Foliar application of micronutrients enhances crop stand, yield and the biofortification essential for human health of different wheat cultivars

Globally about half of the world’s population is under micronutrient malnutrition due to poor quality food intake.To overcome this problem,fortification and biofortification techniques are often used.Biofortification is considered a better option than fortification due to the easy control of nutrient deficiencies present in daily food.This field experiment was conducted to evaluate the effects of foliar application of a micronutrient mixture(MNM)consisting of zinc(Zn),iron(Fe),copper(Cu),manganese(Mn)and boron(B)on yield and flour quality of wheat.The results show the effectiveness of foliar feeding for growth and yield parameters,in addition to the enriching of wheat grains with Zn,Cu,Fe,Mn and B.Compared to the control without foliar feeding,foliar application on wheat crop increased tillering ability,spike length,grain yield and the contents of Zn,Cu,Mn,Fe and B by 21,47,22,22 and 25%in wheat flour,respectively.Therefore,foliar feeding of micronutrients could be an effective approach to enrich wheat grains with essential nutrients for correcting malnutrition.

Impact of Periconceptional Multi-micronutrient Supplementation on Gestation:A Population-based Study

Objective To examine the effect of periconceptional multi‐micronutrient supplementation on gestation and birth outcomes.Methods A population‐based community intervention program was conducted in 18 counties in China.Participants were divided into an intervention group,who received multi‐micronutrient supplementation from at least 3 months before pregnancy throughout the first trimester,and a control group.Pregnant women were followed up to record information about birth outcomes.Maternal socio‐economic characteristics and main birth outcomes were evaluated.Gestational age was further analyzed using survival analysis,to determine the time distribution of delivery.Results Periconceptional multi‐micronutrient supplementation was associated with higher birth weight,birth length and occipitofrontal head circumference,and with lower incidence rates for stillbirth,low birth weight,and preterm birth.Moreover,periconceptional multi‐micronutrient supplementation changed the time distribution of delivery,making the deliveries more clustered in the period between day 275 and day 295 of gestation.Conclusion Our study shows that periconceptional multi‐micronutrient supplementation is beneficial for fetal development and optimizes all measured aspects of health in neonates in socioeconomically disadvantaged areas in China.The change in time distribution of deliveries caused by multi‐micronutrient supplementation needs further clarification.

Application of Micronutrients in Rice-Wheat Cropping System of South Asia

Rice-wheat cropping system (RWCS) is one of the most important cropping systems in South Asia. However, sustainability of this system is under threat owing to several factors, of which deficiency of micronutrients particularly zinc (Zn), boron (B) and manganese (Mn) is one of the major problems. Continuous rotation of rice and wheat, imbalanced fertilizer use and little/no use of micronutrient-enriched fertilizers induce deficiencies of Zn, B and Mn in the RWCS of South Asia. Here we review that (i) imbalanced fertilizer use and organic matter depletion deteriorate soil structure resulting in low efficiency of applied macro- and micro-nutrients in RWCS.(ii) The micronutrients (Zn, B and Mn) are essentially involved in metabolism of rice and wheat plants, including chlorophyll synthesis, photosynthesis, enzyme activation and membrane integrity.(iii) Availability and uptake of Zn, B and Mn from rhizosphere depend on the physico-chemical soil properties (which differ under aerobic and anaerobic conditions) including soil pH, soil organic matter, soil moisture and interaction of these micronutrients with other nutrients.(iv) Plant ability to uptake and utilize the nutrients is affected by several plant factors such as root architecture, root hairs, transport kinetics parameter and root exudates.(v) Crop management and application of these microelements can help correct the micronutrients deficiency and enhance their grain concentration.

Interactions among Micronutrient Deficiencies and Undernutrition in the Philippines

