Статті в журналах з теми "Children´s nutrition"

AbstractIn the diet of hypercholesterolemic children, 10 to 18% of the total calorie intake should be protein, 50 to 60% carbohydrates, and 30% lipids, of which less than 10% should be saturated fatty acids, between 7 and 10% should be polyunsaturated fatty acids, and 10 to 20% should be monounsaturated fatty acids. Cholesterol intake should not exceed 300 mg/dL, and an adequate fiber intake of 8 to 28 g/day, according to the child's age, should be ensured. If a child is obese or overweight, the aim of the initial treatment should be to normalize weight through improved lifestyle habits, dietary recommendations, and increased physical activity. The healthy diet for cardiovascular disease prevention is similar to that advised for a healthy pediatric population: (1) reduced total fat intake, such as through eating less red meat and sausages and choosing skimmed milk, butter, skimmed-milk cheese, lean meat, skinless chicken, and rabbit, cooked using simple cooking processes; (2) increased intake of monounsaturated and polyunsaturated oils, such as fish oil and olive oil; (3) reduced cholesterol intake, such as through the reduced consumption of eggs, viscera, and industrial bakery products; and (4) higher intake of fish and complex carbohydrates, such as pasta, pulses, and whole-grain bread. In addition, fruits and vegetables should be recommended for their fiber, vitamins, minerals, and trace elements. The recommended culinary preparation is to grill, steam, or bake food and to avoid frying, especially with butter or animal fat, and to give preference to oils based on monounsaturated fats, such as olive and sunflower oil.

AbstractChildren of today are citizens of tomorrow; the young child under 5 years is most vulnerable to the vicious cycles of malnutrition, infection and disability all of which influence the present condition of a child and the future human resource development of the nation as a whole. Hence the assessment of the ground reality as reflected by the statistics on nutritional status of children becomes very significant in this context.The study was done to determine the prevalence of under-5 under nutrition and to identify the major child factors contributing to the development of under nutrition among the under 5 children.This was a cross sectional study conducted in the rural community of Nitte, a field practice area of Department of Community medicine, K S Hegde Medical Academy among all the children of the anganwadis under ICDS scheme. A total of 133 under 5 children were assessed for their nutritional status and the factors that affect nutritional status.The overall prevalence of under-5 under nutrition was found to be high at 63.16%. More girls were undernourished compared to boys, lower grades of undernourishment were more common and the prevalence of under nutrition increased with increasing age. There was a higher prevalence of underweight in children born with low birth weight, born premature, those children not exclusively breast fed and on improper complementary feeds. Immunization and Vitamin A supplementation of the under-5 children status was highly satisfactory.

ObjectiveThrough STRONGkids1 2 (screening tool risk on nutritional status and growth of children) to observe the influences on nutritional indicators and postoperative recovery of different nutritional risk levels of children with intussusception in the use of parenteral nutrition support. Through educating and interventing the doctors to promote the use of parenteral nutrition more reasonable and the hospitalization costs lower.3MethodsChildren were grouped according to different scores of STRONGkids,4 5 and each group was divided into two groups A and B according to using parenteral nutrition only or no nutrition support at all. The proportion of the two groups, nutritional indicators and postoperative recovery of the children after surgery were compared to observe the parenteral nutrition usage rate of different groups, and the use of parenteral nutrition was necessary or not. The clinical pharmacist intervened the doctors according to the research results. 1 year later, the indicators above were compared again.ResultsThere were no significant differences on nutritional indicators and postoperative recovery in 1–2 score groups between group A and B, but the hospitalization cost in group A was significantly higher than that in group B. In 3-score group of children, the decreases of weight, prealbumin and retinol binding protein were more significant in group B than in group A, and the hospitalization days of group A were significantly shorter than group B. The incidence of adverse reactions of using parenteral nutrition was significantly higher. According to above results, the clinical pharmacist instructed doctors to improve the indication of parenteral nutrition according to the relevant guidelines.1 year later, the usage rate of parenteral nutrition dropped in 1–2 score groups. The incidence of adverse reactions and the costs of hospitalization were significantly decreased.ConclusionsThe clinical pharmacist played an important role in promoting the rational use of parenteral nutrition.6 7ReferencesTeixeira AF, Viana KD.Nutritional screening in hospitalized pediatric patients: a systematic review.[J]J Pediatr (Rio J) 2016, 92(4):343–352.Forga L, Bolado F, Goñi MJ,et al. Low serum levels of prealbumin, retinol binding protein, and retinol are frequent in adult type 1 diabetic patients.J Diabetes Res2016; 2016:2532108. doi: 10.1155/2016/2532108. Epub 2016 Nov 29.Pediatric Collaborative Group, Society of Parenteraland Enteral Nutrition. Guidelines for pediatric clinical application of enteral and parenteral nutritional support in China[J]. Zhonghua Er Ke Za Zhi, 2010, 48(6):436–441.Abunnaja S, Cuviello A, Sanchez JA.Enteralandparenteral nutritionin the perioperative period: state of the art[J].Nutrients. 2013, 5(2):608–623.Yi F, Ge L, Zhao J, Lei Y,et al.Meta-analysis:total parenteral nutritionversustotalenteral nutritionin predicted severe acute pancreatitis[J].Intern Med. 2012, 51(6):523–530.Disclosure(s)Nothing to disclose.

AbstractOptimal nutrition support has been integral in the management of cystic fibrosis (CF) since the disease was initially described. Nutritional status has a clear relationship with disease outcomes, and malnutrition in CF is typically a result of chronic negative energy balance secondary to malabsorption. As the mechanisms underlying the pathology of CF and its implications on nutrient absorption and energy expenditure have been elucidated, nutrition support has become increasingly sophisticated. Comprehensive nutrition monitoring and treatment guidelines from professional and advocacy organizations have unified the approach to nutrition optimization around the world. Newborn screening allows for early nutrition intervention and improvement in short- and long-term growth and other clinical outcomes. The nutrition support goal in CF care includes achieving optimal nutritional status to support growth and pubertal development in children, maintenance of optimal nutritional status in adult life, and optimizing fat soluble vitamin and essential fatty acid status. The mainstay of this approach is a high calorie, high-fat diet, exceeding age, and sex energy intake recommendations for healthy individuals. For patients with exocrine pancreatic insufficiency, enzyme replacement therapy is required to improve fat and calorie absorption. Enzyme dosing varies by age and dietary fat intake. Multiple potential impediments to absorption, including decreased motility, altered gut luminal bile salt and microbiota composition, and enteric inflammation must be considered. Fat soluble vitamin supplementation is required in patients with pancreatic insufficiency. In this report, nutrition support across the age and disease spectrum is discussed, with a focus on the relationships among nutritional status, growth, and disease outcomes.

