A disregard for calories during sampling: Exploring the “samples don’t count” effect

Product sampling is an important part of food retailing promotion. We explore how food sampling affects individuals’ total caloric estimates of a consumption episode. In a field study, at a small self-serve frozen yogurt store, 144 participants were randomly assigned to either a control or samples’ condition. Analysis of variance showed that individuals who had no or one sample overestimated the number of calories they were consuming, while those who had two or more samples underestimated their caloric intake.

Age-related driving mechanisms of retinal diseases and neuroprotection by transcription factor EB-targeted therapy

Retinal aging has been recognized as a significant risk factor for various retinal disorders,including diabetic retinopathy,age-related macular degeneration,and glaucoma,following a growing understanding of the molecular underpinnings of their development.This comprehensive review explores the mechanisms of retinal aging and investigates potential neuroprotective approaches,focusing on the activation of transcription factor EB.Recent meta-analyses have demonstrated promising outcomes of transcription factor EB-targeted strategies,such as exercise,calorie restriction,rapamycin,and metformin,in patients and animal models of these common retinal diseases.The review critically assesses the role of transcription factor EB in retinal biology during aging,its neuroprotective effects,and its therapeutic potential for retinal disorders.The impact of transcription factor EB on retinal aging is cell-specific,influencing metabolic reprogramming and energy homeostasis in retinal neurons through the regulation of mitochondrial quality control and nutrient-sensing pathways.In vascular endothelial cells,transcription factor EB controls important processes,including endothelial cell proliferation,endothelial tube formation,and nitric oxide levels,thereby influencing the inner blood-retinal barrier,angiogenesis,and retinal microvasculature.Additionally,transcription factor EB affects vascular smooth muscle cells,inhibiting vascular calcification and atherogenesis.In retinal pigment epithelial cells,transcription factor EB modulates functions such as autophagy,lysosomal dynamics,and clearance of the aging pigment lipofuscin,thereby promoting photoreceptor survival and regulating vascular endothelial growth factor A expression involved in neovascularization.These cell-specific functions of transcription factor EB significantly impact retinal aging mechanisms encompassing proteostasis,neuronal synapse plasticity,energy metabolism,microvasculature,and inflammation,ultimately offering protection against retinal aging and diseases.The review emphasizes transcription factor EB as a potential therapeutic target for retinal diseases.Therefore,it is imperative to obtain well-controlled direct experimental evidence to confirm the efficacy of transcription factor EB modulation in retinal diseases while minimizing its risk of adverse effects.

Juxtapose of System Performance for Food Calorie Estimation Using IoT and Web-based Indagation

A rudimentary aspect of human life is the health of an individual,and most commonly the wellbeing is impacted in a colossal manner through the consumption of food. The intake of calories therefore is a crucial aspect that must be meticulously monitored. Various health gremlins can be largely circumvented when there is a substantial balance in the number of calories ingested versus the quantity of calories expended.The food calorie estimation is a popular domain of research in recent times and is meticulously analyzed through various image processing and machine learning techniques. However,the need to scrutinize and evaluate the calorie estimation through various platforms and algorithmic approaches aids in providing a deeper insight on the bottlenecks involved,and in improvising the bariatric health of an individual. This paper pivots on comprehending a juxtaposed approach of food calorie estimation through the use of employing Convolution Neural Network(CNN)incorporated in Internet of Things(IoT),and using the Django framework in Python,along with query rule-based training to analyze the subsequent actions to be followed post the consumption of food calories in the constructed webpage. The comparative analysis of the food calorie estimate implemented in both platforms is analyzed for the swiftness of identification,error rate and classification accuracy to appropriately determine the optimal method of use. The simulation results for IoT are carried out using the Raspberry Pi4B model,while the Anaconda prompt is used to run the server holding the web page.

