Rekia Belahsen | Chouaib Doukkali University (original) (raw)

Papers by Rekia Belahsen

E3S web of conferences, Dec 31, 2022

Obesity is characterized by an excessive accumulation of body fat is in continuous increase assoc... more Obesity is characterized by an excessive accumulation of body fat is in continuous increase associated with cardiovascular risks and health disadvantages. Objective: The aim was to the study the prevalence and the determining factors of the association of obesity and hypertension in the Moroccan population of Khouribga province hitherto unstudied. A crosssectional survey was conducted oi 2019 among a random sample of 401 adults of both sexes, from urban and rural areas. Anthropometric parameters and blood pressure were measured. Body mass index (BMI), waist-to-hip ratio (WHR), were calculated, Socio-demographic characteristics and physical activity level are determined. Anthropometric variables are significantly different in women and men. General obesity (BMI>30) was prevalent in 33.1% and abdominal obesity in more than 75%. Both general and abdominal obesity do not show any significant difference between urban and rural areas of residence. Hypertension was present in 35.5% in both sexes, significantly higher in rural men (57%) compared to urbans. Obesity increases with sedentarity. Obesity and hypertension increase with age and manifest themselves beyond the age of 35. Women with more than three children are obese. The present study data show that body weight management is related to origin, age, number of children as parameters associated with obesity. The prevalence of hypertension is associated with severe obesity. Abdominal obesity could be a predictive parameter of hypertension in the Moroccan population of the study province.

Food Science and Applied Biotechnology, Oct 10, 2023

Roczniki Państwowego Zakładu Higieny, Jun 23, 2022

Background. Low birth weight (LBW) is considered to be one of the most important indicators of a ... more Background. Low birth weight (LBW) is considered to be one of the most important indicators of a newborn's chances of survival, and a major risk of medium- and long-term morbidity. Objective. To identify risk factors associated with low birth weight newborns among pregnant women during childbirth in Moroccan hospital environment with a view to proposing avenues of intervention for its prevention. Material and methods. Data concerning the weight of newborns at birth, nutritional education, pregnancy monitoring and other risk factors, etc. were collected from 312 pregnant women who gave birth in the maternity ward of El-Jadida Provincial Hospital in Morocco. Results. The study identified 156 cases of newborns with LBW and 156 controls of normal-weight newborns. After adjustment for the variables included in the analysis, the determined factors associated with LBW are nutritional education [OR: 6.22 (2.60-14.87), P<0.001], illiterate women [OR: 8.74 (1.65-46.08), P=0.011], insufficient pregnancy monitoring [OR: 5.69 (2.74-11.83),P<0.001], pregnant women with a normal weight [OR: 3.84 (1.73-8.52), P=0.001], lack of psychological support [OR: 3.23 (1.72-6.08), P<0.001] and tiring domestic activity [OR: 2.13 (1.14-3.99), P=0.017]. Conclusion. Promotion of nutrition for pregnant women, proper implementation of maternal health programs and improvement of their social condition are the modifiable factors that should help reduce LBW risk.

Roczniki Państwowego Zakładu Higieny, Dec 21, 2022

Background. Micronutrient malnutrition is a serious public health problem in most developing coun... more Background. Micronutrient malnutrition is a serious public health problem in most developing countries, including Morocco, due to poor and therefore lower quality diets that lack dietary diversity. Objective. The present study aimed to assess dietary diversity and variety and their relationship with micronutrient adequacy in children and adolescents with type 1 diabetes (T1D). Materials and methods. A cross-sectional study was carried among 240 children and adolescents with T1D. Weight and height were measured and BMI was calculated. Dietary intake data were obtained from two 24-h recalls. A Dietary diversity (DDS) and dietary variety scores (DVS) and mean adequacy ratio (MAR) and nutritional adequacy ratios (NARs) were calculated and compared according to sociodemographic/anthropometric categories. Results. 52.1% of the patients were female. The mean age of the patients was 8.49 ± 4.1 years. The mean BMI was 19.44 ± 5.24 kg/m2; the mean DDS was 4.62±1.20 and the mean MAR was 0.66 ± 0.11. Older children living in rural areas have a low DDS/DVS. Parental education and income level are associated with DDS/DVS. General and central obesity were significantly elevated in children with high DDS. In addition, a high intake of vegetables, eggs, fiber and micronutrients (Magnesium, Calcium, Potassium, Zinc, Phosphorus and Vit B1) is associated with a high DDS; however, high DVS is associated with high consumption of dairy products, carbohydrates and low intake of protein and fat. There are also positive correlations between DDS/DVS and NARs for various nutrients. Conclusion. The quality of the respondents’ diets are moderately diversified. DDS or DVS can be used as indicators of micronutrient adequacy in Moroccan T1D children. Nutritional education needs to be strengthened to improve dietary diversity in children, especially in rural areas.

Roczniki Państwowego Zakładu Higieny

Background. Healthy diet plays an important role in the management of chronic kidney disease (CKD... more Background. Healthy diet plays an important role in the management of chronic kidney disease (CKD) and in the prevention of related comorbidities. Dietary diversity score (DDS) is well recognized as an indicator for assessing diet quality and food security. However, its association with CKD has not been investigated. Objective. The aim of this study was to estimate the prevalence of CKD and to evaluate its association with DDS among a Moroccan adults from Sidi Bennour province. Materials and methods. A cross sectional study was conducted among 210 individuals. General information among others was collected. Weight, height and waist circumference were measured and body mass index (BMI) was calculated. Blood samples were collected and the serum creatinine was determined. Subsequent glomerular filtration rate (eGFR) was estimated by the modification of diet in renal disease (MDRD) formula and the chronic kidney disease was defined by an eGFR<60 ml/min/1.73m². Dietary intake was asse...

