Anass Rami | Ibn Tofail University (original) (raw)
Papers by Anass Rami
Veterinary Record, 2007
A cross‐sectional serological survey of the prevalence of brucellosis in ruminants in the Region ... more A cross‐sectional serological survey of the prevalence of brucellosis in ruminants in the Region of Republican Subordination and Khatlon oblasts (provinces) in Tajikistan was conducted in May 2003. Sera from 13,625 ruminants involving 3513 households in 172 kishlaks (villages) were collected and screened by the rose bengal test. Doubtful and positive results were further tested with competitive and indirect elisa s. The overall serological prevalences (95 per cent confidence intervals [ci s]) were 5·8 per cent (5·2 to 6·4 per cent) for sheep, 5·5 per cent (5·0 to 6·0 per cent) for goats and 2·1 per cent (1·0 to 3·2 per cent) for cattle. The results show that brucellosis was a common disease of ruminants that was widely but unevenly distributed throughout the two oblasts. Seropositive animals were found in 119 of the 172 kishlaks (69·2 per cent [95 per cent ci 61·9 to 75·6 per cent]) and 14·4 per cent (95 per cent ci 13·3 to 15·6 per cent) of the 3513 households. Evidence of infectio...
Archives of public health, Apr 20, 2023
Background Excessive sodium (Na) and insufficient potassium (K) intake contribute to a high risk ... more Background Excessive sodium (Na) and insufficient potassium (K) intake contribute to a high risk of cardiovascular events. Morocco lacks data on actual Na and K intake in adults. We estimated mean Na and K intake in a Moroccan population of adults residing in the Northwest region using 24-h urinary excretion and examined their association with blood pressure (BP). Methods A total of 371 adults from this region, who were recruited for the STEPs Survey Morocco 2017, completed demographic, anthropometric as well as BP data and provided a valid 24-h urine collection according to the standard World Health Organization (WHO) protocol. Multiple Linear Regression analysis was used to examine the association between 24-h urinary sodium (24-hUNa) and 24-h potassium excretion (24-hUK) with BP. Results Mean Na excretion was 2794 mg/day and mean K excretion was 1898 mg/day. Overall, only 114 (30.7%) adults met the WHO recommendation for Na intake (< 2000 mg/d) and 31 (8.4%) met the adequate level for K intake (⩾3510 mg/d). There was no association between 24-hUNa and 24-hUK with BP (P > 0.05 for all). Conclusion Na intake was higher and K intake was lower than WHO recommendations in the study population. There was no association between estimated Na and K intake levels with BP in this population.
JAMA, 2018
IMPORTANCE In 2010, the Institute of Medicine (now the National Academy of Medicine) recommended ... more IMPORTANCE In 2010, the Institute of Medicine (now the National Academy of Medicine) recommended collecting 24-hour urine to estimate US sodium intake because previous studies indicated 90% of sodium consumed was excreted in urine. OBJECTIVE To estimate mean population sodium intake and describe urinary potassium excretion among US adults. DESIGN, SETTING, AND PARTICIPANTS In a nationally representative cross-sectional survey of the US noninstitutionalized population, 827 of 1103 (75%) randomly selected, nonpregnant participants aged 20 to 69 years in the examination component of the National Health and Nutrition Examination Survey (NHANES) collected at least one 24-hour urine specimen in 2014. The overall survey response rate for the 24-hour urine collection was approximately 50% (75% [24-hour urine component response rate] × 66% [examination component response rate]). EXPOSURES 24-hour collection of urine. MAIN OUTCOMES AND MEASURES Mean 24-hour urinary sodium and potassium excretion. Weighted national estimates of demographic and health characteristics and mean electrolyte excretion accounting for the complex survey design, selection probabilities, and nonresponse. RESULTS The study sample (n = 827) represented a population of whom 48.8% were men; 63.7% were non-Hispanic white, 15.8% Hispanic, 11.9% non-Hispanic black, and 5.6% non-Hispanic Asian; 43.5% had hypertension (according to 2017 hypertension guidelines); and 10.0% reported a diagnosis of diabetes. Overall mean 24-hour urinary sodium excretion was 3608 mg (95% CI, 3414-3803). The overall median was 3320 mg (interquartile range, 2308-4524). In secondary analyses by sex, mean sodium excretion was 4205 mg (95% CI, 3959-4452) in men (n = 421) and 3039 mg (95% CI, 2844-3234) in women (n = 406). By age group, mean sodium excretion was 3699 mg (95% CI, 3449-3949) in adults aged 20 to 44 years (n = 432) and 3507 mg (95% CI, 3266-3748) in adults aged 45 to 69 years (n = 395).
