BMC营养:2018年编辑选秀

对于BMC营养来说,2018年是令人兴奋的一年,该营养发表了各种有趣的文章。这是去年发表的一些编辑最喜欢的文章。

Take a break to avoid a snack

过度久坐的时间已被确定为导致心血管疾病的一个因素,但是久坐的行为在工作场所越来越普遍。除了与久坐行为相关的不良健康影响外,长时间的坐着还提供了零食的机会,随后,垃圾食品的消费也与增加心血管疾病的机会增加有关。尽管久坐的行为和饮食是单独的生活方式问题,但解决饮食不良的干预措施通常与解决体育锻炼的干预措施相结合。关于解决总体饮食和体育锻炼的综合干预措施已经知道了很多,但是对解决饮食和久坐行为的综合干预措施的了解少得多。

在工作中零食
Pixabay

凯西的这项研究et al研究久坐行为的减少是否导致热量摄入的改变。为了进行测试,参与者每天有两个15分钟的休息时间分为一组女性,另一组女性每半小时休息1-2分钟。该研究的结果表明,总体而言,在久坐的工作期间休息时间会随着时间的流逝而减少热量摄入量。研究人员认为,应进一步探索久坐的休息时间,以改善女性健康状况。

改变饮食框架:改善癌症幸存者的食物相关生活质量

减肥和eating-related问题是常见的ly reported symptoms in advanced cancer patients and survivors. Despite its prevalence, there are no effective interventions to assess or improve food related quality of life for these individuals. Most studies related to this topic assess eating-related difficulties during treatment, but fail to address long term impacts of the ability to “eat well.” Additionally, studies that investigate eating-related difficulties usually focus on the functional aspect of eating, whilst the social and emotional aspects tend to be ignored. Aiming to improve of the food-related quality of life of cancer survivors, the authors consider a more holistic approach to “altered eating”.

我无法与其他任何人进行对话……因为我无法控制嘴里的食物,因此我需要如此努力地专注于自己的工作,无论如何您都不是社交团体的一部分

In order to assess and address the altered eating related difficulties experienced by cancer survivors, Watsonet alworked alongside 25 head and neck cancer survivors and their partners. Over the course of 6 years, their workshops identified seven areas of life that affect or are affected by altered eating. These areas include not only anatomical, functional, and sensory alterations, but also the cognitive and behavioral labor of eating, as well as the alterations in social life and identity. As part of their study, the authors have developed a framework that allows assessment and treatment of altered eating, to improve food-related quality of life in cancer survivors.

营养危机严重性分类的浪费测量结果之间的差异

In areas experiencing widespread malnutrition, the prevalence of wasting found in the community acts as a benchmark to inform humanitarian aides on the scale and scope of the response needed. The current standards used by the World Health Organisation, United Nations High Commissioner for Refugees, International Federation of Red Cross, and World Food Programme are based on prevalence of wasting criteria as assessed by the weight-for-height Z scores (WHZ). In addition to WHZ, mid-upper arm circumference (MUAC) can be used as an independent measure of wasting. Although MUAC has become the recommended measure by the World Health Organisation and other public health agencies, there are no separate thresholds to classify crises assessed by MUAC.

母亲抱着营养不良的孩子
© dpa (Deutsche Presse-Agentur)

Previous research has demonstrated that there is substantial discrepancy in diagnosis of children as wasted using WHZ and MUAC. As a result, the validity of applying WHZ-based thresholds to MUAC-based estimates of wasting has been called into question. In their study, Bilukha and Leidman investigated the concordance of prevalence of wasting by WHZ and MUAC at the population level. The authors report that there is a poor correlation between population prevalence of wasting as measured by WHZ and MUAC. Furthermore, they assert that surveys based on MUAC measurements will result in poor concordance with WHZ-based crisis thresholds. The data presented in this study suggest that MUAC may not be the best choice to use as a measurement to classify prevalence of wasting at the population level.

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