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Biomedical subjects

B Sandström

Publications and source records attributed to B Sandström.

At least 55 records · Page 3Linked to original sources
PubMed1997

Effect of casein phosphopeptides on zinc and calcium absorption from bread meals.

Animal studies suggest that casein phosphopeptides (CPP), formed by proteolytic digestion of casein, have a positive effect on Ca availability. The aim of this study was to investigate the ability of CPP to improve Zn and Ca absorption from phytate-containing bread meals. Secondly, it was tested whether the Ca content of the meal influenced the effect of CPP on Zn absorption from a high-phytate meal. Zn and Ca absorption from single model meals was determined by extrinsic labeling with 65Zn and 47Ca and measurement of whole-body retention. Thirty-one healthy adults (19-30 y) divided into three groups received one of three meal types based on white-wheat rolls with different phytate and Ca content: A: low-phytate/high-Ca (n = 10), B: high-phytate/high-Ca (n = 10) and C: high-phytate/low-Ca (n = 11). Each individual received the same meal type at three different occasions with 0, 250 and 1000 mg CPP added. CPP had no effect on Zn absorption: A: 14.3 +/- 4.4% (mean +/- SD) (0 mg CPP), 16.7 +/- 6.6% (250 mg CPP) and 16.0 +/- 8.8% (1000 mg CPP); B: 7.0 +/- 1.6%, 7.7 +/- 3.0% and 8.0 +/- 2.6%; C: 7.7 +/- 2.5%, 7.0 +/- 2.3% and 6.5 +/- 1.6%, respectively. Addition of 1000 mg CPP reduced fractional Ca absorption from meal A: 33.8 +/- 7.1%, 30.5 +/- 6.3% and 25.9 +/- 8.7% (p < 0.05), whereas CPP had no effect in meal B: 29.3 +/- 8.3%, 27.0 +/- 7.4% and 27.6 +/- 11.0%. However, the absolute quantity of Ca absorbed was unaffected. In conclusion, Zn and Ca absorption from these meals were not significantly influenced by the addition of CPP, Ca addition could not explain the failure of CPP to improve Zn absorption.

Absorption↗
PubMed1997

The impact of zinc supplementation on growth and body composition: a randomized, controlled trial among rural Zimbabwean schoolchildren.

OBJECTIVES: To assess the effect of zinc supplementation on growth and body composition among schoolchildren. DESIGN: Randomized, double-blind, placebo-controlled trial. SETTING AND SUBJECTS: 313 rural Zimbabwean schoolchildren (144 boys and 169 girls, 11-17 y). INTERVENTIONS: Supplementation with zinc (30 or 50 mg) or placebo on schooldays for 12 months. Due to drought, a food programme was in operation during the last eight months of the study. VARIABLES: Weight, height, upper arm circumference, triceps skinfold thickness, and weight-for-age, height-for-age, weight-for-height, arm muscle-area-for-age and arm fat-area-for-age Z-scores. RESULTS: Significant effects on weight gain (0.51 vs 0.14 kg, P = 0.01), weight-for-age Z (-0.08 vs -0.14, P = 0.01) and arm muscle area-for-age Z-score (0.10 vs 0.01, P = 0.03) were seen over the first three months, whereas no effects were seen over the full 12 months. CONCLUSIONS: Zinc deficiency impairing lean body mass and weight gain was documented. However, the effect of zinc seen over the first three months vanished during the last nine months when the food programme was in operation. Zinc deficiency may have persisted, but another nutrient may have become growth limiting during the last nine months.

Adolescent↗
PubMed1997

The impact of zinc supplementation on Schistosoma mansoni reinfection rate and intensities: a randomized, controlled trial among rural Zimbabwean schoolchildren.

