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Mehdad S, Belghiti H, Zahrou FE, Guerinech H, Mouzouni FZ, El Hajjab A, El Berri H, El Ammari L, Benaich S, Benkirane H, Barkat A, Aguenaou H. Vitamin D status and its relationship with obesity indicators in Moroccan adult women. Nutr Health 2023; 29:673-681. [PMID: 35435056 DOI: 10.1177/02601060221094376] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Background: Although vitamin D deficiency has been studied in various populations, there are few data on its prevalence and associated factors among Moroccan women. Aim: To determine the prevalence of vitamin D deficiency and investigate its association with body mass index (BMI), waist circumference, and serum concentrations of parathyroid hormone, calcium, and phosphorus in a sample of Moroccan adult women. Methods: This is a cross-sectional study conducted at Mohammed V Military Hospital of Instruction, Rabat. Anthropometric measurements and biochemical analyses were performed using standard procedures Results: A total of 714 women aged 18-65 years participated in this study. The overall prevalence of vitamin D deficiency was 74.4%. Approximately 24% and 51% of women had severe and moderate vitamin D deficiency, respectively. Serum 25-hydroxyvitamin D (25(OH)D) concentrations were inversely correlated with BMI in vitamin D-deficient subjects (P = 0.036) and with parathyroid hormone 1-84 (PTH1-84) levels in the study sample (P = 0.010). PTH1-84 concentrations were greater among overweight/obese individuals compared to their non-overweight peers (P = 0.001) and tended to be higher among vitamin D-deficient women than vitamin D-sufficient women (P = 0.053). Conclusion: This study showed a very high prevalence of vitamin D deficiency in this sample of Moroccan women. Lower serum 25(OH)D levels were associated with increased BMI in vitamin D-deficient women and with elevated PTH1-84 levels among the study sample. Although these findings come from a convenience sample of women that attended a nutrition clinic, they underscore the urgent need to develop public health interventions to improve women's vitamin D status.
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Affiliation(s)
- Slimane Mehdad
- Physiology and Physiopathology Research Team, Research Centre of Human Pathologies Genomics, Faculty of Sciences, Mohammed V University in Rabat, Morocco
- Clinical Nutrition Unit, Mohammed V Military Hospital of Instruction, Rabat, Morocco
- Ibn Tofail University- CNESTEN, Joint Unit of Nutrition, Health and Environment, Laboratory of Biology and Health, FSK, Regional Designated Center for Nutrition (AFRA/IAEA), Kenitra, 14000, Morocco
| | - Hakim Belghiti
- Clinical Nutrition Unit, Mohammed V Military Hospital of Instruction, Rabat, Morocco
- Ibn Tofail University- CNESTEN, Joint Unit of Nutrition, Health and Environment, Laboratory of Biology and Health, FSK, Regional Designated Center for Nutrition (AFRA/IAEA), Kenitra, 14000, Morocco
| | - Fatima Ezzahra Zahrou
- Ibn Tofail University- CNESTEN, Joint Unit of Nutrition, Health and Environment, Laboratory of Biology and Health, FSK, Regional Designated Center for Nutrition (AFRA/IAEA), Kenitra, 14000, Morocco
| | - Hassania Guerinech
- Clinical Nutrition Unit, Mohammed V Military Hospital of Instruction, Rabat, Morocco