Archives of public health, May 27, 2022
Background: Iodine deficiency disorders (IDD) affects nearly 1.9 million people worldwide. Iodine... more Background: Iodine deficiency disorders (IDD) affects nearly 1.9 million people worldwide. Iodine deficiency (ID) remains a public health concern not only for pregnant women, but for women of reproductive age (WRA) as well. This study was planned to evaluate the iodine status and the prevalence of iodine deficiency in a nationally representative sample of Moroccan WRA according to their socioeconomic data and living areas. Methods: This study is a cross-sectional national survey conducted on 1652 WRA aged between 18 and 49 years. Iodine status was assessed by the evaluation of the urinary iodine concentration (UIC) on spot urinary samples, using the Sandell-Kolthoff reaction, and by the estimation of iodine-rich food consumption, using a food frequency questionnaire. The World Health Organization cutoff of a median UIC of < 100 μg/l was used to define ID in the population. Results: The median UIC [20th-80th] was 71.3 μg/l [37.5-123.1] and 71% of participants had UIC < 100 μg/L, indicating insufficient iodine status and mild iodine deficiency. WRA from urban and rural areas showed an UIC median of 75.94 μg/l [41.16-129.97] and 63.40 μg/l [33.81-111.68], respectively. Furthermore, ID prevalence was significantly higher in rural areas (75.6%) as compared to urban areas (67.9%) (p < 0.05). Food frequency questionnaires analyses highlighted that dairy products are the most commonly consumed iodine-rich food, reported to be consumed daily by 43.1% of WRA. Of particular interest, 83.5% of WRA reported a weekly consumption of fish. Conclusion: ID is still a public health problem in Morocco highlighting the necessity to implement effective national program, including efficient salt iodization, effective nutritional education and awareness, to control iodine deficiency and prevent IDD development.
Children
Historically, mountainous areas of Morocco have been affected by endemic goiter and severe iodine... more Historically, mountainous areas of Morocco have been affected by endemic goiter and severe iodine deficiency. In 1995, Morocco legislated salt iodization to reduce iodine deficiency. There has been no national survey of iodine nutrition in school-age children for nearly 3 decades. Our aim was to assess iodine nutrition in a national sample of 6–12-year-old children in Morocco to inform the national salt iodization strategy. In this cross-sectional household-based survey, we randomly recruited healthy 6–12-year-old children from 180 clusters in four geographic zones (north and east, central, north and south) covering the 12 regions of Morocco. A questionnaire was completed, including socio-economic status and parental level of education. In addition, anthropometric measurements were taken to assess nutrition status, and a spot urine sample was collected to measure urinary iodine concentration (UIC). A total of 3118 households were surveyed, and 1043 eligible children were recruited, ...
ID Author Title Page 157 The association between stunting, wasting and breastfeeding, and fat-fre... more ID Author Title Page 157 The association between stunting, wasting and breastfeeding, and fat-free mass and fat mass in Kenyan children aged 6 and 15 months Silvenus Konyole 1 161 Evaluation of iodized salt and iodine intake, and determination of iodine deficiency in schoolchildren in the region of Rabat Anass Rami 2 289 Content of iron and vitamin A in participatory improved complementary dishes for children in Central Uganda Beatrice Ekesa 3 INTERNATIONAL SYMPOSIUM ON Understanding the Double Burden of Malnutrition for Effective Interventions 10 -13 December 2018 Vienna, Austria INDICO/Abstract ID Number: 157 STUNTING, WASTING AND BREASTFEEDING AS RELATED TO FAT-FREE MASS AND FAT MASS IN KENYAN CHILDREN AGED 6 AND 15 MONTHS Silvenus O Konyole, Selina A Omollo, John N Kinyuru, Bethwell O Owuor, Benson B Estambale, Kim F Michaelsen, Henrik Friis, Nanna Roos, and Suzanne Filteau, Victor O Owino Background and objective It is important to understand the linkage between nutritional sta...