AbstractCircadian rhythms are the changes in biological processes that occur on a daily basis. Among these processes are reactions involved in metabolic homeostasis. Circadian rhythms are structured by the central clock in the suprachiasmatic nucleus of the hypothalamus via the control of melatonin expression. Circadian rhythms are also controlled by the peripheral clocks, which are intracellular mechanisms composed of the clock genes, whose expression follows a circadian pattern. Circadian rhythms are impacted by signals from the environment called zeitgebers, or time givers, which include light exposure, feeding schedule and composition, sleeping schedule and pattern, temperature, and physical exercise. When the signals from the environment are synchronized with the internal clocks, metabolism is optimized. The term chronodisruption is used to describe the opposite situation. The latest research has demonstrated that life habits coherent with the internal clocks should be adopted, especially during childhood, to prevent metabolic diseases. Nevertheless, a few studies have investigated this link in children, and key information remains unknown.

The data for this paper has emerged from two separate qualitative research projects that investigated children’s constructions of health and nutrition. Extensive focus group interviews with children aged between 5 and 12 were conducted across a range of schools in South Australia. The data were transcribed verbatim and inductively analysed to identify common themes. The emergent data provides evidence that children’s voices play an important role in illuminating issues, which are central to a child’s personal constructions of identity, health and ‘good’ nutrition. In turn, this plays a crucial role in assisting in the development and implementation of health promoting strategies where nutrition and health is concerned in specific age cohorts from early childhood through to adolescence.

The nutritional status of women before, during and after pregnancy contributes a good deal to their own health and, to the health of their children and other family members. In Bangladesh, there is enormous amount of mother and child death and morbidity related to inadequate nutrition, socioeconomic condition, education level, hygienic condition and various care practices. The study was conducted to see the nutritional KAP (knowledge, attitude and practice) during antenatal and postnatal care of the pregnant and lactating mother in Ukhia Upazilla of Cox’s Bazar in Bangladesh among 337 pregnant and lactating mothers who had at least one child aged less than five years old by random sampling in 2010.The antenatal and postnatal care services availability was observed unsatisfactory. The study revealed that the nutritional lacking was not only poverty stricken, but also their poor knowledge, attitude and practice on health, hygiene, reproductive health, antenatal care, post natal care and nutritious food.

Stunting is a nutritional problems in Indonesia. District with the highest prevalence of stunting in East Java in 2015 was Bangkalan. Madurese peoples is known to have socio cultural practices which related to nutrition. This study was aimed to describe s ocio-cultural aspects of nutrition that related to s tunting. This study was a descriptive study with cross sectional design. The study was done in Ujung Piring Village, Bangkalan and the sample size was 62 children who were selected by using simple random sampling technique. Stunting status was assessed through anthropometric indicators according to height for age (H/A) and compared to WHO-MGRS standard. Data on practices of socio culture in nutrition during pregnancy and childbirth, breastfeeding and children under-fi ve, were collected through interviews. Data were analyzed descriptively. The results showed that the prevalence of s tunting in children under fi ve in Ujung Piring Village was 29%. Practices of socio culture in nutrition on Madurese Ethnic including socio culture in nutrition of mother and socio culture in nutrition of toddler. Socio cultural aspect of nutrition which probably related to s tunting were food taboo for pregnant women, prelacteal food for newborn, infants did not receive immunization and early giving of complementary feeding. It is suggested to have an effort to decrease food taboo for pregnant women, reduce prelacteal food for newborns, and reduce giving complementary feeding early through counseling involving parent’s mothers as the key person in health communication.

AbstractNutrition has a major impact on the health of children with chronic kidney disease (CKD). Special diets and additional replacement therapies may be chosen according to the specific renal disease. Persistent low-grade inflammation, which contributes to CKD-associated cardiovascular and all-cause mortality, protein-energy wasting, oxidative stress, acidosis, chronic and recurrent infections, and altered metabolism of adipose tissue may result from dietary deficits and are important targets for nutritive intervention. Therefore, many guidelines have been developed regarding nutrient intake adequation to assist pediatricians treating these children. Acute kidney injury (AKI) has multifactorial etiology and complicated clinical course that may ultimately necessitate renal replacement. AKI presents unique treatment challenges because of associated metabolic derangements, difficulties in nutrient requirement estimation, the negative effects of renal replacement therapy, and the complex effects on nutrient balances. Maintenance of protein balance in such conditions requires adequate energy and protein intake, especially during acute illnesses. Malnutrition in pediatric AKI has been linked to increased morbidity and mortality. However, the recommended nutritional requirements for this condition are less precise than for CKD. A complete assessment of pediatric kidney disease requires evaluation of growth, body composition, abnormal sodium loss, acid-base status, and dietary intake, particularly for children with renal insufficiency. Nutritional support should also provide adequate amounts of energy, macronutrients, and micronutrients for normal growth and development.

AbstractChild athletes require a healthy and balanced nutrition according to the type and intensity of the sport activity. This review aims to provide integrated and updated information to establish adequate nutritional guidelines for these children, essentially avoiding deficiencies or unbalances that can be harmful for their health. A lack of vitamins and minerals can affect their health especially at long term and depending on the type of sport and age of the child. The diet must be controlled without any nutritional supplements. It is also important to know which nutrients can improve performance of the child athlete during both training and competition. In conclusion, the contribution of macro- and micronutrients to the diet, together with an adequate hydration according to the energy expenditure must be controlled for child athletes to ensure a good status of health.

OBJECTIVE: Nutrition problems in Indonesia are multidimensional problems that are influenced by several factors including economic, education, social culture, agriculture, and health. Nutrition problems reflect economic, political, and social crises as the root causes of malnutrition. This study formulates a health promotion model to improve the nutritional status of children under five years old. METHOD: This type of research is quantitative with survey design and cross-sectional approach. RESULT: This study produced a risk of children under five yearsexperiencing poor nutritional status with a history of illness.The risk of children under five yearsexperiencing undernourished nutritional status with strong health workers-cadre-family partnerships and strong family support. The risk of children under five years experiencing wasting nutritional status increases with a history of diarrheal disease. The risk of children under five yearsexperiencing wasting nutritional status decreases with strong health workers-cadre-family partnerships and strong family support. The risk of a child under five yearsexperiencing a stunting nutritional status increases with a history of diarrheal disease. The risk of children under five years old experiencing stunting nutritional status decreases with strong health workers-cadre-family partnerships and strong family support. CONCLUSION: Nutritional status of children under five years (malnutrition, wasting and stunting) is affected directly and indirectly through the variables of family income, mother's knowledge, attitudes towards nutrition problems, environmental sanitation, social capital, health workers-cadre-family partnerships, family support, history of diarrhea disease and mother'seducation.