New Mathematical Modelling on BMR and Weight Prediction for Ghanaians

Background: Basal Metabolic Rate (BMR) is the quantum of calories needed for optimum body function when at rest. This has long been an indicator of one’s health and the basis for determining the metabolic age of individuals. Many scholastic projects have led to the establishment of mathematical models and inventions that measure the BMR and other body composition parameters. However, existing computations have limitations as they do not offer accurate results for Ghanaians. Aim: The purpose of the study was to model BMR metrics that are most suitable for Ghanaians and to investigate the effect of caloric difference on weight, Lean Body Mass (LBM) and % fat composition that can be implemented with Information Technology. Research Methods and Procedures: This was an experimental study that adopted a quantitative approach. BMR and body composition were measured in a sample of 242 Ghanaian adults (141 males and 101 females) from 19 to 30 years of age. Body composition was measured using bioelectrical impendence analysis (BIA) in all participants. Each participant was under study for 7 days. A simple linear regression model was used to examine associations between BMR/calorie intake and total body weight and LBM. Results: There was a significant statistical relation between BMR and LBM and between BMR and weight of both men and women. Equations for BMR and weight were established for males and females. Furthermore, caloric intake differences affected changes in total weight as well as differences in % fat composition. Caloric intake however did not affect the difference in LBM. Conclusion: Caloric difference had an impact on total body weight and Lean Body Mass. The model derived from the study predicts weight change and BMR of Ghanaians from 19 to 30 years of age. It is termed the Health and Age Monitoring System (HAMS).

Calorie restriction potentiates epigallocatechin-3-gallate-mediated Nrf2 activation in hepatocytes of aged rats

Objective:To explore the combinatorial effect of epigallocatechin-3-gallate(EGCG)and calorie restriction on activation of nuclear factor erythroid 2-related factor 2(Nrf2),a transcription factor involved in the antioxidant defense system of aged rats.Methods:Aged male Wistar rats were calorie-restricted and treated with EGCG orally for 45 days.The initial body weight of aged rats was recorded,and the final body weight was measured at the end of the experimental period.Serum lipid and lipoprotein status,oxidative stress markers such as free radicals and malondialdehyde levels,and reduced glutathione were assessed.In addition,RT-PCR and Western blotting analyses were performed.Results:Calorie restriction potentiated the effect of EGCG on enhancing antioxidant status,improving the levels of serum lipid and lipoproteins,upregulating Nrf2 and Bcl2,and downregulating Keap1,cullin3,Bax and cytochrome c in aged rats.Conclusions:Calorie restriction can promote EGCG-mediated Nrf2 activation in aged rats.This preliminary finding paves the way for a combinatory approach to replenishing the antioxidant status during aging,thereby reducing the risk for age-associated degenerative diseases.

Very low calorie ketogenic diet and common rheumatic disorders:A case report

BACKGROUND The scientific literature provides evidence that nutritional ketosis can be an important support in the treatment of pathologies in which inflammation is present,as recent studies have shown that ketone bodies have anti-inflammatory activity in numerous diseases,including rheumatic diseases.We report the case of a 22-year-old woman with class I obesity and juvenile idiopathic arthritis who started treatment with a very low calorie ketogenic diet(VLCKD).CASE SUMMARY The patient was a 22-year-old woman diagnosed with juvenile idiopathic arthritis at age 4 years and with a body mass index(BMI)of 30.8 kg/m2,waist circumference(WC)80 cm,fat mass(FM)28.1 kg,free FM 45.7 kg,and visceral adipose tissue(VAT)3.5 kg,assessed on bioimpedance analysis.She was treated using a commercial VLCKD weight-loss program(PNK®method);this program provides high-biological-value protein preparations and natural foods.Each protein preparation contains 15 g protein,4 g carbohydrate,3 g fat,and 50 mg omega-3 docosahexaenoic acid,with an energy content of 90–120 kcal.After four months on the program,the BMI was 28.6 kg/m2,WC 73 cm,FM 23.2 kg,free FM 41.9 kg,and VAT 2.9 kg.CONCLUSION VLCKD enabled the patient to reach her target weight and to reduce her joint pain and headaches.Laboratory inflammatory indices also normalized.

