https://www.amjmed.com/article/S0002-9343(12)00123-4/pdf

Fish consumption and colorectal cancer risk in humans: a systematic review and meta-analysis.

The present research was conducted within the framework of the EURopean micronutrient RECommendations Aligned project. In order to identify the best practice in assessing nutrient intakes, a search strategy for collecting data from national food consumption surveys/studies in Europe was developed. Systematic literature searches were carried out on twenty-eight European and the four European Free Trade Association countries. A questionnaire was also sent to two to five experts in each country. Systematic reviews using PubMed yielded 12 703 abstracts that were reduced to 200 studies using inclusion and exclusion criteria. Similarly, a search of ministry web sites yielded 3033 hits, and subsequently reduced to nine surveys. Belgium, France, Germany, Ireland, Sweden, Spain and the United Kingdom were the countries with most data and Slovenia and Liechtenstein were those with the least. Seventy-eight expert questionnaires were obtained from all countries except for Liechtenstein, Luxembourg and Slovakia. Detailed results and references are given. A systematic search and questionnaires are equally good at identifying national surveys across countries. Literature searching provides globally accessible and objective information albeit limited, whereas the questionnaire provides information that, depending upon responders, can be more complete. A combination of both strategies is recommended.

/pdf/how-to-find-information-on-national-food-and-nutrient-1uetaam72e.pdf

How to find information on national food and nutrient consumption surveys across Europe: systematic literature review and questionnaires to selected country experts are both good strategies

Introduction: promotion of a healthy diet and involvement in physical activity among young people has an important impact on their actual and future lifestyle, health and well being. Objectives: this study investigates dietary patterns, physical activity, body mass index (BMI) and weight-related behaviours as well as their interrelationship among Romanian university students. Methods: the study used anonymous questionnaires and was performed in Cluj-Napoca, Romania in 2003 (n = 320) and 2016 (n = 320). Results: the factor analyse revealed three main dietary structures which were similar at both waves. The first one describes a varied diet. The second one shows a diet rich in white meat, dietary fibres and varied sources of carbohydrates. The last one refers to a diet containing red meat, fat, potatoes, sugar. The first dietary structure protects against overweight and it correlates positively with daily physical activity, while has a negative correlation with using several methods for losing weight. The second dietary factor is also protective for overweight, but has a positive correlation with using several methods for losing weight. It has a negative association with eating frequently in fast food restaurants and with daily physical activity. The last dietary structure is negatively associated with daily physical activity, while being positively associated with eating frequently in fast-food restaurants and with a higher BMI. Conclusions: the study presents trends in dietary patterns, physical activity, BMI and weight related behaviours among Romanian university students between 2003 and 2016 and highlights the existence of several main dietary structures, which seems stable over time.

/pdf/dietary-patterns-physical-activity-body-mass-index-weight-3czuwdh21v.pdf

Dietary patterns, physical activity, body mass index, weight-related behaviours and their interrelationship among Romanian university students-trends from 2003 to 2016.

BACKGROUND: Childhood injury rates are higher in low and middle-income countries than in high-income countries. Childhood injuries have not been widely studied in Romania, a middle-income country, because data sources are lacking. OBJECTIVE: This study presents the first surveillance data of nonfatal childhood injuries from a large children's hospital in Cluj, a major city of Romania. METHODS: This retrospective study included review of medical records of injured children of 0-18 years of age treated in a major city pediatric emergency department from 1999 to 2003. RESULTS: In the 5-year study period, 1179 childhood injuries were treated in the emergency department, for an average of 236 patients per year. For the county of Cluj, this represents an annual average injury incidence of 197 per 100,000 children younger than 5 years, 140 per 100 000 children aged 5-14 years, and 135 per 100 000 for children aged 15-18 years. Unintentional injuries represented 77.8% of cases, 18% were self-harm and suicide attempts, and 4.3% were assaults. CONCLUSION: These trends, among the first reported from Romania, can help identify priority prevention areas. Language: en

Emergency department visits for nonfatal childhood injuries in Romania

Introduction: Presently, the scientists recognize the health benefits of food fibers in the menu and also plant food sources are at high interest both for general population and food companies. The food companies are responsible for a clear nutrition labelling that will assist consumers to make informed and healthy choices and health providers has to inform the population about the benefits of fibers. The aim of our study was to evaluate the Romanian knowledge and attitudes regarding dietary fibers from food products. Materials and methods: We made a qualitative survey based on a questionnaire applied in 2015, over a period of 6 months, over 670 Romanian consumers. It was focused on testing the attitudes and knowledge towards ingestion of foods rich in fibers. For all data analysis we used the software SPSS, from IBM Inc. Results and Discussions: Our results showed that the knowledge about dietary fibers and also the ingestion of food products rich in fibers were low, and most of the subjects didnâ€™t have any interest to read the nutritional information from food labels related to fibers. The female participants ate more whole grains and fruits than males and pay more attention to food labelling, the Romanian people prefer to stay and eat home than at restaurants especially in rural areas, and the knowledge about fibers benefits was significantly related to education and urban location. Conclusion: We underline the needs for more efficient community interventions and proper information about the importance of dietary fibers for our health and also to improve and disseminate our nutritional standards and diet recommendation among population.