Micronutrient deficiencies are a public health problem at the national and the international leve... more Micronutrient deficiencies are a public health problem at the national and the international levels. The purpose of this study is to evaluate the status of minerals and vitamins in women’s population of reproductive age living in an urban area in Morocco. The study involved 542 women aged 19-49 recruited in several health centers. Socioeconomic (SES) and demographic status were collected. Anthropometric parameters including body mass index (BMI), waist circumference, hip circumference and waist-to-hip ratio (WHR) are measured. Nutritional data for the following micronutrients: iron, iodine, zinc, sodium, calcium, vitamins A, B9 and D were processed by Nutrilog software (with Moroccan Food Composition Table) and analyzed by statistical software (SPSS version 13.0).The analysis of the results revealed that 34.3% of women were overweight and 22.7% were obese. A deficiency compared to the nutritional reference intake (ANR) of iron, iodine, calcium, zinc, vitamin A, and B9 was respective...
E3S Web of Conferences, 2021
Salt is an essential mineral to our health that, in its sodium form, is involved in many function... more Salt is an essential mineral to our health that, in its sodium form, is involved in many functional processes in human body. Excessive salt consumption increases the risk of high blood pressure and cardiovascular disease (CVD). The World Health Organization (WHO) and the United Nations (UN) have identified salt reduction as one of the most cost-effective strategies to prevent the spread of non-communicable diseases. The objectives of the present study is to determine the salt status in the Moroccan population based on 24-hour dietary recall and food frequency. This descriptive cross-sectional study was conducted on 133 children and adolescents recruited from public schools in Rabat regions. The average total salt intake status was assessed by 24 h dietary recall. Food frequency questionnaire was used to evaluate children’s nutritional habits and the consumption of food rich in salt. The average total salt intake is 5264.5±2398.6mg/day. The knowledge of the study population on the he...
E3S Web of Conferences, 2021
Background: Excessive sodium intake is linked to high blood pressure. Estimating sodium intake is... more Background: Excessive sodium intake is linked to high blood pressure. Estimating sodium intake is difficult. The 24-h urine collection is currently the recommended method for estimating intake but cumbersome for large population studies. Predictive model to estimate sodium intake based on single spot urine were developed, but showed inconsistency when used in extern populations. This study aims to develop a specific model for estimating sodium excretion over 24 hours for the Moroccan population. Methods: 371 participants in the urinary validation sub-study of the STEP-wise survey-Morocco 2017-2018 provided a valid 24-hour urine collection and spot urine specimens. Participant were randomly assigned to the training (n=183) and the validation data set (n=188). Results: A prediction model for 24-hour sodium excretion was developed. Adjusted R2 was 0.258. In the validation data set, correlation was 0.431 [95%CI; 0.258-0.580], and the adjusted R2 was 0.190. The Bland-Altman plot showed a...
Nutrients, 2021
Background: Exclusive breastfeeding during the first six months of an infant’s life is an importa... more Background: Exclusive breastfeeding during the first six months of an infant’s life is an important factor for their optimal growth and health. Breastfeeding also has maternal benefits and can assist with postpartum weight loss. As shown by previous studies, postpartum weight retention can contribute to obesity. Objective: To quantify the human milk and evaluate the effect of breastfeeding on maternal weight loss during the 12 months postpartum. Method: This study included 70-mother–baby pairs. Infants’ intake of human milk and water from other sources, as well as the body composition of the mothers, were measured at the 1st, 3rd, 6th, 9th and 12th month postpartum by using the deuterium oxide dose-to-mother technique. Results: There was a significant change in the mothers’ body composition between the first and twelfth months in exclusive breastfeeding women compared to not-exclusive ones. Similarly, the difference between the quantities of human milk intake was highly significant ...