Elevated Concentrations of Dietarily-Important Trace Elements and Macronutrients in Edible Leaves and Grain of 27 Cowpea (<i>Vigna unguiculata</i>L. Walp.) Genotypes: Implications for Human Nutrition and Health

Legumes are a good source of calories, protein and mineral nutrients for human nutrition and health. In this study, the edible leaves and grain of 27 field-grown cowpea genotypes were assessed for trace elements and macronutrient den-sity at Manga in the Sudano-Sahelian zone of Ghana in 2005 and 2006, using inductively coupled plasma-mass spectrometry. The genotypes differed markedly in their accumulation of trace elements and major nutrients in edible leaves and grain. Except for P, the concentrations of K, Ca, Mg, S and Na were much higher in edible cowpea leaves than grain in 2005. A similar pattern was observed for Ca, Mg, S, Na in 2006. However, more dramatic variations were found in the micronutrient concentrations between edible cowpea leaves and grain. The levels of the trace elements Fe, Cu, Zn, Mn and B were sometimes 2- to 20-fold greater in leaves than grain of cowpea. Furthermore, there were strong genotypic differences in mineral density of cowpea leaves and grain. For the major nutrients, for example, IT93K-2045-29 and IT90K-59 accumulated greater concentrations of P, K, Ca, S and Na in both edible leaves and grain in 2006, while ITH98-46, which showed the least macronutrient density, exhibited the highest concentrations of Fe, Zn, Cu, Mn and B in edible leaves, as well as Fe, Cu and Mn in grain. These results have implications for cowpea breeding, as well as for human nutrition and health.

Chocolate Milk with Sucrose and Stevia Preference by Pre- and Post-Menopausal Women

The objective of this study was to evaluate and compare the preference of chocolate milk products sweetened with sucrose and stevia by pre- and post-menopausal women and to examine their concerns about bone health. Women panelists were divided into two groups according to age: pre- menopausal (from 18 to 47 years old) and post-menopausal (over 48 years old) and answered the frequency of white and chocolate milk consumption during a week and their concerns about bone health. For preference, five kinds of chocolate milk were used: 1) Non Sucrose Added [NSA] with stevia and NutraFlora?, 2) NSA with stevia, 3) with sucrose and stevia, 4) with sucrose, stevia, and NutraFlora?, and 5) control with sucrose. The results showed that both groups (pre- and post- menopausal women) prefer chocolate milk to white milk. Pre-menopausal women prefer the chocolate milk with NSA stevia and NutraFlora?, while post-menopausal women prefer the chocolate milk NSA with stevia without NutraFlora?. For comparisons between chocolate milk with sucrose and stevia vs. chocolate milk with sucrose and stevia and NutraFlora? and chocolate milk with sucrose vs. chocolate milk with sucrose and stevia, there were no visible differences between pre- and post-menopausal women. Both groups were concerned about bone health, fiber, and calories, and their concerns about which influenced their milk choices. Pre-menopausal women showed a greater positive impact on milk choice when being informed the amount of fibers in the sample than post-menopausal women. Therefore, this study suggests that milk sweetened with stevia needs to be produced as calcium resources without increasing calories.

Food Production Engineering Efficiency: A Critical Analysis of the Conventional Metrics Used in Measuring Agricultural Efficiency

An analysis is reported of conventional vs. alternative metrics used in measuring food production efficiency. Economic efficiency is driven by marketplace economics, while engineering efficiency is driven by useful energy conservation. As farming systems are optimized for maximum efficiency, how “efficiency” is defined will dictate the methods used in food production. Farming methods that are optimized in terms of economic efficiency have environmental consequences that are not inherent of engineering efficiency;however, farming methods optimized in terms of engineering efficiency have labor requirements not inherent of economic efficiency. A shift from optimizing food production in terms of economic efficiency to engineering efficiency may be necessary in order to feed a growing human population.

水星构造特征及演化

水星是离太阳最近的类地行星,它有着类似月球的外表和类似地球的内部,其重要的构造特征主要表现在以下方面:广泛分布的撞击坑;全球线性构造(格子构造)体系;叶片状悬崖;与Caloris盆地相关的构造;局部的拉张构造,其中叶片状悬崖是仅存在于水星的独特构造。类地行星(除地球以外)的构造形迹主要形成于星球历史的早、中期,同时小行星体的构造演化通常被认为是行星热演化以及外部作用(如强烈撞击或者潮汐)共同作用的结果。

Intermittent energy restriction in type 2 diabetes: A short discussion of medication management