Abstract Aim and Objectives: Healthy eating habits are essential not only for overall physical health, but also for the development and maintenance of a healthy oral cavity. Evidences indicate that dietary habits acquired in childhood persist through to adulthood, and the family and community have important roles to play in acquisition of nutrition related knowledge and practices. The purpose of this study was to survey the knowledge, attitudes and the eating practice of nutritious and junk food among rural school children and to assess any improvement in the attitudes and eating behaviours of the children with increasing level of knowledge. Materials and Methods: The questionnaire survey was conducted in eight government schools around Mangalore which included a sample population of 2,355 children divided into two groups. Group 1 consisted of Class V to Class VII and Group 2 of Class VIII to Class X. A questionnaire consisting of seventeen multiple choice questions to assess the knowledge, attitude and daily consumption of nutritional as well as junk foods was used. Results and Conclusion: Our survey found that although there was better knowledge and attitude among the older children belonging to Group 2, there was an increased preference for junk foods among both the younger and older children alike, the taste and visual appeal being the major reasons. Despite increased awareness, consumption of junk food was still prevalent among the vast majority in all age groups.

Abstract Objective This study aimed to identify the role of nutrition in the etiology of chronic suppurative otitis media (CSOM) by comparing the prevalence of CSOM between undernourished children with normal children aged between 10 and 12 years. Materials and Methods A total of 200 children aged between 10 and 12 years studying in government schools were selected for the study. All the children underwent a general and detailed ENT examination in addition to nutritional assessment based on body mass index calculation, using World Health Organization (WHO) Child Growth Standards Chart. The children were divided into two groups: Group A and Group B. Group A consisted of 100 children who were malnourished and Group B consisted of 100 children who were normal. The presence of CSOM in the two groups was noted. Results and Observations Of the total 200 children, 112 were boys (56%) and 88 were girls (44%). Of the 112 boys, 22 (19.64%) had CSOM and out of 88 girls, 24 (27.27%) had CSOM. Of the total 46 children found to have CSOM, 35 children (76.1%) belonged to Group A and 11 children (23.9%) belonged to Group B. Conclusion Our study shows that there is a higher prevalence of CSOM among undernourished children than in normal children. High prevalence of CSOM in undernourished children is a preventable health problem that needs health education and active intervention.

Abstract Toddlers is the age group that is most vulnerable to nutritional deficiencies and is considered a nutritional vulnerable group. This research was done using a correlative association approach, beinga survey research concerning the correlation between research variables and confirming the proposed hypothesis. The population of this research was all outpatient mothers with toddlersin the polyclinic of Puskesmas Hinai Kiri (Hinai Kiri Public Health Center) Kecamatan Secanggang Kabupaten Langkat numbering 54 people, with accidental sampling technique. From the univariate analysis result was found that 33 mothers (61,1%) have high knowledge,29 mothers (53,7%) were from the old age group, 33 mothers have high education (61,1%) and 32 mothers (59,3%) being unemployed with 28 mothers (51,9%) have high number of children, 28 mothers (51,9%) from a low family income group, and 38 mothers (70,4%) have good toddler nutrition status. From the bivariate analysis result using chi squaretest (CI 95% and a= 0,05) was found that the correlation between knowledge and toddler nutrition statsus is (p- value = 0,009), the correlation between age and toddler nutrition status is (p-value = 0.039), the correlation between education and toddler nutrition status is (p-value = 0,003), the correlation between occupation and toddler nutrition status is (p-value= 0,045), the correlation between income and toddler nutrition status is ( P –Value = 0,002), and the correlation between number of childern and toddler nutrition status is (P-Value= 0,003). Keyword(s) : Toddler nutrition

Eating habits develop during the first years of a child's life, children learn what, when, and how much to eat through direct experience with food and by observing the eating habits of others. The aim of this study is to get a clear picture of the Eating program Healthy, starting from the planning, implementation, supervision, and evaluation as a case study of nutrition education; to get information about the advantages, disadvantages and effects of implementing a healthy eating program for children. This research was conducted through a case study with qualitative data analysed using Miles and Huberman techniques. Sample of children in Ananda Islāmic School Kindergarten. The results showed the Healthy Eating program could be implemented well, the diet was quite varied and could be considered a healthy and nutritious food. The visible impact is the emotion of pleasure experienced by children, children become fond of eating vegetables, and make children disciplined and responsible. 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Background: Tuberculosis is an infectious disease that persists as a public health problem in Indonesia. The tuberculosis infected to the under 5-years old-children namely primary tuberculosis, could decrease the children’s immunity eventually causes death, which were 100.000 death rate 75% are children’s. Conditions of children’s health were deeply depending on the quality and quantity of their food consumption. An adequate consumption is needed to increase their nutrition status. To improve the maternal behavior of children’s food consumption, it is necessary to give nutritional education.Objective: The purpose of this study is to examine the effect of nutritional education on the food consumption and nutrition status of the under 5-years old-children that infected by primary tuberculosis.Methods: The research was an experimental research using randomized controlled trial method. The subject was 1 to 5- year(s) old-children those who infected by primary tuberculosis at Unit Rawat Jalan RSUP Dokter Kariadi Semarang. Two groups chosen by randomized got different treatments, i.e. availability and unavailability of nutritional education. Each group was asked to come to Poliklinik Paru Anak every two-week for two months (4 times). The food consumption data was collected by multiple recalls before treatment and after research. The nutrition status was determined by weight per age and weight per height of Z- Score WHO NCHS.Results: The result of this study showed that after the nutritional education issued, the energy consumption average of children has increase 18.18% from necessity and the protein consumption average of children has increase 21.39% from necessity. There was a significant effect of nutritional education on increasing protein consumption of under 5-years old-children that was infected by primary tuberculosis (p<0.05). It was also showed that the Z-Score increasing (weight per age and weight per height) of children in treatment-group was higher than the control-group.Conclusion: Nutritional education has a significant effect on increasing protein consumption of under 5-years old-children that was infected by primary tuberculosis (p<0.05), or there is increasing of protein consumption about 21.39%.

