Filters
Thyroid Function and Morphology in Gaucher Disease: Exploring the Endocrine Implications
Gaucher disease (GD), the most common ultra-rare metabolic disorder, results from lipid accumulation. Systemic inflammation, cellular stress, and metabolic dysfunction may influence endocrine function, including the thyroid. This study evaluated thyroid function and morphology in 60 GD patients, alongside carbohydrate and lipid metabolism. Anthropometric, biochemical, and hormonal tests were conducted, including thyroid ultrasound and shear-wave elastography (SWE). Clinical data, bone mineral density (BMD), and body composition (BOD POD) analyses were correlated. Healthy controls, matched for age, sex, and body mass index (BMI), were included. GD patients had higher thyroid stimulating hormone (TSH) and free thyroxine (FT4) levels within normal limits. Hypothyroidism occurred in 7%, elevated anti-thyroid antibodies in 8%, and nodular goiter in 23%. Patients with nodular goiter showed lower platelet counts and higher chitotriosidase and glucosylsphingosine (lysoGb-1) levels. Patients with type 3 GD had larger thyroid volumes and greater stiffness on SWE than patients with type 1 GD. GD patients also exhibited increased metabolic risk, including central obesity and elevated glucose levels. GD patients, despite normal thyroid hormone levels, exhibit subtle alterations in thyroid function indicators. Their increased risk of central obesity and glucose metabolism disorders, alongside higher TSH and FT4 levels, underscores the need for closer monitoring and further investigation.
Blautia spp. in gut microbiome, its relation to dietary choices and nutritional status of patients with irritable bowel syndrome
Exploring galactagogue use among breastfeeding women: Insights from an observational study
Breastfeeding is the optimal form of infant nutrition and remains a critical topic of discussion. In the case of lactation problems, women can be assisted by plant galactagogues designed to induce, sustain, and increase lactation. Reports on the popularity, awareness and knowledge of galactagogues are limited. Therefore, this study aimed to analyze the use of galactagogues in the diet among breastfeeding women. The online survey was conducted using anonymized questionnaires, with results collected in the Spring of 2021. Fifty-two women aged 20 to 50 who fed naturally participated in the study, with 69% of respondents being familiar with galactagogues and 42% having used them. The most often indicated herbs were fennel (68%) and anise (45%). Galactagogues were used as ready-to-use herbal lactation mixes (73%). Women found them effective in stimulating lactation (82%) and purchased them in pharmacies (64%) or herbal stores (36%). Respondents were encouraged to use galactagogues by media (32%) and family and friends (45%). Women reported that greater knowledge (57%) would be essential to effectively encourage galactagogues. Breastfeeding women were positive about using plant-based galactagogues and considered them effective. A critical barrier identified by those not using galactagogues was their need for knowledge. The information campaign for pregnant women should include galactagogues as lactation-stimulating herbs.
Food Supplements and Their Use in Elderly Subjects—Challenges and Risks in Selected Health Issues: A Narrative Review
The European population is ageing. Food Supplements (FSs) are foods with particular characteristics, consumed by elderly people for various purposes, including combating nutritional deficits. Their consumption in this age group, associated with a high prevalence of polypharmacy, can enhance interactions. Potential drug-food (or food supplements), drug-drug interactions and polypharmacy are common health issues among older adults. The prevalence of polypharmacy is high, and preliminary data also indicate that there is significant FS use, increasing the risk of the duplication of therapies and various adverse reactions as well as drug–FS and FS-FS interactions. Therefore, the intervention of health professionals in mitigating these risks is essential. This review highlights and discusses the association between FSs, polypharmacy, and adverse reactions due to the risk of potential interactions between these products. Moreover, it also provides current scientific evidence regarding the use of FSs by the elderly. A review of the challenges, advantages, and risks of using FSs in elderly people who are malnourished and/or polymedicated, focusing on the good practises needed to support healthy ageing, is presented. In this regard, this paper aims to help health professionals better deal with the issue of the use of multiple FSs and polypharmacy, overcome the malnutrition problem, and improve the health and well-being of older adults.