Romanian Knowledge and Attitudes regarding Dietary Fibers

UNLABELLED The aim of the present study performed in a Romanian population was to identify the food which can be either associated with or protect against colorectal carcinoma. MATERIAL AND METHOD Correlation and regression analysis were used to examine the association between dietary intake and the rate of incidence for colon, rectum and anus cancers, in study groups from 7 regions of Romania. RESULTS A strong and positive association was observed for colonic cancer and the intake of coffee, tea and cocoa (r = 0.77, p = 0.042) whereas statistical significance of borderline value was found for margarine (r = 0.73, p = 0.06) and sweets (r = 0.74, p = 0.066) intake. A potential protective effect can be attributed to wine consumption ( r = -0.75, p = 0.03). The malignancies of the rectum and anus showed both a strong positive correlation with the intake of red meat ( r = 0.76, p = 0.048), sausages ( r = 0.87, p = 0.012), margarine (r = 0.97, p = 0.0004), butter ( r = 0.76, p = 0.049), sweets ( r = 0.93, p = 0.003), beverages (r = 0.97, p = 0.0003), coffee, tea, cocoa ( r = 0.94, p = 0.002). Negative correlations were reported for the recto-anal cancer and the consumption of: fish (r = -0.8, p = 0.032), cheese (r = -0.9, p = 0.006), wine (r = -0.85, p = 0.015). CONCLUSION The need for reducing the dietary intake of margarine, red meat, sausages and sweets while the beneficial effects of wine consumption have been also confirmed.

[Food intake and colorectal cancers; an ecological study in Romania].

Aim. Puberty, by content and finality, mean all the events of somatic and mental maturation, with the transformation of the child into an adult. It is the period in which it is acquired the reproductive capacity. Material and methods. Pubertal maturation was studied on a sample of secondary school adolescents from Timis County, 800 students from schools and high schools in the urban area aged 11-14 years, with uniform distribution by sex and age. The pubertal evaluation was made with reference to Tanner stages. The result was an earlier and stronger pubertal maturation in girls compared with boys. Results. Pubertal maturation in adolescents from Timis County is higher compared to the national level (step 1999), and is less elevated compared with the local level of maturation (1998). Conclusions. The study contributes to maintain actual the health condition in adolescence.

Features of pubertal maturation in adolescents from Timiş County.

UNLABELLED Dietary patterns present at the age of the young adult have great probability to remain unchanged for the rest of the life and may contribute to eating disorders later in life. The aim of this study is the analysis of the intake patterns for fruits and vegetables in students from Timis County. MATERIAL AND METHODS We conducted a cross sectional study using a stratified cluster sample design to produce a representative sample of students for the Timis County. The students' sample totalized 2076 students from the universities in Timis County. RESULTS A large percent of the young people participating in the study (41.9%) does not consume fresh juices. For the consumption of fresh fruits, the present results back up the international di scoveries, only 32.8% of the young people consuming fruits daily, which is a smaller percent that the medium value reported by other countries. The frequency of consumption for fruits differs according to gender, being higher for girls. For salads, the percent of young people consuming this type of foods at least once a day is 17.0%, much lower compared to 32.8% of the young people consuming fresh fruits at least once a day. CONCLUSIONS The examination of the dietary patterns related to the intake of fruits and vegetables helped us to determine priority areas for future interventions.

Dietary patterns in young adults from Timiş County.

In the human feeding an important role is realized by the feeding customs, not always being related with a healthy feeding. In our study we wanted to realize a qualitative and quantitative estimation of the nutritive factors in Timisoara medical students food intake. As method we used nourishment investigation with a feeding notebook (the memory technique), distributed individually, 7 days consequently in a sample formed from 50 students of Timisoara Medical School, sample which was homogenous and statistically representative. We realized analysis and statistically interpretation of data. Obtained results: The average values per consumer and day of the nutritive factors of feeding were: proteins--78.4 g, fats--83.3 g, carbohydrates--274.4 g, minerals (macro elements: potassium--2.7 g, calcium--0.5 g, magnesium--0.2 g, phosphorus--1.4 g, chlorine--3.6 g and microelements: iron--17 mg, iodine--0.15 mg, fluoride--2.3 mg, copper--3.6 mg). Vitamins (fat-soluble: A--1370 u.i. D--43.6 u.i,. E--7 mg, K--6300 uDam and hydro soluble: B1--1.1 mg, B2--1.1 mg, B6--2.5 mg, C--39.1 mg, PP--19.3 mg). Average energetic intake per consumer and day was 2244 calories. In conclusion, in the medical students feeding in Timisoara there is a decreased intake of proteins,carbohydrates, a little increased intake of fats, decreased energetic intake, an increased intake of potassium, decreased of calcium, increased of iron, fluoride and copper, decreased of A, D, C vitamins.

[Nutrients in food intake of medical students, Timişoara].

The medical social and economic consequences of motor vehicle accidents in the infant population represent a major problem in public health. The present study was conceived as a descriptive epidemiological survey carried out retrospectively over a six-year period on the basis of case records. Potential risk factors related to accidents were: sex, social origin, age group, calendar month, day of the week, circumstances of the accident, parental supervision, location of the injury. In order to get a clearer image of how injuries are produced in traffic accidents, the collision of vehicles and pedestrians was studied in terms of bio-mechanics with special emphasis on the specific impact forces affecting pedestrians.

A study of risk factors and the epidemiology of accidents in the child population

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