Search Results (513)

Background/Objectives: Pica, the compulsive ingestion of non-nutritive substances, has long been observed in patients with iron deficiency anemia (IDA). This behavior is particularly noted in adults, including pregnant women, and poses both diagnostic and management challenges. We conducted a review of studies from the past decade to evaluate the epidemiology and nature of pica in adult IDA patients and the outcome of various treatment strategies on anemia and pica behaviors. Methods: We searched PubMed, Scopus, and Cochrane Library for peer-reviewed articles (including observational studies, clinical trials, and reviews) published in English between 2015 and 2025. Inclusion criteria targeted studies of adult populations with IDA that reported on pica prevalence, characteristics, or treatment outcomes. We also reviewed clinical guidelines and meta-analyses on IDA treatment in adults for recommended management approaches. Results: Pica was found to be a prevalent symptom among individuals with IDA, but was readily treatable with appropriate iron deficiency treatment. Among treatment options, both oral and parenteral iron supplementation were found to be effective in resolving iron deficiency and pica. Choice of treatment depends on tolerance to oral iron, speed of resolution required, and comorbid conditions. Conclusions: Pica is closely intertwined with IDA; our review highlighted the prevalence of pica among individuals with IDA, which serves as both a clinical clue to underlying anemia and a potential source of complications. Crucially, the treatment of IDA is also effective for pica. We recommend oral iron therapy on alternate-day dosing as first-line therapy to minimize side effects, alongside dietary optimization. If IDA and pica are resistant to oral iron supplementation or oral iron cannot be tolerated, parenteral iron therapy can be considered. Full article

Background/Objectives: Iron stores accrued in utero are critical for fetal and infant neurodevelopment. Low neonatal hemoglobin (Hb) may indicate inadequate iron capture and storage. Prior studies differ on whether and under what conditions maternal anemia predicts neonatal Hb; whether sex differences are present is unknown. Methods: Maternal and neonatal Hb and sociodemographic and health characteristics were abstracted from electronic medical records for biorepository participants at a tertiary academic medical center. Maternal anemia was defined as Hb < 11 g/dL in trimesters T1 and T3 and Hb < 10.5 g/dL in T2. Adjusted linear regression models were used to estimate associations of maternal anemia with neonatal Hb. Sex differences were evaluated with product terms and stratification. Results: In 228 participants with maternal Hb measured, the prevalence of prenatal (pre-delivery) and delivery anemia was 54% and 44%, respectively. Maternal race and ethnicity but no other sociodemographic characteristics were associated with maternal anemia. Neonatal hematology was available for 114 newborns < 7 days old (50%; 52% male). The median (IQR) neonatal Hb was 16.7 g/dL (14.9, 18.0) and did not differ by sex, but it was lower among infants of mothers with vs. without delivery anemia (15.9 vs. 17.1, p = 0.032) and those identifying as Black vs. Hispanic or other (16.0, 17.9, 17.0, respectively; p = 0.003). Independent associations of maternal anemia and race and ethnicity with neonatal Hb were stronger in males and attenuated to null in females. Conclusions: Maternal anemia was highly prevalent and associated sex-specifically with neonatal Hb independent of maternal race and ethnicity. Future studies to replicate these findings with a more comprehensive panel of iron biomarkers are needed. Functional consequences of greater susceptibility to risk factors for low neonatal Hb in male infants need to be further investigated. Full article

This study investigates the nutritional and chemical profile of cricket (Acheta domesticus) flour, evaluating its potential as a sustainable and highly nutritious food source. Cricket flour, with a protein content of approximately 60%, offers a significantly higher nutritional value compared to many traditional food sources. It is particularly rich in essential amino acids, making it a valuable and sustainable protein alternative. Additionally, the flour is rich in minerals such as potassium, calcium, magnesium, copper, and zinc. The administration of 100 g of cricket flour would exceed the recommended daily intake for adults for most nutrients, making its incorporation into more traditional foods such as bread and pasta at low percentages feasible, easily compensating for any imbalances and increasing their nutritional values. We found that an addition of a mere 10% of cricket flour to produce an experimental pasta fulfilled half of the recommended daily intake values for protein, lipids, and minerals. Chemical analyses of the pure cricket flour revealed only trace amounts of polycyclic aromatic hydrocarbons (PAHs) and linear alkanes, with concentrations well below safety thresholds established for other food categories, indicating that cricket flour is safe for human consumption. The study’s findings confirm that cricket flour is a promising sustainable protein source, and its integration into classic foods could safely contribute to alleviating iron and copper deficiencies as well as malnutrition. Full article