AIM To discuss type 2 diabetes mellitus(T2DM) medication changes required during the popular 5:2 intermittent energy restriction(IER) diet. METHODS A search was conducted in MEDLINE, EMBASE, AMED, CINAHL and Cochrane library for original research articles investigating the use of very low calorie diets(VLCD) in people with T2 DM. The search terms used included "VLCD" or "very low energy diet" or "very low energy restriction" or "IER" or "intermittent fasting" or "calorie restriction" or "diabetes mellitus type 2" and "type 2 diabetes". Reference lists of selected articles were also screened for relevant publications. Only research articles written in English, which also included an explanation of medication changes were included. A recent pilot trial using the 5:2 IER method, conducted by our research group, will also be summarized.RESULTS A total of 8 studies were found that investigated the use of VLCD in T2 DM and discussed medication management. Overall these studies indicate that the use of a VLCD for people with T2 DM usually require the cessation of medication to prevent hypoglycemia. Therefore, the 5:2 IER method will also require medication changes, but as seen in our pilot trial, may not require total cessation of medication, rather a cessation on the 2 IER days only. CONCLUSION Guidelines outlined here can be used in the initial stages of a 2-d IER diet, but extensive blood glucose monitoring is still required to make the necessary individual reductions to medications in response to weight loss.

Insufficiency of Cellular Energy (ICE) May Precede Neurodegeneration in Alzheimer’s Disease and Be Treatable via the Alternative Cellular Energy (ACE) Pathway

The term neurodegeneration emphasizes the destruction of neuronal cells as the primary explanation of many major neurological illnesses, including Alzheimer’s disease. Specialized functioning of cells requires more cellular energy than is needed for basic cell survival. Cells can acquire energy both from the metabolism of food and from the alternative cellular energy (ACE) pathway. The ACE pathway is an added dynamic (kinetic) quality of the body’s fluids occurring from the absorption of an external force termed KELEA (Kinetic Energy Limiting Electrostatic Attraction). KELEA is attracted to separated electrical charges and is seemingly partially released as the charges become more closely linked. As suggested elsewhere, the fluctuating electrical activity in the brain may attract KELEA from the environment and, thereby, contribute to the body’s ACE pathway. Certain illnesses affecting the brain may impede this proposed antenna function of the brain, leading to a systemic insufficiency of cellular energy (ICE). Furthermore, individual neurons may derive some of the energy for their own activities from the repetitive depolarization of the cell. This may explain why hyper-excitability of neurons can occur in response to cell damage. This adaptive mechanism is unlikely to be sustainable, however, especially if there is a continuing need to synthesize neurotransmitters and membrane ion channels. The energy deficient neurons would then become quiescent and, although remaining viable, would not perform their intended specialized functions. Actual cell death would not necessarily occur till much later in the disease process. The distinction between quiescent and degenerated cells is important since the ACE pathway can be enhanced by several means, including the regular consumption of KELEA activated water. This, in turn, may improve the proposed antenna function of individual neurons, leading to a sustained restoration of specialized function via the ACE pathway. This paper explores this novel concept and provides a rationale for clinical testing of KELEA activated water in patients with neurological and psychiatric illnesses, including Alzheimer’s disease.

University Student Sample Is Unable to Accurately Assess Their Calorie Needs: Implications for Weight Management and Menu Labeling

National surveys have shown that over 80% of adults do not know their recommended calorie levels. Lack of knowledge about calorie needs could be contributing to the high prevalence of obesity in the US. Young adulthood is a crucial period for the development of dietary behaviors that continue into later adulthood and influence the risk of obesity and chronic disease. This study examined university students’ knowledge of their recommended calorie needs. Subjects (N = 153) were students at Texas Tech University in Fall 2010. Students were given a survey to assess perceived daily calorie need (PDCN) and perceived daily calorie intake (PDCI). Their recommended daily calorie needs (RDCN) and actual calorie intakes (ACI) were determined using MyPyramid.gov. PDCN, PDCI, RDCN, and ACI were compared to determine students’ ability to accurately estimate and consume recommended daily calorie levels. The range of their PDCN was 120 kcal to 10,000 kcal. Only 19.7% of students estimated their RDCN accurately. There were significant differences between PDCN and RDCN (t [152] = ?3.223, P = 0.002);PDCI and ACI (t [114] = 3.246, P = 0.002);and ACI and RDCN (t [114] = ?5.6, P = 0.000). Nearly 40% of these university students were overweight. BMI had a significant effect (P = 0.001) on students’ estimation of their RDCN as students with underweight/normal BMI were more accurate. Nutrition education programs focused on calorie needs should be implemented with university students so they will be able to effectively use calorie information on food labels and menus for weight management.

