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Rerkasem A, Lyons-Reid J, Namwongprom S, Wongsrithep S, Mangklabruks A, Phirom K, Rerkasem K, Derraik JGB. Associations between maternal overweight/obesity during pregnancy and body composition in young adult offspring. Front Public Health 2024; 12:1346900. [PMID: 38544732 PMCID: PMC10968890 DOI: 10.3389/fpubh.2024.1346900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2023] [Accepted: 02/20/2024] [Indexed: 05/12/2024] Open
Abstract
Background Maternal obesity is associated with an increased risk of large-for-gestational-age births and childhood obesity. However, evidence on its potential associations with long-term offspring body composition remains limited. This prospective cohort study examined associations between maternal body mass index (BMI) during pregnancy and body composition in the young adult offspring. Methods Participants were the offspring from a birth cohort in Chiang Mai (Thailand). Maternal BMI was assessed at the first antenatal clinic visit (≤24 weeks of gestation) in 1989-1990. In 2010-2011, we followed up the offspring at approximately 20 years of age, assessing their body composition using whole-body dual-energy X-ray absorptiometry (DXA) scans. Associations between maternal BMI and offspring body composition were explored using unadjusted and adjusted analyses. Results We assessed 391 young adults (55% were females). Higher maternal BMI was associated with increased offspring fat mass and lean mass. In adjusted analyses, offspring of mothers with overweight/obesity exhibited total body fat percentages 1.5 (95% CI 0.1, 2.9; p = 0.032) and 2.3 (95% CI 0.2, 4.5; p = 0.036) percentage points higher than offspring of normal-weight and underweight mothers, respectively. Fat mass index was similarly higher: 0.9 kg/m2 (95% CI 0.3, 1.5 kg/m2; p = 0.002) and 1.4 kg/m2 (95% CI 0.5, 2.3 kg/m2; p = 0.002), respectively. However, no differences in visceral adiposity were detected. Conclusion Higher maternal BMI during pregnancy was associated with increased adiposity in young adult offspring. Our findings suggest that the cross-generational transmission of maternal obesity-related traits is associated with increased offspring adiposity in the long term.
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Affiliation(s)
- Amaraporn Rerkasem
- Environmental-Occupational Health Sciences and Non-Communicable Diseases Research Group, Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand
| | - Jaz Lyons-Reid
- Liggins Institute, University of Auckland, Auckland, New Zealand
| | - Sirianong Namwongprom
- Department of Radiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
| | - Suthathip Wongsrithep
- Environmental-Occupational Health Sciences and Non-Communicable Diseases Research Group, Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand
| | - Ampica Mangklabruks
- Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
| | - Kochaphan Phirom
- Environmental-Occupational Health Sciences and Non-Communicable Diseases Research Group, Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand
| | - Kittipan Rerkasem
- Environmental-Occupational Health Sciences and Non-Communicable Diseases Research Group, Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand
- Department of Surgery, Faculty of Medicine, Clinical Surgical Research Center, Chiang Mai University, Chiang Mai, Thailand
| | - José G. B. Derraik
- Environmental-Occupational Health Sciences and Non-Communicable Diseases Research Group, Research Institute for Health Sciences, Chiang Mai University, Chiang Mai, Thailand
- Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden
- Department of Paediatrics: Child and Youth Health, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand
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Phulkerd S, Dickie S, Thongcharoenchupong N, Thapsuwan S, Machado P, Woods J, Mo-Suwan L, Prasertsom P, Ungchusak C, Khitdee C, Lawrence M. Choosing an effective food classification system for promoting healthy diets in Thailand: a comparative evaluation of three nutrient profiling-based food classification systems (government, WHO, and Healthier Choice Logo) and a food-processing-based food classification system (NOVA). Front Nutr 2023; 10:1149813. [PMID: 37266126 PMCID: PMC10230096 DOI: 10.3389/fnut.2023.1149813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Accepted: 03/14/2023] [Indexed: 06/03/2023] Open
Abstract