Roczniki Państwowego Zakładu Higieny, Dec 21, 2022

Background. Dietary diversity and variety scores represent tools for measuring the overall qualit... more Background. Dietary diversity and variety scores represent tools for measuring the overall quality of diets. In children, they are good indicators of their nutritional status and growth. Objective. The aim of this study was to assess the consumption and eating habits as well as the lifestyle of Moroccan adolescents attending school in the city of El Jadida. Material and methods. A sample of 463 children of both sexes, aged 9 to 17, attending four schools in the city of El Jadida was studied. Eating habits and information on socioeconomic level are assessed using questionnaires and weight and height were measured on participants. Results. According to the dietary diversity score (DDS) classes, 2.4% of the children surveyed were with low DDS, 55.7% moderate and 41.9%, with high DDS. The mean DDS was 5.67 ± 1.03 in underweight children and 5.53 ± 1.5 in those with overweight (obesity included) and the food variety scores (DVS) were of 12.94±3.24 food items and 10.81±3.25 in the 2 groups respectively. In addition, data analyzes show that children from parents with a low level of education had higher averages of DDS and DVS (DDS: 5.54 ± 0.84; SVA: 10.65 ± 2.32) compared to those of parents with medium education level (DDS: 5.31±0.96; DVS: 9.72±2.62) or high level (DDS: 5.17±0.93; DVS: 9.36 ±2.42). In addition, children from parents of high economic level had a lower averages of DDS and DVS (DDS: 5.24 ± 0.88; DVS: 8.84 ± 2.10) compared to those of parents of low economic level (DDS: 5.36±1.00; DVS: 10.14±2.85). The sugary products were consumed by 56.3% of underweiht children, 75% of normal-weight children and 67% of overweight children (including obese). The estimated total energy intake (TEI) was higher than the Recommended Daily Allowances (RDA) in underweight 2933 Kcal/d and in overweight (including obese) children 3061.75 Kcal/d, while the mean daily intakes of folate, calcium, iron, potassium and zinc were lower than the (RDA). The food groups consumed by the majority of children were cereals (98.5%), fruits and vegetables (87.7%), and sweet products (69.8%) while oilseed products and fat were less consumed (9.7% and 7.8% respectively). Conclusion. The study data show that the adolescents diet were moderately diverse, little varied and poor in certain nutrients essential for their nutritional status and growth. The study draws attention to the need for parents to be aware of the benefits of improving the diet quality and weight status of adolescents.

Roczniki Państwowego Zakładu Higieny, Jun 12, 2023

Background. Numerous studies have demonstrated beneficial effects of adherence to the Mediterrane... more Background. Numerous studies have demonstrated beneficial effects of adherence to the Mediterranean diet (MD) on many chronic diseases, including chronic kidney disease (CKD). Objective. The aim of this study was to assess the adherence of a rural population to the Mediterranean diet, to identify the sociodemographic and lifestyle determinants and to analyze the association between adherence to MD and CKD. Material and Methods. In a cross-sectional study, data on sociodemographic, lifestyle factors, clinical, biochemical parameters and diet were collected on a sample of 154 subjects. Adherence to MD was assessed according to a simplified MD score based on the daily frequency of intake of eight food groups (vegetables, legumes, fruits, cereal or potatoes, fish, red meat, dairy products and MUFA/SFA), using the sex specific sample medians as cut-offs. A value of 0 or 1 was assigned to consumption of each component according to its presumed detrimental or beneficial effect on health. Results. According to the simplified MD score, the study data show that high adherence (44.2%) to MD was characterized by intakes high in vegetables, fruits, fish, cereals, olive oil, and low in meat and moderate in dairy. Furthermore, several factors such as age, marital status, education level, and hypertension status were associated with the adherence to MD in the study population. The majority of subjects with CKD have poor adherence to the MD compared to non-CKD with a statistically insignificant difference. Conclusions. In Morocco, maintaining the traditional MD pattern play crucial role for public health. More research is needed in this area to precisely measure this association.

Maternal and Child Nutrition, 2017

Zenodo (CERN European Organization for Nuclear Research), Apr 30, 2020

Non-alcoholic fatty liver disease (NAFLD), a health problem growing in parallel to the epidemic o... more Non-alcoholic fatty liver disease (NAFLD), a health problem growing in parallel to the epidemic of obesity and type 2 diabetes (T2D) worldwide. This pathology leads to an accumulation of triglycerides and free fatty acids in the liver. The accumulation of these fats depends on several factors that act in synergy. Among these factors, metabolic syndrome, visceral adiposity, alteration of the intestinal microbiota, diet, malnutrition, physical inactivity, oxidative stress and genetic predisposition are cited. NAFLD is a silent and progressive pathology with serious economic and social consequences. It represents a public health challenge due to its associated hepatic and extra hepatic complications. The multidisciplinary nature of both obesity and NAFLD management has guided research to identify appropriate noninvasive diagnostic methods and effective treatments for NAFLD. Considering the association of this disease with obesity and diabetes and the trend of the continuous increase of these latter problems in Morocco, this review presents the situation the evolution, the determining factors, complications and etiologies of non-alcoholic fatty liver disease in Morocco.

