scholarly journals Nutritional status and nutrient adequacy against serum prolactin levels in lactating mothers during the COVID-19 pandemic

2021 ◽  
Vol 4 (2) ◽  
pp. 62-70
Author(s):  
Giyawati Yulilania Okinarum ◽  
Lestariningsih Lestariningsih ◽  
Afroh Fauziah

The COVID-19 pandemic is creating global disruption, every area of life is touched. One area that has an impact, is breastfeeding, which is caused by nutritional status and nutrient adequacy during the pandemic, this condition affects prolactin release. Prolactin hormone stimulates and initiatiates of milk secretion. Midwives employed in maternal-child settings play a pivotal role in facilitating and supporting lactating mothers. This study aimed to identify and analyze the nutritional status and nutrient adequacy against serum prolactin levels in lactating mothers during the COVID-19 pandemic. Sixty lactating mothers from Sleman Regency and Yogyakarta city participated in this cross-sectional study. All were between 0-3 postpartum months. A single blood sample was collected from women at 7-9 am. Serum samples were stored at 2-8⁰C before the prolactin assay by using VIDAS®. Data analysis using Kruskal Wallis followed by Post-Hoc Mann Whitney. Results found a statistically significant difference in serum prolactin levels between underweight vs normoweight and normoweight vs overweight (p0.05), but there was no significant difference in serum prolactin levels between underweight vs overweight (p0.05). Significant differences in serum prolactin levels also found in the nutrient adequacy (energy, carbohydrate, protein, and fat) (p 0.05). Thus, normoweight and adequate macronutrient during breastfeeding in the COVID-19 pandemic situation had better serum prolavtin levels than underweight, overweight and inadequate macronutrient.

2017 ◽  
Vol 30 (2) ◽  
pp. 219-226
Author(s):  
Marcia Regina da Silva ◽  
Lucimare Ferraz ◽  
Fátima Ferretti ◽  
Cristiane Sfredo

Abstract Introduction: Flexibility is an essential component of physical aptitude that reduces the incidence of muscle distention and improves movement efficiency and posture. Objective: To analyze posterior chain flexibility and lower back pain (LBP) in farm workers from a city in western Santa Catarina state, Brazil. Methods: Quantitative and cross-sectional study conducted with 185 rural workers, average age of 44.24 (±10.83) years. The Rural Worker Health Questionnaire, containing individual issues related to work; sit and reach box, goniometer, visual analog scale (VAS) and Oswestry and Roland-Morris questionnaires were used to evaluate posterior chain flexibility, hamstring muscle length, pain and lumbar spine dysfunction, respectively. Flexibility was compared with the degree of dysfunction using one-way ANOVA followed by the Bonferroni post hoc test. Results: 181 (97.8%) workers reported LBP symptoms: 100% of the women and 95.2% of the men. The average Oswestry score was 7.09 (±8.25), Roland-Morris 1.22 (±1.63), and VAS 5.81 (±2.5). Average flexibility by the sit and reach test (SRT) was 23.91cm (±18.81); straight leg raise (SLR), 66° (±11.77) and popliteal angle 123.21° (±12.45). There was a significant difference in the popliteal angle (p = 0.003) and SLR (0.001) when compared with the degree of dysfunction. Women showed significant differences in all tests; however, the post hoc test showed a significant difference only in the SRT (p = 0.013), and women with minimal dysfunction had greater flexibility in relation to those with severe dysfunction. Conclusion: Self-reported LBP was severe and women with higher levels of dysfunction exhibited less posterior chain flexibility.


Cephalalgia ◽  
2020 ◽  
Vol 40 (12) ◽  
pp. 1355-1362
Author(s):  
Cecilia Rustichelli ◽  
Elisa Bellei ◽  
Stefania Bergamini ◽  
Emanuela Monari ◽  
Carlo Baraldi ◽  
...  