Introduction This study aimed to assess the nutritional quality of food and beverage products in Thailand by comparing four different food classification systems: the nutrient profiling-based food classification systems by the Department of Health (DOH), the WHO South-East Asia Region (WHO SEA), the Healthier Choice Logo (HCL), and the food-processing-based food classification system, NOVA. Methods This study used secondary data from the Mintel Global New Products Database (N = 17,414). Food subgroups were classified differently based on these four systems. The DOH classified food products into three groups: Group A-healthy pass or meeting standard, Group B-not meeting the standard, and Group C-far below standard. The WHO SEA classified food products into two groups: marketing prohibited products and marketing permitted products. The HCL classified food products into two groups: eligible products for the logo; and ineligible products for the logo. The NOVA classified food products into four groups: unprocessed or minimally processed foods (MP), processed culinary ingredients (PCI), processed foods (P), and ultra-processed foods (UPF). Descriptive statistics (percentage and frequency) were used for analysis. Agreement analysis was conducted using Cohen's kappa statistic between each pair of food classification systems. Results Of the total sample that could be classified by any of the four classification systems (n = 10,486), the DOH, the WHO SEA and the HCL systems classified products as healthy (Group A, marketing permitted or eligible for HCL logo) at 10.4, 11.1, and 10.9%, respectively. Only 5.6% were classified as minimally processed foods using NOVA and 83.1% were ultra-processed foods (UPFs). Over 50% of products classified as healthy by the nutrient profiling systems were classified as UPF according to the NOVA system. Products that were eligible for the HCL had the highest proportion of UPF products (84.4%), followed by the Group A products (69.2%) and the WHO marketing-permitted products (65.0%). Conclusion A hybrid food classification approach taking both nutrients and food processing into account is needed to comprehensively assess the nutritional quality of food and beverage products in Thailand.
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Affiliation(s)
- Sirinya Phulkerd
- Institute for Population and Social Research, Mahidol University, Salaya, Thailand
| | - Sarah Dickie
- Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC, Australia
| | | | - Sasinee Thapsuwan
- Institute for Population and Social Research, Mahidol University, Salaya, Thailand
| | - Priscila Machado
- Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC, Australia
| | - Julie Woods
- Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC, Australia
| | - Ladda Mo-Suwan
- Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand
| | - Piyada Prasertsom
- Bureau of Dental Health, Department of Health, Ministry of Public Health, Mueang, Nonthaburi, Thailand
| | - Chantana Ungchusak
- Thailand Healthy Lifestyle Plan, Thai Health Promotion Foundation, Bangkok, Thailand
| | - Chiraporn Khitdee
- Bureau of Dental Health, Department of Health, Ministry of Public Health, Mueang, Nonthaburi, Thailand
| | - Mark Lawrence
- Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC, Australia
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Delicado-Soria A, Serrano-Urrea R, Cervera-Burriel F, Daouas T, García-Meseguer MJ. Food consumption in Tunisian university students and its association with sociodemographic characteristics and lifestyle behaviours. Public Health Nutr 2021; 24:4949-4964. [PMID: 33317661 PMCID: PMC11082808 DOI: 10.1017/s1368980020004942] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2020] [Revised: 10/28/2020] [Accepted: 11/25/2020] [Indexed: 11/07/2022]
Abstract
OBJECTIVE This study aimed to characterise food consumption among students at the University of Carthage (Tunisia), assessing quality of diet and main dietary patterns, and their association with potential conditioning factors. DESIGN Cross-sectional study. Participants self-reported food consumption in two 24-h recalls and information about sociodemographic, anthropometric and lifestyle characteristics such as BMI, birthplace, physical activity, eating places or kitchen appliances. Mediterranean Diet Score (MDS) and the Nutrient Rich Foods (NRF) index (NRF9.3) were used to assess diet quality. Exploratory factor analysis was conducted to identify eating patterns. Linear regression models were used to test the association of dietary patterns with the diet quality markers. SETTING Students at the University of Carthage, Tunisia. PARTICIPANTS 132 students. RESULTS Almost 96 % of participants need shifts towards healthier food. Four main food patterns were identified 'Traditional food', 'Transitional food', 'European breakfast' and 'Western food'. 'Traditional food' was the first dietary model, positively associated with MDS and NRF9.3. Women showed higher adherence to 'European breakfast' and higher quality of diet by NRF9.3. Students eating out of home showed higher adherence to 'Western food', those who never kept a regular schedule of meals consumed lower amount of vegetables and tubers, and sedentary or low active students had a higher intake of ready-to-eat products. CONCLUSIONS Diet quality of the participating Tunisian students is inadequate, but traditional Mediterranean diet remains the main pattern in spite of the advanced transitional nutrition. Some lifestyle risk behaviours affecting quality of diet were identified in this work, which supports the youth's particular vulnerability.