Data gathered from the 1987 National Nutrition Survey in the Philippines provided the opportunity to study the interactions among micronutrient deficiencies and undernutrition in different age groups as basis for program targeting. A randomly selected set of 50% of the households (3,200) covered by the national survey served as source of subjects. Results showed that there was a greater proportion of anemia among the undernourished (as judged by weight for age in children and weight for height in adults) (66.0%)than among the adequately nourished (54.6%) (P <0.01 ). However, the observed differencesin the proportion of serum vitamin A deficiency and of goiter among the undernourished compared to the adequately nourished were not significant. Also not significant were the observed higher prevalence of anemia among subjects with acceptable serum vitamin A levels for both adequately nourished and undernourished, and the higher prevalence of vitamin A deficiency among the non-anemics. Again there were no significant differences in the prevalence of anemia among goitrous and non-goitrous subjects, as well as the prevalence of goiter among anemic and non-anemic subjects. Neither were there significant differences in the prevalence of vitamin A deficiency among goitrous and non-goitrous subjects, but there were significant differences in the prevalence of goiter among vitamin A deficient and non-vitamin A defjcient subjects among the 7-14 years old and among pregnant and lactating women.The study concludes that at the national level, there is apparently an interaction between anemia and protein-energy undernutrition and possibly also between goiter and vitamin A deficiency in the high-risk age groups, but between anemia on the one hand and goiter and vitamin A deficiency in the other, perhaps because of clustering in the latter conditions not found in anemia and general undernutrition. These findings may be useful in targeting communities with high prevalence of micronutrient deficiencies by using prevalence of underweight and goiter as indicators for high prevalence of anemia and vitamin A deficiency, respectively

Role of micronutrients in staging of nonalcoholic fatty liver disease:A retrospective cross-sectional study

BACKGROUND Nonalcoholic fatty liver disease(NAFLD) presents high incidence throughout the world and has been progressively increasing in prevalence. This disease has a heterogeneous natural history, including simple steatosis, nonalcoholic steatohepatitis(NASH), and cirrhosis. The factors that determine its evolution to more severe forms of the disease are still poorly understood, and micronutrients with antioxidant potential may be involved in the pathophysiology of the disease.AIM To evaluate the relationship between serum levels of micronutrients and the severity of NAFLD.METHODS A retrospective, observational and cross-sectional study was conducted. This study included all patients undergoing bariatric surgery who experienced liver biopsy during the procedure, and had serum levels of micronutrients(vitamin D,vitamin B12, zinc, iron, and magnesium), which was assessed in a preoperative evaluation conducted at a reference center in southern Brazil.RESULTS A total of 614 patients were analyzed, of which 93% had steatosis, 70.7% had NASH, and 49.3% had some degree of fibrosis. Serum levels of vitamin D were negatively correlated with the severity of steatosis and NASH, and serum levels of vitamin B12 were positively correlated with the severity of steatosis and fibrosis. The other micronutrients showed no association with NAFLD staging.CONCLUSION Serum levels of vitamin D are inversely related to the severity of steatosis and NASH, and serum levels of vitamin B12 are higher in more advanced stages of simple steatosis and liver fibrosis. Serum levels of zinc, iron, and magnesium were not associated with NAFLD severity.

Quantitative Trait Loci Associated with Micronutrient Concentrations in Two Recombinant Inbred Wheat Lines

Micronutrient malnutrition affects over three billion people worldwide, especially women and children in developing countries. Increasing the bioavailable concentrations of essential elements in the edible portions of crops is an effective resolution to address this issue. To determine the genetic factors controlling micronutrient concentration in wheat, the quantitative trait locus （QTL） analysis for iron, zinc, copper, manganese, and selenium concentrations in two recombinant inbred line populations was performed. In all, 39 QTLs for ifve micronutrient concentrations were identiifed in this study. Of these, 22 alleles from synthetic wheat SHW-L1 and seven alleles from the progeny line of the synthetic wheat Chuanmai 42 showed an increase in micronutrient concentrations. Five QTLs on chromosomes 2A, 3D, 4D, and 5B found in both the populations showed signiifcant phenotypic variation for 2-3 micronutrient concentrations. Our results might help understand the genetic control of micronutrient concentration and allow the utilization of genetic resources of synthetic hexaploid wheat for improving micronutrient efifciency of cultivated wheat by using molecular marker-assisted selection.