Microelement deficiencies, often termed “hidden hunger”, represent a significant global health challenge. Optimal human health relies on adequate dietary intake of essential microelements, including selenium (Se), zinc (Zn), copper (Cu), boron (B), manganese (Mn), molybdenum (Mo), iron (Fe), nickel (Ni), and chlorine (Cl). In recent years, there has been a growing focus on vitality and longevity, which are closely associated with the sufficient intake of essential microelements. This review focuses on these nine elements, whose bioavailability in the food chain is critically determined by their geochemical behavior in soils. There is a necessity for an understanding of the sources, soil–plant transfer, and plant uptake mechanisms of these microelements, with particular emphasis on the influence of key soil properties, including pH, redox potential, organic matter content, and mineral composition. There is a dual challenge of microelement deficiencies in agricultural soils, leading to inadequate crop accumulation, and the potential for localized toxicities arising from anthropogenic inputs or geogenic enrichment. A promising solution to microelement deficiencies in crops is biofortification, which enhances nutrient content in food by improving soil and plant uptake. This strategy includes agronomic methods (e.g., fertilization, soil amendments) and genetic approaches (e.g., marker-assisted selection, genetic engineering) to boost microelement density in edible tissues. Moreover, emphasizing the need for advanced predictive modeling techniques, such as ensemble learning-based digital soil mapping, enhances regional soil microelement management. Integrating machine learning with digital covariates improves spatial prediction accuracy, optimizes soil fertility management, and supports sustainable agriculture. Given the rising global population and the consequent pressures on agricultural production, a comprehensive understanding of microelement dynamics in the soil–plant system is essential for developing sustainable strategies to mitigate deficiencies and ensure food and nutritional security. This review specifically focuses on the bioavailability of these nine essential microelements (Se, Zn, Cu, B, Mn, Mo, Fe, Ni, and Cl), examining the soil–plant transfer mechanisms and their ultimate implications for human health within the soil–plant–human system. The selection of these nine microelements for this review is based on their recognized dual importance: they are not only essential for various plant metabolic functions, but also play a critical role in human nutrition, with widespread deficiencies reported globally in diverse populations and agricultural systems. While other elements, such as cobalt (Co) and iodine (I), are vital for health, Co is primarily required by nitrogen-fixing microorganisms rather than directly by all plants, and the main pathway for iodine intake is often marine-based rather than soil-to-crop. Full article

This study investigated the percentage of iron deficiency anemia (IDA) and iron deficiency (ID) among 71 elite female athletes at a Japanese university and assessed their dietary habits. IDA was identified in 9.9% (n = 7) of participants, and only 22.5% (n = 16) self-reported dietary practices aimed at preventing or managing ID/IDA. Notably, 52.1% (n = 37) of the athletes exhibited IDA or ID but lacked an appropriate dietary approach. Moreover, even among those who reported an intentional dietary approach to the prevention or management of ID/IDA, the intake of iron- and vitamin C-rich foods was insufficient, limiting the effectiveness of their efforts. These findings highlight a gap between awareness and effective practice, indicating that many female athletes in Japan, despite being at elevated risk, do not follow evidence-based dietary strategies for preventing or treating ID/IDA. Targeted nutritional education and routine screening of iron status are strongly recommended for this population. Full article

Iron is unquestionably an essential element of physical performance for horses, just as it is for many other animals, including humans. Although post-exercise equine iron deficiency is not a common problem, recent studies showed that equine athletes may be considered a model for human exercise physiology. Sports anemia among human athletes is a common nutritional issue and remains one reason for poor physical fitness. Thus, this study area needs comprehensive knowledge since iron homeostasis changes in equine athletes remain unrecognized. The current review aims to summarize studies describing iron metabolism changes in response to physical effort in equine sports medicine. The confirmed prevalence of gastrointestinal bleeding, hemolysis, and hematuria in horse athletes seems to play a role in iron metabolism. Similarly, exercise-induced inflammation and its effect on the iron key regulator in mammals—hepcidin—may be as crucial for overall iron homeostasis in horses as in humans. In this review, we also present available data regarding the possible effect of various hormones on iron metabolism, performance-enhancing strategies related to iron metabolism in horse athletes, and the clinical relevance of regular iron status monitoring in sport horses. Overall, this article aims to discuss current knowledge and highlight existing gaps in our understanding of iron homeostasis in sport horses. Full article