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Affiliation(s)
- Amalia Delicado-Soria
- Department of Nursing, Physiotherapy and Occupational Therapy, Faculty of Nursing, University of Castilla-La Mancha (UCLM), Avda. España s/n. Campus Universitario, 02071Albacete, Spain
| | - Ramón Serrano-Urrea
- Department of Mathematics, Faculty of Computer Science Engineering, University of Castilla-La Mancha (UCLM), Albacete, Spain
| | | | - Thouraya Daouas
- Institut des Hautes Études Commerciales de Carthage (IHEC), Carthage, Tunisia
| | - María-José García-Meseguer
- Department of Nursing, Physiotherapy and Occupational Therapy, Faculty of Nursing, University of Castilla-La Mancha (UCLM), Avda. España s/n. Campus Universitario, 02071Albacete, Spain
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Deprivation Index and Lifestyle: Baseline Cross-Sectional Analysis of the PREDIMED-Plus Catalonia Study. Nutrients 2021; 13:nu13103408. [PMID: 34684409 PMCID: PMC8540452 DOI: 10.3390/nu13103408] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Revised: 09/22/2021] [Accepted: 09/23/2021] [Indexed: 01/26/2023] Open
Abstract
This baseline cross-sectional analysis from data acquired in a sub-sample of the PREDIMED-Plus study participants aimed to evaluate the relation between the Composite Socioeconomic Index (CSI) and lifestyle (diet and physical activity). This study involved 1512 participants (759 (52.2%) women) between 55 and 80 years with overweight/obesity and metabolic syndrome assigned to 137 primary healthcare centers in Catalonia, Spain. CSI and lifestyle (diet and physical activity) were assessed. Multiple linear regression or multinomial regression were applied to the data. Cluster analysis was performed to identify dietary patterns. The multiple linear regression model showed that a high deprivation index was related to a higher consumption of refined cereals (11.98 g/d, p-value = 0.001) and potatoes (6.68 g/d, p-value = 0.001), and to a lower consumption of fruits (−17.52 g/d, p-value = 0.036), and coffee and tea (−8.03 g/d, p-value = 0.013). Two a posteriori dietary patterns were identified by cluster analysis and labeled as “healthy” and “unhealthy”. In addition, the multinomial regression model showed that a high deprivation index was related to an unhealthy dietary pattern and low physical activity (OR 1.42 [95% CI 1.06–1.89]; p-value < 0.05). In conclusion, a high deprivation index was related to an unhealthy lifestyle (diet and physical activity) in PREDIMED-Plus study participants.
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Functional dentition and changes in dietary patterns among older adults in Thailand. Public Health Nutr 2020; 24:4556-4563. [PMID: 33106206 DOI: 10.1017/s1368980020004279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE To investigate the relationship between functional dentition (FD) and changes in dietary patterns (DP) in older adults. DESIGN This was a 12-month prospective study, with dental examinations at baseline and questionnaires at baseline and follow-up. Dentition was classified as FD (containing ≥10 occlusal contacts), non-FD with dentures and non-FD without dentures. A 154-item FFQ assessed dietary intake in the previous month. Food items (servings/d) were combined into twenty-two food groups based on their similar nutrient profile, culinary use and previous studies in Thailand. DP were identified through factor analysis of baseline intake and applied scores were used to estimate changes in DP scores. The association between baseline FD (exposure) and change in each DP score (outcome) was tested in linear regression models adjusting for baseline socio-demographic factors, behaviours, chronic conditions, medications, total energy intake and DP score. SETTING Phetchaburi, Thailand. PARTICIPANTS Totally, 788 community dwellers aged ≥ 60 years. RESULTS In total, 651 participants were retained after 12 months (82·6 % retention rate), of whom 14·1 % had FD. Having an FD was positively associated with larger increases in vegetable intake. Three DP were identified. Participants with FD had larger increases in healthy (0·13; 95 % CI: -0·13, 0·39) and carbohydrate-rich diets intake (0·12; 95 % CI: -0·17, 0·40) as well as larger reductions in meat-rich diet intake (-0·12; 95 % CI: -0·45, 0·21) than those with neither FD nor dentures. However, these differences were not significant. CONCLUSION There was little support for an association between baseline FD and changes in DP.