AbstractWe studied vitamin D intake, serum 25-hydroxyvitamin D (S-25(OH)D) concentration, determinants of S-25(OH)D and risk factors for S-25(OH)D <50 nmol/l in a population sample of Finnish children. We studied 184 girls and 190 boys aged 6–8 years, analysed S-25(OH)D by chemiluminescence immunoassay and assessed diet quality using 4-d food records and other lifestyle factors by questionnaires. We analysed the determinants of S-25(OH)D using linear regression and risk factors for S-25(OH)D <50 nmol/l using logistic regression. Mean dietary intake of vitamin D was 5·9 (sd 2·1) µg/d. Altogether, 40·8 % of children used no vitamin D supplements. Of all children, 82·4 % did not meet the recommended total vitamin D intake of 10 µg/d. Milk fortified with vitamin D was the main dietary source of vitamin D, providing 48·7 % of daily intake. S-25(OH)D was <50 nmol/l in 19·5 % of children. Consumption of milk products was the main determinant of S-25(OH)D in all children (standardised regression coefficient β=0·262; P<0·001), girls (β=0·214; P=0·009) and boys (β=0·257; P=0·003) in multivariable models. Vitamin D intake from supplements (β=0·171; P=0·035) and age (β=−0·198; P=0·015) were associated with S-25(OH)D in girls. Children who drank ≥450 g/d of milk, spent ≥2·2 h/d in physical activity, had ≥13·1 h/d of daylight time or were examined in autumn had reduced risk for S-25(OH)D <50 nmol/l. Insufficient vitamin D intake was common among Finnish children, one-fifth of whom had S-25(OH)D <50 nmol/l. More attention should be paid to the sufficient intake of vitamin D from food and supplements, especially among children who do not use fortified milk products.

AbstractA variety of image-guided therapies exist for children who cannot maintain adequate nutrition due to underlying pathologies that affect their enteric systems. Gastrostomy, gastrojejunostomy, and cecostomy tubes can be inserted to help address these issues using ultrasound, fluoroscopic, and computed tomography (CT) guidance. This article describes radiological techniques used to place these tubes.

AbstractInfant and under five mortality rates are reliable indicators of health status of the children of any country. Despite accelerated growth, the prevalence of hunger, poor health status, under nutrition and mortality in rural part of the country are still persisting in India. While under nutrition among children is pervasive; child mortality is rather high in rural parts of India. The current study conducted in two remote villages of Hassan and Kodagu districts of South Karnataka-India. Study conducted on ( Boys 160, Girls 140) preschool children, selected through stratified sampling design technique. Through this study stunting in 75.0 %, wasting in 81.7% and underweight in 87.6% of both Boys and Girls of pre-school children were found. In case of Anemia, 48% of Girls and 56% of Boys were severely affected; while 47 % of Girls and 41% of the Boys were modestly affected and 10% of the Boys and 28% Girls observed mildly affected. It is also found that clinical sign of Anemia among 62% of the studied children. Next, 21% children found Vitamin A deficiency and 22% children found vitamin B complex deficiency. The Study also found that only 67% children put on breastfeeding within Three hours after the birth in the studied village. It is also noted that income poverty, bad personal habits, changing health seeking behavior, cultural practices regarding delivery, child rearing and breastfeeding also plays a vital role in case of mortality problem where Government and NGO (Non- Gov. Organizations) should focus on these issues immediately.

Economic status has an impact in life aspect, including nutrition status, caries, andoral hygiene. The aim of this study was to compare the nutritional status, dentalcaries and oral hygiene of Islam Athirah elementary school representing higheconomic status and Bangkala III elementary school, representing low economicstatus. Samples were 120 children of aged 10-11 years. Study design was crosssectional study. The criteria of school chosen, was based on annual tuition fee,contribution fee, entrance school fee, and the presence of school operational aid(Dana BOS). Nutrition status was accessed using Z-score, dental caries using def-tindex, and oral hygiene status accessed using OHI-S (DI-S and CI-S). Data of eatinghabitual, type of food, education and occupation of parents, frequency and method oftooth brushing were obtained from questionnaire. The results of this study showed nosignificant difference of nutritional status and oral hygiene status for both schools(Mann-Whitney, p = 0.281 and 0.936), whereas significant difference was found fordental caries status between Islam Athirah and and Bangkala III elementary school(p=0.01).

AbstractNutrition is one of the modifiable factors that contributes to bone accrual during childhood and adolescence, a critical period to prevent adult osteoporosis. Calcium and vitamin D seem to be the most important nutrients for optimal bone growth. Requirements for calcium intake are different among countries and organizations, and exact recommendations are difficult to determine since other dietary factors directly affect calcium metabolism, such as salt intake and vitamin D levels. Some scientists have suggested that the actual calcium requirements are overestimated and that increased dairy intake does not necessarily translate to better bone health in adults. Moreover, calcium can be obtained from other natural foods, such as cruciferous vegetables (turnip greens, broccoli rabe, kale, broccoli, and cabbage), endive, sesame seeds, legumes, almonds, calcium-fortified vegetable beverages, and canned sardines. Vitamin D should be obtained from food combined with appropriate sun exposure, and if that is not enough, vitamin D supplements can be used. Diets comprised a complex combination of nutrients and foods, and dietary patterns in children and adolescents play a key role in bone formation. A dietary pattern that is high in vegetables and fruits and low in processed foods (containing large amounts of added sugar and salt) is necessary to achieve optimal bone formation. Finally, physical activity, particularly activities that apply large forces, is even more important than dietary factors to contribute to bone accrual.

AbstractTo investigate the impact of variants of the FTO gene (rs1421085, rs17817449, rs9939609) in obese children before and after lifestyle intervention.Design: Longitudinal, clinical intervention study with an increase in physical activity, and nutritional recommendations based on the ‘Optimized Mixed Diet for German Children and Adolescents’ (Research Institute of Child Nutrition, Germany). Study population: 75 overweight children (40 male, mean BMI 30.4±5.5 kg/m2, mean age 12.6±2.6 years). Measurements: Genotyping by means of a TaqMan SNP genotyping assay. Lean and fat mass were determined by means of DXA.For the whole study population, the 6-month lifestyle intervention resulted in a significant improvement (before intervention minus time point 6 months; mean±SD) in BMI-SDS (0.10±0.17, p<0.001), HOMA (1.41±3.19, p<0.001) and relative fat-mass-SDS (0.09±0.23, p=0.005). Before and after lifestyle intervention, there was no significant difference between heterozygote (n=52) and homozygote (n=21) carriers of the FTO gene in terms of BMI, body composition, and the metabolic profile (Insulin, HOMA, lipids, liver function tests).Variants in the FTO gene are common in obese children but have no impact on body composition and metabolism before and after lifestyle intervention.

