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Almaty, Kazakhstan

Sinyavsky Y.A.,Kazakh Academy of Nutrition | Tsoy N.O.,Astana Medical University
Voprosy Pitaniia | Year: 2014

Currently, one of discussed questions of acne etiopathogenesis is alimentary factors, in particular, national dietary habits at different regions and the role of diet. The purpose of this research: from the standpoint of evidence-based medicine to reveal the influence of dietary intake (energy value of the diet, macro-and micronutrients content) on the actual severity of acne in young people. We observed 180 respondents aged 15 to 25 years. The main group included 90 patients with moderate to severe acne, who were treated at the Center for Dermatology and prevention of sexually transmitted diseases in Astana, including 38 girls and 52 boys, mean age 20,5±4,3 years. The control group consisted of 90 apparently healthy subjects (36 girls and 54 boys, mean age 19,8±4,2 years) without even a single manifestation of non-inflammatory or inflammatory acne elements. Studying the actual food consumption was carried out by a 24-hour (daily) food recall using specially designed questionnaires and albums. Results: regular meals with excess energy value significantly contributes to the progression of disease severity in young people with acne [the power of influence in young men was 0,43 (43%), girls - 0,42 (42%)], the excess of the normal daily requirements for carbohydrates also significantly affect the severity of acne [the power of influence in young men -0,23 (23%), in girls - 0,35 (35%)], lack of vitamin A (retinol) and its provitamin (carotene) significantly affect the severity of acne (the power of influence in young men - 0,44 (44%) and 0,42 (42%), respectively, in girls - 0,46 (46%) and 0,31 (31%), respectively); in young men with severe acne vitamin D deficiency with a force of 0,3 (30%) significantly potentiates the inflammatory process; lack of zinc in the diet significantly affects the severity of the pathological process in severe forms of acne, the power of influence of this micronutrient in young men - 0,44 (44%), women - 0,34 (34%).

Salkhanova A.B.,Kazakh Academy of Nutrition | Kim D.K.,Al-Farabi Kazakh National University
Voprosy Pitaniia | Year: 2010

The goal of the survey is the analysis of economic efficiency at 20% one-time as well as 20% and 30% even reduction of anemia prevalence. Data of Agency on staticitcs, Ministry of Health of Republic of Kazakhstan, and research data of Kazakh Academy of Nutrition were used for computation. The prevalence of anemia amongst men aged 15-59 years was 28,1% and amongst women aged 15-59 years - 45,3%. The economic efficiency at the 20% one-time anemia prevalence reduction for 1 year accounts for 146,1 mln USD, at the 20% even reduction of anemia prevalence for 4 years -367,7mln USD for this period or 91, 9 mln USD per one year; and at 30% even reduction of anemia prevalence for 4 years -547 mln USD for this period or 136, 7 mln USD per 1 year.

Baizhumanova A.,Nagoya University | Nishimura A.,Japan National Institute of Public Health | Ito K.,Nagoya University | Sakamoto J.,Nagoya University | And 3 more authors.
BMC Blood Disorders | Year: 2010

Background: In 2004, wheat flour fortification (WFF) with iron was implemented in Kazakhstan as a public health strategy to increase the iron intake of all women of childbearing age and of children. In 2003, before starting the flour fortification program, a communication campaign on health education took place in a region with a high prevalence of iron deficiency anemia (IDA). The present study aimed to evaluate the prevalence of anemia, iron deficiency and IDA before and after the campaign. In addition, knowledge about IDA and its prevention, as well as awareness about fortified wheat flour, was assessed.Methods: The subjects of the study were women aged 15-49 years and children aged 2-14 years. The study was carried out in urban and rural areas of Kyzyl-Orda region in 2003 before (March) and after (December) the campaign. Blood samples were collected in order to measure hemoglobin and serum ferritin. In March 80 women and 57 children in the urban area, and 41 women and 41 children in the rural area, participated in the IDA testing. The corresponding participants in December numbered 62, 52, 52, and 57, respectively. The impacts of the communications and information received by participants during the campaign was surveyed with a questionnaire for 195 women in March and 198 women in December including some who participated in the IDA testing.Results: In March, the prevalence of anemia was 52.0% among 121 women and 58.1% among 98 children, and those with low iron reserve were 63.6%, 49.1% and IDA 40.5%, 11.0%, respectively. In December, the prevalence of anemia had significantly decreased among rural women (from 65.9% to 48.0%, p < 0.05) and among urban children (from 63.1% to 11.5%, p < 0.001). The prevalence of iron deficiency was significantly reduced among the children (from 51.1% to 24.8%, p < 0.001). IDA prevalence was meaningfully decreased among women in urban and combined areas (from 37.5% to 15.0% and 40.5 to 14.8%, respectively, p < 0.001) and among urban children (from 7.1% to 2.1%, p < 0.05). The surveys found that most women knew about IDA and its prevention and that the numbers were similar both in March and in December. The knowledge of the anti-anemic effect of wheat fortified flour improved significantly over the period of the campaign among women both in urban (from 48.5% to 80.9%, p < 0.001) and rural (from 69.8% to 88.6%, p < 0.001) areas.Conclusion: The study demonstrated that the communication campaign before implementation of WFF program was effectively carried out, giving a biological impact on hematological indices. © 2010 Baizhumanova et al; licensee BioMed Central Ltd.

Salkhanova A.B.,Kazakh Academy of Nutrition
Voprosy Pitaniia | Year: 2010

The article presents data on dynamics of anemia prevalence amongst women of 15-49 age and children as well as data on anemia prevalence amongst men in Kazakhstan. Anemia prevalence amongst women of reproductive age in 2006 and 2008 was higher than in 1999 (48,8%) and was comparable with data of 1995 survey. Anemia prevalence amongst children under 3 years in 1995 was 69,2%, children under 5 years in 1999 - 36,3% and children aged 6-59 months in 2008 - 47,4%. At present anemia prevalence amongst women and children is above 40% level that rates Kazakhstan as a country of severe risk. Anemia prevalence amongst men is 28%. The measures on improvement of anemia prevention in the country are recommended.

Kroupina M.G.,University of Minnesota | Toemen L.,University of Minnesota | Toemen L.,Maastricht University | Aidjanov M.M.,Kazakh Academy of Nutrition | And 8 more authors.
Maternal and Child Health Journal | Year: 2015

The main objective of this study was to assess the developmental status of children living in the severely adverse environment of institutional care and the examination of risk factors with regard to developmental status, including degree of stunting and emotional–behavioral and anemia status. The Bayley Scales of Infant Development were used to assess development status in 103 children aged 14.9 months (SD = 6.8) in six Kazakh institutions. The Behavioral Rating Scales were used to assess emotional–behavioral regulation. Physical growth measures were converted to z scores using World Health Organization growth charts. Venous blood was collected for assessment of anemia. Our findings indicated that young children in institutions were developmentally compromised, with duration of institutional care correlated with the severity of delay. Negative predictors of developmental status included: Poor emotional–behavioral regulation, degree of stunting and age at assessment. A particularly large percentage of children were found to be anemic. Additionally, low birth weight was found to be a significant negative predictor of development. Our findings indicate that institutional care has a detrimental impact on the development and emotional regulation of young children. Time in institutional care is a negative predictor for cognitive status for children placed at birth. Moreover stunting was found to be a useful indicator of the degree of impact of early adversity on cognitive development. Particular attention is needed for special-needs children such as those with low birth weight, since their development was found to be more sensitive to early adversity than that of normal birth weight children. © 2014, Springer Science+Business Media New York.

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