Characterization of Tocochromanols in Wild Hypericum perforatum Populations in Latvia
St. John’s wort (Hypericum perforatum L.) is an ornamental and medical plant, distributed worldwide, which is rich in diverse secondary metabolites. The discovery of the presence of tocotrienols (rare prenyllipids) in H. perforatum marks a new chapter demanding a deeper understanding of the accumulation of these lipophilic biomolecules. Three wild St. John’s wort populations were harvested in Latvia at three different locations from 2022 to 2024 and separated into stems, leaves, flower buds, and flowers. Plant samples were freeze-dried, ground, saponified, and analyzed for tocochromanol profiles using RP-LC-FLD and confirmed by an LC-MS system. Eight tocochromanols, four tocopherols (Ts), and four tocotrienols (T3s), were identified and confirmed in H. perforatum. Leaves were dominated by α-T (82%), and flower buds and flowers by δ-T3 (44%); thus, the lowest concentrations of tocotrienols were recorded in leaves and the highest in flower buds. The other tocotrienols were present as follows: α-T3 > γ-T3 > β-T3. The location of H. perforatum, the year of harvest, the aerial part of the plant, and their interactions all significantly influenced the content of tocochromanols (p < 0.05). The present study demonstrates relevant discoveries regarding the accumulation of tocotrienols in various St. John’s wort organs and their variability.
The Total Dietary Antioxidant Capacity, Its Seasonal Variability, and Dietary Sources in Cardiovascular Patients
The favourable role of dietary antioxidants in cardiovascular diseases (CVDs) and protection from them is widely discussed, and total dietary antioxidant capacity (TAOX) is perceived as a diet-quality marker. Data concerning TAOX and its dietary sources related to seasonal variability are limited. We aimed to analyse the TAOXs, seasonal variability, and sources in the daily diets of CVD patients. A total of 143 subjects (82 men, 61 women) since CVD problems were studied. Seasonal recalls were collected regarding dietary sources of antioxidant compounds in spring, summer, autumn, and winter. A food frequency questionnaire was used. The total dietary antioxidant capacity (in μmolTE/day) was calculated for each season. The primary sources of antioxidants in cardiovascular patients’ diets were drinks (33%), fruits (28%), vegetables (16%), and black tea (14%). The TAOXs of CVD patients’ diets significantly depended on the season (p < 0.001) and were highest in the summer and lowest in the spring. This seasonal variation in consumption was noted. Our findings suggest that a diet characterised with a TAOX might be subjected to fluctuations between seasons. We suggest considering modifications in the dietary recommendations for cardiovascular patients with a low antioxidant capacity between seasons.
Self-esteem differentiates the dietary behaviours and adipose tissue distribution in women with menstrual bleeding disorders - pilot study
Menstrual bleeding disorders (MBDs) are multifaceted issues affecting women’s health. Understanding their causes and impacts is vital for management and treatment. MBDs can affect women’s self-esteem (SE), creating a cycle of physical and emotional challenges. Women may resort to unhealthy behaviours; therefore, we raised the question of whether MBD women’s self-esteem differs in dietary behaviours, consequently leading to obesity. This cross-sectional study investigated the relationship between SE, dietary behaviours and body fat (BF) distribution in 63 19–35 y MBD women. It was conducted on two BMI and age-matched groups that differ by android fat content. Rosenberg’s SE questionnaire and Food Frequency Questionnaire were used. BF distribution was measured by dual-energy-X-ray-absorptiometry (DXA), and the android-to-gynoid fat ratio was calculated. We revealed the following determinants of higher android-to-gynoid fat distribution: medium or high self-esteem (OR: 3.4, 95%CI: 1.0; 10.8), daily milk products frequency intake (OR: 3.3, 95%CI: 1.1; 10.3). The level of self-esteem could affect dietary behaviours. Women with higher android fat distribution tend to consume dairy products more frequently but with less meat. Women with lower android fat distribution had lower SE. The issues raised in this project affect a complex area that requires further research in a larger group of participants.