The description of community behavior in utilizing existing health service facilities in their area can be seen from the success rate of the Posyandu program, namely the coverage of weighing children under five at the Posyandu. This study aims to examine that nutrition education interventions through community nutrition classes can increase the scope of integrated health care (posyandu) performance (D/S, N/D) in Bulukumba Regency, Indonesia. This research design is quasi-experimental. The samples in this study were mothers of children under five who were in the intervention area (n=107) and control (n=113). The intervention group was given nutrition education through community nutrition class activities, while the control group was given counseling. The results showed that there were changes in the intervention group in the form of increased knowledge of mothers of children under five, increased parenting patterns of mothers of children under five, increased levels of community participation, and increased body weight of toddlers compared to the intervention group. control group. Community nutrition classes at posyandu can be used as a model in increasing the level of community participation in posyandu because there are changes in both knowledges, child care patterns, the number of visits at posyandu (D/S), and the number of toddlers who experience weight gain from the previous month's weighing (N/D) for increased significantly.

AbstractObjectiveTo explore nutrition and food provision in pre-school nurseries in order to develop interventions to promote healthy eating in pre-school settings.DesignQuantitative data were gathered using questionnaires and professional menu analysis.SettingIn the community, at pre-school nurseries.SubjectsAll 130 nurseries across Liverpool were a sent questionnaire (38 % response rate); thirty-four menus were returned for analysis (26 % response rate).ResultsOnly 21 % of respondents stated they had adequate knowledge on nutrition for pre-school children. Sixty-one per cent of cooks reported having received only a ‘little’ advice on healthy eating and this was often not specific to under-5 s nutrition. Fifty-seven per cent of nurseries did not regularly assess their menus for nutritional quality. The menu analysis revealed that all menus were deficient in energy, carbohydrate, Fe and Zn. Eighty-five per cent of nurseries had Na/salt levels which exceed guidelines.ConclusionsNurseries require support on healthy eating at policy, knowledge and training levels. This support should address concerns relating to both menu planning and ingredients used in food provision and meet current guidelines on food provision for the under-5 s.

Childhood malnutrition remains an important public health and development problem in low- and middle-income countries. This study aimed to systematically review the community-based nutrition-specific interventions and their effectiveness and/or cost-effectiveness on the nutritional status of children under 5 years of age in the Eastern Mediterranean Region (EMR). A systematic literature search of the English electronic databases, including PubMed, Scopus, ISI Web of Knowledge, Ovid, EMBASE, as well as Persian databases (SID and Magiran) was performed up to May 2019. Studies regarding the effectiveness/cost-effectiveness of the community-based nutrition-specific programs and interventions targeted at under-five-year children in EMR countries were selected. The primary outcomes were mean of Weight-for-age z-score (WAZ), Height-for-Age z-score (HAZ), and Weight-for-Height z-score (WHZ) of children or prevalence of wasting, stunting, and/or underweight among the children. Meta-analysis was also performed on the selected articles and intervention effects (mean differences) were calculated for each outcome for each study and pooled using a weighted random effects model. Risk of bias (ROB) of each included study was assessed based on the Cochrane Handbook for Systematic Reviews. The study protocol was registered in PROSPERO (CRD42020172643). Of 1036 identified studies, eight met the inclusion criteria. Amongst these, seven were from Pakistan and one from Iran. Only one study conducted in Pakistan reported the cost-effectiveness of nutrition-specific interventions in the region. Nutrition education/consultation and cash-based interventions were the most common nutrition-specific strategies used for management of child malnutrition in the EMR countries. Out of these eight studies, four were included in the meta-analysis. When different interventions were pooled, they had resulted in a significant improvement in WHZ of children (MD: 0.26; 95% CI: 0.07 to 0.46, three studies, I2 82.40%). Considering the high prevalence of child malnutrition in a number of countries in the region, capacity building and investigation regarding the implementation of new approaches to improve nutritional status of children and their effect(s) and cost-effectiveness assessment are highly recommended.

Adequate nutrition, beginning in early stages of life, is crucial to ensure good physical and mental development as well as long-term health. Efforts in improving nutritional status in Indonesia are mostly focused to the vulnerable groups, mainly infant (baby under one year old) and toodler (baby under two years old). Childhood underweight and overweight are an important public health problem, as these conditions tend to have a chronic condition that cause a wide range of future morbidity. Overweight in young children is associated with future cardiovascular diseases, diabetes, and psychosocial problems and stunted children suffer from impaired growth with permanent consequences in their adult life that face a high risk of morbidity and mortality. In this case, parents (especially mothers as the role models) are mostly responsible on healthy eating behaviors of their young children. With refers to this empirical fact, the objective of this study was to assess the association of mother&rsquo;s role and knowledge in feeding young children practices on the nutritional status of their infants and toddlers. Analytical cross-sectional study was used in this study. The sampling technique was purposive sampling and a total of samples were 136 mothers. Data were processed and analyzed by using a computer program with a chi-square test at a significance level of 95%. Overall, results of the statistical test showed that there were no significant associations between role and knowledge of the mothers and adequate nutritional status of their infants and toddlers at a p-value of 0.544&gt; 0.05 and p-value of 0.749 &gt; 0.05 respectively. Based on results of this study, more intensive nutrition intervention programs are necessary to prevent poor nutritional status of young children particularly for infant and toddler, conducting more active coordination in health cross-programs, and improving nutrition counseling programs and suitable health services for the concerned public.

Severe early childhood caries (S-ECC) is a multifactorial disease that can lead to suffering and reduced oral health–related quality of life in young children. The bacterial and fungal composition of dental plaque and how children’s sex is associated with S-ECC are largely unknown. In this study, V4-16S rRNA and ITS1 rRNA gene amplicon sequencing was used to compare the plaque bacteriome and mycobiome of children <72 mo of age: 40 with S-ECC (15 males, 25 females) and 40 caries-free (19 males, 21 females). Health- and nutrition-related questionnaire data were also investigated. This study aimed to analyze potential sex-based differences in the supragingival plaque microbiota of young children with S-ECC and those caries-free. Behavioral and nutritional habit differences were observed between children with S-ECC and those caries-free and between male and female children. Overall, higher levels of Veillonella dispar, Streptococcus mutans, and other bacterial species were found in the S-ECC group as compared with caries-free controls ( P < 0.05). A significant difference in the abundance of Neisseria was observed between males and females with S-ECC ( P < .05). Fungal taxonomic analysis showed significantly higher levels of Candida dubliniensis in the plaque of children with S-ECC as compared with those caries-free ( P < 0.05), but no differences were observed with Candida albicans ( P > 0.05). Significant differences in the relative abundance of Mycosphaerella, Cyberlindnera, and Trichosporon fungal species were also observed between the caries-free and S-ECC groups ( P < 0.05). Machine learning analysis revealed the most important bacterial and fungal species for classifying S-ECC versus caries-free. Different patterns of crosstalk between microbial species were observed between male and female children. Our work demonstrates that plaque microbiota and sex may be important determinants for S-ECC and could be factors to consider for inclusion in caries risk assessment tools.

