Dietary Nitrate and Nitrite Intake and Non-Hodgkin Lymphoma Survival

Nitrate and nitrite are precursors in the formation of N-nitroso compounds. We recently found a 40% increased risk of NHL with higher dietary nitrite intake and significant increases in risk for follicular and T-cell lymphoma. It is possible that these compounds also affect NHL prognosis by enhancing cancer progression in addition to development by further impairing immune system function. To test the hypothesis that nitrate and nitrite intake affects NHL survival, we evaluated the association in study participants that have been followed post-disease diagnosis in a population-based case-control study among women in Connecticut. We did not observe a significant increasing trend of mortality for NHL overall or by subtype for nitrate or nitrite intake for deaths from NHL or death from any cause, although a borderline significant protective trend was observed for follicular lymphoma with increasing nitrate intake. We did not identify a difference in overall survival for nitrate (P = 0.39) or for nitrite (P = 0.66) or for NHL specific survival for nitrate (P = 0.96) or nitrite (P = 0.17). Thus, our null findings do not confer support for the possibility that dietary nitrate and nitrite intake impacts NHL survival by promoting immune unresponsiveness.     

Association between Dietary Nitrate,Nitrite Intake,and Site-Specific Cancer Risk: A Systematic Review and Meta-Analysis

Background: People consume nitrates, nitrites, nitrosamines, and NOCs compounds primarily through processed food. Many studies have yielded inconclusive results regarding the association between cancer and dietary intakes of nitrates and nitrites. This study aimed to quantify these associations across the reported literature thus far. Methods: We performed a systematic review following PRISMA and MOOSE guidelines. A literature search was performed using Web of Science, Embase, PubMed, the Cochrane library, and google scholar up to January 2020. STATA version 12.0 was used to conduct meta-regression and a two-stage meta-analysis. Results: A total of 41 articles with 13 different cancer sites were used for analysis. Of these 13 cancer types/sites, meta-regression analysis showed that bladder and stomach cancer risk was greater, and that pancreatic cancer risk was lower with increasing nitrite intakes. Kidney and bladder cancer risk were both lower with increasing nitrate intakes. When comparing highest to lowest (reference) categories of intake, meta-analysis of studies showed that high nitrate intake was associated with an increased risk of thyroid cancer (OR = 1.40, 95% CI: 1.02, 1.77). When pooling all intake categories and comparing against the lowest (reference) category, higher nitrite intake was associated with an increased risk of glioma (OR = 1.12, 95% CI: 1.03, 1.22). No other associations between cancer risk and dietary intakes of nitrates or nitrites were observed. Conclusion: This study showed varied associations between site-specific cancer risks and dietary intakes of nitrate and nitrite. Glioma, bladder, and stomach cancer risks were higher and pancreatic cancer risk was lower with higher nitrite intakes, and thyroid cancer risk was higher and kidney cancer risk lower with higher nitrate intakes. These data suggest type- and site-specific effects of cancer risk, including protective effects, from dietary intakes of nitrate and nitrite.     

Validity of Energy Intake Reports in Relation to Dietary Patterns

The role of under- and overreporting of energy intake in determining the dietary patterns is yet unclear, especially in the Middle Eastern countries. This study identifies the prevalence of misreporting among Tehranian women aged 18-45 years and to compare the dietary intake patterns of plausible and all energy reporters. Dietary intakes and anthropometric data were collected. FitMate™ metabolic analyzer and Goldberg equation were used in determining the under/overreporting of energy intake. Underreporters were more likely to be overweight and older compared to plausible reporters. Three dietary patterns emerged for all reporters, and two were identified for plausible reporters. Using only plausible reporters to determine dietary patterns was not similar to using all reporters. The proportion of underreporters was 59.3% in the mixture cluster, 30.4% in the unhealthy cluster, and 35.3% in the healthy cluster (p<0.05). Underreporting of energy intake is not uniformly distributed among dietary pattern clusters and tends to be less severe among subjects in the unhealthy cluster. Our data suggested that misreporting of energy intake might affect the dietary pattern analysis.Key words: Dietary patterns, Energy underreporting, Validity, Women, Iran     

