Vulnerability and Weaknesses of Eating Habits of Overweight School Children as an Entry Risk for COVID-19

Metwally, Ammal M.; Shaaban, Fatma A.; Mahmoud, Walaa S.; Salah, Ebtissam M.; El-Sonbaty, Marwa M.; Hussien, Hanan A.; Hamid, Nabih Abdel; Etreby, Lobna A. El; Hassanin, Amal; Monir, Zeinab M.

doi:10.3889/oamjms.2020.5049

Cited by 9 publications

(11 citation statements)

References 98 publications

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“…It is well known that children with ASD exhibited more food refusal and eat a signi cantly narrower range of foods than typically developing children (48). Poor eating habits, even for healthy children can lead to a wide range of nutritional problems which, in turn, can lead to problems ranging from health issues to attention and behavioral problems (49)(50)(51)(52). The present study showed that responders had signi cantly higher baseline score concerning conceptual, social and practical domains than non-responders.…”

Section: Discussionmentioning

confidence: 46%

The alleviative remedy effect of Dates’ fruit consumption on severity symptoms of Autism spectrum disorder: A randomized controlled three-month trial

Metwally¹,

Raouf²,

Elsaied³

et al. 2023

Preprint

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Aim To investigate the effectiveness of a 90-day regular consumption of Dates fruit on alleviating autism severity symptoms in 131 Egyptian children aged 3–12 years with confirmed Autism spectrum disorder (ASD). The influence of the baseline and improvement of children’s clinical and laboratory characteristics on this effectiveness was explored. Methodology This study involved a randomized, controlled, double-blind 3-month of dates fruit intake. Cases were randomized into one of the three groups; Group I on 3 pieces of dates’ fruit/day (47 children), Group II on 5 pieces of dates’ fruits/day (42 children), and group III; on non-dates group (42 children). The probiotic levels of lactobacillus and bifidobacterium in stool, blood levels of three oxidative markers; Malondialdehyde (MDA), glutathione peroxidase (GPX1), and superoxide dismutase (SOD), adaptive behaviors, nutrition, dietary assessment, and anthropometric measurements were assessed before and after the intervention. Results A significant reduction in the mean severity score of CARS (Childhood Autism Rating Scale) and the Diagnostic and Statistical Manual of Mental Disorders, 5th Ed (DSM-5) was detected for those on dates’ regimens compared to those with non-dates (p < 0.01). The improvement for participants was dose dependent (5 dates’ fruits/day). The improvement was mainly in the social communication and interaction domains. Responders to Dates’ fruit intake as based on DSM-5 diagnosis was detected among 62.9% of the intervention groups. Responders are those who showed significant improvement in the colony counts of Bifidobacteria and Lactobacilli levels, BMI z score, and in the ratio levels of both MDA/SOD and MDA/GPX as a result of dates fruit consumption. Non-responders within the intervention groups are those who were at risk of malnutrition (RR = 2.0, 95% CI: 1.1–3.4), obese (RR = 1.9, 95% CI: 1.0-3.5), and those who had a deficiency of the baseline of lactobacillus Spp (RR = 2.2, 95% CI: 1.1–4.4). Conclusion Dates’ fruit (a non-pharmacological and risk-free option) due to its antioxidant, anti-inflammatory effect is recommended for autistic children as adjuvant therapy daily to achieve consistent improvement. This study was registered at the US National Institutes of Health (ClinicalTrials.gov) # NCT04261595, with Protocol ID: 12060158, the first registration date was 10/02/2020.

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Section: Discussionmentioning

confidence: 46%

The alleviative remedy effect of Dates’ fruit consumption on severity symptoms of Autism spectrum disorder: A randomized controlled three-month trial

Metwally¹,

Raouf²,

Elsaied³

et al. 2023

Preprint

Self Cite

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“…In the current study, the risk of having non-responders to improvement of their GIT manifestations was one and a half times higher among autistic children who experienced at risk of malnutrition prior to the intervention (RR = 1.6% CI (1.0-2.5). Vulnerability to infection and diseases usually increased with the presence of malnutrition and obesity [37]. Because, it is very di cult to change the feeding behavior of ASD children [38,39], less than half of the studied autistic children on the dates fruit regimens showed improvement in their nutritional status and their BMI z score (38.2% and 42.7% respectively).…”

Section: Discussionmentioning

confidence: 99%

Impact of Palm dates fruit intake in the alleviation of gastrointestinal manifestations of autistic children: A randomized clinical trial

