Online ISSN: 2515-8260

Keywords : Nutrition


A Study of Anemia in Hospitalized Patients of Heart Failure with Reduced Ejection

Dr Mayuri Singh, Dr Dhwani Shah, Dr Lalit Solanki, Dr Kunjal Kasta

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 6, Pages 305-315

INTRODUCTION: Heart failure is a complex clinical syndrome resulting from structural and functional impairment of ventricular filling or ejection of blood, which in turn leads to the cardinal clinical symptoms of dyspnea and fatigue and signs of HF, namely edema and rales.[1] According to the World Health Organization (WHO), anemia is defined as hemoglobin (Hb) levels <12.0 g/dL in women and <13.0 g/dL in men.[2] Anemia in HF decreases the oxygen delivery to the tissues leading to dyspnea and fatigue which worsens the quality of lives of the patients. The guidelines of the American College of Cardiology Foundation/American Heart Association and the European Society of Cardiology both recognize anemia as an important comorbidity in patients with HF. [3,4] Management recommendations focus on determining the underlying etiology and subsequent treatment, although, often no specific cause is found. In this study, we evaluated the patients of heart failure for anemia.
AIMS AND OBJECTIVES: To study anemia in hospitalized patients of heart failure with reduced ejection fraction.
METHOD AND MATERIAL: This is a hospital based cross sectional study of 140 patients of heart failure with reduced ejection fraction admitted in the Department of General Medicine, NHL Medical college, Ahmedabad, Gujarat. The material for this study was formed by adult patients admitted in the hospital between October 2019 to 2021 fulfilling the inclusion and the exclusion criteria.
RESULT: Out of 140 patients admitted heart with reduced ejection fraction, 58 (41.3%) had anemia with 59% being male. The mean age of patients in the anemic group was 58.5±9.95 years and iron deficiency anemia (53.44%) was the most common cause of anemia in patients of HFrEF with mean Hb being 8.42±1.62 g/dl. We found an inverse relationship between NYHA class grading and mean Hb but no correlation between EF severity and mean Hb.
CONCLUSION:
Anemia is a common comorbid condition in patients with HFrEF and has been associated with poor clinical outcome. In this study, nutritional anemia is the most common cause, hence by providing adequate nutrition and awareness we can reduce the burden and can attenuate worse outcomes in patients of heart failure.

A Hospital Based Prospective Study to Assess the Clinic-Hematological Profile of Nutrition Anemia Among Adolescents at a Tertiary Care Centre

Abender Singh Maanju, Priyanka Singh, Monisha Sahai

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 10461-10466

Background: Anemia is the world’s second leading cause of disability and thus one of
the most serious global public health problems. Adolescents of both sexes are
particularly vulnerable for developing anemia because of rapid growth and girls
additionally because of the onset of menstruation. The aim of this study to assess the
clinic-hematological profile of nutrition anemia among adolescents at a tertiary care
centre.
Materials& Methods: This is a hospital based observational study done on 50
adolescents attending OPD at JNUIMSRC, Jaipur, Rajasthan, India during one year
study period will be participating in this study as per the inclusion and exclusion
criteria. Anemia will be diagnosed according to the World Health Organisation (WHO)
criteria. Student t test (two tailed, independent) has been used to find the significance of
study parameters on continuous scale between two groups (Inter group analysis) on
metric parameters by using SPSS version 22.0 software.
Results: In 50 anemic adolescents studied, 34 were females, 16 were males. 50%
belongedto middle adolescence. 30% of study population belonged to lower middle
socioeconomicstatus according to modified Kuppuswamy’s classification. Anemia was
high amongvegetarian adolescent girls (55.88%). The commonest clinical presentation
was fatiguewhich was 56%. 42% adolescents had severe thinness according to WHO
classificationof body mass index (BMI). 48% had food skipping, 20.58% of adolescent
girls hadmenstrual irregularities. There was no significant difference among the
adolescent males and females pertaining to clinical eatures and laboratory values.
Conclusion: Nutritional anemia is a burden on adolescent children, as it affects the
transition of childhood to adulthood, and it influences the future health. B12 deficiency is
highly prevalent among the vegetarians. Nutritional awareness education should be
given to adolescents as they fear of gaining weight, irregular food habits, food faddism,
decreased intake of green leafy vegetables/animal proteins.