| | | | - Amina El Hajjab
- Ibn Tofail University- CNESTEN, Joint Unit of Nutrition, Health and Environment, Laboratory of Biology and Health, FSK, Regional Designated Center for Nutrition (AFRA/IAEA), Kenitra, 14000, Morocco
| | | | | | - Souad Benaich
- Ibn Tofail University- CNESTEN, Joint Unit of Nutrition, Health and Environment, Laboratory of Biology and Health, FSK, Regional Designated Center for Nutrition (AFRA/IAEA), Kenitra, 14000, Morocco
| | - Hasnae Benkirane
- Ibn Tofail University- CNESTEN, Joint Unit of Nutrition, Health and Environment, Laboratory of Biology and Health, FSK, Regional Designated Center for Nutrition (AFRA/IAEA), Kenitra, 14000, Morocco
| | - Amina Barkat
- Health and Nutrition Research Team of the Mother-Child Couple, Faculty of Medicine and Pharmacy, Mohammed V University in Rabat, Morocco
| | - Hassan Aguenaou
- Ibn Tofail University- CNESTEN, Joint Unit of Nutrition, Health and Environment, Laboratory of Biology and Health, FSK, Regional Designated Center for Nutrition (AFRA/IAEA), Kenitra, 14000, Morocco
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Idrissi M, Saeid N, Mounach S, Berri HE, Al Jawaldah A, Rahhaoui F, Mouzouni FZ, Rami A, Benjeddou K, Lahmam H, Benkirane H, Elmzibri M, Kari KE, Bagri A, Aguenaou H, Belakhel L. Estimated 24-Hour urinary sodium and potassium excretion in adults in the Northwest Region of Morocco, 2017. Arch Public Health 2023; 81:59. [PMID: 37081546 PMCID: PMC10116680 DOI: 10.1186/s13690-023-01053-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2021] [Accepted: 03/01/2023] [Indexed: 04/22/2023] Open
Abstract
BACKGROUND Excessive sodium (Na) and insufficient potassium (K) intake contribute to a high risk of cardiovascular events. Morocco lacks data on actual Na and K intake in adults. We estimated mean Na and K intake in a Moroccan population of adults residing in the Northwest region using 24-h urinary excretion and examined their association with blood pressure (BP). METHODS A total of 371 adults from this region, who were recruited for the STEPs Survey Morocco 2017, completed demographic, anthropometric as well as BP data and provided a valid 24-h urine collection according to the standard World Health Organization (WHO) protocol. Multiple Linear Regression analysis was used to examine the association between 24-h urinary sodium (24-hUNa) and 24-h potassium excretion (24-hUK) with BP. RESULTS Mean Na excretion was 2794 mg/day and mean K excretion was 1898 mg/day. Overall, only 114 (30.7%) adults met the WHO recommendation for Na intake (< 2000 mg/d) and 31 (8.4%) met the adequate level for K intake (⩾3510 mg/d). There was no association between 24-hUNa and 24-hUK with BP (P > 0.05 for all). CONCLUSION Na intake was higher and K intake was lower than WHO recommendations in the study population. There was no association between estimated Na and K intake levels with BP in this population.
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Affiliation(s)
- Mohamed Idrissi
- Ibn Tofaïl University-CNESTEN, Joint Research Unit in Nutrition, Health and Environment, RDC-Nutrition AFRA/IAEA, Rabat-Kénitra, Morocco.
- Integrative and Computational Neurosciences Team, Laboratory BNRNE, Hassan 1th University, Faculty of Sciences and Technology., BP: 577, Km 3.5 Casablanca Road, Settat, Morocco.