Roczniki Państwowego Zakładu Higieny, Jun 12, 2023

Background. The locations of food purchase have an impact on the quality of food consumed. Object... more Background. The locations of food purchase have an impact on the quality of food consumed. Objective. To examine food purchasing habits at traditional and modern markets, their associated factors, and their effects on consuming natural and processed foods. Material and methods. This work used a validated conceptual and methodological framework of a study conducted among 507 households in the Rabat-Salé-Kenitra region in Morocco. Data on sociodemographic and economic characteristics and the frequency of food purchasing were collected from household representatives through a population survey. The food frequency questionnaire was used to collect frequency of consumption of 20 foods, including 10 natural and 10 processed. The associations between the variables were studied by the Chi-square test with a level of significance of p &lt;0.05. Results. Among the households 70% were urban, 62% have nuclear families, 51.5% a size of 5 to 12 members, 41% middle standard of living, 87% frequented markets and souks (MS), and 19% frequented large and medium-sized stores (LMS) at least once a week. The households have in majority a frequency of natural foods consumption ≥ 3 times/week, including fresh vegetables (91%), olive oil (85%), and fresh fruit (84%); and processed foods, such as refined flours (68%), industrial cheese (65%) and industrial yoghurt (52%). MS and LMS frequentation were associated with environment (p&lt;0.001), family type (p=0.01 and p=0.002, respectively), household size (p=0.04 and p=0.002 respectively) and standard of living (p&lt;0.001). Foods whose consumption was associated with both MS and LMS frequentation included fresh vegetables (p&lt;0.001) as natural foods and baked goods as processed foods (respectively, p=0.01 and p=0.04). Conclusion. The results of this study argue for implementing a nutrition education strategy based on the choice of food purchase locations as well as the consumption of natural or processed foods as part of a sustainable Mediterranean diet.

Bioactive compounds in health and disease, Mar 13, 2023

Introduction: In the context of the response to the COVID-19 pandemic, the confinement imposed by... more Introduction: In the context of the response to the COVID-19 pandemic, the confinement imposed by the States in the world had a negative impact on people's health and lifestyle-related behaviors, particularly eating behaviors, physical activity level and sleep. These impacted dimensions can negatively affect both immunity and the control of chronic noncommunicable diseases. Objectives: This review describes the lifestyle change for people with non-communicable diseases in the era of COVID-19. The review also presents recommendations and advice for the benefit of this vulnerable population in relation to their nutrition. Methods: The research was conducted by documenting the PubMed, Web of Science and Direct Science databases. Keywords used in the research were non-communicable diseases, containment, COVID-19, lifestyle change. Results: Containment during the COVID-19 era was associated with increased smoking, physical inactivity, unhealthy eating, and intense fear of the potential impact of the Coronavirus. Conclusion: Strengthening immunity through the promotion of nutrition has been shown to be useful in preventing the emergence of noncommunicable diseases, which are risk factors linked to increased rates of morbidity and mortality for those infected by COVID-19.

GSC Advanced Research and Reviews, May 30, 2020

Assessing dietary habits and nutritional status in patients with end stage kidney disease (ESKD) ... more Assessing dietary habits and nutritional status in patients with end stage kidney disease (ESKD) treated with maintenance hemodialysis (HD) plays a crucial role in the prevention of protein energy malnutrition. The aim of this study was, on one hand, to assess nutritional status and dietary intake of HD patients in comparison with the guidelines recommendations and, on the other hand, to determine the characteristics of those who didn't meet their nutritional needs. In a sample of 156 HD patients (70 women and 86 men), clinical data, anthropometric measurements and two 24 hour dietary recalls were collected to evaluate the nutritional status and dietary intake. The results showed that based on the Body Mass Index (BMI), appropriate nutritional status was reported for only 60.6% of the patients. The mean energy intake was 1904.98 ±592.50 kcal per day, only 16.8% of participants were found compliant regarding the recommended intake of energy density; about 33 % met the recommended minimum of 1.2g/kg of protein per day and only 36.5% have adequate fiber consumption. The protein and energy density were negatively correlated with age, BMI and waist circumference. No patients achieved the recommendations concerning the saturated fat intake. In conclusion, the study data report that a high proportion of dialysis patients did not meet current renal specific dietary requirements and that the diet quality is considered poor. These results call the attention to individual dietetic counseling and promotion of a global dietary approach in hemodialysis patients in order to improve clinical outcomes and the quality of life of chronic kidney patients.

Roczniki Państwowego Zakładu Higieny, Jun 12, 2023

Background. The construction of the consumer’s identity is dependent on how they prepare their me... more Background. The construction of the consumer’s identity is dependent on how they prepare their meals. Objective. Study the cooking methods, frequency, and duration of meal preparation in Moroccan households as well as the associated factors. Materials and methods. This work is a part of a study with a validated conceptual and methodological framework that was conducted in 507 households in the region of Rabat-Salé-Kenitra in Morocco. The characteristics of the population and data on the cooking methods, frequency, and duration of meal preparation were collected by a survey. Associations between variables were studied by univariate logistic regression with a significance level of p&lt;0.05. Results. The majority of the population was aged between 35 and 65 years (76%) and lived in urban areas (70%). The univariate analysis showed that the urban area was a factor that hindered stewing (p=0.009), while the work status (p=0.04) and the marital status “Married” (p=0.04) were favorable factors; the household size (p=0.02) is a factor favoring steaming method; urban area (p=0.04), work status (p 0.03), nuclear family type (p&lt;0.001), and household size (p=0.02) are factors hindering the use of oven cooking; urban area (p=0.02) and higher education level (p=0.04) are factors favoring the use of fried food, age category [20-34] years (p=0.04), higher education level (p=0.01) and work status (p=0.01) were factors that favored the use of grilling; nuclear family type, (p=0.04) and household size (p=0.03) were factors that hindered the preparation of breakfast; urban area (p=0.03) and Arab ethnicity (p=0.04) are factors hindering snack preparation; urban area (p&lt;0.001) is a factor favoring dinner preparation; household size (p=0.01) and use of stewing at least four times a week (p=0.002) are factors hindering meal preparation time, while use of baking (p=0.01) is a favoring factor. Conclusion. The study results point towards the implementation of a nutritional education strategy based on combining habits, preferences, and good cooking practices.