Metwally¹,

Yousef²,

Abdel‐Latif³

et al. 2023

Preprint

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Aim: This study aimed at evaluating the regular intake of palm dates fruit for 12 weeks in alleviating gastrointestinal (GI) severity symptoms among autistic Egyptian children aged 3-12 years and exploring predictors for non-responsiveness to its intake. Methodology: 183 Participants were randomly assigned to receive one of three regimens with completed analysis as follows; 1st: 3 dates fruit/day (47 cases), 2nd: 5 dates fruit/day (42 cases), and 3rd: non-dates group (42 cases). Responders were those who showed a reduction of GI symptoms from High- to Low- GI-Problems based on the GI Severity Index score (6-GSI) Results: There was an improvement in the GI severity symptoms with a significant reduction from the baseline of constipation and stool smell scores for the two dates fruit regimens than the non-dates group (p<0.001). 76.4 % of participants on the dates fruit regimens were responders versus 23.6 %. The study identified a deficiency of the baseline level of Lactobacilli and Bifidobacterium species’ log, any pathogenic microorganisms in participants’ stool, and those at inevitable risk of malnutrition as predictors for non-responsiveness to dates fruit intake. Conclusion: The current study confirmed the beneficial impact of dates fruit regular intake as a remedy for severe GI symptoms.

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“…These studies are mainly community-based studies in rural communities respecting the culture and believe within their communities. Other Egyptian studies that relay on the nurses and physician for facility-based studies addressing several health issues from improvement of cognitive function [62], children's nutritional habits [9], [63], [64], improving response of HBV among children [65], [66], and improving compliance with hemodialysis patients [67], [68]. All these health communication programs were proved to be helping aid for people make these changes especially for rural communities of Egypt using the most credible and favorite channels.…”

Section: Discussionmentioning

confidence: 99%

Assessing the Effective Communication Channels to Reduce Child and Adolescent Marriage in Rural Communities of Egypt

Metwally

El-Sonbaty

Elmosalami

et al. 2021

Open Access Maced J Med Sci

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BACKGROUND: Low levels of scholarly achievement, poverty, and geographical isolation are all known to be linked to early marriage. AIM: This study aimed at identifying the most credible and the best-suited communication channels (CCs) to reach rural communities for motivating them to reduce child and adolescent marriage. METHODS: This study was a community-based cross-sectional systematic formative research. The study targeted 1000 wives who were ever married women in childbearing period aged 15–49 years and their husbands in 21 rural village units of two governorates of Upper Egypt through questionnaires. Decisions concerning the choice of the best-suited CCs were based on their reach, frequency, managerial feasibility, and effectiveness. The investigated CCs included: modern social media (search browser engine/Facebook group and/or twitter/YouTube or messaging through WhatsApp or any mobile app), traditional mass media (T.V/Radio/Reading), and interpersonal communication (talk with religious leaders/partners/friends/doctors/health promoters). Comparisons between different CCs were done using odds ratios (OR) and 95% confidence intervals (CI). RESULTS: A vast majority of the surveyed wives (96.6%) were married at an age ranging from 15 to 24 years. The spread of social media through smartphones was limited to only one-third of wives and their husbands through mainly searching on YouTube (31.7% of wives and 27.8% of husbands). Television was the most accessible means of mass media for both wives and husbands (72.5% and 63.3%, respectively). The most credible and the best-suited CCs methods for wives were talking with the health promotors and doctors with 2 times significantly higher (OR = 2.0, CI = 1.7–2.4 for each one) than that with the search on YouTube and 3 times significantly higher (OR = 3.1, CI = 2.5–3.7 and OR = 3.1, CI = 2.6–3.8, respectively) than that for social media using browser engine. For husbands, the odds of the most credible and the best-suited CCs methods were more than 1½ times higher for the talk with the health promotors than the search on You Tube (OR = 1.6, CI = 1.3–2.0) or the search using browser engine (OR = 1.6, CI = 1.3–1.9), Whereas the odds were one and a third higher for the talk with the doctor than the search on You Tube (OR = 1.3, CI = 1.1–1.6) or the search using browser engine (OR = 1.6, CI= 1.1–1.6). Significant difference was detected in favor of the traditional media as the most credible source of information only for wives’ intention to postpone their children early marriage. CONCLUSIONS: Despite the availability of recent social media worldwide, rural communities with high illiteracy have limited access to the internet and limited availability of smartphones. Interpersonal communication is considered their most effective CCs for achieving equity in reducing child marriage. It seems vital during the implementation of any strategies toward reproductive health to use not only the media broadcasts, but also to rely on the channels that are most credible and suitable for the targeted communication to support meeting the unmet need.

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Vulnerability and Weaknesses of Eating Habits of Overweight School Children as an Entry Risk for COVID-19

Cited by 9 publications

References 98 publications

The alleviative remedy effect of Dates’ fruit consumption on severity symptoms of Autism spectrum disorder: A randomized controlled three-month trial

The alleviative remedy effect of Dates’ fruit consumption on severity symptoms of Autism spectrum disorder: A randomized controlled three-month trial

Impact of Palm dates fruit intake in the alleviation of gastrointestinal manifestations of autistic children: A randomized clinical trial

Assessing the Effective Communication Channels to Reduce Child and Adolescent Marriage in Rural Communities of Egypt

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