| | - Naima Saeid
- Ibn Tofaïl University-CNESTEN, Joint Research Unit in Nutrition, Health and Environment, RDC-Nutrition AFRA/IAEA, Rabat-Kénitra, Morocco
| | - Samir Mounach
- Ministry of Health and Social Protection, Division of Non-Communicable Diseases, Rabat, Morocco
| | - Hicham El Berri
- Regional Office for the Eastern Mediterranean (EMRO), World Health Organization (WHO), Cairo, 7608, Egypt
| | - Ayoub Al Jawaldah
- Regional Office for the Eastern Mediterranean (EMRO), World Health Organization (WHO), Cairo, 7608, Egypt
| | - Fadoua Rahhaoui
- Ministry of Health and Social Protection, Division of Non-Communicable Diseases, Rabat, Morocco
| | - Fatima-Zahra Mouzouni
- Ministry of Health and Social Protection, Division of Non-Communicable Diseases, Rabat, Morocco
| | - Anass Rami
- Ibn Tofaïl University-CNESTEN, Joint Research Unit in Nutrition, Health and Environment, RDC-Nutrition AFRA/IAEA, Rabat-Kénitra, Morocco
| | - Kaoutar Benjeddou
- Ibn Tofaïl University-CNESTEN, Joint Research Unit in Nutrition, Health and Environment, RDC-Nutrition AFRA/IAEA, Rabat-Kénitra, Morocco
| | - Houria Lahmam
- Ibn Tofaïl University-CNESTEN, Joint Research Unit in Nutrition, Health and Environment, RDC-Nutrition AFRA/IAEA, Rabat-Kénitra, Morocco
| | - Hasnae Benkirane
- Ibn Tofaïl University-CNESTEN, Joint Research Unit in Nutrition, Health and Environment, RDC-Nutrition AFRA/IAEA, Rabat-Kénitra, Morocco
| | - Mohammed Elmzibri
- Ibn Tofaïl University-CNESTEN, Joint Research Unit in Nutrition, Health and Environment, RDC-Nutrition AFRA/IAEA, Rabat-Kénitra, Morocco
| | - Khalid El Kari
- Ibn Tofaïl University-CNESTEN, Joint Research Unit in Nutrition, Health and Environment, RDC-Nutrition AFRA/IAEA, Rabat-Kénitra, Morocco
| | - Abdallah Bagri
- Integrative and Computational Neurosciences Team, Laboratory BNRNE, Hassan 1th University, Faculty of Sciences and Technology., BP: 577, Km 3.5 Casablanca Road, Settat, Morocco
| | - Hassan Aguenaou
- Ibn Tofaïl University-CNESTEN, Joint Research Unit in Nutrition, Health and Environment, RDC-Nutrition AFRA/IAEA, Rabat-Kénitra, Morocco
| | - Latifa Belakhel
- Ministry of Health and Social Protection, Division of Non-Communicable Diseases, Rabat, Morocco
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Hoteit M, Mansour R, Mohsen H, Bookari K, Hammouh F, Allehdan S, AlKazemi D, Al Sabbah H, Benkirane H, Kamel I, Qasrawi R, Tayyem R. Status and correlates of food and nutrition literacy among parents-adolescents' dyads: findings from 10 Arab countries. Front Nutr 2023; 10:1151498. [PMID: 37200945 PMCID: PMC10186151 DOI: 10.3389/fnut.2023.1151498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Accepted: 04/03/2023] [Indexed: 05/20/2023] Open
Abstract
Background Food literacy is capturing the attention worldwide and gaining traction in the Arab countries. Strengthening food and nutrition literacy among Arab teenagers are important promising empowering tools which can protect them from malnutrition. This study aims to assess the nutrition literacy status of adolescents with the food literacy of their parents in 10 Arab countries. Methods This cross-sectional study involving a convenient sample of 5,401 adolescent-parent dyads (adolescents: mean age ± SD: 15.9 ± 3.0, females: 46.8%; parents: mean age ± SD: 45.0 ± 9.1, mothers: 67.8%) was launched between 29 April and 6 June 2022 in 10 Arab nations. The Adolescent Nutrition Literacy Scale (ANLS) and the Short Food Literacy Questionnaire (SFLQ) were used to meet the study aims. Results More than one-quarter (28%) of adolescents had poor nutrition literacy, with 60% of their parents being food illiterate. The top three countries with nutritionally" less literate" adolescents were Qatar (44%), Lebanon (37.4%), and Saudi Arabia (34.9%). Adolescents' age, gender, education level, primary caregivers, employment status, and the inclusion of nutrition education in the schools' curriculum predicted the nutrition literacy levels of Arab adolescents. Besides, parental weight status, health status, parent's food literacy level, and the number of children per household were significant determinants too. Adolescents studying at a university and having parents with adequate food literacy had the highest odds of being nutritionally literate (OR = 4.5, CI = 1.8-11.5, p = 0.001, OR = 1.8, CI = 1.6-2.1, p < 0.001, respectively). Conclusion Nutrition literacy inadequacy among Arab adolescents is a prioritized challenge to be tackled.