Dietary Intake of Phytonutrients in Relation to Fruit and Vegetable Consumption in Korea

The purpose of this study was to provide baseline data for health policy creation by estimating phytonutrient intake and identifying major food sources of phytonutrients. Dietary recall data collected in the 2008 Korea National Health and Nutrition Examination Survey and phytonutrient database of the Korea National Academy of Agricultural Science were used in this study. The proportions of the population satisfying recommended dietary guidelines for fruits and vegetables were estimated, and phytonutrient intake was compared between populations who consumed the recommended intake and those who did not. The study found that 5.3% of subjects satisfied the recommended fruit and vegetable intake. In particular, the proportions of adolescents (13 to 18 years of age) and young adults (19 to 39 years of age) meeting the recommended fruit and vegetable intake were lower than other age groups (P<0.001). Intakes of major carotenoids (alpha-carotene, beta-carotene, beta-cryptoxanthin, lutein/zeaxanthin, and lycopene), flavonoids (anthocyanidins, hesperitin, quercetin, catechin, and isoflavones), and one phenolic compound (gallic acid) were significantly higher (P<0.001) among subjects who met the recommendations for fruit and vegetable consumption compared with those who did not. Carrots, sweet potatoes, squash, tomatoes, and watermelons were found to be major sources of carotenoids. Flavonoids were mainly obtained from persimmons, mandarins, apples, grapes, onions, soybeans, and chestnuts. However, one or two food items contributed to nearly all intake of each phytonutrient, suggesting a lack of variety. In conclusion, the Korean population needs to consume a larger quantity and variety of fruits and vegetables.     

Food Label Use and Its Relation to Dietary Intake among US Adults

Rates of diet-related chronic disease combined with the lack of current data on patterns of food label use by the US population warrant re-examination of the use and potential influence of this public health tool. The purpose of this study was to describe the prevalence of food label use and the association between food label use and nutrient intake in a nationally representative sample of US adults who participated in the 2005-2006 National Health and Nutrition Examination Survey. Data on food label use were collected during the interview portion of the survey, and nutrient intake was estimated using the average of two 24-hour dietary recalls. In this sample, 61.6% of participants reported using the Nutrition Facts panel, 51.6% looked at the list of ingredients, 47.2% looked at serving size, and 43.8% reviewed health claims at least sometimes when deciding to purchase a food product. There were significant differences (P<0.05) in food label use across all demographic characteristics examined. Significant differences (P<0.05) in mean nutrient intake of total energy, total fat, saturated fat, cholesterol, sodium, dietary fiber, and sugars were observed between food label users and non-users with label users reporting healthier nutrient consumption. The greatest differences observed were for total energy and fat and for use of specific nutrient information on the food label. Despite food label use being associated with improved dietary factors, label use alone is not expected to be sufficient in modifying behavior ultimately leading to improved health outcomes.     

Levels of Organochlorine Pesticides in Crops and Related Products From Vojvodina,Serbia: Estimated Dietary Intake

Levels of 16 organochlorine pesticides (OCPs) were investigated in 39 composite samples of agricultural crops, related by-products, and foodstuffs collected in Vojvodina, Serbia, in 2002 through 2004. After extraction and cleanup, OCPs were determined by capillary gas chromatography using electron-capture detection. The highest mean level of 0.971 ng/g whole weight (ww) was found for α-HCH in wheat flour samples. OCPs levels were well lower than the respective maximum residue limits set by current European and Serbian regulations. Mean OCP levels were low (<1 ng/g ww) for all sample types. The most frequently determined residue was 4,4′-DDT (identified in 76.9% of all samples analyzed), followed by γ-HCH (66.7%), β-HCH (48.7%), and endosulfan II (41.0%). OCP levels were compared with data from other international surveys. Calculated daily intakes of OCPs by way of consumption of the crop products included in this study according to data of the Serbian National Institute for Statistics were compared with the acceptable daily intakes established by the Food and Agriculture Organization/World Health Organization. The average level of contamination of the Vojvodina diet was believed to be harmless regarding the studied food commodities.     

