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Hidden hunger occurs in the presence of an otherwise nutritionally or energetically appropriate diet that is deficient in essential vitamins and minerals. Guatemala has the highest rate of child malnutrition in Latin America and the prevalence of hidden hunger is high. The aim of this study was to determine the Mn, Se and Cr dietary intakes in Guatemalan institutionalised children (4–14 years), a population group at high risk of mineral deficiency. For this purpose, the contents of Mn, Se and Cr were analysed in a duplicate diet (for 7 consecutive days) by electrothermal atomisation-atomic absorption spectrophotometry following acid digestion. Mn, Se and Cr intakes from the duplicate diets were in the range of 1·3–2·31 mg/d, 58·7–69·6 µg/d and 6·32–27·57 µg/d, respectively. Mn and Cr values were below current recommended daily intakes. A cereal- and legumes-based diet is habitually consumed by this population. Local vegetables, fruits and nutritional supplements are included daily, but the consumption of fish, meat, eggs and dairy products is very infrequent or negligible. Mean daily energy intake from the 7-d diet was 8418·2 kJ (2012 kcal), with a macronutrient energy distribution of carbohydrates 69·4 %, proteins 12·3 % and fats 18·3 %. Correlations between Mn, Se and Cr intakes and energy and other nutrient intakes were also evaluated. The present findings will help establish new nutritional strategies for this and similar population groups. [ABSTRACT FROM PUBLISHER]

Adolescence is an important period of nutritional vulnerability due to increased dietary requirements for growth and development. Iron needs are elevated as a result of intensive growth and muscular development, which implies an increase in blood volume; thus, it is extremely important for the adolescent's iron requirements to be met. Diet, therefore, must provide enough iron and, moreover, nutrients producing adequate iron bioavailability to favor element utilization and thus be sufficient for needs at this stage of life. Currently, many adolescents consume monotonous and unbalanced diets which may limit mineral intake and/or bioavailability, leading to iron deficiency and, consequently, to ferropenic anemia, a nutritional deficit of worldwide prevalence. Iron deficiency, apart from provoking important physiological repercussions, can adversely affect adolescents’ cognitive ability and behavior. Accordingly, promoting the consumption of a varied, adjusted, and balanced diet by adolescents will facilitate iron utilization, benefiting their health both at present and in adulthood. This review discusses how physiological changes during adolescence can cause iron requirements to increase. Consequently, it is important that diet should contribute an appropriate amount of this mineral and, moreover, with an adequate bioavailability to satisfy needs during this special period of life. [ABSTRACT FROM AUTHOR]

The dietary habits of the adolescent population with a high intake of snack and fast foods mean that they consume a high rate of which in turn leads to the development of different degenerative disorders. There are few studies available on MRP absorption and metabolism. We investigated the effects of a MRP-high and a MRP-low diet on carboxymethyllysine (CML) intake and excretion in 11-14 years adolescent males. In a 2-period crossover trial, 20 healthy subjects were randomly assigned to two groups. The first group consumed the MRP-low diet for 2 weeks, observed a 40-day washout period, and then consumed the MRP-high diet for 2 weeks. The second group received the diets in the reverse order. Subjects collected urine and faeces on the last 3 days of each dietary period. The consumption of the MRP-high diet led to a higher CML input ( P < 0.05) (11.28 vs. 5.36 mg/day CML for MRP-high and -low diet, respectively). In parallel, the faecal excretion was also greater ( P < 0.05) (3.52 vs. 1.23 mg/day CML, respectively) and proportional to the dietary intake. The urinary elimination of CML was not increased significantly when the MRP-high diet was consumed compared to consumption of the MRP-low diet, and was not proportional to the dietary exposure of CML. In conclusion it was shown that CML absorption and faecal excretion were highly influenced by dietary CML levels. Since the compound has long-term effects on health, an excessive intake deserves attention, especially in a population nutritionally at risk as adolescents. [ABSTRACT FROM AUTHOR]