Pivotal role of SIRT6 in calorie restriction, aging and inflammation

Background The aggravating trend of aging population has brought us with great medical challenges. Calorie restriction （CR） has various beneficial effects on health, including lifespan prolongation and functional im- provement of multiple organisms. SIRT6, a member of the Sirtuin family of NAD^＋-dependent histone deacetylases, has been shown to play a key role in mediating the effects of CR. Aim Here we show how CR-triggered SIRT6-de- pendent pathways affect aging and the critical role of SIRT6 on inflammation. Methods 24-month-old mice were fed under ad libitum （AL） or CR condition for 6 months to determine the effects of CR. In addition, we took low glucose （LG） cultured WI38 human fibroblasts as a model to mimic CR in vitro. Further more, we stably overex- pressed or knockdown SIRT6 in WI38 to identify the role of SIRT6 in cell senescence and inflammation. Results Aged mice with CR had improved renal pathology and enhanced SIRT6 expression compared with AL group. In ad- dition, compared with normal glucose （NG） group, LG group had prolonged lifespan and increased expression of SIRT6. Furthermore, increased SA-β-gal positive cells were observed in SIRT6-deficient cells while the overexpres- sion of SIRT6 could delay the replicative senescence effectively. NF-KB was involved in the SIRT6 mediated lon- gevity control. SIRT6 overexpressed WI38 had low translocate rate of NF-KB into the nucleus and SIRT6 could at- tenuate the NF-KB signaling by deacetylating the RelA subunit of NF-KB complex. Conclusion In this study, we show that CR prevents age-dependent renal insufficiency by up-regulation of SIRT6. CR-triggered SIRT6 activation suppresses NF-KB signaling via preventing nuclear translocation of NF-KB. Here we identified the beneficial effects of CR on renal aging and determined the crucial role of SIRT6 on CR-mediated lifespan extension.

Humans have intestinal bacteria that degrade the plant cell walls in herbivores

The cell walls of plants are mainly made of cellulose and contain a large number of calories.However,the main component,cellulose,is an indigestible plant fiber that is thought to be difficult for humans to use as energy.Herbivores acquire energy through the degradation of cell wall-derived dietary fiber by microorganisms in the digestive tract.Herbivores,especially horses,have a highly developed cecum and large intestine,and plants are fermented for their efficient use with the help of microorganisms.Humans also have an intestinal tract with a wide lumen on the proximal side of the large intestine,in which fermentation occurs.The digestive process of horses is similar to that of humans,and many of the intestinal bacteria found in horses that degrade plants are also found in humans.Therefore,it is thought that humans also obtain a certain amount of energy from cell wall-derived dietary fiber.However,the intake of dietary fiber by modern humans is low;thus,the amount of calories derived from indigestible plant fiber is considered to be very low.Cellulose in the plant cell wall is often accompanied by hemicellulose,pectin,lignin,suberin,and other materials.These materials are hard to degrade,and cellulose is therefore difficult for animals to utilize.If the cell wall can be degraded to some extent by cooking,it is thought that humans can obtain calories from cell wall-derived dietary fiber.If humans can use the calories from the cell wall for their diet,it may compensate for human food shortages.

Determination of thermal parameters for waste liquid and gas fluidized-bed incinerator

Equations are established for calculation of dense and dilute phase zone combustion temperatures, quantity of auxiliary fuel and thermal efficiency for a fluidized bed incinerator with coal burnt as auxiliary fuel, waste liquid burnt in dense phase zone and waste gas burnt in dilute phase zone while there is a heat transfer, thereby providing theoretical basis for design of waste liquid and gas fluidized bed incinerators.