Roczniki Państwowego Zakładu Higieny, Sep 27, 2022

Background. The prevalence, risk factors and screening for the problem of non-alcoholic fatty liv... more Background. The prevalence, risk factors and screening for the problem of non-alcoholic fatty liver disease linked to obesity are not well known in Morocco. The diagnosis of this disease by biopsy is invasive and the assessment of its severity by ultrasound shows variability in observation. Objective. The aim of this retrospective study is to estimate the prevalence of NAFLD linked to obesity, to determine the risk factors associated with it and to develop a non-invasive procedure as a method of diagnosing this disease in Morocco. Material and Methods. It’s a retrospective study. The collection of anthropometric, clinical, biochemical, and radiological data over a period from 2014 to 2018 were captured from registers of patients at the Med VI University Hospital in Marrakech. Data were analyzed using SPSS version 26 software. Descriptive statistics were presented using frequencies and means +/- standard deviation to describe categorical and numeric data respectively. Pearson's chi-square test was used to test the association between categories of two independent samples. Multinomial logistic regression is used to find disease risk factors and models to predict non-alcoholic fatty liver disease (NAFLD) linked to obesity in Morocco. Results. Gender, increased age, body mass index, alanine aminotransferase, triglycerides, C-reactive protein, alkaline phosphatase, gamma-glutamyl transferase were significantly correlated with NAFLD and its evolvement. Conclusion. The prevalence of NAFLD linked to obesity is an alarming problem in Morocco. It was 83.5%. Age, gender, body mass index, alanine aminotransferase, triglycerides, C-reactive protein, alkaline phosphatase and gamma-glutamyl transferase are risk factors for NAFLD and its severity. It were used to develop two algorithms that can be used, as a more objective and non-invasive screening method for NAFLD.

Journal of obesity and weight loss therapy, Aug 30, 2016

The purpose of this investigation was to study body size preferences and to examine the influence... more The purpose of this investigation was to study body size preferences and to examine the influence of sociocultural factors on obesity among 249 Moroccan Sahraoui women. Participants rated their ideal body size and the size they thought to be &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;healthy,&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; using a figural scale consisting of nine images ranging from thin to obese. They also noted which particular sociocultural influences affected their body size ratings. The results indicated that women&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s rating of ideal body size (4.88) was significantly larger than their rating of healthy body size (4.33). The desire to lose weight was very low even among the majority of obese women, and educational level did not affect desire to lose weight. Women not satisfied with their body size were more likely to report trying to gain weight rather than to lose it. The major factors reported to influence body size ideal were mothers, men, and traditional clothing. It is an enormous challenge for the health institutions of Morocco to prevent obesity and its complications. Prevention programs should include teenagers and key family members.

International Journal of Food Studies, Apr 18, 2023

Roczniki Państwowego Zakładu Higieny

Background. Currently, T1D is one of the most common chronic diseases in children and adolescents... more Background. Currently, T1D is one of the most common chronic diseases in children and adolescents. The International Diabetes Federation (IDF) estimates that more than 1.1 million children and adolescents are living with (T1D). A few studies have evaluated the relationship between dietary intake and glycemic control (GC) in people with T1D, and in particular, children and adolescents. Objective. The aim of this study was to evaluate the relationship between anthropometric characteristics, lipid profile, inflammation, dietary intake and GC in comparison with international guidelines. Materials and methods. The study included a sample of 240 children, aged 15 years old or less with T1D. A structured questionnaire was used to collect information on the socio-demographic status, disease characteristics, and diet of the participants. Weight, height, and WC were measured and WHtR and BMI were calculated. Biochemical measurements were determined. Dietary intake was assessed using three 24-...

JOURNAL OF CORONA VIRUS COVID19, 2021

Open Access Journal of Biomedical Science, 2020

Introduction: Morocco is currently experiencing a change in dietary habits, in particular that re... more Introduction: Morocco is currently experiencing a change in dietary habits, in particular that related to food preparation methods and eating location. The objective of this research was to study the factors associated with food consumption trends in an agricultural community from the province of El Jadida in Morocco. Methods: A survey was carried out in 2017 on 118 households using a structured questionnaire. We collected information about food practices that are concerning the culinary methods, the time devoted to cooking, the regularity and the location of having meals. Results: The majority of the study participants are aged of 30 years old and over (86.4%), live in rural area (66.1%) and belong to nuclear families (61.9%). The study data revealed that age is associated with the use of frying foods (p = 0.01), the number of meals taken per day (p = 0.04) and the out-of-home meals (p = 0.02). The area of residence was associated with the use of frying as food preparation method (p =0.01), the time spent in cooking (p = 0.02), the number of meals taken per day (p = 0.01) and the out-of-home meals (p = <0.01) In addition, the family type was associated with out-of-home meals (p = 0.01). Finally, the family as a source of information about food is associated with the reduction of time spent in cooking (p = 0.05) while the media is associated with both the reduction of this time (p = 0.04) and the reduced number of meals taken per day (p = 0.01). Conclusion and outlook: This research revealed a significant association of food trends with certain factors reported in the literature. The reported data shows the importance of taking steps to promote healthy eating practices, with a particular focus on educating young people.