Digitally Supported Dietary Protein Counseling Changes Dietary Protein Intake,Sources, and Distribution in Community-Dwelling Older Adults

Digitally supported dietary counselling may be helpful in increasing the protein intake in combined exercise and nutritional interventions in community-dwelling older adults. To study the effect of this approach, 212 older adults (72.2 ± 6.3 years) were randomised in three groups: control, exercise, or exercise plus dietary counselling. The dietary counselling during the 6-month intervention was a blended approach of face-to-face contacts and videoconferencing, and it was discontinued for a 6-month follow-up. Dietary protein intake, sources, product groups, resulting amino acid intake, and intake per eating occasion were assessed by a 3-day dietary record. The dietary counselling group was able to increase the protein intake by 32% at 6 months, and the intake remained 16% increased at 12 months. Protein intake mainly consisted of animal protein sources: dairy products, followed by fish and meat. This resulted in significantly more intake of essential amino acids, including leucine. The protein intake was distributed evenly over the day, resulting in more meals that reached the protein and leucine targets. Digitally supported dietary counselling was effective in increasing protein intake both per meal and per day in a lifestyle intervention in community-dwelling older adults. This was predominantly achieved by consuming more animal protein sources, particularly dairy products, and especially during breakfast and lunch.     

Dietary Iron Intake and Availability in Hill Tribe and Urban Women,Chiang Rai Province,Northern Thailand

ABSTRACT

Data were collected as part of a cross-sectional study. The objectives were to compare dietary intakes of iron and enhancers and inhibitors of non-heme iron absorption in hill tribe and urban women of Chiang Rai province, northern Thailand, and compare iron- and vitamin C- containing foods sold in markets in both settings. Dietary data were collected using three 24- hour recalls from 128 women aged 19–50 years (hill tribe: n = 65; urban n = 63), and proportions of low-, medium- and high-iron/vitamin C containing foods were surveyed in local markets. Hill tribe women consumed less iron, animal protein, vitamin C and calcium, but market availability of iron/vitamin C foods was similar. Future interventions should focus on food choice modification, to improve intakes of iron and foods that enhance its absorption, especially among hill tribe women.     

Dietary Intake of Total and Inorganic Arsenic by Adults in Arsenic-Contaminated Area of Ron Phibun District, Thailand

Ron Phibun District, approximately 800 km south of Bangkok, is the site of tin mines operated almost 100 years ago. As a result of mining activities, arsenic contaminated the soil and groundwater of the district. The specific aim of this study was to estimate the dietary intakes of total and inorganic arsenic in 20 adults (10 males and 10 females) residing in Ron Phibun District by a duplicate food approach for 7-consecutive days. The weekly intake rates of inorganic arsenic ranged from 5.54 to 13.3 μg/kg BW for males and 6.11–12.1 μg/kg BW for females.     

Dietary Sodium Intake and Its Relation to Human Health: A Summary of the Evidence

Objectives: Relating food diversity, quality, and intake is one of the key aspects in understanding household food security. This paper aimed at marying food intake and quality, both being measurement for food security.

Methods: A household food consumption survey (n = 200) exploring food diversity, quality of foods, and their relation to food intake in Embo, a poor farming community in rural KwaZulu-Natal was carried out in November 2004 (period of insufficiency) and repeated in March 2005 (period of plenty). Household food intake strata were developed using matrices obtained from the Household Food Intake Index and nutritional adequacy ratios. Food quality was measured using food count and later using 5 food groups, namely, starches, vegetables and fruits,animal sourced foods, fats, and legumes.