Nutrition & Food Science, 2018
Purpose Iodine deficiency has several adverse effects on human growth and development and it is c... more Purpose Iodine deficiency has several adverse effects on human growth and development and it is categorized collectively as iodine deficiency disorders (IDDs). Recent estimations showed that 29.8 per cent of school-age children have insufficient iodine intake. Salt iodization is widely accepted as the best method for increasing iodine intake. In 1995, Morocco adopted the universal salt iodization strategy to reduce iodine deficiency and consequently prevent and control IDDs. This study aims to determine the benefit of this strategy on schoolchildren and adolescent by assessing iodine intake and evaluating iodine deficiency. Design/methodology/approach This transversal study was conducted on 131 children and adolescents. Iodine intake was assessed using a food frequency questionnaire. Iodine status was evaluated on 24-h urine samples and the creatinine excretion was used to validate completeness of urine collection. Findings The medians of urinary iodine excretion and concentration w...
Journal of Nutrition and Metabolism, 2020
Over the last few decades, there have been significant dietary and lifestyle changes worldwide. I... more Over the last few decades, there have been significant dietary and lifestyle changes worldwide. In Morocco, these changes have led to serious nutritional disorders and increased risk of morbidity and mortality particularly among vulnerable groups such as women of childbearing age. We aimed to assess the average daily energy and macronutrient intakes and to investigate their association with socioeconomic factors and weight status among women aged 19–49 years in urban areas. A total of 542 women attending public health centers were recruited. Socioeconomic and demographic data were collected using a questionnaire. Anthropometric measurements were taken using standardized equipment. Food consumption data were obtained through the 24-hour dietary recall method, and the macronutrient composition of foods was estimated based on the Moroccan food composition table and the Nutrilog software. The average daily energy intake among the study population was 1591 kcal, composed of 56% from carb...
Veterinary Record, 2007
A cross‐sectional serological survey of the prevalence of brucellosis in ruminants in the Region ... more A cross‐sectional serological survey of the prevalence of brucellosis in ruminants in the Region of Republican Subordination and Khatlon oblasts (provinces) in Tajikistan was conducted in May 2003. Sera from 13,625 ruminants involving 3513 households in 172 kishlaks (villages) were collected and screened by the rose bengal test. Doubtful and positive results were further tested with competitive and indirect elisa s. The overall serological prevalences (95 per cent confidence intervals [ci s]) were 5·8 per cent (5·2 to 6·4 per cent) for sheep, 5·5 per cent (5·0 to 6·0 per cent) for goats and 2·1 per cent (1·0 to 3·2 per cent) for cattle. The results show that brucellosis was a common disease of ruminants that was widely but unevenly distributed throughout the two oblasts. Seropositive animals were found in 119 of the 172 kishlaks (69·2 per cent [95 per cent ci 61·9 to 75·6 per cent]) and 14·4 per cent (95 per cent ci 13·3 to 15·6 per cent) of the 3513 households. Evidence of infectio...
Archives of public health, Apr 20, 2023
Background Excessive sodium (Na) and insufficient potassium (K) intake contribute to a high risk ... more Background Excessive sodium (Na) and insufficient potassium (K) intake contribute to a high risk of cardiovascular events. Morocco lacks data on actual Na and K intake in adults. We estimated mean Na and K intake in a Moroccan population of adults residing in the Northwest region using 24-h urinary excretion and examined their association with blood pressure (BP). Methods A total of 371 adults from this region, who were recruited for the STEPs Survey Morocco 2017, completed demographic, anthropometric as well as BP data and provided a valid 24-h urine collection according to the standard World Health Organization (WHO) protocol. Multiple Linear Regression analysis was used to examine the association between 24-h urinary sodium (24-hUNa) and 24-h potassium excretion (24-hUK) with BP. Results Mean Na excretion was 2794 mg/day and mean K excretion was 1898 mg/day. Overall, only 114 (30.7%) adults met the WHO recommendation for Na intake (< 2000 mg/d) and 31 (8.4%) met the adequate level for K intake (⩾3510 mg/d). There was no association between 24-hUNa and 24-hUK with BP (P > 0.05 for all). Conclusion Na intake was higher and K intake was lower than WHO recommendations in the study population. There was no association between estimated Na and K intake levels with BP in this population.