Background Reduced blood or cerebrospinal fluid levels of allopregnanolone are involved in menstrual cycle-linked CNS disorders, such as catamenial epilepsy. This condition, like menstrually-related migraine, is characterized by severe, treatment-resistant attacks. We explored whether there were differences in allopregnanolone, progesterone and testosterone serum levels between women with menstrually-related migraine (MM, n = 30) or postmenopausal migraine without aura who had suffered from menstrually-related migraine during their fertile age (PM, n = 30) and non-headache control women in fertile age (FAC, n = 30) or post-menopause (PC, n = 30). Methods Participants were women with migraine afferent to a headache centre; controls were female patients’ acquaintances. Serum samples obtained were analyzed by HPLC-ESI-MS/MS. Results In menstrually-related migraine and postmenopausal migraine groups, allopregnanolone levels were lower than in the respective control groups (fertile age and post-menopause) ( p < 0.001, one-way analysis of variance followed by Tukey-Kramer post-hoc comparison test) while progesterone and testosterone levels were similar. By grouping together patients with migraine, allopregnanolone levels were inversely correlated with the number of years and days of migraine/3 months ( p ≤ 0.005, linear regression analysis). Conclusion Decreased GABAergic inhibition, due to low allopregnanolone serum levels, could contribute to menstrually-related migraine and persistence of migraine after menopause. For the management of these disorders, a rise in the GABAergic transmission by increasing inhibitory neurosteroids might represent a novel strategy.


2011 ◽  
Vol 8 (1) ◽  
pp. 23
Author(s):  
Siti Fatimah ◽  
Apoina Kartini

Background: Hypercholesterolemia is a condition in which levels of cholesterol in the blood above normal levels (≥ 240 mg/dl). Physical exercises done regularly useful in the regulation of cholesterol, is total cholesterol, LDL cholesterol and triglycerides in the blood decreased, while HDL cholesterol increased. Food has an important role in association with the incident hypercholesterolemia.Objective: The purpose of this study was to determine the effect of aerobic exercise on blood total cholesterol level of adult women in the city of Semarang.Method: This research was explanatory research with cross sectional study. Subject was women aged 20-49 years gymnastic participants, as a comparison group was a housewife who was not doing gymnastics. Twenty three samples for group2 by matching on nutritional status and age and with the sampling purposive sampling. Adequacy levels of carbohydrates, proteins, fats, and also vitamins A and C were obtained through 2x24-hour recall was not a sequence, and processed using NutriSurvey. Results of independent t-test used to determine the effect of cholesterol levels between groups, and chi square test was used to determine association with nutrient adequacy levels of total cholesterol.Results: The results showed no significant difference in mean total cholesterol level between groups of gymnastic participants (201.2 g/dl) with housewife group (208.3 g/dl). Housewife group was belonging to hypercholesterolemia by 52.2%, while in group of exercise participants at 43.5%. Sufficiency level of protein showed a role in the total cholesterol level of adult women.Conclusion: The aerobic gymnastics did not affect total cholesterol. Moderate level of protein adequacy contributes to the total cholesterol level of adult women.


2011 ◽  
Vol 6 (1) ◽  
pp. 66
Author(s):  
Hadi Riyadi ◽  
Drajat Martianto ◽  
Dwi Hastuti ◽  
Evy Damayanthi ◽  
Kukuh Murtilaksono

<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">This </span><span style="font-size: 10pt;">research</span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us"> aim</span><span style="font-size: 10pt;">s</span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us"> to analyze underlying factors affecting child malnutrition at Timor Tengah Utara district, NTT. </span><span style="font-size: 10pt;">The</span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us"> design was a cross-sectional study. Sample of this study was household that have underfive years old children residing in the areas of Plan International. Data was collected by using structured questionnaire, focus group discussion and in-depth interview. Nutritional status was measured using anthropometric measurement with weight and height indicators and child consumption was recorded using 24 hours food’s recall. Result showed that in three villages prevalence of malnourished children was high, which were 6</span><span style="font-size: 10pt;">.</span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">0% classified as severe underweight, 15</span><span style="font-size: 10pt;">.</span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">3% severe stunting and 0</span><span style="font-size: 10pt;">.</span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">7% severe wasting. There was no significant difference in term of nutritional status. Child malnutrition was influenced by low access to nutrition and health information</span><span style="font-size: 10pt;">,</span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us"> low nutrition knowledge and practices</span><span style="font-size: 10pt;">,</span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us"> and low family income</span><span style="font-size: 10pt;" lang="en" xml:lang="en">.</span></p>


2011 ◽  
Vol 6 (1) ◽  
pp. 51
Author(s):  
Drajat Martianto ◽  
Hadi Riyadi ◽  
Rizma Ariefiani