Background/Objectives: Iron plays an important role in cognitive, behavioral, and motor development. This study aims to assess the iron nutritional status of Bulgarian children with cerebral palsy (CP) and autism spectrum disorder (ASD), focusing on iron deficiency (ID) and its impact on children’s development. We hypothesized that children with CP and ASD suffer from iron deficiency. Methods: The cross-sectional study includes 95 children from northeastern Bulgaria. Data were collected in two periods (2017–2018 and 2023–2024). Demographic questionnaires, food frequency questionnaires, and laboratory tests for hemoglobin, serum iron, serum ferritin, serum albumin, and CRP were conducted. Anthropometric measurements were evaluated. The Gross Motor Function Classification System scale was used to assess motor function in children with CP. Statistical analysis was performed using Jamovi software, ver. 2.6.44, with a significance level of p < 0.05. Results: Of the 95 children, 62.1% had CP and 37.9% had ASD. Most children had normal hemoglobin and serum iron levels, but 62.7% of those with CP and 36.8% of those with ASD had low serum ferritin levels, indicating latent ID. A higher proportion of children with CP than those with ASD consumed meat daily, while fish was more commonly consumed by children with ASD. Anthropometric data showed delayed growth and lower height-for-age scores in children with CP. Conclusions: The study identifies latent ID in children with CP and ASD. An evaluation of dietary habits highlights the need for interventions to improve nutritional status and development. The observed deficiencies emphasize the need for regular monitoring and targeted dietary programs for children in these groups. Full article

Iron (Fe) and Zinc (Zn) deficiencies in crops pose indirect problems for human health. The risk of these deficiencies increases with high doses of phosphate fertilizers. Fertilizers obtained through recycling—so-called bio-based fertilizers (BBFs)—can contain significant amounts of Fe and Zn, which can contribute to crop biofortification. Although the use of some organic BBFs has been shown to improve biofortification, an in-depth study on this effect and on the effect of P on Fe and Zn nutrition with the use of different kinds of bio-based P fertilizers is still lacking. A pot experiment with 11 different BBFs was conducted using two soils with different physicochemical properties that affect P, Fe, and Zn dynamics (one rich in CaCO₃ and the other rich in Fe oxides) to assess their biofortification effects on wheat and sunflower. Although some BBFs increased Fe concentration in the edible parts, the overall trend was towards an increased P:Fe ratio (up to 62%), which decreased Fe digestibility. On the other hand, all BBFs led to Zn biofortification, with a 27% decrease in the P:Zn ratio in the CaCO₃-rich soil, while in the Fe oxide-rich soil, the decrease was up to 61%. The supply of Zn and organic C, as well as the dominant P forms in BBFs, were the main factors explaining Zn biofortification. Bio-based fertilizers also decreased the antagonism between P and Zn and between Fe and Zn. The results demonstrated that the inclusion of BBFs in agrosystems management can contribute to improving the quality of human diets, at least with regard to Zn intake, while also contributing to more sustainable fertilization practices. Full article

Background/Objectives: Oral candidiasis is a prevalent fungal infection in young children, often associated with underlying factors such as immunosuppression, poor oral hygiene, or nutritional deficiency. This study aimed to investigate the relationship between nutritional biochemical markers and the presence and severity of oral candidiasis in children aged 6 months to six years. Methods: A total of 60 participants were enrolled in a cross-sectional observational study, equally divided into a case group with clinically diagnosed oral candidiasis and a control group without fungal infection. Serum levels of vitamin D, iron, zinc, albumin, and vitamin A were measured in all participants. The severity of candidiasis was assessed using a standardized clinical scoring system. Results: Statistical analysis revealed that children with candidiasis exhibited significantly lower levels of all measured biochemical markers than healthy controls. However, no significant correlations were found between the severity of candidiasis and individual nutritional parameters. Conclusions: These findings suggest that even moderate deficiencies in essential nutrients may increase susceptibility to oral fungal infections, although they may not directly influence disease severity. Full article