OBJECTIVES: To assess the effect of zinc supplementation on susceptibility to S. mansoni reinfections among schoolchildren. DESIGN: Randomized, double-blind, placebo-controlled trial. SETTING AND SUBJECTS: 313 rural Zimbabwean schoolchildren (144 boys and 169 girls), 11-17 y). INTERVENTIONS: Supplementation with zinc (30 or 50 mg) or placebo on schooldays for 12 months. Due to drought, a food programme was in operation during the last eight months of the study. OUTCOME MEASURES: S. mansoni and S. haematobium reinfection rates and intensities. RESULTS: There was no difference in reinfection rates between the zinc and placebo groups (25 vs 29%, P = 0.46). However, the median intensity of S. mansoni reinfection, although low in both groups, was significantly lower in the zinc than in the placebo group (7 vs 13 eggs per gram of faeces, P = 0.048). No difference in either S. haematobium reinfection rates or intensities were seen. CONCLUSIONS: Zinc supplementation reduced the intensity of S. mansoni reinfections. Although the intensities of reinfection were very low, the finding probably reflects a biological effect of zinc that could be of public health importance in settings with higher transmission.

Adolescent↗
PubMed1997

The effect of ingestion of inulin on blood lipids and gastrointestinal symptoms in healthy females.

The effect of a daily intake of 14 g inulin added to a low-fat spread on fasting blood lipids and gastrointestinal symptoms was investigated in sixty-four young healthy women in a randomized double-blind crossover study involving two periods of 4 weeks. The test spread with and without inulin replaced habitual spread during the test periods. No significant differences between the test periods in plasma total cholesterol, HDL-cholesterol, LDL-cholesterol and triacylglycerol concentrations were observed. Gastrointestinal symptoms assessed with questionnaires showed that in the inulin period there was a significantly (P < 0.05) higher degree of discomfort from flatulence and other gastrointestinal symptoms than in the control period. In general, there was no indication of intestinal adaptation to this level of intake of inulin.

Adult↗
PubMed1997

Importance of diet and sex in prevention of coronary artery disease, cancer, osteoporosis, and overweight or underweight: a study of attitudes and practices of Danish primary care physicians.

General practitioners (GPs) in Denmark (n = 374) answered a questionnaire on attitudes toward including information on diet and sex in the prevention of coronary artery disease, cancers, osteoporosis, and weight problems. Risk factors for disease were ranked as follows: smoking, alcohol, stress, diet, physical exercise, heredity, and hygiene. Patients' lack of motivation, insufficient time for each patient, and inadequate knowledge about nutrition were listed by GPs as barriers to dietary counseling. GPs stated that the sex of the patient was important only for counseling on osteoporosis. Lack of time and insufficient knowledge were perceived as barriers to including sex-specific issues in prevention. One-half of the GPs were questioned about the issue of prevention on the basis of female case stories and the other half on the basis of male case stories with identical wording. Responses to the case stories indicated that GPs would give dietary guidance and recommend loss of weight to slightly overweight male patients to a much greater degree than to overweight female patients for prevention of coronary artery disease, give dietary counseling and recommend loss of weight and exercise to female patients more than to male patients for prevention of cancers, recommend a supplement of calcium and vitamin D for prevention of osteoporosis to female patients, and recommend weight gain and discuss psychosocial issues more with underweight female patients than with underweight male patients. Female GPs included measures of prevention such as dietary counseling, exercise prescription, dietary supplement prescription, and discussion of psychosocial issues to a greater extent than did male GPs.

Adolescent↗
PubMed1997

Casein phosphopeptides improve zinc and calcium absorption from rice-based but not from whole-grain infant cereal.

