Robbins Foldager (japanquilt1)

BACKGROUND AND AIMS Non-alcoholic fatty liver disease (NAFLD) is a rapidly growing public health problem. In this study, we explored the association between dietary patterns (DPs) and fatty liver and liver function tests. METHODS This was a cross-sectional study using data from the US community-based National Health and Nutrition Examination Survey (NHANES). Participants with data on dietary intake, blood pressure and status for diabetes mellitus were analyzed. DPs were determined by principal components analysis (PCA). Analysis of covariance (ANCOVA) and logistic regression models accounted for the survey design and sample weights. RESULTS Of the 20643 eligible participants, 45.7% had prevalent fatty liver. Three DPs collectively explained 50.8% of variance in dietary nutrients consumption. selleck The first DP was representative of a diet containing high levels of saturated and mono-unsaturated fatty acids; the second DP comprised vitamins and trace elements; and the third DP was mainly representative of polyunsaturated fatty acids. In adjusted multivariable regression models, participants in the top quarter of the second DP had 34% lower odds of prevalent fatty liver [odds ratio 0.66 (95% confidence interval [CI] 0.43-0.71)], while those in the quarter of the first DP subject had 86% higher odds [1.86 (95% CI 1.42-2.95)] of prevalent fatty liver, relative to participants in the bottom quarter of each of the DPs. CONCLUSION Our findings suggest that a diet with high load of vitamins, minerals and fiber content is associated with lower NAFLD prevalence. This article is protected by copyright. All rights reserved.A sedentary lifestyle is a major modifiable risk factor for many chronic diseases. Lifestyle modification in order to increase exercise capacity is key in the prevention and rehabilitation of chronic diseases. This could be achieved by active commute. The aim of this study was to assess the effects of daily active commuting on physical activity (PA) and exercise capacity. 73 healthy hospital employees (age 46±9 years, 38% males), with a predominantly passive way of commuting, were randomly assigned into two parallel groups, a control group (CG, N=22) or an intervention group (IG, N=51) which was further split into public transportation/active commuting (IG-PT, N=25) and cycling (IG-C, N=26). Both intervention groups were asked to reach 150min/week of moderate-vigorous intensity exercise during their commute for one year. CG maintained a passive commuting mode. All participants underwent assessment of anthropometry, risk factor stratification and exercise capacity by a medical doctor at the Institute of preventive and rehabilitative Sports Medicine. Weekly physical activity, using the international physical activity questionnaire and commuting behavior using an online diary were used to assess physical activity. At the end of the study the change in exercise capacity did significantly differ between IG and CG p=0.003, ES=0.82. Actively covered distances through commuting significantly differed between groups (walking p=0.026; cycling p less then 0.001). Therefore, active commuting improves exercise capacity and can be recommended to the working population to increase exercise capacity. This article is protected by copyright. All rights reserved.On March 11th 2020 the World Health Organisation (WHO) declared COVID-19 pandemic, leading to a subsequent impact on the entire world and health care system. Since the causing Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) houses in the aerodigestive tract, activities in the gastrointestinal outpatient clinic and endoscopy unit should be limited to emergencies only. Health care professionals are faced with the need to perform endoscopic or endoluminal emergency procedures in patients with a confirmed positive or unknown COVID-19 status. With this report we aim to provide recommendations and practical relevant information for gastroenterologists based on the lim