Consumption Pattern of Energy Drinks by University of Ibadan Students and Associated Health Risks Factors

Energy drinks are non alcoholic, carbonated beverages claimed to give extra burst of energy for daily obligation. They contain some form of legal stimulants and vitamins which are meant to give consumers short term boost in energy and increase mental alertness. Energy drinks enjoy patronage especially among higher institution students in Nigeria, but little is known about the consumption pattern and possible health risks to consumers. This study was carried out to determine the contribution of four commonly consumed energy drinks to energy intake of University of Ibadan students and the associated health risk factors. A descriptive cross-sectional survey of energy drinks consumption was carried out using a four-stage systematic random sampling technique to select 307 students from six out of nine halls of residence for Undergraduates and the two Postgraduate halls. A validated semi-structured, self-administered questionnaire was used to collect information on socio-demographic characteristics, consumption pattern and frequency, and factors influencing consumption of energy drinks. Samples of the four most commonly consumed energy drinks by the students (Power Horse, Emerge, Red Bull and Matador brands) were purchased from different stores within and around the University of Ibadan campus. Composite samples of all the four energy drinks (with at least six months expiration date) were analysed for physico- chemical characteristics, gross energy, minerals and B-vitamins content in triplicate using standard methods of AOAC. Data were analysed using descriptive statistics and one way ANOVA, and level of significance set at p < 0.05. Respondents mean age was 23.1 ± 4.6 years, 79.2% were undergraduates and 51.1% were female. Majority (74.6%) of respondents had ever taken energy drinks prior to the study, 42.4% reported consuming at least one can in a week, and 52.1% consumed 1 can at a sitting. Reasons for consumption included to increase: energy (48.2%), mental alertness (18.6%) and athletic performance (9.5%). Reported side effects were: insomnia (14.0%), frequent urination (12.2%), dehydration (11.3%), anxiety (9.1%), heart palpitation (3.5%). Frequency of consumption was significantly associated with gender (p < 0.05). Titratable acidity, total solids and pH of energy drinks ranged between 7.57 ± 0.60 - 8.28 ± 0.08, 7.57 ± 0.60 - 11.42 ± 0.31, and 3.36 ± 0.08 - 3.81 ± 0.12 respectively. Glucose, sucrose, and gross energy content ranged between 7.77 ± 0.01 - 7.89 ± 0.01 g, 22.61 ± 0.07 - 23.74 ± 0.09 g, and 43.59 ± 0.38 - 48.89 ± 0.28 kcal/100g respectively. Few respondents knew about the ingredients and potential health risks associated with energy drink consumption. All the four drinks had acidic pH, hence nutrition education on reduction of energy drink consumption is needed among these students.

Combination curcumin and vitamin E treatment attenuates diet-induced steatosis in Hfe-/-mice

AIM To investigate the synergistic hepato-protective properties of curcumin and vitamin E in an Hfe^(-/-)high calorie diet model of steatohepatitis.METHODS Hfe^(-/-)C57BL/6J mice were fed either a high calorie diet or a high calorie diet with 1 mg/g curcumin; 1.5 mg/g vitamin E; or combination of 1 mg/g curcumin + 1.5 mg/g vitamin E for 20 wk. Serum and liver tissue were collected at the completion of the experiment. Liver histology was graded by a pathologist for steatosis, inflammation and fibrosis. RNA and protein was extracted from liver tissue to examine gene and protein expression associated with fatty acid oxidation, mitochondrial biogenesis and oxidative stress pathways.RESULTS Hfe^(-/-)mice fed the high calorie diet developed steatohepatitis and pericentral fibrosis. Combination treatment with curcumin and vitamin E resulted in a greater reduction of percent steatosis than either vitamin E or curcumin therapy alone. Serum alanine aminotransferase and non-alcoholic fatty liver disease(NAFLD) activity score were decreased following combination therapy with curcumin and vitamin E compared with high calorie diet alone. No changes were observed in inflammatory or fibrosis markers following treatment. Epididymal fat pad weights were significantly reduced following combination therapy, however total body weight and liver weight were unchanged. Combination therapy increased the m RNA expression of Adipo R2, Ppar-α, Cpt1 a, Nrf-1 and Tfb2 m suggesting enhanced fatty acid oxidation and mitochondrial biogenesis. In addition, combination treatment resulted in increased catalase activity in Hfe^(-/-)mice. CONCLUSION Combination curcumin and vitamin E treatment decreases liver injury in this steatohepatitis model, indicating that combination therapy may be of value in NAFLD.