Results: Single food count showed dietary diversity to be significantly different across households with different food intake during the period of plenty (P ≤ 0.000). During the period of plenty, vegetable and fruits contributed significantly different proportions of energy (P ≤ 0.000), protein (P ≤ 0.006), iron (P ≤ 0.020), and vitamin E (P ≤ 0.006) to household food intake strata. Intake of vitamin A was more elastic as its intake variation from legumes, fats, and animal sourced foods was (P ≤ 0.000), from starches (P ≤ 0.008) and from vegetable and fruits (P ≤ 0.064) during the second round. Starches are the most important food group to the community, whereas fats and animal sourced food groups are less important.

Conclusions: The current study has been able to include food quality in food security studies. Seasonality accounts for variation in food quality. The South African food-based dietary guidelines are relevant to the Embo community.     

Taxonomic Composition and Diversity of the Gut Microbiota in Relation to Habitual Dietary Intake in Korean Adults

We investigated associations of habitual dietary intake with the taxonomic composition and diversity of the human gut microbiota in 222 Koreans aged 18–58 years in a cross-sectional study. Gut microbiota data were obtained by 16S rRNA gene sequencing on DNA extracted from fecal samples. The habitual diet for the previous year was assessed by a food frequency questionnaire. After multivariable adjustment, intake of several food groups including vegetables, fermented legumes, legumes, dairy products, processed meat, and non-alcoholic beverages were associated with major phyla of the gut microbiota. A dietary pattern related to higher α-diversity (HiαDP) derived by reduced rank regression was characterized by higher intakes of fermented legumes, vegetables, seaweeds, and nuts/seeds and lower intakes of non-alcoholic beverages. The HiαDP was positively associated with several genera of Firmicutes such as Lactobacillus, Ruminococcus, and Eubacterium (all p < 0.05). Among enterotypes identified by principal coordinate analysis based on the β-diversity, the Ruminococcus enterotype had higher HiαDP scores and was strongly positively associated with intakes of vegetables, seaweeds, and nuts/seeds, compared to the two other enterotypes. We conclude that a plant- and fermented food-based diet was positively associated with some genera of Firmicutes (e.g., Lactobacillus, Ruminococcus, and Eubacterium) reflecting better gut microbial health.     

Fast Food Intake in Relation to Employment Status,Stress, Depression,and Dietary Behaviors in Low-Income Overweight and Obese Pregnant Women

Maternal and Child Health Journal - Objective This study explored fast food intake as a potential mediator of the relationships among employment status; stress; depression; and fruit, vegetable,...     

Dietary Intake of Total and Inorganic Arsenic by Adults in Arsenic-Contaminated Dan Chang District,Thailand, Using Duplicate Food Approach

Dan Chang district, approximately 100 km west of Bangkok, was a site of tin mines operated almost 40 years ago. Mining operations caused arsenic contamination in soil, surface water, and groundwater within the district. The specific aim of this study was to estimate the dietary intakes of total and inorganic arsenic in 60 adults (30 males and 30 females) residing in Dan Chang district, using a duplicate food approach. The daily intake rates of inorganic arsenic ranged from 0.496 to 1.817 μg/kg BW for males and 0.342 to 1.778 μg/kg BW for females.     

Alcohol,Coffee, and Milk Intake in Relation to Epilepsy Risk

Alcohol, coffee and milk intakes have been explored in relation to epilepsy risk in observational studies; however, the results were not consistent. We performed a Mendelian randomisation (MR) study to evaluate the causality of these relationships. Genetic variants associated with alcohol, coffee and milk intake were adopted as instrumental variables. We obtained the summary data of epilepsy from the International League Against Epilepsy (ILAE) Consortium (15,212 cases and 29,677 controls) and FinnGen consortium (4588 cases and 144,780 controls). Genetically predicted alcohol intake was associated with a higher risk of epilepsy in the ILAE Consortium (odds ratio (OR): 1.22, 95% confidence intervals (CI): 1.02–1.45). The association in the FinnGen consortium remained consistent in direction. Combined analysis of ILAE and FinnGen databases further indicated that genetically predicted alcohol intake was associated with a higher risk of epilepsy (OR = 1.24; 95% CI, 1.06–1.47, p = 0.009). Genetically predicted coffee intake was not related to epilepsy risk, while higher genetically predicted milk intake was related to a lower risk of epilepsy (OR = 0.957; 95% CI, 0.917–0.999, p = 0.044). Our results suggest a detrimental effect of alcohol intake on the risk of epilepsy, while milk intake might be associated with a decreased risk of epilepsy.     