Abstract: The effects of consuming diets with different Maillard reaction products (MRP) content on zinc and copper bioavailability and status were examined. In a 2-week randomised 2-period crossover trial, 18 male adolescents consumed two diets, named white diet (WD) and brown diet (BD), which were poor and rich in MRP, respectively. A 3-day balance was performed at the end of each period and fasting blood samples were collected. Zinc bioavailability did not vary significantly between the diets (%WD: 21.0±5.0, %BD: 15.1±5.1), but BD consumption increased copper faecal excretion (~1.8-fold) and significantly decreased its bioavailability (~3.0-fold). Biochemical parameters related to zinc metabolism remained unaltered whereas copper in serum and erythrocytes significantly decreased after consumption of the BD (72.47±2.42μg/dl and 0.93±0.01μg/ml in serum and erythrocytes with WD compared to 65.87±3.11μg/dl and 0.84±0.02μg/ml with BD). The present results suggest that the high presence of MRP in the diet does not affect zinc but negatively affects copper bioavailability. As both minerals are essential trace elements involved in adolescents'' growth and development, possible long-term effects of excessive MRP intake during adolescence warrant attention. [Copyright &y& Elsevier]

Adolescence is an important period of nutritional vulnerability due to increased dietary requirements for growth and development and special dietary habits. Calcium needs are elevated as a result of the intensive bone and muscular development and thus adequate calcium intake during growth is extremely important to reach the optimum peak bone mass and to protect against osteoporosis in the adult age, a major public health threat whose incidence is increasing in Western countries. However, most children and adolescents worldwide fail to achieve the recommended calcium intake. The hormonal changes associated with the pubertal period promote greater mineral utilization, which needs to be satisfied with suitable calcium consumption. Diet, therefore, must contribute nutrients in sufficient quality and quantity to allow maximum bone mass development. Consequently, adolescents should be educated and encouraged to consume adjusted and balanced diets that, together with healthy lifestyles, enable optimal calcium utilization. [ABSTRACT FROM AUTHOR]

Objective: To examine the effects of consuming diets rich in Maillard reaction products (MRPs) on phosphorus bioavailability in male adolescents. Methods: A 2-wk randomized two-period crossover trial was performed among healthy male adolescents aged 11–14 y (n = 20), with a 40-d washout period. The diets consumed were rich (brown diet) or poor (white diet) in MRPs. Three-day balances were performed on the last of each dietary period, and fasting blood samples were obtained. Dietary phosphorus utilization was examined by phosphorus intake in diet and phosphorus output in feces and urine, as measured colorimetrically by the vanadomolibdate procedure. Serum phosphorus, parathyroid hormone, and total alkaline phosphatase were determined. Results: A tendency to increase daily phosphorus fecal excretion was observed subsequent to the brown diet consumption compared with the white diet (P = 0.10), which led to significant reductions in phosphorus apparent absorption (P = 0.03) and fractional absorption (P = 0.04). Values of apparent phosphorus retention and bioavailability tended to decrease after the high-MRP diet. Serum parameters analyzed remained unchanged between diets and were within normal values. Conclusion: The consumption of a rich-MRP diet in male adolescents had a negative influence on dietary phosphorus absorption, tending to decrease the phosphorus balance. Given the actual dietary habits of adolescents, possible long-term repercussions of this kind of diet should be studied. [Copyright &y& Elsevier]

The effects of a diet based on Mediterranean patterns on iron bioavailability and iron status in adolescents were studied. The study was divided into two periods: basal period, in which 21 male adolescents consumed their habitual diet (basal diet); and nutritional intervention period, during which an experimental diet based on the Mediterranean model was consumed. Dietary iron utilization was studied by means of iron intake and iron output in faeces and urine, and iron status was analysed in fasting blood samples collected at the end of each period. No differences in total iron intake were found between diets, but consumption of the experimental diet increased iron absorption and retention compared with the basal diet. Biochemical parameters related to iron metabolism did not vary after the intervention period, although serum ferritin tended to increase. Therefore, a diet based on Mediterranean dietary patterns may improve dietary iron utilization during adolescence and may prevent iron deficiency. [ABSTRACT FROM AUTHOR]

The article discusses a study that examined the effects of consuming a diet based on Mediterranean patterns on calcium availability and metabolism in male adolescents. During the longitudinal study, subjects consumed their usual diet in the first 3-day basal period, and during the 28-day nutritional intervention period, an intervention Mediterranean-type diet was consumed. It was observed that the intervention diet (ID) resulted in significant increases in calcium absorption and retention, and a considerable decrease in urinary calcium excretion.