Long-term outcome of patients with chronic pancreatitis treated with micronutrient antioxidant therapy

BACKGROUND： Micronutrient antioxidant therapy did not relieve pain in a European randomized trial of patients with chronic pancreatitis without malnutrition. However, intervention was undertaken only for 6 months leaving unanswered the question of whether long-term antioxidant therapy may modulate chronic pancreatitis. The aim of this study is to assess the outcome of long-term use of micronutrient antioxidant therapy in patients with chronic pancreatitis.METHODS： This is a single center clinical cohort report of patients with chronic pancreatitis prescribed micronutrient antioxidant therapy and followed for up to 10 years. Data were collected on demographic detail, clinic pain assessment, insulin requirements, interventions and outcome.RESULTS： A group of 30 patients with a diagnosis of chronic pancreatitis constitute the study population. Median age at time of diagnosis was 40 years（range 14-66）; 19（63%） were male and the median duration of symptoms was 2 years（range 0-18）. Alcohol was the dominant cause in 22（73%） patients and 16（53%） patients were Cambridge stage 1. Twenty-four（80%） patients had pain at presentation. During antioxidant treatment of 4 years（range 1-10）, pain decreased but the proportion with abdominal pain compared to those who were pain-free remained constant（P=0.16; two-way ANOVA with Bonferroni correction）. There was a significant increase in requirement for insulin（P=0.028） with time together with use of both endoscopic and surgical interventions.CONCLUSIONS： This is the first study to report long-term disease-specific outcome in patients with chronic pancreatitis prescribed micronutrient antioxidant therapy. There appears to be no effect of intervention on outcome.

Effects of Nitrogen Fertilization and Genotype on Rice Grain Macronutrients and Micronutrients

High nitrogen （N） input features China＇s intensive rice production system. To elucidate N and genotype effects on accumulation of macronutrients and micronutrients in grains of japonica rice, and to discuss its significance in rice production, a three-year field experiment involving six japonica rice varieties and seven N treatments were performed. Macronutrients （Ca, Mg, K, and Na） and micronutrients （Cu, Fe, Mn, and Zn） concentrations in brown and milled rice were measured using an atomic absorption spectrophotometer. For macronutrients, no consistently significant effect of N was detected in both brown and milled rice. For micronutrients, N showed significant effect, especially in lowering Zn accumulation in brown and milled rice. In addition, N tended to increase Fe concentration in milled rice. Genotype showed larger effect on distribution of minerals in milled rice than N. The high-yielding variety, Wuyunjing 7, accumulated larger proportion of Mg, K, and Zn in the milled rice as compared with the other five varieties and could be of value for rice breeding programs aiming at high nutritional quality. The results demonstrated differences in response to N between macronutrients and micronutrients, and are of significance for coping with ＇hidden hunger＇ both in humans and crops through agronomical practices.

Micronutrient Status in Soil of Central India

Two major issues, i.e. large crop productions and huge anthropogenic activities (e.g. fuel burning and mineral roasting) disturb the micronutrient balance in the soil of India. In this work, the available and total status of eight micronutrients i.e. Fe, Mn, Cu, Zn, Co, Ni, Mo, and S of the soils in the most urbanized area: Raipur area, Chhattisgarh, India (extending over ≈ 2 × 104 km2) is described. The available status of micronutrients i.e. Fe, Mn, Cu, Zn, Co, Ni, Mo and SO42- in the soils (n = 100) was ranged from 30 - 8253, 205 - 2800, 2.0 - 8.1, 0.7 - 5.0, 2.2 - 31.2, 0.1 - 13.4, 0.1 - 8.9 and 41 - 747 mg/kg with mean value of (at 95% probability) 642 ± 186, 1178 ± 119, 4.3 ± 0.3, 2.3 ± 0.2, 12.8 ± 1.3, 3.9 ± 0.6, 1.5 ± 0.3 and 281 ± 25 mg/kg, respectively. The concentration variations, deficiencies and toxicities of the micronutrients in the soil are discussed.

Embracing cancer immunotherapy with vital micronutrients

Immunotherapy is now commonly prescribed to cancer patients,but autoimmune-related adverse events are considerable.For severe,life-threatening side effects,cessation of therapy seems unavoidable,let alone intensive medical care required for patching up the adverse events.Even without serious adverse events,the response rates are too low and various combinatory regimens have been tried.However,toxicities are also added on,unless the adjuvant agents have remarkably few side effects.Actually,micronutrients are usually taken by a majority of cancer patients as nutritional support or to boost the immune function,let alone hoping to counteract treatment side effects.Recent studies have shown that combinations of micronutrients exert pleiotropic effects in controlling tumor growth and metastasis by modulating the tumor microenvironment,enhancing gut microbiota immune functions,and providing adjunct nutritional support to micronutrient deficient cancer patients.A higher than recommended dietary allowance micronutrient dose is proposed to reduce the toxic free radicals generated as a result of immunotherapy and tumor metabolism.This is not only helpful for managing treatment side effects but also enhancing treatment efficacy.As micronutrient supplementation is also useful to improve patients’quality of life,prolong survival,and sustain compliance to immunotherapy,further investigations are mandatory.