Dietary Fibre Intake in Relation to Asthma,Rhinitis and Lung Function Impairment—A Systematic Review of Observational Studies

A high intake of dietary fibre has been associated with a reduced risk of several chronic diseases. This study aimed to review the current evidence on dietary fibre in relation to asthma, rhinitis and lung function impairment. Electronic databases were searched in June 2021 for studies on the association between dietary fibre and asthma, rhinitis, chronic obstructive pulmonary disease (COPD) and lung function. Observational studies with cross-sectional, case–control or prospective designs were included. Studies on animals, case studies and intervention studies were excluded. The quality of the evidence from individual studies was evaluated using the RoB-NObs tool. The World Cancer Research Fund criteria were used to grade the strength of the evidence. Twenty studies were included in this systematic review, of which ten were cohort studies, eight cross-sectional and two case–control studies. Fibre intake during pregnancy or childhood was examined in three studies, while seventeen studies examined the intake during adulthood. There was probable evidence for an inverse association between dietary fibre and COPD and suggestive evidence for a positive association with lung function. However, the evidence regarding asthma and rhinitis was limited and inconsistent. Further research is needed on dietary fibre intake and asthma, rhinitis and lung function among adults and children.     

Relationship between Dietary Fatty Acid Intake with Nonalcoholic Fatty Liver Disease and Liver Fibrosis in People with HIV

We aimed to evaluate the relationship between food intake of lipids with nonalcoholic fatty liver disease (NAFLD) and/or liver fibrosis in people living with HIV/AIDS (PLWHA). In this cross-sectional study, transient elastography was used to detect the presence of NAFLD and/or liver fibrosis. The dietary intake of fats and fatty acids (FA) were assessed by two 24 h dietary recalls (24-HDR) (n = 451). Multivariate logistic regression models were performed. Participants with higher intake of total fat were associated with higher odds for NAFLD compared to those with lower consumption [adjusted odds ratio (aOR) = 1.91 (95% confidence interval (95% CI) 1.06–3.44)]. Furthermore, participants with intermediate intake of n6-PUFA (n6-poly-unsaturated FA) and lauric FA had lower odds for NAFLD, respectively aOR = 0.54 (95% CI 0.3–0.98) and aOR = 0.42 (95% CI 0.22–0.78). Additionally, a higher intake of myristoleic FA (fourth quartile) was a significant protective factor for NAFLD [aOR = 0.56 (95% CI 0.32–0.99)]. Participants with higher intake of lauric FA [0.38 (95% CI 0.18–0.80)], myristic FA [0.38 (0.17–0.89)], palmitoleic FA [0.40 (0.19–0.82)] and oleic FA [0.35 (0.16–0.79)] had positively less odds of having liver fibrosis. On the other hand, higher intake of n-6 PUFA was significantly associated with fibrosis [aOR = 2.45 (95% CI 1.12–5.32)]. Dietary assessment of total fat and FA should be incorporated into HIV care as a tool for preventing NAFLD and fibrosis in PLWHA.     

Using Short-Term Dietary Intake Data to Address Research Questions Related to Usual Dietary Intake among Populations and Subpopulations: Assumptions,Statistical Techniques,and Considerations