BACKGROUND: Casein phosphopeptides (CPP) are phosphorus-rich peptide fragments of casein, assumed to contribute to the high bioavailability of calcium from milk. METHODS: The effect of casein phosphopeptides on calcium and zinc absorption from infant foods was investigated. Twenty-two men and women were given single test meals extrinsically labeled with Ca and Zn. Absorption was calculated from measurements on whole-body retention of the radioisotopes. Each subject was given either rice-based cereal (n = 11) or whole-grain cereal (n = 11) on three occasions together with 250 ml water and added 0, 1, and 2 g CPP in random order. One serving of rice-based cereal contained 481 mg Ca and 1.29 mg Zn; whole-grain cereal contained 541 mg Ca and 1.77 mg Zn. One and 2 g of CPP contributed with additional 69 and 138 mg Ca, respectively. RESULTS: From rice-based cereal, fractional calcium absorption was not affected by CPP addition (mean +/- SD): 16.0 +/- 4.0% (no CPP), 17.6 +/- 4.5% (1 g CPP), and 15.8 +/- 4.3% (2 g CPP), while the total quantity of calcium absorbed was significantly improved: 7 +/- 19 mg, 97 +/- 25 mg, and 98 +/- 26 mg, respectively (p = 0.0004). Fractional zinc absorption as well as total quantity of zinc absorbed were increased with addition of CPP: 19.4 +/- 9.0% (0.25 +/- 0.12 mg), 25.2 +/- 7.5% (0.33 +/- 0.10 mg) and 23.9 +/- 5.4% (0.31 +/- 0.07 mg) at the three CPP levels (p = 0.04). From whole-grain cereal, CPP had no effect on the percentage or actual quantity of calcium absorbed: 17.0 +/- 3.2% (92 +/- 18 mg), 17.2 +/- 4.5% (105 +/- 27 mg), and 15.0 +/- 4.6% (102 +/- 31 mg), respectively. Zinc absorption was also not influenced by CPP: 16.0 +/- 5.1% (0.28 +/- 0.09 mg), 15.3 +/- 3.1% (0.27 +/- 0.06 mg) and 18.1 +/- 4.4% (0.32 +/- 0.08 mg), respectively. CONCLUSIONS: CPP addition improved calcium and zinc absorption from rice-based cereal, while no effect was seen from whole-grain cereal.

Adult↗
PubMed1996

Relationship of social roles and nutrition beliefs to fat avoidance practices: investigation of a US model among Danish women.

OBJECTIVE: This study was designed to investigate the associations among women's social roles, their nutrition beliefs, and their dietary fat avoidance practices. Role theory and prior qualitative research among US women provided the theoretical framework. DESIGN/SUBJECTS: A random-sample mail survey (76% response) was used to gather information on the usual pattern of dietary fat use, nutrition beliefs, and social positions of Danish women aged 30 to 60 years. A fat avoidance score was calculated for each respondent on the basis of 12 fat consumption practices. Sequential multiple linear regression was used to develop an explanatory model for fat avoidance using responses from 594 women. RESULTS: Interactions between nutrition attitudes and beliefs and social roles suggested that the roles themselves did not influence fat avoidance practices, but the nutrition beliefs associated with particular roles did have an influence. Among employed women, fat avoidance was lower among those who perceived many barriers to healthful eating. Among women who were not employed, fat avoidance was lower among those who perceived little social support for healthful eating. The association of fat avoidance with caretaking responsibility varied by age group. Caretaking was positively associated with fat avoidance among women in their forties, but not in older or younger age groups. CONCLUSIONS: Nutrition messages should be tailored to fit women's unique social roles and the beliefs associated with them. Nutrition professionals in Denmark and the United States can adapt these findings to their own cultural context.

Adult↗
PubMed1996

Zinc, copper and magnesium absorption from a fibre-rich diet.