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Affiliation(s)
- Maha Hoteit
- Food Science Unit, National Council for Scientific Research (CNRS), Beirut, Lebanon
- PHENOL Research Group (Public Health Nutrition Program Lebanon), Faculty of Public Health, Lebanese University, Beirut, Lebanon
- *Correspondence: Maha Hoteit,
| | - Rania Mansour
- School of Social Sciences and Humanities, Doha Institute for Graduate Studies, Program of Social Work, Doha, Qatar
- Rania Mansour,
| | - Hala Mohsen
- PHENOL Research Group (Public Health Nutrition Program Lebanon), Faculty of Public Health, Lebanese University, Beirut, Lebanon
| | - Khlood Bookari
- Department of Clinical Nutrition, Faculty of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia
- National Nutrition Committee, Saudi Food and Drug Authority, Riyadh, Saudi Arabia
| | - Fadwa Hammouh
- Department of Nutrition and Dietetics, Faculty of Health Sciences, American University of Madaba, Amman, Jordan
| | - Sabika Allehdan
- Department of Biology, College of Science, University of Bahrain, Zallaq, Bahrain
| | - Dalal AlKazemi
- Department of Food Science and Nutrition, College of Life Sciences, Kuwait University, Kuwait City, Kuwait
| | - Haleama Al Sabbah
- Department of Public Health, College of Health Sciences, Abu Dhabi University, Abu Dhabi, United Arab Emirates
| | - Hasnae Benkirane
- Joint Research Unit in Nutrition and Food, RDC-Nutrition AFRA/IAEA, Ibn Tofail University-CNESTEN, Kenitra, Rabat-Salé-Kénitra, Morocco
| | | | - Radwan Qasrawi
- Department of Computer Science, Al-Quds University, Jerusalem, Palestine
- Department of Computer Engineering, Istinye University, Istanbul, Turkey
| | - Reema Tayyem
- Department of Human Nutrition, College of Health Sciences, Qatar University, Doha, Qatar
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Rami A, Saeid N, El Mzibri M, El Kari K, Idrissi M, Lahmam H, Mouzouni FZ, Mounach S, El Ammari L, Benkirane H, Al Jawaldeh A, Zimmermann MB, Aguenaou H. Prevalence of iodine deficiency among Moroccan women of reproductive age. Arch Public Health 2022; 80:147. [PMID: 35624493 PMCID: PMC9137163 DOI: 10.1186/s13690-022-00901-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Accepted: 05/13/2022] [Indexed: 01/13/2023] Open
Abstract
BACKGROUND Iodine deficiency disorders (IDD) affects nearly 1.9 million people worldwide. Iodine deficiency (ID) remains a public health concern not only for pregnant women, but for women of reproductive age (WRA) as well. This study was planned to evaluate the iodine status and the prevalence of iodine deficiency in a nationally representative sample of Moroccan WRA according to their socio-economic data and living areas. METHODS This study is a cross-sectional national survey conducted on 1652 WRA aged between 18 and 49 years. Iodine status was assessed by the evaluation of the urinary iodine concentration (UIC) on spot urinary samples, using the Sandell-Kolthoff reaction, and by the estimation of iodine-rich food consumption, using a food frequency questionnaire. The World Health Organization cutoff of a median UIC of < 100 μg/l was used to define ID in the population. RESULTS The median UIC [20th- 80th] was 71.3 μg/l [37.5-123.1] and 71% of participants had UIC < 100 μg/L, indicating insufficient iodine status and mild iodine deficiency. WRA from urban and rural areas showed an UIC median of 75.94 μg/l [41.16-129.97] and 63.40 μg/l [33.81-111.68], respectively. Furthermore, ID prevalence was significantly higher in rural areas (75.6%) as compared to urban areas (67.9%) (p < 0.05). Food frequency questionnaires analyses highlighted that dairy products are the most commonly consumed iodine-rich food, reported to be consumed daily by 43.1% of WRA. Of particular interest, 83.5% of WRA reported a weekly consumption of fish. CONCLUSION ID is still a public health problem in Morocco highlighting the necessity to implement effective national program, including efficient salt iodization, effective nutritional education and awareness, to control iodine deficiency and prevent IDD development.