JAMA, 2018
IMPORTANCE In 2010, the Institute of Medicine (now the National Academy of Medicine) recommended ... more IMPORTANCE In 2010, the Institute of Medicine (now the National Academy of Medicine) recommended collecting 24-hour urine to estimate US sodium intake because previous studies indicated 90% of sodium consumed was excreted in urine. OBJECTIVE To estimate mean population sodium intake and describe urinary potassium excretion among US adults. DESIGN, SETTING, AND PARTICIPANTS In a nationally representative cross-sectional survey of the US noninstitutionalized population, 827 of 1103 (75%) randomly selected, nonpregnant participants aged 20 to 69 years in the examination component of the National Health and Nutrition Examination Survey (NHANES) collected at least one 24-hour urine specimen in 2014. The overall survey response rate for the 24-hour urine collection was approximately 50% (75% [24-hour urine component response rate] × 66% [examination component response rate]). EXPOSURES 24-hour collection of urine. MAIN OUTCOMES AND MEASURES Mean 24-hour urinary sodium and potassium excretion. Weighted national estimates of demographic and health characteristics and mean electrolyte excretion accounting for the complex survey design, selection probabilities, and nonresponse. RESULTS The study sample (n = 827) represented a population of whom 48.8% were men; 63.7% were non-Hispanic white, 15.8% Hispanic, 11.9% non-Hispanic black, and 5.6% non-Hispanic Asian; 43.5% had hypertension (according to 2017 hypertension guidelines); and 10.0% reported a diagnosis of diabetes. Overall mean 24-hour urinary sodium excretion was 3608 mg (95% CI, 3414-3803). The overall median was 3320 mg (interquartile range, 2308-4524). In secondary analyses by sex, mean sodium excretion was 4205 mg (95% CI, 3959-4452) in men (n = 421) and 3039 mg (95% CI, 2844-3234) in women (n = 406). By age group, mean sodium excretion was 3699 mg (95% CI, 3449-3949) in adults aged 20 to 44 years (n = 432) and 3507 mg (95% CI, 3266-3748) in adults aged 45 to 69 years (n = 395).
Archives of public health, May 27, 2022
Background: Iodine deficiency disorders (IDD) affects nearly 1.9 million people worldwide. Iodine... more Background: Iodine deficiency disorders (IDD) affects nearly 1.9 million people worldwide. Iodine deficiency (ID) remains a public health concern not only for pregnant women, but for women of reproductive age (WRA) as well. This study was planned to evaluate the iodine status and the prevalence of iodine deficiency in a nationally representative sample of Moroccan WRA according to their socioeconomic data and living areas. Methods: This study is a cross-sectional national survey conducted on 1652 WRA aged between 18 and 49 years. Iodine status was assessed by the evaluation of the urinary iodine concentration (UIC) on spot urinary samples, using the Sandell-Kolthoff reaction, and by the estimation of iodine-rich food consumption, using a food frequency questionnaire. The World Health Organization cutoff of a median UIC of < 100 μg/l was used to define ID in the population. Results: The median UIC [20th-80th] was 71.3 μg/l [37.5-123.1] and 71% of participants had UIC < 100 μg/L, indicating insufficient iodine status and mild iodine deficiency. WRA from urban and rural areas showed an UIC median of 75.94 μg/l [41.16-129.97] and 63.40 μg/l [33.81-111.68], respectively. Furthermore, ID prevalence was significantly higher in rural areas (75.6%) as compared to urban areas (67.9%) (p < 0.05). Food frequency questionnaires analyses highlighted that dairy products are the most commonly consumed iodine-rich food, reported to be consumed daily by 43.1% of WRA. Of particular interest, 83.5% of WRA reported a weekly consumption of fish. Conclusion: ID is still a public health problem in Morocco highlighting the necessity to implement effective national program, including efficient salt iodization, effective nutritional education and awareness, to control iodine deficiency and prevent IDD development.