Effects of daily probiotic supplementation with Lactobacillus acidophilus on calcium status, bone metabolism biomarkers, and bone mineral density in postmenopausal women: a controlled and randomized clinical study
BackgroundMenopause poses significant health risks for women, particularly an increased vulnerability to fractures associated with osteoporosis. Dietary interventions have emerged as promising strategies, focusing on mitigating the risk of osteoporosis rather than solely addressing the established disease. This 12-week randomized controlled trial aimed to analyze the effects of consuming Lactobacillus acidophilus probiotics on calcium levels, biomarkers of bone metabolism, and bone mineral density (BMD) profiles in postmenopausal women.MethodsFifty-five participants were randomly assigned to receive either a placebo (n = 25) or the probiotic L. acidophilus UALa-01™ (n = 30) daily via oral intervention. Throughout the study, evaluations included body composition, blood biochemical parameters, serum calcium levels, and biomarkers of bone metabolism. Additionally, Dual-energy X-ray absorptiometry was used to measure BMD profiles.ResultsThe findings delineated that the probiotic group experienced a decrease in serum calcium levels compared to their initial levels. However, hair calcium levels and biomarkers related to bone metabolism showed no notable changes within this group. Consumption of probiotic L. acidophilus also seemed to prevent fluctuations in bone turnover markers. Moreover, there were no significant alterations in BMD levels at the lumbar spine, left femur, and total body in the probiotic group. Additionally, probiotic intake led to favorable outcomes by significantly reducing both body fat and visceral fat during the intervention period. Conversely, an adverse effect of consuming probiotic L. acidophilus was observed with a significant increase in glucose concentration.ConclusionIn conclusion, the consumption of L. acidophilus probiotics daily for 12 weeks among postmenopausal women does not affect the profile of BMD, but it may help in stabilizing bone turnover. It is important to note that most measured parameters were within the normal range for this population. However, it is worth noting that 3 months of probiotic supplementation could potentially disrupt calcium and glucose status in postmenopausal women.
Key Factors Driving Portuguese Individuals to Use Food Supplements—Findings from a Cross-Sectional Study
Data on food supplement (FS) consumption profiles are scarce. This study aims to characterise FS consumption among Portuguese adults and identify personal, social, professional, and health-related factors influencing FS use. A cross-sectional study was conducted using an online questionnaire between July and September 2023. The participants were categorised into healthcare professionals (supplement users and non-users, i.e., HPS and HPnS) and non-healthcare professionals (supplement users and non-users, i.e., nHPS and nHPnS). Group distributions were compared using the χ2 test. FS use is very prevalent in Portugal. Significant differences emerged between HPs and nHPs regarding factors associated with FS use. Socioeconomic and professional characteristics, nutritional knowledge, and healthy lifestyles (e.g., eating habits) were all linked to FS consumption. Despite the differences between the groups, across groups, higher education levels, higher nutritional knowledge, and healthier lifestyle habits, such as engaging in sports and healthy food habits, translate into a higher consumption of FSs. The frequent use of FSs in Portuguese adults is associated with higher education, nutritional knowledge, and healthy lifestyles. HPs have specific attitudes through FS use. These findings indicate the need for further research to explore the various types of FSs being utilised and the underlying motivations behind their usage. HPs’ access to FS scientific information and providing practical guidance to promote responsible and informed FS use within the population is crucial.