Background: Manganese (Mn) is an essential trace element for humans. It has been recognized as a potential occupational toxin, but its danger as a toxin in patients under parenteral nutrition is often forgotten. Case Presentation: A 73-year-old man was logged for 210 days in the intensive care unit (ICU), receiving parenteral nutrition (PN) for a month, and was then transferred, first, to the internal medicine ward and, then, to the rehabilitation hospital, and 223 days after discharge from the ICU, he had current disease, chorea-type movements in the head and neck, and left hemibody. Diagnostic tests: The magnetic resonance imaging findings suggested manganese deposits, with a total blood manganese concentration of 34 µg·L⁻¹ (reference range: less than 13 µg·L⁻¹). Discussion: Abnormal movements can be caused by manganese poisoning due to parenteral nutrition and are associated with liver failure in the ICU. Our patient showed toxic Mn concentrations in whole blood after 31 days of receiving 300 μg·d⁻¹ of Mn in PN, a shorter duration than typically reported. Neurotoxicity was observed several months later (223 days). Factors such as liver dysfunction and iron deficiency can modulate neurotoxicity. Age may also be a susceptibility factor due to increased expression of Mn transport proteins. Magnetic resonance imaging (MRI) intensity in the globus pallidus is useful for detecting brain Mn accumulation, but it is not feasible for routine clinical practice. Conclusions: In this case, choreiform movements were attributed to manganese (Mn) accumulation in the basal ganglia. It is essential to monitor patients receiving parenteral nutrition (PN) solutions containing Mn, especially in those who have biomarkers of susceptibility, even if they have not yet shown neurological signs, and routinely measure whole-blood Mn concentrations, iron levels, age, and liver function. If Mn intoxication is suspected, a brain MRI examination should be conducted. Full article

(1) Background: Mineral nutrient deficiencies are a major constraint on grapevine growth and productivity, yet the clear identification of deficiency symptoms and their physiological impacts remains challenging. (2) Methods: In this study, ‘Thompson Seedless’ grapevines were grown hydroponically under the controlled omission of ten essential nutrients (N, P, K, Ca, Mg, Fe, Mn, B, Zn, Cu) to assess their impact on growth, leaf morphology, chlorophyll content, photosynthesis, respiration, and tissue nutrient concentrations. (3) Results: Deficiencies in N, P, K, Mn, and B caused distinct leaf symptoms: nitrogen (N) deficiency led to pale leaves with bluish-green veins, phosphorus (P) deficiency caused yellowing in apical leaves followed by interveinal chlorosis, and potassium (K) deficiency induced pale yellow discoloration, curling, and rotting of the leaves. Manganese (Mn) and boron (B) deficiencies showed symptoms such as irregular leaf shapes and brittle, glossy leaves, respectively. These deficiencies resulted in reduced dry matter accumulation, decreased shoot length, and lower chlorophyll content. In contrast, iron (Fe) and copper (Cu) deficiencies had minimal effects, closely resembling those of the control conditions with only slight growth suppression. Notably, N, B, and Mg deficiencies led to significant reductions in Cu, Mg, B, and N levels, particularly evident through distinct symptoms in newly formed leaves. (4) Conclusions: Deficiencies in N, P, K, Mg, and B significantly affect grapevine growth, physiological processes, and nutritional quality. These findings emphasize the importance of maintaining balanced mineral nutrition for optimal grapevine health and productivity. Full article

Background/Objectives: Anemia, particularly iron-deficiency anemia (IDA), and stunting remain notable early childhood public health challenges in Indonesia; however, studies are still scarce. This study aimed to determine the co-occurrence of anemia and stunting (CAS), their prevalence, and the associated factors, as well as to describe the erythrocyte parameters. Methods: Approximately 2200 children aged 6–24 months were identified by midwives to have problematic nutritional status at Bandung Regency, West Java, Indonesia. These children were included in the population frame for a cohort study of vitamin D deficiency, vitamin D binding protein, and its impact on neurodevelopmental functions. A cross-sectional study was nested in the cohort study. The subjects were selected by stratified random sampling of 270 villages to meet the required number of samples. Medical doctors reassessed the anthropometric measurements and performed guided interviews to collect associated factors for IDA and CAS. Erythrocyte profiles of the children were examined from venous blood. Results: One hundred and ninety-four subjects were included in the analysis, among which 54.1% were stunted. Anemia was present in 40.7% of the subjects, largely due to IDA (87.3%). A wasting child and the factor of low paternal education (up to elementary school) were associated with IDA (aOR of 7.12 and aOR of 3.32, p < 0.05, respectively). Co-occurrence of anemia and stunting was found in 41/194 (21.1%) subjects, but it did not show significant association. Conclusions: Anemia and stunting were prevalent among children aged 6–24 months, but no associations were found between anemia and stunting in this study. Iron deficiency was the main cause of anemia, and it was associated with wasting and low paternal education. Full article