Effect of Foliar Application of Micronutrients on Fruit Quality of Peach

This experiment was conducted to study the effect of foliar spray of micronutrients on quality of peach fruits at Horticulture Farm, University of Agriculture Peshawar during 2010. The experiment was conducted in randomized complete design with six treatments and four replications on peach orchards (early grand). Our pre-treatment soil analysis showed silt loam soil class, alkaline and calcareous in nature and adequate in organic matter. The soil was deficient in P, Zn, Fe and B, whereas adequate in Mn and Cu. The fruit quality was evaluated and maximum fruit length, diameter and yield were noted in T6 (Zn + Cu + Fe + Mn + B). The juice pH decreased and the juice acidity increased in a linear fashion after foliar spray of micronutrients. The total soluble solids of fresh fruit juice ranged 7.01%-8.88% and vitamin C ranged from 4.80%-7.90% after foliar spray. So the foliar spray of micronutrients significantly (P ≤ 0.05) affected the quality of peach fruit.

Foliar Application of Micronutrients Enhances Wheat Growth, Yield and Related Attributes

Wheat is one of the most essential foods in the world. To increase its productivity, nutrient management is one of the most important factors. To assess the possible role of micronutrients in improving wheat yield, an experiment was conducted to evaluate the wheat performance by foliar application of micronutrients. Treatments consist of T1 = No spray, T2 = Spraying plants with tube well water (control), T3 = Spraying plants with 1.6 kg FeSO4/100 L water/acre, T4 = Spraying plants with 3 kg ZnSO4 (21%)/100 L water/acre, T5 = Spraying plants with 1 kg MnSO4/100 L water/acre, T6 = Spraying plants with (FeSO4 + MnSO4), T7 = Spraying plants with (FeSO4 + ZnSO4), T8 = Spraying plants with (ZnSO4 + MnSO4), and T9 = Spraying plants with (FeSO4 + ZnSO4 + MnSO4). Results showed that foliar application of micronutrients substantially improved plant height, spike length cm, spikelets/spike, grains/spike, test weight, Tillers m-2, grain and biological as well as harvest index of wheat. Among treatments, foliar application of FeSO4 + ZnSO4 + MnSO4 remained comparatively better regarding yield related attributes of

Soil and Leaf Micronutrient Composition in Contrasting Habitats in Podzolized Sands of the Amazon Region

Plant macronutrient distribution in podzolized sands of the Amazon caatinga has received attention in several studies;however, the distribution of micronutrients has not been assessed. Soil micronutrient availability has been hypothesized to reflect contrasting habitat characteristics as well as fundamental differences in substrate, and leaf micronutrient composition may reflect the macronutrient content needed to maintain balance for leaf cell functions. In this study, soil and leaf samples were obtained in a toposequence (valley, slope, and mound). Available soil micro- and macronutrients as well as total leaf content were measured by inductively coupled plasma-atomic emission spectrometer and mass spectroscopy. Soil Zn (-1) and B (-1) as well as Cu (-1) levels were very low. Soil Mn was low in the valleys and slopes (0.62-0.87 mg·kg-1), but higher in the mound (6.59 mg·kg-1). Soil Fe (11.48-21.13 mg·kg-1) was well above the critical level in all of the habitats. Leaf micronutrients Cu, B, Zn, and Fe were below the critical levels for tropical crops of 3-7, 20-70, 15-20, and 72 mg·kg-1, respectively. Leaf Mn (88 mg·kg-1) and Al (<50 mg·kg-1) were below the accumulators level. A strong relationship between leaf micro- and macronutrients suggests the maintenance of a homeostatic elemental composition, which may favour photosynthetic function. Therefore, the local distribution of species may be shaped by their abilities to maintain a balance of micronutrient collected through roots under critically low levels of available Zn, B, and Cu whilst excluding potentially deleterious ions of Mn, Fe, and Al.