Children
Historically, mountainous areas of Morocco have been affected by endemic goiter and severe iodine... more Historically, mountainous areas of Morocco have been affected by endemic goiter and severe iodine deficiency. In 1995, Morocco legislated salt iodization to reduce iodine deficiency. There has been no national survey of iodine nutrition in school-age children for nearly 3 decades. Our aim was to assess iodine nutrition in a national sample of 6–12-year-old children in Morocco to inform the national salt iodization strategy. In this cross-sectional household-based survey, we randomly recruited healthy 6–12-year-old children from 180 clusters in four geographic zones (north and east, central, north and south) covering the 12 regions of Morocco. A questionnaire was completed, including socio-economic status and parental level of education. In addition, anthropometric measurements were taken to assess nutrition status, and a spot urine sample was collected to measure urinary iodine concentration (UIC). A total of 3118 households were surveyed, and 1043 eligible children were recruited, ...
ID Author Title Page 157 The association between stunting, wasting and breastfeeding, and fat-fre... more ID Author Title Page 157 The association between stunting, wasting and breastfeeding, and fat-free mass and fat mass in Kenyan children aged 6 and 15 months Silvenus Konyole 1 161 Evaluation of iodized salt and iodine intake, and determination of iodine deficiency in schoolchildren in the region of Rabat Anass Rami 2 289 Content of iron and vitamin A in participatory improved complementary dishes for children in Central Uganda Beatrice Ekesa 3 INTERNATIONAL SYMPOSIUM ON Understanding the Double Burden of Malnutrition for Effective Interventions 10 -13 December 2018 Vienna, Austria INDICO/Abstract ID Number: 157 STUNTING, WASTING AND BREASTFEEDING AS RELATED TO FAT-FREE MASS AND FAT MASS IN KENYAN CHILDREN AGED 6 AND 15 MONTHS Silvenus O Konyole, Selina A Omollo, John N Kinyuru, Bethwell O Owuor, Benson B Estambale, Kim F Michaelsen, Henrik Friis, Nanna Roos, and Suzanne Filteau, Victor O Owino Background and objective It is important to understand the linkage between nutritional sta...
Micronutrient deficiencies are a public health problem at the national and the international leve... more Micronutrient deficiencies are a public health problem at the national and the international levels. The purpose of this study is to evaluate the status of minerals and vitamins in women’s population of reproductive age living in an urban area in Morocco. The study involved 542 women aged 19-49 recruited in several health centers. Socioeconomic (SES) and demographic status were collected. Anthropometric parameters including body mass index (BMI), waist circumference, hip circumference and waist-to-hip ratio (WHR) are measured. Nutritional data for the following micronutrients: iron, iodine, zinc, sodium, calcium, vitamins A, B9 and D were processed by Nutrilog software (with Moroccan Food Composition Table) and analyzed by statistical software (SPSS version 13.0).The analysis of the results revealed that 34.3% of women were overweight and 22.7% were obese. A deficiency compared to the nutritional reference intake (ANR) of iron, iodine, calcium, zinc, vitamin A, and B9 was respective...
E3S Web of Conferences, 2021
Salt is an essential mineral to our health that, in its sodium form, is involved in many function... more Salt is an essential mineral to our health that, in its sodium form, is involved in many functional processes in human body. Excessive salt consumption increases the risk of high blood pressure and cardiovascular disease (CVD). The World Health Organization (WHO) and the United Nations (UN) have identified salt reduction as one of the most cost-effective strategies to prevent the spread of non-communicable diseases. The objectives of the present study is to determine the salt status in the Moroccan population based on 24-hour dietary recall and food frequency. This descriptive cross-sectional study was conducted on 133 children and adolescents recruited from public schools in Rabat regions. The average total salt intake status was assessed by 24 h dietary recall. Food frequency questionnaire was used to evaluate children’s nutritional habits and the consumption of food rich in salt. The average total salt intake is 5264.5±2398.6mg/day. The knowledge of the study population on the he...