In a global context marked by food insecurity and the increasing prevalence of non-communicable diseases, this study proposes a healthy food basket (HFB) model tailored to the demographic, cultural, and economic specificities of the Republic of Moldova which is aligned with international standards. The research employed a comprehensive methodology, including estimations of daily energy requirements using revised Harris–Benedict equations, food selection based on nutritional value, economic availability, and cultural relevance, and nutritional validation through the mean adequacy ratio (MAR), which was derived from nutrient adequacy ratios (NARs) and dietary reference values (DRVs) established by the EFSA. Nutrient intake calculations were based on food composition data and not population-level dietary surveys. Fat-soluble vitamins were excluded due to insufficient available data. The results indicate adequate intake levels of vitamins (B₁, B₂, B₃, and C) and minerals (iron, magnesium, phosphorus, and potassium) while highlighting deficiencies in calcium and sodium that require dietary adjustments. The inclusion of traditional foods, such as kefir and salted or raw pork fat, underscores the model’s cultural acceptability and economic relevance, strengthening the integration of global nutritional principles with regional dietary habits. This study’s limitations, including the use of secondary data and the lack of empirical validation, highlight the need for longitudinal studies. The HFB model offers a replicable solution for other regions facing similar challenges, contributing to global efforts to reduce malnutrition and promote sustainable diets. Full article

Cardiovascular diseases (CVDs) are the leading cause of mortality globally, accounting for approximately one-third of all deaths. Exposure to toxic metals poses significant risks to cardiovascular health, contributing to the development of CVDs. Essential elements are crucial for maintaining cardiovascular function; however, imbalances or deficiencies in these elements can exacerbate the risk and progression of CVDs. Understanding the interactions between toxic metals and essential elements is crucial for elucidating their impact on cardiovascular health. This study aims to examine the individual and combined effects of toxic metals—lead (Pb), cadmium (Cd), and mercury (Hg)—along with essential elements—manganese (Mn), iron (Fe), and selenium (Se)—on CVDs. We explored the effects of toxic metals and essential elements using data from the National Health and Nutrition Examination Survey (NHANES, 2017–2018). We conducted descriptive analyses and applied advanced statistical methods, including Bayesian kernel machine regression (BKMR), weighted quantile sum regression (WQSR), and quantile g-computation, to assess the associations between these toxic metals and essential elements on key cardiovascular-related biomarkers. The results revealed distinct patterns of influence across the toxic metals and essential elements. Spearman correlation showed a stronger association among toxic metals than essential elements. Bayesian kernel machine regression (BKMR) and posterior inclusion probability (PIP) analysis identified lead, mercury, iron, and selenium as key contributors to CVD risk, with lead strongly linked to high-density lipoprotein (HDL), diastolic blood pressure (DBP), and systolic blood pressure (SBP). Selenium was linked to low-density lipoprotein (LDL) cholesterol and non-high-density lipoprotein (non-HDL) cholesterol. Univariate and bivariate analyses confirmed lead and mercury’s strong associations with triglycerides and blood pressure, while lead, selenium, and iron were linked to different cholesterol outcomes. Single-variable analysis revealed an interaction between individual exposures and combined exposures. The overall exposure effect assessing the impact of all exposures combined on CVD markers revealed a steady positive association with triglycerides, total cholesterol, LDL, non-HDL cholesterol, and DBP, with HDL and SBP increasing from the 65th percentile. Quantile g-computation and WQSR confirmed lead’s consistent positive association across all outcomes, with variations among other toxic metals and essential elements. In conclusion, our study suggests that toxic metals and essential elements are important factors in CVD outcomes, with different metals and elements associated with variations in specific biomarkers. Full article

Objective: The aim of the study was to determine the effect a mountain expedition (>3000 m) would have on the physical performance and nutritional indices of alpinists’ health status. Methods: The study included 17 men aged 30.29 ± 5.8 years participating in mountain expeditions to peaks of 5000–8000 m, lasting an average of 34 ± 6 days. The following were assessed: aerobic and anaerobic capacity, body composition and the values of selected biochemical and hematological indices of blood and urine before and after returning from the expeditions and a quantitative analysis of the alpinists’ diet. Results: There was a statistically significant decrease (p ≤ 0.05) in aerobic capacity, anaerobic capacity, subjects’ body mass, muscle mass and the lean body mass of the upper and lower extremities. There was a significant increase (p ≤ 0.05) in erythrocytes, hemoglobin, hematocrit, leukocytes, platelets, neutrophils, monocytes and a significant decrease (p ≤ 0.05) in total and high-density lipoprotein cholesterol, total bilirubin, albumin and total protein. A small percentage of the subjects met the requirements for iron (29.41%), folate (35.29%) and vitamin D (17.65%) supply with diet, as reflected in the blood test results. Conclusions: Despite the observed positive effect of three-week hypoxic exposure on the climbers’ health, the deterioration of aerobic and anaerobic capacity was shown, which, in addition to environmental conditions and systemic inflammation, may have been influenced by adverse changes in body composition. To improve the nutritional status of the body during the expedition and upon return, alpinists should consider including the necessary supplementation of deficient components. Full article