<p>Malnutrition, a major risk factor for a number of infectious diseases, including acute upper respiratory tract infections (AURTI), is common in developing countries. Nutritional status is an important index of the quality of life. Objectives:To analyze the correlation between food intake and health status to nutritional status of 9-11 years old children in Semarang. The study was a correlation study carried among school children in Semarang aged 9-11 years old. Data are presented in the descriptive analyses and Spearman correlation. Overall, food intake (energy and protein) of 9-11 years old children in Semarang is normal with ≥ 90% RDA, health status of them was satisfactory (very low AURTI incidence),and their nutritional status were mostly normal. There was a correlation between energy intake with nutritional status with indicators BMI, and z-score of W/A and H/A, but there was no correlation between protein intake and AURTI with nutritional status. Energy and food intake of the children correlate with all nutritional status being studied. It should be suggested to parents to implement balanced diet, to avoid the development of obesity among elementary school children through nutrition education to prevent malnutrition as well as obesity.</p><p><strong>How to Cite</strong></p><p>Ali, A. F. M., Muis, S. F., &amp; Suhartono, S. (2016). Correlation between Food Intake and Health Status with The Nutritional Status of School Children Age 9-11 in Semarang City. <em>Biosaintifika: Journal of Biology &amp; Biology Education</em>, 8(3), 249-256. </p>

Protein–energy malnutrition promotes adaptive hormonal changes that result in stunting. A previous study showed that stunted children had increased insulin sensitivity and diminished pancreatic β-cell function. The objectives of the present study were to analyse the glucose, insulin, homeostasis model assessment of insulin sensitivity (HOMA-S) and homeostasis model assessment of pancreatic β-cell function (HOMA-B) levels after nutritional recovery. The recovered group (n 62) consisted of malnourished children after treatment at a nutrition rehabilitation centre. At the beginning of treatment their age was 2·41 (sd 1·28) and 2·31 (sd 1·08) years, weight-for-age Z score − 2·09 (sd 0·94) and − 2·05 (sd 0·55) and height-for-age Z score − 1·85 (sd 1·11) and − 1·56 (sd 0·90), for boys and girls respectively. The control group consisted of well-nourished children without treatment (n 26). After treatment, boys of the recovered group gained 1·29 (sd 1·06) Z scores of height-for-age and 1·14 (sd 0·99) Z scores of weight-for-age, and girls, 1·12 (sd 0·91) and 1·21 (sd 0·74) Z scores respectively. No differences were found between control and recovered groups in insulin levels for boys (P = 0·704) and girls (P = 0·408), HOMA-B for boys (P = 0·451) and girls (P = 0·330), and HOMA-S (P = 0·765) for boys and girls (P = 0·456) respectively. The present study shows that the changes observed previously in glucose metabolism and insulin were reverted in children who received adequate treatment at nutritional rehabilitation centres and showed linear catch-up.

<p class="MsoNormal" style="margin: 0cm 5.65pt 6pt 14.2pt; text-align: justify; text-indent: 1cm;"><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">The objectives of this research were to analyze health, nutritional status of children under five years and its influential factor</span><span style="font-size: 10pt;">s</span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">. This research was carried out in two sub-districts of Bogor: Sub-District of Ciomas and Sub-District of Darmaga. As many as 16 posyandu </span><span style="font-size: 10pt;">nutrition program </span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">were obtained. A total number of 240 mothers had been divided into </span><span style="font-size: 10pt;">c</span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">ontrol and intervention groups. Baseline data were collected during the pre-study, while endline data were collected after conducting intervention (experiment). The experiment had been conducted for five months in the form of providing nutrition education once in two weeks and implementing home gardening. The data analysis included estimation of mean, standard deviation, minimum value, maximum value and proportion. Based on the General Linear Model (GLM) analysis, it was found that intervention had significant impact on the nutritional status</span><span style="font-size: 10pt;"> (WAZ)</span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us"> of children under five years. Intervention did not have significant effects on the nutritional status according to </span><span style="font-size: 10pt;">HAZ and WHZ. </span><em></em></p><em><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">Key words<strong>: </strong></span><strong><span class="longtext"><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">.</span></span></strong></em>

To assess the response of protein turnover to graded levels of amino acid (AA) intakes, leucine kinetics were determined in six 8- to 16-yr-old patients in a stable nutritional status receiving home parenteral nutrition (PN) for short-bowel syndrome or intestinal pseudo-obstruction syndrome. Although daily energy intake was kept constant at 68.7 +/- 13 kcal/kg lean body mass (LBM) with 25.4 +/- 3.6% lipid, patients were given, for three consecutive 7-day periods, 0.7, 1.5, or 2.5 g AA.kg LBM-1.day-1, with the order of the regimens being randomized. On day 7 of each period, a 4-h infusion of L-[1-13C]leucine was performed during intravenous feeding; plasma [13C]ketoisocaproate and expired 13CO2 enrichments were used to assess whole body leucine turnover (Ra), oxidation rate (Ox), nonoxidative disposal [an estimate of protein synthesis (S)], and leucine derived from protein breakdown (B). Urine collection (24 h) was performed for determination of nitrogen excretion. Results indicate a dose-dependent rise in plasma leucine concentration, Ra, and Ox but no significant change in B. There was a significant increase of S (P = 0.04 analysis of variance) with increased AA intakes as well as net leucine balance (P = 0.02). Results are consistent with improved leucine balance, when leucine intake increases, despite increased leucine oxidation. The net protein gain observed with higher AA intakes may suggest a beneficial effect for children receiving long-term PN.