E3S Web of Conferences, 2021
Background: Excessive sodium intake is linked to high blood pressure. Estimating sodium intake is... more Background: Excessive sodium intake is linked to high blood pressure. Estimating sodium intake is difficult. The 24-h urine collection is currently the recommended method for estimating intake but cumbersome for large population studies. Predictive model to estimate sodium intake based on single spot urine were developed, but showed inconsistency when used in extern populations. This study aims to develop a specific model for estimating sodium excretion over 24 hours for the Moroccan population. Methods: 371 participants in the urinary validation sub-study of the STEP-wise survey-Morocco 2017-2018 provided a valid 24-hour urine collection and spot urine specimens. Participant were randomly assigned to the training (n=183) and the validation data set (n=188). Results: A prediction model for 24-hour sodium excretion was developed. Adjusted R2 was 0.258. In the validation data set, correlation was 0.431 [95%CI; 0.258-0.580], and the adjusted R2 was 0.190. The Bland-Altman plot showed a...
Nutrients, 2021
Background: Exclusive breastfeeding during the first six months of an infant’s life is an importa... more Background: Exclusive breastfeeding during the first six months of an infant’s life is an important factor for their optimal growth and health. Breastfeeding also has maternal benefits and can assist with postpartum weight loss. As shown by previous studies, postpartum weight retention can contribute to obesity. Objective: To quantify the human milk and evaluate the effect of breastfeeding on maternal weight loss during the 12 months postpartum. Method: This study included 70-mother–baby pairs. Infants’ intake of human milk and water from other sources, as well as the body composition of the mothers, were measured at the 1st, 3rd, 6th, 9th and 12th month postpartum by using the deuterium oxide dose-to-mother technique. Results: There was a significant change in the mothers’ body composition between the first and twelfth months in exclusive breastfeeding women compared to not-exclusive ones. Similarly, the difference between the quantities of human milk intake was highly significant ...
Nutrition & Food Science, 2018
Purpose Iodine deficiency has several adverse effects on human growth and development and it is c... more Purpose Iodine deficiency has several adverse effects on human growth and development and it is categorized collectively as iodine deficiency disorders (IDDs). Recent estimations showed that 29.8 per cent of school-age children have insufficient iodine intake. Salt iodization is widely accepted as the best method for increasing iodine intake. In 1995, Morocco adopted the universal salt iodization strategy to reduce iodine deficiency and consequently prevent and control IDDs. This study aims to determine the benefit of this strategy on schoolchildren and adolescent by assessing iodine intake and evaluating iodine deficiency. Design/methodology/approach This transversal study was conducted on 131 children and adolescents. Iodine intake was assessed using a food frequency questionnaire. Iodine status was evaluated on 24-h urine samples and the creatinine excretion was used to validate completeness of urine collection. Findings The medians of urinary iodine excretion and concentration w...
Journal of Nutrition and Metabolism, 2020
Over the last few decades, there have been significant dietary and lifestyle changes worldwide. I... more Over the last few decades, there have been significant dietary and lifestyle changes worldwide. In Morocco, these changes have led to serious nutritional disorders and increased risk of morbidity and mortality particularly among vulnerable groups such as women of childbearing age. We aimed to assess the average daily energy and macronutrient intakes and to investigate their association with socioeconomic factors and weight status among women aged 19–49 years in urban areas. A total of 542 women attending public health centers were recruited. Socioeconomic and demographic data were collected using a questionnaire. Anthropometric measurements were taken using standardized equipment. Food consumption data were obtained through the 24-hour dietary recall method, and the macronutrient composition of foods was estimated based on the Moroccan food composition table and the Nutrilog software. The average daily energy intake among the study population was 1591 kcal, composed of 56% from carb...