American Journal of Biomedical Science & Research, 2019

E3S web of conferences, Dec 31, 2022

Obesity is characterized by an excessive accumulation of body fat is in continuous increase assoc... more Obesity is characterized by an excessive accumulation of body fat is in continuous increase associated with cardiovascular risks and health disadvantages. Objective: The aim was to the study the prevalence and the determining factors of the association of obesity and hypertension in the Moroccan population of Khouribga province hitherto unstudied. A crosssectional survey was conducted oi 2019 among a random sample of 401 adults of both sexes, from urban and rural areas. Anthropometric parameters and blood pressure were measured. Body mass index (BMI), waist-to-hip ratio (WHR), were calculated, Socio-demographic characteristics and physical activity level are determined. Anthropometric variables are significantly different in women and men. General obesity (BMI>30) was prevalent in 33.1% and abdominal obesity in more than 75%. Both general and abdominal obesity do not show any significant difference between urban and rural areas of residence. Hypertension was present in 35.5% in both sexes, significantly higher in rural men (57%) compared to urbans. Obesity increases with sedentarity. Obesity and hypertension increase with age and manifest themselves beyond the age of 35. Women with more than three children are obese. The present study data show that body weight management is related to origin, age, number of children as parameters associated with obesity. The prevalence of hypertension is associated with severe obesity. Abdominal obesity could be a predictive parameter of hypertension in the Moroccan population of the study province.

Food Science and Applied Biotechnology, Oct 10, 2023

Roczniki Państwowego Zakładu Higieny, Jun 23, 2022

Background. Low birth weight (LBW) is considered to be one of the most important indicators of a ... more Background. Low birth weight (LBW) is considered to be one of the most important indicators of a newborn's chances of survival, and a major risk of medium- and long-term morbidity. Objective. To identify risk factors associated with low birth weight newborns among pregnant women during childbirth in Moroccan hospital environment with a view to proposing avenues of intervention for its prevention. Material and methods. Data concerning the weight of newborns at birth, nutritional education, pregnancy monitoring and other risk factors, etc. were collected from 312 pregnant women who gave birth in the maternity ward of El-Jadida Provincial Hospital in Morocco. Results. The study identified 156 cases of newborns with LBW and 156 controls of normal-weight newborns. After adjustment for the variables included in the analysis, the determined factors associated with LBW are nutritional education [OR: 6.22 (2.60-14.87), P&lt;0.001], illiterate women [OR: 8.74 (1.65-46.08), P=0.011], insufficient pregnancy monitoring [OR: 5.69 (2.74-11.83),P&lt;0.001], pregnant women with a normal weight [OR: 3.84 (1.73-8.52), P=0.001], lack of psychological support [OR: 3.23 (1.72-6.08), P&lt;0.001] and tiring domestic activity [OR: 2.13 (1.14-3.99), P=0.017]. Conclusion. Promotion of nutrition for pregnant women, proper implementation of maternal health programs and improvement of their social condition are the modifiable factors that should help reduce LBW risk.

Roczniki Państwowego Zakładu Higieny, Dec 21, 2022

Background. Micronutrient malnutrition is a serious public health problem in most developing coun... more Background. Micronutrient malnutrition is a serious public health problem in most developing countries, including Morocco, due to poor and therefore lower quality diets that lack dietary diversity. Objective. The present study aimed to assess dietary diversity and variety and their relationship with micronutrient adequacy in children and adolescents with type 1 diabetes (T1D). Materials and methods. A cross-sectional study was carried among 240 children and adolescents with T1D. Weight and height were measured and BMI was calculated. Dietary intake data were obtained from two 24-h recalls. A Dietary diversity (DDS) and dietary variety scores (DVS) and mean adequacy ratio (MAR) and nutritional adequacy ratios (NARs) were calculated and compared according to sociodemographic/anthropometric categories. Results. 52.1% of the patients were female. The mean age of the patients was 8.49 ± 4.1 years. The mean BMI was 19.44 ± 5.24 kg/m2; the mean DDS was 4.62±1.20 and the mean MAR was 0.66 ± 0.11. Older children living in rural areas have a low DDS/DVS. Parental education and income level are associated with DDS/DVS. General and central obesity were significantly elevated in children with high DDS. In addition, a high intake of vegetables, eggs, fiber and micronutrients (Magnesium, Calcium, Potassium, Zinc, Phosphorus and Vit B1) is associated with a high DDS; however, high DVS is associated with high consumption of dairy products, carbohydrates and low intake of protein and fat. There are also positive correlations between DDS/DVS and NARs for various nutrients. Conclusion. The quality of the respondents’ diets are moderately diversified. DDS or DVS can be used as indicators of micronutrient adequacy in Moroccan T1D children. Nutritional education needs to be strengthened to improve dietary diversity in children, especially in rural areas.

Roczniki Państwowego Zakładu Higieny

Background. Healthy diet plays an important role in the management of chronic kidney disease (CKD... more Background. Healthy diet plays an important role in the management of chronic kidney disease (CKD) and in the prevention of related comorbidities. Dietary diversity score (DDS) is well recognized as an indicator for assessing diet quality and food security. However, its association with CKD has not been investigated. Objective. The aim of this study was to estimate the prevalence of CKD and to evaluate its association with DDS among a Moroccan adults from Sidi Bennour province. Materials and methods. A cross sectional study was conducted among 210 individuals. General information among others was collected. Weight, height and waist circumference were measured and body mass index (BMI) was calculated. Blood samples were collected and the serum creatinine was determined. Subsequent glomerular filtration rate (eGFR) was estimated by the modification of diet in renal disease (MDRD) formula and the chronic kidney disease was defined by an eGFR<60 ml/min/1.73m². Dietary intake was asse...