Zinc, copper and magnesium absorption and retention from a high-fibre and high-phytate diet of conventional foods were investigated in 8 healthy subjects. Fractional absorption of the three minerals was estimated from fecal monitoring of zinc, copper and magnesium stable isotopes added to one day's diet. In addition, apparent absorption, retention and endogenous losses were estimated for the respective minerals based on fecal and urinary excretion over the last 16 days of 21 days constant intake. The diet contained 1 mmol phytic acid, 29 g dietary fiber, 140 mumol zinc, 13 mumol copper, and 9 mmol magnesium per 10 MJ. The absorption of zinc, copper and magnesium was 29 +/- 12% (x +/- SD) (48 +/- 20 mumol), 44 +/- 7% (8 +/- 1 mumol) and 46 +/- 6% (5 +/- 1 mmol), respectively. The retained amounts of minerals were -7 +/- 19 mumol, -5 +/- 4 mumol, and -3 +/- 1 mmol, respectively and the estimated endogenous intestinal losses were 40 +/- 20 mumol, 12 +/- 4 mumol and 3 +/- 1 mmol, respectively. In conclusion, the fractional absorption of zinc, copper and magnesium from the fibre-rich diet was not sufficient to cover intestinal and urinary losses of these elements, resulting in negative balances.

Adult↗
PubMed1996

Improved zinc and iron absorption from breakfast meals containing malted oats with reduced phytate content.

The absorption of Zn or Fe from breakfast meals containing oat porridge prepared from malted and soaked oats and a control porridge made from untreated oats was measured in human subjects. The effect on Zn and Fe absorption of reducing the phytate content of oat-porridge meals was examined in each subject by extrinsic labelling of porridge with 65Zn and of bread rolls with 55Fe and 59Fe, and measuring whole-body retention and the erythrocyte uptake of isotopes. Each experiment comprised nine to ten subjects. The absorption of Zn from malted-oat porridge with a phytate (inositol hexaphosphate) content of 107 mumol was 18.3%, and significantly higher (P < 0.05) than from the control porridge containing 432 mumol phytate (11.8%). Fe absorption from the meal containing malted-oat porridge with 107 mumol phytate (Expt 2) was also significantly improved (P < 0.05) compared with that from the meal containing control porridge with 437 mumol phytate. The average increase in Fe absorption was 47%, or from 4.4 to 6.0%. In the breakfast meal containing malted porridge with 198 mumol phytate (Expt 3) the increase in Fe absorption was not significantly improved. Even though the phytate content was reduced to a greater extent in Expt 3 than Expt 2, the average increase in Fe absorption in Expt 3 was only 25% more than that from the meal containing control porridge (with 599 mumol phytate), depending on the higher absolute amount of phytate. In conclusion, an improvement in Zn and Fe absorption from oat products can be achieved by practising malting and soaking in the processing of oats. This may be of importance in the prevention of mineral deficiency in vulnerable groups.

Adult↗
PubMed1996

Effects of varying content of soluble dietary fibre from wheat flour and oat milling fractions on gastric emptying in pigs.

Four pigs fitted with a gastric cannula were fed on a wheat-flour-based diet (WF) and three oat-based diets, consisting mainly of oat flour (OF), rolled oats (RO) or oat bran (OB), for 1 week each. The stomach contents were collected quantitatively daily at 0.5, 1, 2, 3 or 5 h after feeding. The viscosity (mPa.s) of the liquid fraction of stomach contents 1 h after feeding was 1.7 with diet WF, 15 with diet OF, 30 with diet RO and approximately 400 with diet OB. The viscosity and the concentration of beta-glucan in the liquid phase was to some extent determined by the dietary level of beta-glucan in the diet. However, there was a trend towards a lower viscosity after longer exposure to the gastric juices. The correlation between logarithmic values for viscosity and concentration of beta-glucan in the liquid phase of digesta was r 0.45. On centrifugation of digesta there was a higher proportion present in the sediment phase when the pigs were fed on diets with a higher content of soluble dietary fibre (DF), suggesting that the digesta was more coherent. This possibility was supported by the higher water-holding capacity (WHC) of the sediment. Feeding diets with oats containing a higher soluble DF content led to lower recoveries of digesta, PEG 4000 (liquid-phase marker), and the DF components beta-glucan and arabinoxylan in the first hour after feeding. No effect related to the DF content of the diet was seen in the gastric emptying of starch and Cr2O3 (solid-phase marker). In conclusion, soluble DF from oats increased the viscosity of stomach contents and increased the ability of the dry matter to retain water. Higher levels of soluble DF led to higher recoveries of digesta, the liquid phase and DF itself in the initial stage of gastric emptying, whereas no effect was seen on the gastric emptying of starch.