Role of Micronutrient in Rice Cultivation and Management Strategy in Organic Agriculture—A Reappraisal

Micronutrient refers to the relative quantity of a nutrient that is required for plant growth. It takes part in metabolic activities, enzymatic process/catalysts etc. Thus these all directly and indirectly help in plant growth and development. There are 8 essential plant nutrient elements defined as micronutrients like boron (B), zinc (Zn), manganese (Mn), iron (Fe), copper (Cu), molybdenum (Mo), chlorine (Cl) and silicon (Si). They constitute in total less than 1% of the dry weight of most plants. Organic sources like farm yard manure, compost, vermicompost etc. may contain less quantity of these nutrients but presence of these help the plant in their growth and development. They also called trace elements or minor elements. They are required only in small amounts (5 to 200 ppm, or less than 0.02% dry weight). The visual symptoms may be caused by more than one nutrient. Deficiency of one nutrient may be related to an excess quantity of another. Nutrient deficiency symptoms are observed only after the crop has already suffered an irretrievable loss. When soil supplies more quantity of nutrient than the plant’s requirement, plant shows toxicity symptom.

Effects of Sulfur and Manganese Micronutrients on the Yield of Soybean Varieties

In this article, it is given about lengthening of praxis period, stem and leaf growth, leaf surface, number of stems and weight than the control variant soybean varieties, and the yield and grain quality of soybean varieties are significantly higher when the three types of sulfur and manganese on background of mineral fertilizers are applied in suspension in the condition of meadow-swamp soil. In the soybean varieties, mineral fertilizers were used in the variant with an additional yield of around 5 - 12 c/ha compared to the control. According to the norms of the manganese element, around 7 - 20 c/ha;when using sulfur, the yield in soybean varieties is around 8.0 - 18.0 c/ha. On the background of mineral fertilizers, grain quality has changed due to micronutrients. Protein content in the “Orzu” variety increased by 3.1% - 8.4% when manganese and sulfur elements were used;in the “Nafis” variety, the protein content was found to increase by 6.1% - 8.5%.

Microfluidic Chip Method for Multi-SNPs Genotyping in Individual Risk Assessment of Micronutrient Deficiency

Research on nutrigenomics has accumulated sufficient data in the past two decades that have dem on strated phe no types of single n ucleotide polymorphisms (SNPs) betwee n healthy and micronutrient-deficient populations. For instance, Zhang et al. showed that the genes MTHFR C677T, MTRR A66G, and MTR A2756G were the genetic factors resp on sible for low absorptio n and bioavailability of vitamins such as folate, B6/ and B12. It has also been reported that these nutrients are closely associated with the prevale nee of neural tube defects in newborn infants。

Micronutrient dynamics in some wetland soils of south-eastern Nigeria

The inventory of profile distribution of total iron (Fe), zinc(Zn), manganese(Mn) and copper(Cu) were determined in three different soil horizons each of the wetland soils selected form Mbiabet(MB), Nkari(NK) and Nkana(NA) in Ini Local Government Area of Akwa Ibom State. Total Fe ranged between 3 25 and 4 15 ppm. The average contents were 3 72, 3 91 and 3 62 ppm in Mbiabet(MB), Nkari(NK) and Nkana(NA) soils respectively. The total value of Zn also ranged between 2 4 and 4 9 ppm with the average content in each soil being 28.27, 17 73 and 36 53 ppm respectively. The amount of Fe and Zn in these soil profiles were strongly correlated with the clay content and high levels of organic matter of 3 70%, 2 47% and 2 5% respectively. The content clearly reflected a poor drainage conditions.In all the soil profiles Mn and Cu were detected in at least one of the soil horizons. However, Mn and Cu were not detected in the soil horizons at Nkari.Generally, the relative inventory of these micronutrients appeared to be influenced by pH, drainage pattern, organic matter and clay contents of these soils.The inventory of total values of the wetland soils considered are assessed in the light of establishing a baseline information.