Roczniki Państwowego Zakładu Higieny, Dec 21, 2022

Background. Dietary diversity and variety scores represent tools for measuring the overall qualit... more Background. Dietary diversity and variety scores represent tools for measuring the overall quality of diets. In children, they are good indicators of their nutritional status and growth. Objective. The aim of this study was to assess the consumption and eating habits as well as the lifestyle of Moroccan adolescents attending school in the city of El Jadida. Material and methods. A sample of 463 children of both sexes, aged 9 to 17, attending four schools in the city of El Jadida was studied. Eating habits and information on socioeconomic level are assessed using questionnaires and weight and height were measured on participants. Results. According to the dietary diversity score (DDS) classes, 2.4% of the children surveyed were with low DDS, 55.7% moderate and 41.9%, with high DDS. The mean DDS was 5.67 ± 1.03 in underweight children and 5.53 ± 1.5 in those with overweight (obesity included) and the food variety scores (DVS) were of 12.94±3.24 food items and 10.81±3.25 in the 2 groups respectively. In addition, data analyzes show that children from parents with a low level of education had higher averages of DDS and DVS (DDS: 5.54 ± 0.84; SVA: 10.65 ± 2.32) compared to those of parents with medium education level (DDS: 5.31±0.96; DVS: 9.72±2.62) or high level (DDS: 5.17±0.93; DVS: 9.36 ±2.42). In addition, children from parents of high economic level had a lower averages of DDS and DVS (DDS: 5.24 ± 0.88; DVS: 8.84 ± 2.10) compared to those of parents of low economic level (DDS: 5.36±1.00; DVS: 10.14±2.85). The sugary products were consumed by 56.3% of underweiht children, 75% of normal-weight children and 67% of overweight children (including obese). The estimated total energy intake (TEI) was higher than the Recommended Daily Allowances (RDA) in underweight 2933 Kcal/d and in overweight (including obese) children 3061.75 Kcal/d, while the mean daily intakes of folate, calcium, iron, potassium and zinc were lower than the (RDA). The food groups consumed by the majority of children were cereals (98.5%), fruits and vegetables (87.7%), and sweet products (69.8%) while oilseed products and fat were less consumed (9.7% and 7.8% respectively). Conclusion. The study data show that the adolescents diet were moderately diverse, little varied and poor in certain nutrients essential for their nutritional status and growth. The study draws attention to the need for parents to be aware of the benefits of improving the diet quality and weight status of adolescents.

Roczniki Państwowego Zakładu Higieny, Jun 12, 2023

Background. Numerous studies have demonstrated beneficial effects of adherence to the Mediterrane... more Background. Numerous studies have demonstrated beneficial effects of adherence to the Mediterranean diet (MD) on many chronic diseases, including chronic kidney disease (CKD). Objective. The aim of this study was to assess the adherence of a rural population to the Mediterranean diet, to identify the sociodemographic and lifestyle determinants and to analyze the association between adherence to MD and CKD. Material and Methods. In a cross-sectional study, data on sociodemographic, lifestyle factors, clinical, biochemical parameters and diet were collected on a sample of 154 subjects. Adherence to MD was assessed according to a simplified MD score based on the daily frequency of intake of eight food groups (vegetables, legumes, fruits, cereal or potatoes, fish, red meat, dairy products and MUFA/SFA), using the sex specific sample medians as cut-offs. A value of 0 or 1 was assigned to consumption of each component according to its presumed detrimental or beneficial effect on health. Results. According to the simplified MD score, the study data show that high adherence (44.2%) to MD was characterized by intakes high in vegetables, fruits, fish, cereals, olive oil, and low in meat and moderate in dairy. Furthermore, several factors such as age, marital status, education level, and hypertension status were associated with the adherence to MD in the study population. The majority of subjects with CKD have poor adherence to the MD compared to non-CKD with a statistically insignificant difference. Conclusions. In Morocco, maintaining the traditional MD pattern play crucial role for public health. More research is needed in this area to precisely measure this association.

Maternal and Child Nutrition, 2017

Zenodo (CERN European Organization for Nuclear Research), Apr 30, 2020

Non-alcoholic fatty liver disease (NAFLD), a health problem growing in parallel to the epidemic o... more Non-alcoholic fatty liver disease (NAFLD), a health problem growing in parallel to the epidemic of obesity and type 2 diabetes (T2D) worldwide. This pathology leads to an accumulation of triglycerides and free fatty acids in the liver. The accumulation of these fats depends on several factors that act in synergy. Among these factors, metabolic syndrome, visceral adiposity, alteration of the intestinal microbiota, diet, malnutrition, physical inactivity, oxidative stress and genetic predisposition are cited. NAFLD is a silent and progressive pathology with serious economic and social consequences. It represents a public health challenge due to its associated hepatic and extra hepatic complications. The multidisciplinary nature of both obesity and NAFLD management has guided research to identify appropriate noninvasive diagnostic methods and effective treatments for NAFLD. Considering the association of this disease with obesity and diabetes and the trend of the continuous increase of these latter problems in Morocco, this review presents the situation the evolution, the determining factors, complications and etiologies of non-alcoholic fatty liver disease in Morocco.