<p class="MsoNormal" style="margin: 0cm 8.65pt .0001pt 13.5pt; text-align: justify; text-indent: 31.5pt;"><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">This study aimed to analyze the impacts of feeding practices on underfive children’s nutritional status in different level of household food security. The study design was a cross-sectional study. Data on feeding practices were collected through personal interviews used questionnaire and nutritional status was calculated by using WHO-NCHS z-score. The average scores of feeding practices among samples were categorized as low (54.4%) and children of group very food-insecure had the lowest score of feeding practices. There was a significantly difference among the groups in the scores of sample’s feeding practices. The study showed that about 86 percent of children were categorized as normal (BB/TB indicator), but there were 11.6 percent categorized as wasting, while 32.0 percent and 54.3 percent categorized as underweight and stunting, respectively. Statistical analyses showed significant difference in term of nutritional status. There was a significant correlation between child’s nutritional status (BB/U, TB/U and BB/TB) and household food security. The study showed that child’s nutritional status (BB/TB) was influenced by energy’s adequacy level.</span></p>


2021 ◽  
Author(s):  
Run-ze Zhao ◽  
Melba Márquez Fernández ◽  
Maria Cáceres Toledo ◽  
Teddy Osmin Tamargo Barbeito ◽  
Guo-xun Zhang ◽  
...  

Abstract Introduction: This study aims to analyze the correlation between hypertension (HTN) and changes in the retina's vascular and nervous structures in patients with hypertension.Method: This was a cross-sectional study, which included a group of 45 subjects who did not suffer from hypertension (HTN) (Group 1), other two groups of 51 patients with controlled (Group 2) and not controlled (Group 3) HTN. Changes in vascular and nervous structures were identified and evaluated by ophthalmoscopy and OCT, respectively. Parametric and non-parametric tests, Post-hoc, Pearson, and Spearman correlation were used, with p<0.05 considered statistically significant.Results: We observed hypertensive retinopathy (HTNR G I and II) in both groups with HTN, with a significant difference (p=0.023). We found a lower average retinal nerve fiber layer (RNFL), the average and minimum ganglion cell complex (GCC) in the patients of groups 2 and 3 than those of group 1. We found a negative and slight correlation between systolic blood pressure (SBP), diastolic blood pressure (DBP), and HTNR with superior GCC thickness in hypertensive patients.Conclusions: hypertension correlated to changes in the retina's vascular and nervous structures, and the nervous structure alterations were not visible by ophthalmoscopy but detected by OCT.


2014 ◽  
Vol 8 (1) ◽  
pp. 12-15 ◽  
Author(s):  
VC Punitha ◽  
P Sivaprakasam

ABSTRACT The objective Of this study was to assess the association of nutritional status and socio economic status in dental caries among rural children. Methods Children of age 6 – 10 yrs (n = 120) from government schools in two villages of Kanchipuram district were the study subjects. The children's nutritional status was assessed by means of anthropometric measurements. Body Mass Index using weight and height of children was evaluated using the reference standard of the WHO 2007. The socioeconomic status was assessed based on education, occupation and material possession. The children's oral cavity was screened for decayed and filled teeth (dft index) Results Nutritional assessment showed that 66.7% were malnourished. Female children (71.7%) were more malnourished than males (62.2%) with no significant difference between them. Children belonging to the low income group were more malnourished (74.7%) than children of middle income group (53.3%) (p = 0.01). The prevalence of caries in this population was 60% with mean dft index score of 1.7. Caries occurrence was more in the low income group (61.3%) than middle income group (57.8%) with no significant difference between the two groups (p=0.70). Comparing the caries occurrence between the malnourished children and the normal weight children it was seen that the caries occurrence was less in the malnourished children (p=0.23) Conclusion This cross sectional study concludes that malnutrition is not associated with dental caries and socioeconomic status influences nutritional status of a child in this rural population.


2011 ◽  
Vol 165 (2) ◽  
pp. 331-337 ◽  
Author(s):  
Katrien Wierckx ◽  
Els Elaut ◽  
Eva Van Caenegem ◽  
Fleur Van De Peer ◽  
David Dedecker ◽  
...  