Many research questions focused on characterizing usual, or long-term average, dietary intake of populations and subpopulations rely on short-term intake data. The objective of this paper is to review key assumptions, statistical techniques, and considerations underpinning the use of short-term dietary intake data to make inference about usual dietary intake. The focus is on measurement error and strategies to mitigate its effects on estimated characteristics of population-level usual intake, with attention to relevant analytic issues such as accounting for survey design. Key assumptions are that short-term assessments are subject to random error only (i.e., unbiased for individual usual intake) and that some aspects of the error structure apply to all respondents, allowing estimation of this error structure in data sets with only a few repeat measures per person. Under these assumptions, a single 24-hour dietary recall per person can be used to estimate group mean intake; and with as little as one repeat on a subsample and with more complex statistical techniques, other characteristics of distributions of usual intake, such as percentiles, can be estimated. Related considerations include the number of days of data available, skewness of intake distributions, whether the dietary components of interest are consumed nearly daily by nearly everyone or episodically, the number of correlated dietary components of interest, time-varying nuisance effects related to day of week and season, and variance estimation and inference. Appropriate application of assumptions and recommended statistical techniques allows researchers to address a range of research questions, though it is imperative to acknowledge systematic error (bias) in short-term data and its implications for conclusions.     

Dietary Acrylamide Intake and the Risks of Renal Cell,Prostate, and Bladder Cancers: A Japan Public Health Center-Based Prospective Study

Acrylamide can be carcinogenic to humans. However, the association between the acrylamide and the risks of renal cell, prostate, and bladder cancers in Asians has not been assessed. We aimed to investigate this association in the Japan Public Health Center-based Prospective Study data in 88,818 Japanese people (41,534 men and 47,284 women) who completed a food frequency questionnaire in the five-year follow-up survey in 1995 and 1998. A validated food frequency questionnaire was used to assess the dietary acrylamide intake. Cox proportional hazard regression models were used to estimate hazard ratios and 95% confidence intervals (CIs). During a mean follow-up of 15.5 years (15.2 years of prostate cancer), 208 renal cell cancers, 1195 prostate cancers, and 392 bladder cancers were diagnosed. Compared to the lowest quintile of acrylamide intake, the multivariate hazard ratios for the highest quintile were 0.71 (95% CI: 0.38–1.34, p for trend = 0.294), 0.96 (95% CI: 0.75–1.22, p for trend = 0.726), and 0.87 (95% CI: 0.59–1.29, p for trend = 0.491) for renal cell, prostate, and bladder cancers, respectively, in the multivariate-adjusted model. No significant associations were observed in the stratified analyses based on smoking. Dietary acrylamide intake was not associated with the risk of renal cell, prostate, and bladder cancers.     

Acute Toxicity of Nitrate and Nitrite to Sensitive Freshwater Insects,Mollusks, and a Crustacean

Both point- and nonpoint-sources of pollution have contributed to increased inorganic nitrogen concentrations in freshwater ecosystems. Although numerous studies have investigated the toxic effects of ammonia on freshwater species, relatively little work has been performed to characterize the acute toxicity of the other two common inorganic nitrogen species: nitrate and nitrite. In particular, to our knowledge, no published data exist on the toxicity of nitrate and nitrite to North American freshwater bivalves (Mollusca) or stoneflies (Insecta, Plecoptera). We conducted acute (96-h) nitrate and nitrite toxicity tests with two stonefly species (Allocapnia vivipara and Amphinemura delosa), an amphipod (Hyalella azteca), two freshwater unionid mussels (Lampsilis siliquoidea and Megalonaias nervosa), a fingernail clam (Sphaerium simile), and a pond snail (Lymnaea stagnalis). Overall, we did not observe a particularly wide degree of variation in sensitivity to nitrate, with median lethal concentrations ranging from 357 to 937 mg NO₃-N/l; furthermore, no particular taxonomic group appeared to be more sensitive to nitrate than any other. In our nitrite tests, the two stoneflies tested were by far the most sensitive, and the three mollusks tested were the least sensitive. In contrast to what was observed in the nitrate tests, variation among species in sensitivity to nitrite spanned two orders of magnitude. Examination of the updated nitrite database, including previously published data, clearly showed that insects tended to be more sensitive than crustaceans, which were in turn more sensitive than mollusks. Although the toxic mechanism of nitrite is generally thought to be the conversion of oxygen-carrying pigments into forms that cannot carry oxygen, our observed trend in sensitivity of broad taxonomic groups, along with information on respiratory pigments in those groups, suggests that some other yet unknown mechanism may be even more important.