Changes in Oxidative Stress, Inflammatory Markers, and Lipid Profile After a 6-Week High-Antioxidant-Capacity Dietary Intervention in CVD Patients
Background/Objectives: Increased dietary antioxidant capacity is a good means of lowering oxidative stress and cardiovascular risk. Established antioxidant capacity doses should be tested using dietary intervention. Methods: We analysed the influence of a high-antioxidant-capacity diet on oxidative stress (OS) and inflammatory and lipid profile in CVD (cardiovascular disease) subjects with initially low (LowA) and high (HighA) antioxidant capacity markers. It was an experimental study with a 6-week dietary intervention (DI). Forty-eight CVD patients completed the DI. Blood and urine samples were collected, and anthropometric measurements were taken. Dietary data were collected using a multi-day food record method. α-tocopherol, β-carotene, and retinol were chosen as antioxidant capacity markers; F2-isoprostanes (F2-IsoP), oxidised low-density lipoproteins (oxLDL), and uric acid (UA) were used as OS markers; and interleukin 6 (IL-6) and high-sensitivity C-reactive proteins (hs-CRP) were used as inflammatory markers. Total cholesterol, low- and high-density lipoproteins, and triglycerides (TCHOL, LDL, HDL, TRI) as lipid profiles were analysed. Two groups of subjects with LowA and HighA profiles were identified. Results: The total dietary antioxidant capacity intake during DI was increased by 56%. In the total sample, the DI increased β-carotene, retinol, and UA, and decreased IL-6 oxLDL. The LowA group exhibited increased β-carotene, α-tocopherol, retinol, and decreased IL-6. The HighA group exhibited increased β-carotene and decreased IL-6, F2-IsoP, oxLDL, and oxLDL/LDL ratio. In the HighA group, compared to the LowA group, greater decreases in α-tocopherol and F2-IsoP were found. In both groups, inflammatory markers (IL-6) decreased, and β-carotene increased. Conclusions: The DI results depended on the antioxidant capacity profile at baseline; nevertheless, the established DI including selected antioxidative snacks significantly decrease oxidative stress and improve antioxidant capacity. Further research on diet natural antioxidant supplementation needs to be continued.
Changes in diet quality and its association with students’ mental state during two COVID-19 lockdowns in Croatia
Background: The COVID-19 pandemic has left substantial consequences on the mental health of the student population, primarily through an increase in the symptoms of acute stress and anxiety. Aim: This study evaluated diet quality and its association with mental state among Croatian students during the spring and winter COVID-19 lockdowns in 2020. Methods: Data were collected using an anonymous online self-reported questionnaire taken on two occasions. During the spring lockdown (from May 18 to June 7, 2020) and the winter lockdown (from December 14–22, 2020), 751 and 1188 students completed the questionnaire, respectively. Diet quality was determined using the pro-healthy diet index (pHDI) and non-healthy diet index (nHDI). Results: Although to the greatest extent associated with increased white meat, fish, and legumes intake, an increase in pHDI was also linked to increased consumption of water and sweets and decreased intake of processed meat products and nuts. Increased nHDI was mainly due to increased intake of processed meat products, alcohol, and sweets. Moreover, diet quality was higher during the lockdowns than in the periods before. However, diet quality increased to a lesser extent during the winter lockdown and was associated with a poorer mental state, shown as type D (Distressed) personality. Type D personality positively correlated with nHDI and sweets intake but negatively with pHDI, fruit, and vegetable consumption. Conclusion: These results indicate the need to alleviate further students’ diet quality and mental state impairment. Also, further investigation of the association between diet quality and mental state should be provided.
Assessment of sugar-related dietary patterns to personality traits and cognitive–behavioural and emotional functioning in working-age women
This cross-sectional study investigated interactions among sugar-related dietary patterns (DPs), personality traits, and cognitive–behavioural and emotional functioning. The study involved working-age women aged 18–54. Data were collected between Winter and Spring of 2020/21. The survey was conducted using anonymised questionnaires. The ten-item personality inventory (TIPI-PL) was used to examine personality traits based on the Big Five personality trait model. A three-factor eating questionnaire (TFEQ-13) was used to measure the following eating behaviours: cognitive restraint (CR), uncontrolled eating (UE), and emotional eating (EE). The KomPAN questionnaire collected the frequency of the intake. Dietary patterns (DPs) were derived by principal component analysis (PCA). A logistic regression (OR) was applied to verify the associations among the DPs, personality traits, and cognitive–behavioural and emotional functioning. Three DPs were identified: sweet-Western (SWDP), pro-healthy (PHDP), and dairy (DDP). Women with high conscientiousness were less likely, by 33%, to adhere to the upper tercile of the SWDP and 80% more likely to the upper tercile of the PHDP. Elevated CR intensity increased by almost twofold (OR: 1.93; p < 0.001) the likelihood of high adherence to the SWDP. The high intensity in the EE decreased by 37% (OR: 0.63; p < 0.01) the likelihood of increased adherence to the SWDP. Personality traits and eating behaviours significantly correlated with the extracted SWDP.