Organoleptic Evaluation of Calcium and Protein-rich snacks Developed from Macrotyloma uniflorum, Papaver somniferum and Sesamum indicum using TOPSIS

Shelly Garg, Dr Luxita Sharma

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 3526-3537

Horse gramis used as a remedy for kidney stones, bronchial asthma, bronchitis, leukoderma, urinary discharges, heart diseases and piles. Besides, it also possesses anti-diabetic, anti-ulcer interest and helps in nutritional management of obesity due to the presence of beneficial bioactive compounds.The opium poppy (Papaver somniferum) produces a variety of extensively used medicinal alkaloids like morphine, codeine, thebain and porphyroxine which might be the maximum important element of this plant. It is used as analgesic, narcotic, sedative, stimulant in addition to nutritive, and so forth. It is also beneficial in headache, cough, insomnia, cardiac asthma, and biliary colic.Sesame seeds likewise contain two exceptional substances: sesamin and sesamolin known to have a cholesterol bringing impact in people and down to forestall hypertension. Cephalin, a phospholipid from sesame seed has been accounted for to have haemostatics action.The product is made by using different methods including soaking, drying, grinding, roasting and microwave baking. Overall, 4 samples have been advanced to determine the most ideal food product thru sensory evaluation by using different individuals.Statistical tests like MAHP and TOPSIS were used to rank the samples. Sample D shows both highest ranking in TOPSIS as well as high hedonic rating, among all four samples containing 40% horse gram, 35% poppys seeds and 25% sesame seeds. The aim of the product developed is to prevent and control Calcium deficiency. Apart from this, the product is calorie dense; rich in protein, omega fatty acids and antioxidant, which are required in building immunity.

DETERMINANT OF STUNTING AMONG UNDER FIVE CHILDREN AT PUSKESMAS (PUBLICHEALTH CENTER) PONTIANAK CITY

Indah Budiastutik; Pitriyani .; Martha Irene Kartasurya; Suriadi .

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 2, Pages 2089-2097

Objective :This study aimsto analyzetherelationshipbetween macro and micro nutrientsintakeandbreastfeedingduration on stuntingas well asnon-stunting toddlers. Method: Thestudywasconductedusingthequantitativedescriptivemethodwithacase controldesign. Sixty-eight(68)infant were selected after 224 candidates were screened.Stuntingwas measuredonz-score WHZandanalyzedwithWHO Anthro2005 while nutrientintakewasmeasuredbyRecallform1x24 hours,breastfeeding reports were obtained fromquestionnaire. Furthermore, bodyheight(WHZ)wasmeasuredusing microtoise whileBivariateanalysis was carried out usingChisquaretest.Results: The results showedthat thereisa relationshipbetweenstunting and
energywithp=0.000<α=0.05CI9.905(0.630- 37.911),proteinP=0.000<α=0.05CI9.905(0.630-37.911, andvitaminA,p=0.000 <α=0.05CI3.125(1,724-5,664). In addition, there wasalso acorrelationwithcalciump=0.000<α=0.05 CI6.008(2.045- 17.650),zinc=0.000<α=0.05CI8.727 (2,287- 33,303),andexclusivebreastfeedingp=0.000<α=0.05CI9.905 (0.630-37.911). Conclusion:Based on theresults(pvalue 0.000),there isa significant correlation between energy, protein, vit A, Ca, as well as zincintake and stuntingin underfivechildren.

Organoleptic Evaluation of Calcium and Protein-rich snacks Developed from Macrotyloma uniflorum, Papaver somniferum and Sesamum indicum using TOPSIS

Shelly Garg, Dr Luxita Sharma

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 11, Pages 9122-9132

Horse gramis used as a remedy for kidney stones, bronchial asthma, bronchitis,
leukoderma, urinary discharges, heart diseases and piles. Besides, it also possesses antidiabetic,
anti-ulcer interest and helps in nutritional management of obesity due to the
presence of beneficial bioactive compounds.The opium poppy (Papaver somniferum)
produces a variety of extensively used medicinal alkaloids like morphine, codeine, thebain
and porphyroxine which might be the maximum important element of this plant. It is used
as analgesic, narcotic, sedative, stimulant in addition to nutritive, and so forth. It is also
beneficial in headache, cough, insomnia, cardiac asthma, and biliary colic.Sesame seeds
likewise contain two exceptional substances: sesamin and sesamolin known to have a
cholesterol bringing impact in people and down to forestall hypertension. Cephalin, a
phospholipid from sesame seed has been accounted for to have haemostatics action.The
product is made by using different methods including soaking, drying, grinding, roasting and
microwave baking. Overall, 4 samples have been advanced to determine the most ideal food
product thru sensory evaluation by using different individuals.Statistical tests like MAHP
and TOPSIS were used to rank the samples. Sample D shows both highest ranking in
TOPSIS as well as high hedonic rating, among all four samples containing 40% horse gram,
35% poppys seeds and 25% sesame seeds. The aim of the product developed is to prevent
and control Calcium deficiency. Apart from this, the product is calorie dense; rich in protein,
omega fatty acids and antioxidant, which are required in building immunity.