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Affiliation(s)
- Anass Rami
- grid.412150.30000 0004 0648 5985Laboratory of Biology, Health and Environment, Ibn Tofail University, Kenitra, Morocco ,grid.450269.cNutrition and Alimentation Unit, CNESTEN, Rabat, Morocco
| | - Naima Saeid
- grid.450269.cNutrition and Alimentation Unit, CNESTEN, Rabat, Morocco
| | | | - Khalid El Kari
- grid.450269.cNutrition and Alimentation Unit, CNESTEN, Rabat, Morocco
| | - Mohamed Idrissi
- grid.450269.cNutrition and Alimentation Unit, CNESTEN, Rabat, Morocco
| | - Houria Lahmam
- grid.412150.30000 0004 0648 5985Laboratory of Biology, Health and Environment, Ibn Tofail University, Kenitra, Morocco
| | | | - Samir Mounach
- grid.434766.40000 0004 0391 3171Ministry of Health, Rabat, Morocco
| | - Laila El Ammari
- grid.434766.40000 0004 0391 3171Ministry of Health, Rabat, Morocco
| | - Hasnae Benkirane
- grid.412150.30000 0004 0648 5985Laboratory of Biology, Health and Environment, Ibn Tofail University, Kenitra, Morocco
| | - Ayoub Al Jawaldeh
- grid.483405.e0000 0001 1942 4602World Health Organization – Regional Office for Eastern Mediterranean, P.O. Box 7608, Nasr City, Cairo Egypt
| | - Micheal Bruce Zimmermann
- grid.5801.c0000 0001 2156 2780ETH Zürich, Laboratory of Human Nutrition, Institute of Food Nutrition and Health, Department of Health Science and Technology, ETH Zürich, Zürich, Switzerland
| | - Hassan Aguenaou
- grid.412150.30000 0004 0648 5985Laboratory of Biology, Health and Environment, Ibn Tofail University, Kenitra, Morocco
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Benkirane H, Michiels S, Cournède P. Réseaux de neurones et intégration multi-omique pour la survie : quelles stratégies pour un meilleur apprentissage de représentation ? Rev Epidemiol Sante Publique 2022. [DOI: 10.1016/j.respe.2022.03.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Bouhamida M, Lazrak M, Lahmam H, Lachguer SA, Guennoun Y, Ammari LE, Yahyane A, Elhaloui NE, Saeid N, Benajiba N, Saadi R, Kari KE, Doggui R, Jawaldeh AA, Benkirane H, Aguenaou H. Determination of salt content in traditional and industrial Moroccan white bread by inductively coupled plasma mass spectrometry. Pan Afr Med J 2022; 42:79. [PMID: 36034024 PMCID: PMC9379441 DOI: 10.11604/pamj.2022.42.79.33961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2022] [Accepted: 04/18/2022] [Indexed: 11/22/2022] Open
Abstract
Introduction evaluating the sodium content of staple foods is essential for implementing a salt reduction strategy. In Morocco, bread is a major contributor to sodium intake. However, currently few studies have been carried out to assess the salt content in bread. Our study aimed to estimate the sodium and salt content of white bread available in artisanal and industrial bakeries in the twelve regions of Morocco. Methods it is a cross-sectional study of the sodium content of white bread available for sale in artisanal and industrial bakeries in Morocco (N=120). Inductively coupled plasma mass spectrometry (ICP-MS) was used to quantify the sodium content of the bread. The percentage of samples meeting the recommendations and bread contribution to the daily salt intake was calculated. Results the results of our study show that the mean levels of sodium and salt added to bread samples were 5.7 ± 1.5 g/Kg and 14.5 ± 3.7 g/Kg, respectively. With an average of 4.4 ± 0.5 g/Kg and 11.2 ± 1.2 g/Kg for artisanal bread and an average of 7.0 ± 0.8 g/Kg and 17.8 ± 2.1 g/Kg for industrial bread, respectively. Daily salt intake from bread consumption (500 g/d/person) is estimated at 5.6 g/d (52.8% of total salt intake) for artisanal bread and 8.9 g/d (84% of total salt intake) for industrial bread. Conclusion bread salt content in Morocco exceeds the recommended threshold of the national federation of bakery and pastry and health authorities. Further efforts are necessary to increase knowledge and awareness of bakers and to teach them how to reduce salt content without affecting the flavor and the quality of their products.