Roczniki Państwowego Zakładu Higieny, Jun 12, 2023

Background. The locations of food purchase have an impact on the quality of food consumed. Object... more Background. The locations of food purchase have an impact on the quality of food consumed. Objective. To examine food purchasing habits at traditional and modern markets, their associated factors, and their effects on consuming natural and processed foods. Material and methods. This work used a validated conceptual and methodological framework of a study conducted among 507 households in the Rabat-Salé-Kenitra region in Morocco. Data on sociodemographic and economic characteristics and the frequency of food purchasing were collected from household representatives through a population survey. The food frequency questionnaire was used to collect frequency of consumption of 20 foods, including 10 natural and 10 processed. The associations between the variables were studied by the Chi-square test with a level of significance of p &lt;0.05. Results. Among the households 70% were urban, 62% have nuclear families, 51.5% a size of 5 to 12 members, 41% middle standard of living, 87% frequented markets and souks (MS), and 19% frequented large and medium-sized stores (LMS) at least once a week. The households have in majority a frequency of natural foods consumption ≥ 3 times/week, including fresh vegetables (91%), olive oil (85%), and fresh fruit (84%); and processed foods, such as refined flours (68%), industrial cheese (65%) and industrial yoghurt (52%). MS and LMS frequentation were associated with environment (p&lt;0.001), family type (p=0.01 and p=0.002, respectively), household size (p=0.04 and p=0.002 respectively) and standard of living (p&lt;0.001). Foods whose consumption was associated with both MS and LMS frequentation included fresh vegetables (p&lt;0.001) as natural foods and baked goods as processed foods (respectively, p=0.01 and p=0.04). Conclusion. The results of this study argue for implementing a nutrition education strategy based on the choice of food purchase locations as well as the consumption of natural or processed foods as part of a sustainable Mediterranean diet.

Bioactive compounds in health and disease, Mar 13, 2023

Introduction: In the context of the response to the COVID-19 pandemic, the confinement imposed by... more Introduction: In the context of the response to the COVID-19 pandemic, the confinement imposed by the States in the world had a negative impact on people's health and lifestyle-related behaviors, particularly eating behaviors, physical activity level and sleep. These impacted dimensions can negatively affect both immunity and the control of chronic noncommunicable diseases. Objectives: This review describes the lifestyle change for people with non-communicable diseases in the era of COVID-19. The review also presents recommendations and advice for the benefit of this vulnerable population in relation to their nutrition. Methods: The research was conducted by documenting the PubMed, Web of Science and Direct Science databases. Keywords used in the research were non-communicable diseases, containment, COVID-19, lifestyle change. Results: Containment during the COVID-19 era was associated with increased smoking, physical inactivity, unhealthy eating, and intense fear of the potential impact of the Coronavirus. Conclusion: Strengthening immunity through the promotion of nutrition has been shown to be useful in preventing the emergence of noncommunicable diseases, which are risk factors linked to increased rates of morbidity and mortality for those infected by COVID-19.

GSC Advanced Research and Reviews, May 30, 2020

Assessing dietary habits and nutritional status in patients with end stage kidney disease (ESKD) ... more Assessing dietary habits and nutritional status in patients with end stage kidney disease (ESKD) treated with maintenance hemodialysis (HD) plays a crucial role in the prevention of protein energy malnutrition. The aim of this study was, on one hand, to assess nutritional status and dietary intake of HD patients in comparison with the guidelines recommendations and, on the other hand, to determine the characteristics of those who didn't meet their nutritional needs. In a sample of 156 HD patients (70 women and 86 men), clinical data, anthropometric measurements and two 24 hour dietary recalls were collected to evaluate the nutritional status and dietary intake. The results showed that based on the Body Mass Index (BMI), appropriate nutritional status was reported for only 60.6% of the patients. The mean energy intake was 1904.98 ±592.50 kcal per day, only 16.8% of participants were found compliant regarding the recommended intake of energy density; about 33 % met the recommended minimum of 1.2g/kg of protein per day and only 36.5% have adequate fiber consumption. The protein and energy density were negatively correlated with age, BMI and waist circumference. No patients achieved the recommendations concerning the saturated fat intake. In conclusion, the study data report that a high proportion of dialysis patients did not meet current renal specific dietary requirements and that the diet quality is considered poor. These results call the attention to individual dietetic counseling and promotion of a global dietary approach in hemodialysis patients in order to improve clinical outcomes and the quality of life of chronic kidney patients.

Roczniki Państwowego Zakładu Higieny, Jun 12, 2023

Background. The construction of the consumer’s identity is dependent on how they prepare their me... more Background. The construction of the consumer’s identity is dependent on how they prepare their meals. Objective. Study the cooking methods, frequency, and duration of meal preparation in Moroccan households as well as the associated factors. Materials and methods. This work is a part of a study with a validated conceptual and methodological framework that was conducted in 507 households in the region of Rabat-Salé-Kenitra in Morocco. The characteristics of the population and data on the cooking methods, frequency, and duration of meal preparation were collected by a survey. Associations between variables were studied by univariate logistic regression with a significance level of p&lt;0.05. Results. The majority of the population was aged between 35 and 65 years (76%) and lived in urban areas (70%). The univariate analysis showed that the urban area was a factor that hindered stewing (p=0.009), while the work status (p=0.04) and the marital status “Married” (p=0.04) were favorable factors; the household size (p=0.02) is a factor favoring steaming method; urban area (p=0.04), work status (p 0.03), nuclear family type (p&lt;0.001), and household size (p=0.02) are factors hindering the use of oven cooking; urban area (p=0.02) and higher education level (p=0.04) are factors favoring the use of fried food, age category [20-34] years (p=0.04), higher education level (p=0.01) and work status (p=0.01) were factors that favored the use of grilling; nuclear family type, (p=0.04) and household size (p=0.03) were factors that hindered the preparation of breakfast; urban area (p=0.03) and Arab ethnicity (p=0.04) are factors hindering snack preparation; urban area (p&lt;0.001) is a factor favoring dinner preparation; household size (p=0.01) and use of stewing at least four times a week (p=0.002) are factors hindering meal preparation time, while use of baking (p=0.01) is a favoring factor. Conclusion. The study results point towards the implementation of a nutritional education strategy based on combining habits, preferences, and good cooking practices.