ABSTRACT Iodine deficiency disorders (IDDs) constitute a major public health problem in India. Goiter occurring in a large fraction of population (> 10%) is said to be due to iodine deficiency rather than any other cause. A community-based cross-sectional study was undertaken in the Union Territory of Chandigarh with the aim to track the elimination of IDD to determine the iodine status of school children unexamined for goiter status and excretion median urinary iodine concentration. Goiter was assessed by standard palpation technique in 6,517 school children, aged 6 to 12 years, selected through 30 cluster sampling methods. Spot urine samples of 823 children were collected for estimation of urinary iodine using modified method of Sandell and Kolthoff. Household salt samples of the 548 selected children from schools were analyzed for its iodine content by standard iodometric titration method. The overall prevalence of goiter was found to be 14.2% among the children examined. The median urinary iodine excretion (UIE) was 199 g/L. About 71.2% of the salt samples were adequately iodized, having iodine content of > 15 ppm. Since UIE reflects recent iodine nutrition at the time of measurement and thyroid size shows iodine nutrition over months or years, it can be said that this region is in transition phase from iodine-deficient to iodine-sufficient territory. How to cite this article Agarwal N, Kaur J, Kaur J, Gupta S, Jaswal S, Kaur H, Swami HM. Assessing Status of Iodine Nutrition in Union Territory of Chandigarh, India. Indian J Med Biochem 2016;20(1):38-41.

Malnutrition can reduce immune response particularly in cytokine (IL-4, IL-5, IL-10) production and immune effector (eosinophil, IgE, and mast cell), thus increasing the probability of intestinal nematode infection. Through this study, intestinal nematode infections occurred among children under five years, at different nutrition status, in Kokar Public Health center, Alor Regency, East Nusa Tenggara was captured. Hookworm and Strongyloides stercoralis were studied as both of them have devastating impacts compare to other helminthes compare to other helminths. This study is a cross- sectional study with a quote sampling technique. As many as 238 children, aged 12-59 months living in Kokar’s Public Health Center area, Alor regency were recruited in this study i.e. 7.7% severely underweight, 19.2% underweight, 70.5% normal and 2.6% overweight. Data were collected in August - October 2016. Hookworm and S. stercoralis infection were determined from collected fecal samples of all subjects using either Baermann test, Koga Agar Plate (KAP), or Harada- Mori culture method. The prevalence of hookworm and S. stercoralis infection was 8.82%, and 0,42%. Correlation between nutritional status and hookworm infection were analyzed by Mann-Whitney test with p value = 0.54 (p > 0.05). Prevalence of hookworm and S. stercoralis among children under five years in Kokar were 8.82% and 0.42%. There was no significant correlation between nutritional status with hookworm infection prevalence.

Abstract Objective To publish a consensus on the milky feeding of children aged between 1 and 5 years old, in the face of the nonuniformity of indication and the lack of standardization, in Brazil, on the nomenclature and classification of milky products produced for this stage. Methods Literature review and members discussion. Results The review showed the nutrition deficiencies among Brazilian children and the position of different medical societies. Conclusions Recommendations of milky feeding are proposed for government area, industry and health care professionals.

This paper presents diseases which directly leave traces on osteological material (enamel hypoplasia, caries, traumatic conditions, haematological disorders, metabolic diseases and middle ear inflammation) and diseases that leave no visible marks on bones, and may indeed be the direct cause of death of children in ancient Sirmium. In paleodemographic research, child mortality rate is an important element of a population?s progress. Child mortality is considered an adequate criterion for the social and sanitation conditions of a community and a sensitive indicator of inadequate nutrition.

The 2012 FAV-S pilot study was developed as a dietary intervention program for low-income Somali mothers grounded in the health belief model. The intervention was geared toward increasing fruit and vegetable intake among participants’ children. The purpose of this analysis was to determine the impact of the FAV-S program on participants’ (1) self-efficacy in ability to serve more fruits and vegetables, (2) knowledge and beliefs about healthy eating, and (3) perceived barriers to accessing healthy foods. Furthermore, this study assessed change in fruit and vegetable intake among participants and their children. The intervention consisted of two small group education sessions addressing nutrition, serving size, and label reading; a cooking session incorporating fruits and vegetables into traditional Somali dishes; and a grocery store session demonstrating best purchasing practices. Self-efficacy, knowledge and beliefs, and perceived barriers were assessed via surveys administered verbally in Somali pre- and postintervention. Paired t tests were used to compare pre- and postintervention survey responses. Twenty-five women participated in the pilot study; mean age was 43.6 years ( SD = 12.4). Self-efficacy significantly increased among participants postintervention ( p = .01), though there were no significant changes in knowledge and beliefs or perceived barriers. Following intervention, daily servings of fruits and vegetables significantly increased among both women and children ( p = .01 to p < .01). Findings suggest that a multistage, culturally tailored, approach is effective at increasing self-efficacy and fruit and vegetable intake in the Somali community. Continued and expanded research is needed to further develop culturally focused dietary interventions.

Background The nutritional problem is essentially a public health problem that is influenced by many factors, therefore the prevention of nutritional problems can not be done by health approach but also involves other sectors such as education, religion and social. In school-age children need more energy and other nutrients such as energy, protein, calcium, fluorine and iron as the activity increases. Optimal child growth depends on the provision of nutrition with good quality and quantity as well as true. Method This research is descriptive approach with survey method that describes mother's knowledge and energy intake in child stunting Population in this research is all elementary school student of Inpres Sengka Regency of South Bontonompo Regency of Gowa. The sample of this research is class III student of class III and IV with Stunting of nutritional status A total of 26 people with measured amount of counted 62 people consisting of class III number of 11 people and IV as many as 15 people, the reason to choose class III and IV is because students Able To remember when they want direcall. Primary data consists of: a. Mother's knowledge variable is obtained from direct interview with respondent by using questionnaire instrument which contains question about causes of stunting and food energy source and so on. b. The variable of energy nutrient intake from child feeding habits (sample) was obtained from 2x 24 hour food recall interview method using 2x 24 hour food recall form. Assessment of nutritional intake by this method is done two days with a one-day measurement interval. Good nutrition intake if ≥ 77.0% of and less if <77.0% AKG. c. The stunting variable was obtained by using anthropometric measurements using the TB/U indicator, the sample is said to be stunting if z-score <-3.0 SD or z-score ≥ -3.0 SD s / d <-2.0 SD and not stunting if z -score ≥ -2 SD. Data types are numerical (quantitative) and data processing using statistical analysis. Data processing using computer by providing certain code which then processed with software (software) SPSS 13.0. Secondary data includes geographic and demographic data obtained from research sites and related institutions. The age data was obtained by looking at the identity of the children taken from primary school staff teachers in Sengka Sub-district, Bontonompo District, South Gowa. Result The results showed that the mother's knowledge about good nutrition as many as 5 people (19.2%) and less as many as 21 people (80.8%). For a good energy intake as much as 11 people (42.3%) and less as many as 15 people (57.7%). As for the knowledge of mother about nutrition with energy intake that is having good knowledge of nutrition and energy intake of 1 person (3,8%), good nutrition knowledge and energy intake less than 4 people (15,3%) while having knowledge Less and good energy intake as much 10 people (38,4%), knowledge of less nutrition and energy intake less than 11 people (53,8%) and value (p> α = 0,05) explained that there is no significant relationship between Mother's knowledge about nutrition and energy intake in elementary school stunting children. Conclusion: 1. Maternal knowledge about nutrition category less as many as 21 people (80,7%) and good as many as 5 people (19,23%). 2. Less energy intake in children Stunting as many as 15 people (57.7%), good as many as 11 people (42.3%). 3. There is no relationship between knowledge and energy intake