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Affiliation(s)
- Meryem Bouhamida
- Ibn Tofaïl University, Centre National de l'Énergie, des Sciences et Techniques Nucléaires (CNESTEN), Joint Research Unit in Nutrition, Health and Environment, Regional Designated Centres (RDC)-Nutrition African Regional Cooperative Agreement for Research, Development and Training Related to Nuclear Science and Technology (AFRA)/ International Atomic Energy Agency (IAEA), Laboratory Biology and Health, Kenitra, Morocco
- Corresponding author: Meryem Bouhamida, Ibn Tofaïl University, Centre National De l’Énergie, des Sciences et Techniques Nucléaires (CNESTEN), Joint Research Unit in Nutrition, Health and Environment, Regional Designated Centres (RDC)-Nutrition African Regional Cooperative Agreement for Research, Development and Training Related to Nuclear Science and Technology (AFRA)/ International Atomic Energy Agency (IAEA), Laboratory Biology and Health, Kenitra, Morocco.
| | - Meryem Lazrak
- Ibn Tofaïl University, Centre National de l'Énergie, des Sciences et Techniques Nucléaires (CNESTEN), Joint Research Unit in Nutrition, Health and Environment, Regional Designated Centres (RDC)-Nutrition African Regional Cooperative Agreement for Research, Development and Training Related to Nuclear Science and Technology (AFRA)/ International Atomic Energy Agency (IAEA), Laboratory Biology and Health, Kenitra, Morocco
| | - Houria Lahmam
- Ibn Tofaïl University, Centre National de l'Énergie, des Sciences et Techniques Nucléaires (CNESTEN), Joint Research Unit in Nutrition, Health and Environment, Regional Designated Centres (RDC)-Nutrition African Regional Cooperative Agreement for Research, Development and Training Related to Nuclear Science and Technology (AFRA)/ International Atomic Energy Agency (IAEA), Laboratory Biology and Health, Kenitra, Morocco
| | - Sara Ait Lachguer
- Ibn Tofaïl University, Centre National de l'Énergie, des Sciences et Techniques Nucléaires (CNESTEN), Joint Research Unit in Nutrition, Health and Environment, Regional Designated Centres (RDC)-Nutrition African Regional Cooperative Agreement for Research, Development and Training Related to Nuclear Science and Technology (AFRA)/ International Atomic Energy Agency (IAEA), Laboratory Biology and Health, Kenitra, Morocco
| | - Yasmine Guennoun
- Ibn Tofaïl University, Centre National de l'Énergie, des Sciences et Techniques Nucléaires (CNESTEN), Joint Research Unit in Nutrition, Health and Environment, Regional Designated Centres (RDC)-Nutrition African Regional Cooperative Agreement for Research, Development and Training Related to Nuclear Science and Technology (AFRA)/ International Atomic Energy Agency (IAEA), Laboratory Biology and Health, Kenitra, Morocco
| | | | | | - Nour Eddine Elhaloui
- Ibn Tofaïl University, Centre National de l'Énergie, des Sciences et Techniques Nucléaires (CNESTEN), Joint Research Unit in Nutrition, Health and Environment, Regional Designated Centres (RDC)-Nutrition African Regional Cooperative Agreement for Research, Development and Training Related to Nuclear Science and Technology (AFRA)/ International Atomic Energy Agency (IAEA), Laboratory Biology and Health, Kenitra, Morocco
| | - Naima Saeid
- Ibn Tofaïl University, Centre National de l'Énergie, des Sciences et Techniques Nucléaires (CNESTEN), Joint Research Unit in Nutrition, Health and Environment, Regional Designated Centres (RDC)-Nutrition African Regional Cooperative Agreement for Research, Development and Training Related to Nuclear Science and Technology (AFRA)/ International Atomic Energy Agency (IAEA), Laboratory Biology and Health, Kenitra, Morocco
| | - Nada Benajiba
- Department of Basic Health Sciences, Deanship of Preparatory Year, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Radouan Saadi
- Laboratory Division, National Center for Energy, Sciences and Nuclear Techniques, Rabat, Morocco
| | - Khalid El Kari