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Itani L, Radwan H, Hashim M, Hasan H, Obaid RS, Ghazal HA, Al Hilali M, Rayess R, Mohamed HJJ, Hamadeh R, Al Rifai H, Naja F. Dietary patterns and their associations with gestational weight gain in the United Arab Emirates: results from the MISC cohort. Nutr J 2020; 19:36. [PMID: 32316972 PMCID: PMC7175557 DOI: 10.1186/s12937-020-00553-9] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2019] [Accepted: 04/06/2020] [Indexed: 02/06/2023] Open
Abstract
Background Suboptimum weight gain during pregnancy may carry long term health consequences for the infant or mother. Nutritional imbalances are well recognized as a determinant of gestational weight gain. Few studies examined the effect of dietary patterns on gestational weight gain, especially in countries undergoing nutrition transition, such as the United Arab Emirates. Objectives To characterize dietary patterns among pregnant women living in the UAE and examine their associations with gestational weight gain and gestational weight rate. Methodology Data were drawn from the Mother-Infant Study Cohort, a two-year prospective cohort study of pregnant women living in the United Arab Emirates, recruited during their third trimester (n = 242). Weight gain during pregnancy was calculated using data from medical records. The Institute of Medicine’s recommendations were used to categorize gestational weight gain and gestational weight gain rate into insufficient, adequate, and excessive. During face-to-face interviews, dietary intake was assessed using an 89-item culture-specific semi-quantitative food frequency questionnaire that referred to usual intake during pregnancy. Dietary patterns were derived by principal component analysis. Multiple logistic regression analyses were used to evaluate the associations of derived dietary patterns with gestational weight gain/gestational weight gain rate. Results Two dietary patterns were derived, a “Diverse” and a “Western” pattern. The “Diverse” pattern was characterized by higher intake of fruits, vegetables, mixed dishes while the “Western” pattern consisted of sweets and fast food. The “Western” pattern was associated with excessive gestational weight gain (OR:4.04,95% CI:1.07–15.24) and gestational weight gain rate (OR: 4.38, 95% CI:1.28–15.03) while the “Diverse” pattern decreased the risk of inadequate gestational weight gain (OR:0.24, 95% CI:0.06–0.97) and gestational weight gain rate (OR:0.28, 95% CI:0.09–0.90). Conclusion The findings of this study showed that adherence to a “Diverse” pattern reduced the risk of insufficient gestational weight gain/gestational weight gain rate, while higher consumption of the “Western” pattern increased the risk of excessive gestational weight gain/gestational weight gain rate. In view of the established consequences of gestational weight gain on the health of the mother and child, there is a critical need for health policies and interventions to promote a healthy lifestyle eating through a life course approach.
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Affiliation(s)
- Leila Itani
- Department of Nutrition and Dietetics, Faculty of Health Sciences, Beirut Arab University, Beirut, Lebanon
| | - Hadia Radwan
- Department of Clinical Nutrition and Dietetics, College of Health Sciences, Research Institute of Medical and Health Sciences(RIMHS), University of Sharjah, Sharjah, United Arab Emirates
| | - Mona Hashim
- Department of Clinical Nutrition and Dietetics, College of Health Sciences, Research Institute of Medical and Health Sciences(RIMHS), University of Sharjah, Sharjah, United Arab Emirates.,Nutrition and Dietetics Program, Universiti Sains Malaysia, Kelantan, Malaysia
| | - Hayder Hasan
- Department of Clinical Nutrition and Dietetics, College of Health Sciences, Research Institute of Medical and Health Sciences(RIMHS), University of Sharjah, Sharjah, United Arab Emirates
| | - Reyad Shaker Obaid
- Department of Clinical Nutrition and Dietetics, College of Health Sciences, Research Institute of Medical and Health Sciences(RIMHS), University of Sharjah, Sharjah, United Arab Emirates
| | - Hessa Al Ghazal
- Sharjah Child Friendly Office, Sharjah, United Arab Emirates
| | - Marwa Al Hilali
- Clinical Nutrition Department, Al Qassimi Hospital-Ministry of Health and Prevention, Sharjah, United Arab Emirates
| | - Rana Rayess
- Department of Clinical Nutrition and Dietetics, College of Health Sciences, Research Institute of Medical and Health Sciences(RIMHS), University of Sharjah, Sharjah, United Arab Emirates
| | | | - Rena Hamadeh
- Department of Nutrition and Food Sciences, Faculty of Agriculture and Food Sciences, American University of Beirut, Beirut, Lebanon
| | - Hiba Al Rifai
- Department of Nutrition and Food Sciences, Faculty of Agriculture and Food Sciences, American University of Beirut, Beirut, Lebanon
| | - Farah Naja
- Department of Nutrition and Food Sciences, Faculty of Agriculture and Food Sciences, American University of Beirut, Beirut, Lebanon.