In the context of global concern about children&rsquo;s weight and health, this study aims to investigate the extent to which Australian fathers are involved in family food work which includes feeding the family, and associated tasks such as shopping, food selection, planning meals, preparing, cooking, and cleaning up. It seeks to identify whether fathers consider children&rsquo;s &lsquo;healthiness&rsquo; and weight gain when performing these tasks, and what, if any, nutritional information resources they accessed. A qualitative exploratory study using semi-structured face-to-face interviews was conducted with eight fathers aged between 25 to 50 years living in the Australian Capital Territory. Participants discussed their roles in food provisioning and their perceptions of the food work process. A commitment to equally sharing domestic tasks between partners was frequently acknowledged amongst participants, despite the persistence of performative gendered norms. Male participants also discussed some of the constraining factors influencing their involvement in food provisioning. These included time scarcity, working commitments and cost. Whilst nutrition was considered when selecting and preparing food, most participants reported that they had not accessed or received nutritional and health information for their children. These findings provided insights into fathers&rsquo; perceptions of their roles and responsibilities of healthy food provisioning. Furthermore, this study suggests that public health researchers and health promoters should adapt their efforts to include fathers in education about the nutritional content of food for primary aged children, given the apparent paucity in these resources.

Background In Bangladesh, as in other developing countries, protein–energy malnutrition is most prevalent among children during weaning. After weaning, children are often fed cereal-based diluted low-calorie porridge, resulting in growth-faltering. Objective To assess the effect on food intake of adding amylase-rich flour (ARF) from germinated wheat to supplementary food among children in nine rural Community Nutrition Centers under the Bangladesh Integrated Nutrition Project (BINP). Methods A total of 166 malnourished children of either sex, aged 6 to 24 months, received one of three diets randomly allocated to the Community Nutrition Centers. The composition of the diets was the same; however, the consistency and calorie density were altered by adding either ARF or water. Thirty-five children received the standard supplementary food of the BINP (S-SF), 65 received supplementary food with added ARF (ARF-SF), and 66 received supplementary food with added water (W-SF). The children were studied for six weeks. Results The mean ± SD intake of supplementary food from a single meal by children completing six weeks on the diets was higher for children receiving ARF-SF (33.91 ± 8.25 g) than for those receiving S-SF (25.66 ± 6.73 g) or W-SF (30.26 ± 8.39 g) (p < .05 for both comparisons). The weight of vomited food was significantly higher for children receiving W-SF than for children in the other two groups. Weight gain and increments in length and weight-for-height were higher for children who received ARF-SF than for children in the other two groups, but the differences were not statistically significant. The acceptability of ARF-SF was higher than that of the two other diets. The additional cost of adding 2 g of ARF to the diet was about Taka 0.25 (US$1 = Taka 48). Conclusions Addition of ARF to existing standard supplementary food, as used under the BINP program, is a simple and effective means to increase the intake of food by changing its consistency, thus making it easier for malnourished children to ingest.

AbstractMovement disorders (MDs) are disorders of pathological movements that cannot be fully initiated, modulated, or interrupted voluntarily. Spectrum and etiology of MDs are likely to vary with geographical location, but there are few studies on pediatric MDs from India, and severity of the disease is not well documented. Response to treatment of MDs is often unpredictable. Objective of the study was to describe the relative prevalence, types, severity, etiology, and response to treatment of pediatric MDs as seen at a public teaching hospital in northern India. Over a period of 1 year, consecutive children with MDs seen in outpatient department (OPD) or wards were enrolled, after excluding cerebral palsy and musculoskeletal disorders. Detailed history, examination, treatment, and outcome were recorded. Severity was rated according to Battini's scale at initial contact and each follow-up. Neuroimaging and relevant investigations were done for etiology. Serial 2-minute video recordings were obtained. Out of 93 patients enrolled, the most common MDs were dystonia (24.7%), tremors (22.4%), ataxia (19.6%), and chorea (12.9%). Tics, hemiballismus, and myoclonus were also seen and 4% could not be classified. Mixed MDs were seen in 9.7%. Etiologies of MDs were infectious (acute encephalitis syndrome, tuberculous meningitis, subacute sclerosing panencephalitis, and rheumatic chorea) or nutritional (infantile tremor syndrome) in 46%. Genetic neurodegenerations accounted for a significant proportion (15.1%). Improvement occurred in majority (63.4%) of patients. Etiology of MDs was largely specific to this part of the world, related to infectious and nutrition causes. In the absence of complex genetic investigations, many cases were left with unknown etiology.

Abstract Introduction During the first two years of life children’s nutrition is mostly based on frequent, liquid and sweetened meals which can cause Severe-Early Childhood Caries (S-ECC) development. The aim of this research was to determine the relationship between dietary habits and S-ECC in children up to 24 month-old living in Banja Luka, Bosnia and Herzegovina. Methods Cross-sectional study included representative sample of 192 children. Before dental examination of children, each parent/caregiver was interviewed about the basic info, socio-demographic characteristics and children's eating habits. The questionnaire was conducted as interview (“face to face”). Subjects were divided into two groups: the first group - children with S-ECC and the second group - caries free children. For statistical analysis and presentation of results SPSS 16.0 for Windows, MS Office Word and Microsoft Office Excel were used. Results In the study sample 34.9% of children were suffering from S-ECC. About 50% of children who were breast-fed at night after first tooth eruption had S-ECC. The use of baby bottle with milk or other sweetened content during bedtime and during the night was identified as significant caries risk factor (P <0.05). Conclusion Nighttime breastfeeding, use of bottle with milk during bedtime/nighttime or other sweetened content during night after eruption of first primary tooth were strongly associated with S-ECC in the examined children.