- Ibn Tofaïl University, Centre National de l'Énergie, des Sciences et Techniques Nucléaires (CNESTEN), Joint Research Unit in Nutrition, Health and Environment, Regional Designated Centres (RDC)-Nutrition African Regional Cooperative Agreement for Research, Development and Training Related to Nuclear Science and Technology (AFRA)/ International Atomic Energy Agency (IAEA), Laboratory Biology and Health, Kenitra, Morocco
| | - Radhouene Doggui
- New Brunswick Medical Training Center (University of Sherbrooke), Pavillon J-Raymond-Frenette, Moncton University, Moncton, Canada
| | - Ayoub Al Jawaldeh
- Nutrition, Non-Communicable Diseases and Mental Health Department, World Health Organization (WHO), Regional Office for the Eastern Mediterranean (EMRO), Nasr City, Cairo, Egypt
| | - Hasnae Benkirane
- Ibn Tofaïl University, Centre National de l'Énergie, des Sciences et Techniques Nucléaires (CNESTEN), Joint Research Unit in Nutrition, Health and Environment, Regional Designated Centres (RDC)-Nutrition African Regional Cooperative Agreement for Research, Development and Training Related to Nuclear Science and Technology (AFRA)/ International Atomic Energy Agency (IAEA), Laboratory Biology and Health, Kenitra, Morocco
| | - Hassan Aguenaou
- Ibn Tofaïl University, Centre National de l'Énergie, des Sciences et Techniques Nucléaires (CNESTEN), Joint Research Unit in Nutrition, Health and Environment, Regional Designated Centres (RDC)-Nutrition African Regional Cooperative Agreement for Research, Development and Training Related to Nuclear Science and Technology (AFRA)/ International Atomic Energy Agency (IAEA), Laboratory Biology and Health, Kenitra, Morocco
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7
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Mehdad S, Benaich S, Hamdouchi AE, Bouhaddou N, Azlaf M, Menchawy IE, Belghiti H, Benkirane H, Lahmam H, Barkat A, Kari KE, Mzibri ME, Aguenaou H. Association between overweight and anemia in Moroccan adolescents: a cross-sectional study. Pan Afr Med J 2022; 41:156. [PMID: 35573439 PMCID: PMC9058990 DOI: 10.11604/pamj.2022.41.156.20927] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2019] [Accepted: 01/19/2022] [Indexed: 12/02/2022] Open
Abstract
Introduction obesity and anemia remain global public health problems, having major negative effects on human health. We aimed to estimate the prevalence of anemia and investigate its association with overweight/obesity and excess body fat among Moroccan adolescents. Methods a total of 292 adolescents aged 11-17 years were recruited. Body mass index (BMI) and waist circumference (WC) were determined using standardized equipment. Body fat mass was measured by bioelectrical impedance analysis. Hemoglobin concentration was measured by the HemoCue method. Results the overall prevalence of anemia was 13.7%. Anemia was more common among overweight/obese participants (15.2%) compared to non-overweight participants (12.8%). Overweight/obese boys were more likely to experience anemia than their non-overweight peers (odds ratio (OR): 1.49; 95% confidence interval (95%CI): 0.51-4.41). Similarly, anemia likelihood was higher among individuals having excess body fat than those who do not have excess body fat, particularly among girls (OR: 1.64; 95%CI: 0.69-3.87). Excess body fat was also significantly associated with lower hemoglobin concentration in both the total sample and girls (P=0.014, and P=0.041, respectively). Overall, increased BMI, WC, fat mass, and percent body fat were associated with reduced hemoglobin concentrations. There was a significant negative correlation between hemoglobin concentration and BMI among anemic girls (P=0.023). Conclusion elevated BMI and body fat level were associated with lower hemoglobin concentrations and anemia. Further studies are needed to delineate the basis of such associations, and if these findings are confirmed, the guidelines for screening for anemia may need to be modified to include overweight/obesity as a risk factor.