Yield of testing for micronutrient deficiencies associated with pancreatic exocrine insufficiency in a clinical setting: An observational study

BACKGROUND Pancreatic exocrine insufficiency(PEI)can be difficult to diagnose and causes maldigestion symptoms and malabsorption.There has been a number of studies that have identified PEI associated micronutrient deficiencies(PEI-MD),however there is variation in both the frequency and type of PEI-MD reported,with the majority of studies including patients with PEI due to chronic pancreatitis(CP)or CP without PEI.There is a paucity of information regarding the prevalence of PEIMD in patients with PEI without CP and the yield of testing for PEI-MD in a clinical setting in patients with suspected benign pancreatic diseases.AIM To prospectively assess the yield and type of PEI–MD in patients with and without PEI secondary to benign pancreatic disease.METHODS Patients investigated for maldigestion symptoms with Faecal Elastase-1(FEL-1)and suspected or proven benign pancreatic disease were prospectively identified.At the time of FEL-1 testing,serum samples were taken for micronutrients identified by previous studies as PEI-MD:prealbumin,retinol binding protein,copper,zinc,selenium,magnesium and later in the study lipid adjusted vitamin E.FEL-1 was recorded,with a result<200μg/g considered diagnostic of PEI.Patients underwent computed tomography(CT)imaging when there was a clinical suspicion of CP,a new diagnosis of PEI recurrent,pancreatic type pain(epigastric abdominal pain radiating to back with or without previous acute pancreatitis attacks)or weight loss.RESULTS After exclusions,112 patients were recruited that underwent testing for FEL-1 and PEI-MD.PEI was identified in 41/112(36.6%)patients and a pancreatic CT was performed in 82 patients.Overall a PEI-MD was identified in 21/112(18.8%)patients.The yield of PEI-MD was 17/41(41.5%)if PEI was present which was significantly higher than those without 4/71(5.6%)(P=0.0001).The yield of PEI–MD was significantly higher when PEI and CP were seen together 13/22(59.1%)compared to CP without PEI and PEI without CP(P<0.03).Individual micronutrient assessment showed a more frequent occurrence of prealbumin 8/41(19.5%),selenium 6/41(14.6%)and magnesium 5/41(12.2%)deficiency when PEI was present(<0.02).The accuracy of using the significant micronutrients identified in our cohort as a predictor of PEI showed a positive predictive value of 80%-85.7%[95%confidence interval(CI):38%-100%]and a low sensitivity of 9.8%-19.5%[95%CI:3.3%-34.9%].CONCLUSION Testing for PEI-MD in patients with suspected pancreatic disease has a high yield,specifically when PEI and CP are found together.PEI-MD testing should include selenium,magnesium and prealbumin.

Effects of Micronutrients on Oxidative Stress and Islet Function in Type 1 Diabetes Mellitus Rats:Relationships to Th2 Type Cytokines,Interleukin-4,and Interluekin-10

To observe the effects of the micronutrients on oxidative and autoimmune destruction of islets so as to prevent a person from the onset and development of type 1 Diabetes Mellitus （T1DM）, the interleukin-4 and interleukin-10 expressions of lymphocytes in peripheral blood and spleen of T1DM rats were determined by flow cytometry. GSH-Px activity and MDA level in the rats＇ pancreas were measured using biochemical methods. The insulin contents in serum and β cell insulin secret storage were tested by RIA and IHC, respectively. There was an increase in the percentages of IL-4 and IL-10 positive lymphocytes in the peripheral blood and spleen of the groups of rats supplemented with various combinations of micronutrients（p 〈0.01 and p 〈0.05, respectively） ; the blood glucose concentration decreased （p 〈 0. 05 ） ; both the functional β cell in islets and the insulin content in pancreatic tissue increased （p 〈 0. 05 and p 〈0. 01 ） ; the GSH-Px activity and MDA level of pancreas in the rats enhanced and decreased respectively（p 〈0. 01 and p 〈 0. 05）. The results suggest that micronutrients may alleviate the islet lesions by upregulating the expressions of IL-4 and IL-10 and lowering oxidative stress in diabetic rats .

Role of micronutrients in Alzheimer's disease:Review of available evidence

Alzheimer's disease(AD)is one of the most common age-related neurodegenerative disorders that have been studied for more than 100 years.Although an increased level of amyloid precursor protein is considered a key contributor to the development of AD,the exact pathogenic mechanism remains known.Multiple factors are related to AD,such as genetic factors,aging,lifestyle,and nutrients.Both epidemiological and clinical evidence has shown that the levels of micronutrients,such as copper,zinc,and iron,are closely related to the development of AD.In this review,we summarize the roles of eight micronutrients,including copper,zinc,iron,selenium,silicon,manganese,arsenic,and vitamin D in AD based on recently published studies.