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Chanpiwat P, Kim KW. Arsenic health risk assessment related to rice consumption behaviors in adults living in Northern Thailand. ENVIRONMENTAL MONITORING AND ASSESSMENT 2019; 191:674. [PMID: 31654271 DOI: 10.1007/s10661-019-7836-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/02/2019] [Accepted: 09/22/2019] [Indexed: 06/10/2023]
Abstract
The rice consumption behaviors of Thai citizens vary among regions. However, the influence of different consumption patterns on arsenic (As) exposure has never been reported. This study was conducted to investigate the effects of rice consumption behavior on As exposure levels. White rice (n = 96) and sticky rice (n = 63) samples were collected from local households in northern Thailand. The actual rice consumption behavior (type, frequency, and amount of rice consumed) was surveyed from the households where the rice samples were collected and used to calculate individual As exposures. The white rice (2.1%) and sticky rice (6.3%) samples contained inorganic As at higher concentrations than the Codex standard (0.2 mg kg-1). Approximately 58.3% of participants consumed white rice for breakfast and sticky rice for lunch and dinner, while 41.8% of participants consumed only white rice or sticky rice daily. Wide variations of As exposure (1 × 10-4 to 2 × 10-3 mg kg-1 day-1) were found. The average As exposure from only sticky rice consumption and combined rice consumption was 2 times higher than the As exposure from only white rice consumption. The rice ingestion rate was the most important factor affecting the level of As exposure resulting from the white rice-only and combined rice consumption patterns. For the combined rice consumption pattern, 45.7 to 93.5% of the total As exposure was from sticky rice consumption. Regarding individual characteristics, older and lower weight participants tended to consume lower amounts of rice. Thus, lower As exposure and fewer health impacts were found in those participants.
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Affiliation(s)
- Penradee Chanpiwat
- Environmental Research Institute, Chulalongkorn University, Phayathai Road, Pathumwan, Bangkok, 10330, Thailand.
- Center of Excellence on Hazardous Substance Management, Phayathai Road, Pathumwan, Bangkok, 10330, Thailand.
| | - Kyoung-Woong Kim
- School of Earth Sciences and Environmental Engineering, Gwangju Institute of Science and Technology, 123 Cheomdan-gwagiro, Buk-gu, Gwangju, 61005, Republic of Korea
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A practical solution to improve the nutritional balance of Korean dine-out menus using linear programming. Public Health Nutr 2019; 22:957-966. [PMID: 30767840 DOI: 10.1017/s1368980018004032] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE We analysed optimal nutrient levels using linear programming (LP) to reveal nutritional shortcomings of Korean dine-out meals and to stress the importance of fruits and dairy products for maintaining a healthy diet. DESIGN LP models that minimize deviation from recommended nutrient values were formulated to analyse deficiency or excess of nutrients under the best situation. SETTING Korean dine-out menus and nutritional information were taken from the nutrient composition tables for dine-out menus developed by the Ministry of Food and Drug Safety and the nutrient database from Computerized Analysis Program. Acceptable macronutrient distribution ranges of macronutrients such as carbohydrate, protein and fat, and recommended intake levels for energy, vitamins, minerals and cholesterol, by sex, were based on the Dietary Reference Intake for Koreans aged 30-49 years.ParticipantsOptimization was performed on selecting the optimal Korean meal combination. RESULTS LP optimization models showed that it is unlikely to satisfy all nutrient recommendations with any combination of dine-out menus. Specifically, meal combinations of Korean dine-out menus had high levels of Na and cholesterol and low levels of vitamins and minerals. Four formulations were considered to compare the effects of controlling Na and including fruit and dairy products. The unbalanced diet was resolved with extra consumption of fruits and dairy products. CONCLUSIONS The best meal combination in dine-out menus, even though the proportion and pairing of menus may be unrealistic, is not healthy, and thus one should consume fruits and dairy products to maintain a balanced diet.
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