir düzeyine sahip ve gelişmiş ülkelerde besin ögesi örüntü profili modelleri; besin etiketleme, yasaların düzenlenmesi ve vergilerin düzenlenmesi için bilimsel gerekçe sağlamaktadır. Ayrıca besin ögesi yoğunluğu, demir eksikliği anemisi, sarkopeni, malnütrisyon, metabolik sendrom ve çalışma kapasitesi (üretkenlik) ile yakından ilişkili olarak görülmektedir. Besin ögesi yoğunluğu kavramı, aynı zamanda sürdürülebilir bir yaşam için de büyük öneme sahiptir. Dünya nüfusunun 2050 yılına kadar 10 milyara ulaşacağı tahmin edilmektedir. Herkes için yeterli besin ögesine sahip bir diyet sağlarken aynı zamanda gezegen refahını korumanın küresel bir sorun haline geleceği düşünülmektedir. Bu noktada sürdürülebilir beslenme ve sürdürülebilir gıda sistemleri ön plana çıkmaktadır. Araştırmalar, besin ögesi yoğunluğu yüksek olan besinlerin, çevre üzerine de daha olumlu etkileri olduğunu göstermektedir. Tüm bu nedenlerle, besin ögesi yoğunluğu kavramına, beslenme rehberleri ve diyet modelleri içerisinde daha fazla vurgu yapılması gerektiği düşünülmektedir.

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Section: Hastalıklarda Besin öGesi Yoğunluğunun Yeri Ve öNemiunclassified

Overview of Nutrient Density

PINARLI,

KARAAĞAÇ

2023

Sağlık Bilimlerinde Değer

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“…Precise assessment of the mineral status, however, is challenging because commonly used measurements in the clinic do not directly reflect mineral status in the target tissues where minerals tend to accumulate [ 106 ]. Even though healthy diets tend to cost more, it becomes increasingly evident that many nutritional inadequacies are driven by the consumer preference of low nutrient, high energy density diets at the same price point [ 107 ]. Paired with a dramatic decrease in consumption of organ meats that historically served as a good source of minerals for an omnivore population [ 108 ], selected trace mineral inadequacies may still be expected.…”

Section: Influence Of Essential Minerals On Immunological Outcomesmentioning

confidence: 99%

Essential Minerals and Metabolic Adaptation of Immune Cells

2022

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Modern lifestyles deviated considerably from the ancestral routines towards major shifts in diets and increased sedentarism. The trace elements status of the human body is no longer adequately supported by micronutrient-inferior farmed meats and crop commodities produced by the existing agricultural food systems. This is particular evident in the increased obesogenic adipogenesis and low-grade inflammation that fails to resolve with time. The metabolically restrictive environment of the inflamed tissues drives activation and proliferation of transient and resident populations of immune cells in favor of pro-inflammatory phenotypes, as well as a part of the enhanced autoimmune response. As different stages of the immune activation and resolution depend on the availability of specific minerals to maintain the structural integrity of skin and mucus membranes, activation and migration of immune cells, activation of the complement system, and the release of pro-inflammatory cytokines and chemokines, this review discusses recent advances in our understanding of the contribution of select minerals in optimizing the responses of innate and adaptive immune outcomes. An abbreviated view on the absorption, transport, and delivery of minerals to the body tissues as related to metabolic adaptation is considered.

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“…Recently, a new DQI has been suggested, the Nutrient-Rich Food Index 9.3 (NRF9.3), as a promising tool not only to measure the nutrient density of individual foods, meals or total diets, but also to establish an association with the incidence and development of certain diseases [ 20 , 21 ]. The NRF9.3 index is based on recommended daily values (RDV) of nutrients whose consumption should be encouraged [ 22 ], comprising fiber and proteins, as macronutrients, as well as several micronutrients involved in multiple physiological functions.…”

Section: Introductionmentioning

confidence: 99%

Association between Diet Quality and Risk of Type 2 Diabetes Mellitus in Patients with Coronary Heart Disease: Findings from the CORDIOPREV Study

Rivas-Garcia,

Quintana-Navarro,

Alcala-Díaz

et al. 2024

Nutrients

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The incidence of type 2 diabetes mellitus (T2DM) is growing in Western countries. Nutritional interventions that promote high-quality dietary patterns could help reverse this trend. We aimed to evaluate whether changes in Nutrient-Rich Food Index 9.3 (NRF9.3) were related to the risk of developing T2DM in patients with coronary heart disease (CHD). The study was carried out in the context of two healthy dietary interventions (a Mediterranean and a low-fat diet). For this purpose, we evaluated all the patients in the CORDIOPREV study without T2DM at baseline. Data were obtained during the first 5 years of dietary intervention. The score was calculated using the Food Frequency Questionnaires at baseline and after 1 year of intervention. After 5 years of follow-up, 106 patients developed T2DM (incident-T2DM), while 316 subjects did not (non-T2DM). Total NRF9.3 score and changes during the first year of intervention were compared between incident-T2DM and non-T2DM. Incident-T2DM showed less improvement in NRF9.3 than non-T2DM (p = 0.010). In the multi-adjusted Cox proportional hazard study, patients with greater improvement in NRF9.3 had over 50% less risk of developing T2DM compared with the lowest tertile (HR 2.10, 95%, CI = 1.12–3.56). In conclusion, improved diet quality in terms of nutrient density after the dietary intervention was associated with a lower risk of T2DM in patients with CHD.

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Nutrient density, but not cost of diet, is associated with anemia and iron deficiency in school-age children in South Africa

Cited by 7 publications

References 43 publications

Overview of Nutrient Density

Overview of Nutrient Density

Essential Minerals and Metabolic Adaptation of Immune Cells

Association between Diet Quality and Risk of Type 2 Diabetes Mellitus in Patients with Coronary Heart Disease: Findings from the CORDIOPREV Study

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