CHANGE IN THE DIETARY HABITS OF PEOPLE DURING THEIR NORMAL LIFESTYLE VS LOCKDOWN PERIOD- A QUESTIONNAIRE SURVEY

M. Ashritha; Jayalakshmi Somasundaram

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 709-722

Humans require different quantities of diet to lead a healthy and active life. Good nutrition or proper intake of diet is necessary which is in relation with the body's dietary needs. A well balanced diet plays a major role and becomes the cornerstone of good health. The type of diet consumed by the people has lost it‟s quality over the years due to the work pressure and stress experienced by the people. During a pandemic, where people are forced to stay at their homes, the food consumption changes. There is a lot of possibility of people to change their diet inorder to improve the quality of their life. A questionnaire was prepared regarding the changes in the dietary habit of the people during the lockdown vs normal period. It was circulated among the people of Tamil Nadu. The questionnaire was uploaded in google forms. Finally, the data was collected, compiled and statistically analysed.The dietary habits have changed to a significant level during this lockdown period. There is an increase in the consumption of food during the lockdown when compared to the normal lifestyle.This study reveals that the lockdown has affected the people‟s dietary habits due to multifactorial reasons

Awareness On The Diet Plan In Covid- 19 Among College Students - A Survey

Helen Reshma; K, Vishnu Priya; V, Gayathri. R; Kavitha. S

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 2720-2738

ABSTRACTCoronavirus disease ( COVID-19 ) is caused by SARS-CoV2 and is a great global public health concern. The zoonotic origin of COVID-19 is likely to be the wet animal market in Wuhan city, China. The transmission of COVID-19 can be from person-to-person and this leads to the isolation of patients. Extensive measures were taken to reduce person-to-person transmission of COVID-19 and to control the current outbreak. So it is necessary and important to know the dietary patterns which play an important role in the prevention of COVID-19. This study involves college students in the age group of 12-40 years. A well structured questionnaire was prepared comprising 15 questions covering socio-demographic information, knowledge , attitude, perceptions was framed and administered to the participants through an online google forms link. A total of 116 responses were collected out of which 42.6% were male and 57.4% were female. 80% of the total population were aware that diet patterns play an important role in COVID-19. Pearson Chi square value= 0.61, p=0.89 ( p>0.05 indicating statistically not significant. 73% of the total population were aware that an increase in immunity of our body prevents COVID-19. Pearson Chi square value=5.88, p=0.11 ( p>0.05 indicating statistically not significant). It may be concluded that most of the students are aware of the diet pattern in COVID-19. Awareness may be created to have an intake of balanced diet during the pandemic period.

PREVALENCE AND ASSOCIATED FACTORS OF MALNUTRITION AMONG MEDICAL STUDENTS IN INDIA

M. Kaja Lakshmy, E. Prabhakar Reddy

European Journal of Molecular & Clinical Medicine, 2018, Volume 5, Issue 1, Pages 193-199

Malnutrition includes both over nutrition and under nutrition. Country like Indiaharbours burden
of both types. College students are highly vulnerable to malnutrition as they seem tobe nonchalant
about their dietary habits, physical activity and general health due to academic burdenand lack of
time. With increasing importance given to physical appearance one group of students areinto diet,
consumption of dietary pills and bulimia. On the other hand another set of students areaddictedto
junk food andsedentarylife and end up in overnutrition. Our study aim is a) To estimate the
prevalence of malnutrition among medical studentsb) To assessthefactorsassociated with
malnutrition amongmedical students.Acrosssectionalstudy was done among undergraduate
medical students. Asemi-structuredquestionnairewasselfadministeredamong200studentsandalsoanthropometricexaminationwasconducted
andBMI
wascalculatedwiththe quetlet’s equation(weightinkgdivided by height in m2 ) The dietary habits
and intensity and frequency of physical activity werequestioned.Thedatawasentered in an Excel
sheet and theresults weretabulated.According to the WHO BMI scale , 13 students were
underweight , 113 were healthy ,55 were overweight and 19 were obese . Obese and Overweight
students were found to be morelethargicand had worsedietaryhabits than
thehealthystudents.Obesity and overweight is quite common among medical students .
Awarenessabout the ill effects of malnutrition has to be provided and medical students should be
encouraged totake care of their health so that they can adapt to a healthy lifestyle and also
practice the education ofhealthpromotion amongtheirpatients in future.