Roczniki Państwowego Zakładu Higieny, Sep 27, 2022

Background. The prevalence, risk factors and screening for the problem of non-alcoholic fatty liv... more Background. The prevalence, risk factors and screening for the problem of non-alcoholic fatty liver disease linked to obesity are not well known in Morocco. The diagnosis of this disease by biopsy is invasive and the assessment of its severity by ultrasound shows variability in observation. Objective. The aim of this retrospective study is to estimate the prevalence of NAFLD linked to obesity, to determine the risk factors associated with it and to develop a non-invasive procedure as a method of diagnosing this disease in Morocco. Material and Methods. It’s a retrospective study. The collection of anthropometric, clinical, biochemical, and radiological data over a period from 2014 to 2018 were captured from registers of patients at the Med VI University Hospital in Marrakech. Data were analyzed using SPSS version 26 software. Descriptive statistics were presented using frequencies and means +/- standard deviation to describe categorical and numeric data respectively. Pearson's chi-square test was used to test the association between categories of two independent samples. Multinomial logistic regression is used to find disease risk factors and models to predict non-alcoholic fatty liver disease (NAFLD) linked to obesity in Morocco. Results. Gender, increased age, body mass index, alanine aminotransferase, triglycerides, C-reactive protein, alkaline phosphatase, gamma-glutamyl transferase were significantly correlated with NAFLD and its evolvement. Conclusion. The prevalence of NAFLD linked to obesity is an alarming problem in Morocco. It was 83.5%. Age, gender, body mass index, alanine aminotransferase, triglycerides, C-reactive protein, alkaline phosphatase and gamma-glutamyl transferase are risk factors for NAFLD and its severity. It were used to develop two algorithms that can be used, as a more objective and non-invasive screening method for NAFLD.

Journal of obesity and weight loss therapy, Aug 30, 2016

The purpose of this investigation was to study body size preferences and to examine the influence... more The purpose of this investigation was to study body size preferences and to examine the influence of sociocultural factors on obesity among 249 Moroccan Sahraoui women. Participants rated their ideal body size and the size they thought to be &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;healthy,&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; using a figural scale consisting of nine images ranging from thin to obese. They also noted which particular sociocultural influences affected their body size ratings. The results indicated that women&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s rating of ideal body size (4.88) was significantly larger than their rating of healthy body size (4.33). The desire to lose weight was very low even among the majority of obese women, and educational level did not affect desire to lose weight. Women not satisfied with their body size were more likely to report trying to gain weight rather than to lose it. The major factors reported to influence body size ideal were mothers, men, and traditional clothing. It is an enormous challenge for the health institutions of Morocco to prevent obesity and its complications. Prevention programs should include teenagers and key family members.

International Journal of Food Studies, Apr 18, 2023

Roczniki Państwowego Zakładu Higieny

Background. Currently, T1D is one of the most common chronic diseases in children and adolescents... more Background. Currently, T1D is one of the most common chronic diseases in children and adolescents. The International Diabetes Federation (IDF) estimates that more than 1.1 million children and adolescents are living with (T1D). A few studies have evaluated the relationship between dietary intake and glycemic control (GC) in people with T1D, and in particular, children and adolescents. Objective. The aim of this study was to evaluate the relationship between anthropometric characteristics, lipid profile, inflammation, dietary intake and GC in comparison with international guidelines. Materials and methods. The study included a sample of 240 children, aged 15 years old or less with T1D. A structured questionnaire was used to collect information on the socio-demographic status, disease characteristics, and diet of the participants. Weight, height, and WC were measured and WHtR and BMI were calculated. Biochemical measurements were determined. Dietary intake was assessed using three 24-...

JOURNAL OF CORONA VIRUS COVID19, 2021

Open Access Journal of Biomedical Science, 2020

Introduction: Morocco is currently experiencing a change in dietary habits, in particular that re... more Introduction: Morocco is currently experiencing a change in dietary habits, in particular that related to food preparation methods and eating location. The objective of this research was to study the factors associated with food consumption trends in an agricultural community from the province of El Jadida in Morocco. Methods: A survey was carried out in 2017 on 118 households using a structured questionnaire. We collected information about food practices that are concerning the culinary methods, the time devoted to cooking, the regularity and the location of having meals. Results: The majority of the study participants are aged of 30 years old and over (86.4%), live in rural area (66.1%) and belong to nuclear families (61.9%). The study data revealed that age is associated with the use of frying foods (p = 0.01), the number of meals taken per day (p = 0.04) and the out-of-home meals (p = 0.02). The area of residence was associated with the use of frying as food preparation method (p =0.01), the time spent in cooking (p = 0.02), the number of meals taken per day (p = 0.01) and the out-of-home meals (p = <0.01) In addition, the family type was associated with out-of-home meals (p = 0.01). Finally, the family as a source of information about food is associated with the reduction of time spent in cooking (p = 0.05) while the media is associated with both the reduction of this time (p = 0.04) and the reduced number of meals taken per day (p = 0.01). Conclusion and outlook: This research revealed a significant association of food trends with certain factors reported in the literature. The reported data shows the importance of taking steps to promote healthy eating practices, with a particular focus on educating young people.

American Journal of Biomedical Science & Research, 2019