ObjectiveTo describe sexual desire in female-to-male transsexual persons post sex reassignment surgery (SRS). The associations between serum androgen levels and sexual desire are examined.DesignSingle center cross-sectional study.MethodsForty-five female-to-male transsexual persons post SRS completed a standardized questionnaire assessing sexual desire (Sexual Desire Inventory). In addition, participants were asked questions on sexual desire before starting hormone treatment and having SRS. Serum levels of testosterone, LH and sex hormone-binding globulin were measured on fasting morning serum samples.ResultsIn retrospect, 73.9% of the participants reported an increase in sexual desire after hormone treatment and SRS. Solitary sexual desire scores were significantly correlated with frequency of masturbation (r=0.835;P<0.001), whereas frequency of sexual intercourse with a partner was not. No direct associations were found between testosterone and solitary or dyadic sexual desire. However, ANOVA showed an independent effect of LH on solitary sexual desire (P<0.001).Post hocanalysis revealed that female-to-male transsexual persons with elevated levels of LH, indicating suboptimal testosterone therapy, reported significantly lower solitary sexual desire levels (than those with low LH levels;P=0.007). Suppressed LH levels were also associated with having a higher need for sexual activities (P=0.009) and a higher frequency of excessive sexual desire (P=0.007).ConclusionMost female-to-male transsexual persons report on a marked increase in sexual desire after testosterone treatment and SRS. No direct associations between levels of testosterone and solitary or dyadic sexual desire were found. However, measures of sexual desire were inversely associated with LH levels.


2019 ◽  
Vol 3 (1) ◽  
pp. 27-36
Author(s):  
Yogi Syofyan ◽  
Joserizal Serudji ◽  
Hafni Bachtiar

There will be multiple organs changes in preeclampsia and eclampsia. One of them is a change in hemostasis system which is platelet activation, extrinsic and intrinsic cascade reaction and increasing of fibrinolytic activation. This is a cross sectional study conducted at Obstetric and Gynecologic Departement of Medical Faculty of Andalas University/ M Djamil Central Hospital in Padang on July 2014 with the number of samples are 44 persons. Samples are divided into 3 groups: Severe preeclampsia, eclampsia, and normal pregnancy. Platelet, PT,APTT, and D-Dimer counting were conducted and statistic analyzed was done with Anova dan Post Hoc Bonferoni. The more severe pregnancy, the lower platelet count and PT, but the dif- ference is not statistically significant between three groups: severe preeclampsia, eclampsia, and normal pregnancy (p < 0,05). Mean of APTT and D-Dimer is statistically significant due to condition of pregnancy. Post Hoc Bonferroni analysis showed a significant difference of APTT mean in the eclampsia, severe pre-eclampsia, and normal pregnancy (p <0,05 ). D-Dimer Mean shows a significant difference between normal pregnancy, severe preeclampsia, and eclampsia (p <0,05).Keywords: Pregnancy condition, severe preeclampsia, eclampsia, normal pregnancy, platelet, PT, APTT, and D-Dimer


2014 ◽  
Vol 2 (3) ◽  
pp. 311-314 ◽  
Author(s):  
Shristi Ghimire ◽  
Santosh Dhakal ◽  
Narayan Prasad Ghimire ◽  
Durga Datt Joshi

The objectives of this cross-sectional study was to determine the seropositivity status of Japanese encephalitis virus (JEV) in pig and ascertain the farm level risk factors in Nepal. Serum samples were collected from 181 pigs in 91 farms of Rupandehi and Kapilbastu districts and tested for antibodies by IgG ELISA. Survey of farmers in each farm was carried out to determine the farm level risk factors. A total of 20 out of 181 (11%) serum samples tested positive for JEV antibodies. There was no statistically significant difference in seropositivity with age (p>0.05), sex (p>0.05) and breed (p>0.05) of pigs. Farm level infection was significantly associated with closeness to rice fields (p<0.05), closeness to standing water sources (p<0.05), wild bird exposure (p<0.05) and mosquito bite to pigs (p<0.05). These factors need to be addressed while formulating prevention, control and management strategies of JEV in pig and hence in human. DOI: http://dx.doi.org/10.3126/ijasbt.v2i3.10639  Int J Appl Sci Biotechnol, Vol. 2(3): 311-314  


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