Changes Induced by Physical Activity, Weight Loss and Calorie Restriction in Body Composition, Lipoproteins and Functional Capacity in Obese Congolese Women

Background. The effects of physical exercises combined with a low-calorie diet on weight loss, body composition, lipoproteins profile, and physical fitness had been well described. However, Central Africa’s studies investigating these kinds of diets and exercise regimens are lacking. Objective. To investigate the effects of adding 14-weeks exercises to a hypocaloric diet on changes in body composition, lipoproteins concentrations, and physical capacities in obese Congolese women. Population and Methods. In total, 34 obese women aged 30 - 39 years (mean age: 33.7 ± 2.4 years) assigned to 14-weeks training program and low energy ketogenic diet. Body composition was assessed using classic methods and impedancemetry. Fasting plasma glucose (FPG) and fasting serum insulin were assessing using enzymatic colorimetric and radioim-munoradiometric methods. HOMA-IR and lipoproteins concentrations were assessed using standardized laboratory methods. VO2peak was measured on a treadmill during a progressive exercise test. Speed, cadence and stride length were measured along the 10-m level walkway. Muscular endurance was measured using the tests of sit-up and inflections-extensions of elbows. All the variables of the study were assessed at the beginning, in the 7-weeks, and in the 14-weeks of training methods. Results. Declines in body weight (16%), percent fat (12.1%), fat weight (26.4%), abdominal fat (34.2%), and waist circumference (10.4%) were found. A significant decrease in FPG (13%), fasting serum insulin (60.9%), HOMA-IR (64.7%), total cholesterol (12.2%), LDL-cholesterol (20.3%), triglycerides (92.8%), and VLDL-triglycerides (17.5%) was shown. In contrast, significant increase in HDL-cholesterol (27.13%) was found. The peak oxygen consumption VO2peak relative to body weight improved more in the 14-weeks training program (13.4%). Obese women exhibited higher values in the 14-weeks training program for speed gait (16.5%), cadence (9.1%), and stride length (15.7%) during normal walk and rapid walk. Weight loss combined with a low-calorie diet and 14-weeks training program improved significantly muscular endurance capacities. Conclusion. Exercise added to hypocaloric diet leads to decreases in body composition, to improve in insulin sensitivity, to enhancement of VO2peak and functional fitness. This may be helpful for the treatment of the metabolic complications of abdominal obesity.

Mechanism for development of malnutrition in primary biliary cholangitis

Primary biliary cholangitis(PBC)is a chronic cholestatic liver disease that is associated with impaired biliary excretion processes.Along with the development of cholestasis,there is a deficient flow of bile acids into the intestinal lumen causing malnutrition(MN)that is manifested in deficiencies of both macro-and micronutrients.The mechanism for development of trophological insufficiency is multifactorial.However,the trigger of MN in PBC is impaired enterohepatic circulation of bile acids.The ingress of bile acids with a detergent effect into the general bloodstream,followed by elimination via the kidneys and skin,triggers a cascade of metabolic disturbances,which leads to the gradual development and progression of calorie MN.The latter gradually transforms into protein-calorie MN(PСM)(as marasmus)due to the insufficient entry of bile acids into the duodenum,which is accompanied by a decrease in the emulsification,hydrolysis,and absorption of fats and fat-soluble vitamins,as well as disturbance of intestinal motility and bacterial overgrowth.Fat-soluble vitamin deficiencies complement PСM with vitamin and mineral MN.The development of hepatocellular failure enhances the progression of PСM due to the impaired protein synthetic function of hepatocytes in the advanced stage of PBC,which results in deficiency of not only the somatic but also the visceral pool of proteins.A mixed PСM form of marasmus and kwashiorkor develops.Early recognition of energy,protein,micronutrient,and macronutrient deficiencies is of great importance because timely nutritional support can improve liver function and quality of life in patients with PBC.In this case,it is important to know what type(energy,proteincalorie,vitamin,and vitamin-mineral)and form(marasmus,marasmuskwashiorkor)of MN is present in the patient and how it is associated with the stage of the disease.Therefore,it is recommended to screen all patients with PBC for MN,from the early asymptomatic stage of the disease in order to identify and avoid preventable complications,such as fatigue,malaise,performance decrement,sarcopenia,osteoporosis,and hepatic encephalopathy,which will be able to provide appropriate nutritional support for correction of the trophological status.