Animals↗
PubMed1996

Zinc absorption in adult humans: the effect of protein sources added to liquid test meals.

The influence of different protein sources on Zn absorption was evaluated in healthy adults by radioisotopic labelling of single meals, followed by whole-body retention measurements 14 d after intake. Semi-synthetic liquid diets were used for the evaluation of different animal-protein sources and dephytinized soyabean-protein isolate (< 0.01 g phytic acid/kg). Zn absorption was measured in the same subjects from identical test meals containing no added protein. No statistically significant differences were found in the Zn absorption from test meals containing bovine whey, casein or egg albumen when compared with test meals without added protein. Bovine serum albumin (BSA) and soyabean-protein isolate (< 0.01 g phytic acid/kg) significantly reduced the mean absorption of Zn from 45-49% (no added protein) to 38.0 (SD 10.9) (BSA, P < 0.05) and 33.9 (SD 12.6)% (soyabean-protein isolate < 0.01 g phytic acid/kg, P < 0.01). These results demonstrate that Zn absorption is inhibited by certain protein sources, such as BSA and dephytinized soyabean-protein isolate, while other proteins have little or no effect.

Adult↗
PubMed1996

The effect of casein phosphopeptides on zinc and calcium absorption from high phytate infant diets assessed in rat pups and Caco-2 cells.

Milk and other foods of animal origin have been shown to improve zinc absorption from phytate-rich diets. The ability of milk proteins and casein phosphopeptides (CPP), the latter formed during digestion of casein, to overcome the inhibitory effect of phytate on zinc and calcium absorption was investigated. Suckling rat pups were given aqueous phytate-containing solutions, oat diet, or soy formula alone or with milk proteins or CPP added. Diets labeled extrinsically with 65Zn and 47Ca were given by gastric intubation. Absorption was determined from measurement of radioisotope activity in intestine, organs, and carcass. Addition of CPP improved zinc and calcium absorption from aqueous phytate-containing solutions and from oat diet. The effect of CPP on calcium absorption from soy formula was less pronounced. The influence of CPP on zinc absorption from aqueous phytate-containing solutions was also examined using a human colon carcinoma-derived cell line, Caco-2. Binding + uptake of 65Zn was determined after incubation with these solutions. Phytate reduced zinc binding + uptake to 79% of the control value. Addition of 14 mumol of CPP/L increased zinc binding + uptake to 94%, whereas 36 and 72 mumol of CPP/L depressed zinc binding + uptake (75 and 39%). In conclusion, CPP improved zinc and calcium bioavailability from high phytate meals in the rat pup model. In the Caco-2 cell system, addition of 14 mumol of CPP/L showed a positive effect on zinc binding + uptake from phytate-containing solutions, whereas higher levels of CPP inhibited zinc binding + uptake.

Animals↗
PubMed1996

Serum concentration of micronutrients in relation to schistosomiasis and indicators of infection: a cross-sectional study among rural Zimbabwean schoolchildren.

OBJECTIVE: To study the relation between indicators of infection and Schistosoma mansoni and S. haematobium infection, and serum concentrations of zinc, ferritin and retinol. DESIGN: Cross-sectional. SETTING AND SUBJECTS: 313 rural Zimbabwean schoolchildren (144 boys and 169 girls, 11-17 years). VARIABLES: S. mansoni and S. haematobium egg output, concentration of C-reactive protein, neutrophil count, questionnaire data on fever and diarrhoea, and serum concentrations of retinol, ferritin and zinc. RESULTS: Age, elevated CRP, fever and S. mansoni egg output were significant predictors of the concentration of retinol. The regression coefficient for age was positive, and negative for elevated CRP, fever and S. mansoni egg output. As S. mansoni, but not S. haematobium, was of significance, it is unlikely that low retinol level increased susceptibility to infection. The effect of S. mansoni on retinol level was 0.03 mumol/l (95% CI: 0.002-0.06, P = 0.03) for each 100 eggs/g increase in egg output. Neither indicators of infection nor age and sex were predictors of concentration of zinc and log10 concentration of ferritin. CONCLUSION: S. mansoni infection reduced retinol level, when indicators of infection and age were controlled for. High intensities of S. mansoni infection may induce vitamin A deficiency among children with marginal vitamin A status. The study emphasizes the importance of controlling for age and metabolic response to concurrent infections in studies using serum retinol as a measure of vitamin A status.

Adolescent↗
PubMed1995

[Food intake of Danes and cardiac risk factors].

We served a low-fat (28% of energy) high-fibre (3.3 g/MJ) diet according to Nordic Nutrition Recommendations (REC diet), and a high-fat diet (39% of energy) corresponding to the average Danish diet (DANE diet) to 21 healthy middle-aged individuals in a two times two weeks cross-over study. The REC diet resulted in lower serum concentrations of low density lipoprotein (LDL) cholesterol (medians: 2.77 vs 3.04 mmol/l, p < 0.001), and high-density lipoprotein (HDL) cholesterol (1.08 vs 1.24 mmol/l, p < 0.001), and higher fasting triglycerides (1.11 vs 0.86 mmol/l, p = 0.04) than the DANE diet. Furthermore, the REC diet lowered plasma factor VII coagulant activity (FVIIc) (88 vs 96%, p = 0.002) and raised plasma fibrinolytic activity. Our observations indicate that a low-fat high-fibre diet may not only reduce the atherogenic, but also the thrombogenic tendency of an individual compared with a diet corresponding to the average Danish diet.

Adult↗
PubMed1995

Zinc and manganese bioavailability from human milk and infant formula used for very low birthweight infants, evaluated in a rat pup model.

The bioavailability of zinc and manganese from diets used for very low birthweight infants was investigated in a rat pup model using radioisotopes. The effect of protein source and content and of pasteurization was evaluated, and two different approaches for evaluation of zinc and manganese bioavailability from the studied human milk and infant formula for very low birthweight infants was high. Liver uptake of 65Zn from labeled premature infant diets in sucklings rat pups was 26-29%, and absorption calculated as the difference between administered dose and nonabsorbed activity 6 h after oral intubation was 93-95%. Retention of manganese calculated as the sum of 54Mn retained by organs and carcass was 85-95% from human milk and premature infant formula, and absorption calculated from nonabsorbed activity was 83-88% after 6 h. Fortification of early human milk significantly increased the bioavailability of zinc. No effect of pasteurization of human milk was found on zinc or manganese bioavailability. Liver zinc uptake was found to be a more sensitive parameter than absorption for evaluation of diets with a high zinc bioavailability. Measurement of retained activity of manganese in carcass and organs was judged to be the preferred parameter for evaluation of diets with high manganese availability.

Absorption↗
PubMed1995

Gastrointestinal growth in rats as influenced by indigestible polysaccharides and adaptation period.

Hypertrophy of the small intestinal tissue evolved during the initial 9 days in rats fed pectin or guar gum. Hypertrophy of the caecal and colonic tissue continued beyond day 9. Caecal hypertrophy was observed in rats fed pectin, guar gum or resistant starch, while colonic hypertrophy was observed only in rats fed pectin or resistant starch. There is a time lag in the adaptive response of the caecum and colon as compared with the small intestine, at least for dietary polysaccharides. This time lag is suggested to be related to the time required for the microflora to adapt to the dietary PS.

Animals↗