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Affiliation(s)
- Slimane Mehdad
- Physiology and Physiopathology Team, Faculty of Sciences, Mohammed V University, Rabat, Morocco
- Joint Research Unit in Nutrition and Food, RDC-Nutrition AFRA/IAEA, Ibn Tofail University-CNESTEN, Rabat-Kenitra, Morocco
- Corresponding author: Slimane Mehdad, Physiology and Physiopathology Team, Faculty of Sciences, Mohammed V University, Rabat, Morocco.
| | - Souad Benaich
- Physiology and Physiopathology Team, Faculty of Sciences, Mohammed V University, Rabat, Morocco
- Joint Research Unit in Nutrition and Food, RDC-Nutrition AFRA/IAEA, Ibn Tofail University-CNESTEN, Rabat-Kenitra, Morocco
| | - Asmaa El Hamdouchi
- Joint Research Unit in Nutrition and Food, RDC-Nutrition AFRA/IAEA, Ibn Tofail University-CNESTEN, Rabat-Kenitra, Morocco
| | - Nezha Bouhaddou
- Physiology and Physiopathology Team, Faculty of Sciences, Mohammed V University, Rabat, Morocco
| | - Mehdi Azlaf
- Joint Research Unit in Nutrition and Food, RDC-Nutrition AFRA/IAEA, Ibn Tofail University-CNESTEN, Rabat-Kenitra, Morocco
| | - Imane El Menchawy
- Joint Research Unit in Nutrition and Food, RDC-Nutrition AFRA/IAEA, Ibn Tofail University-CNESTEN, Rabat-Kenitra, Morocco
| | - Hakim Belghiti
- Joint Research Unit in Nutrition and Food, RDC-Nutrition AFRA/IAEA, Ibn Tofail University-CNESTEN, Rabat-Kenitra, Morocco
- Mohammed V Military Hospital of Instruction, Rabat, Morocco
| | - Hasnae Benkirane
- Joint Research Unit in Nutrition and Food, RDC-Nutrition AFRA/IAEA, Ibn Tofail University-CNESTEN, Rabat-Kenitra, Morocco
| | - Houria Lahmam
- Joint Research Unit in Nutrition and Food, RDC-Nutrition AFRA/IAEA, Ibn Tofail University-CNESTEN, Rabat-Kenitra, Morocco
| | - Amina Barkat
- Joint Research Unit in Nutrition and Food, RDC-Nutrition AFRA/IAEA, Ibn Tofail University-CNESTEN, Rabat-Kenitra, Morocco
- Unit of Research on Nutrition and Health of Mother and Child, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
| | - Khalid El Kari
- Joint Research Unit in Nutrition and Food, RDC-Nutrition AFRA/IAEA, Ibn Tofail University-CNESTEN, Rabat-Kenitra, Morocco
| | - Mohamed El Mzibri
- Joint Research Unit in Nutrition and Food, RDC-Nutrition AFRA/IAEA, Ibn Tofail University-CNESTEN, Rabat-Kenitra, Morocco
| | - Hassan Aguenaou
- Joint Research Unit in Nutrition and Food, RDC-Nutrition AFRA/IAEA, Ibn Tofail University-CNESTEN, Rabat-Kenitra, Morocco
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8
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Aguenaou H, El Ammari L, Bigdeli M, El Hajjab A, Lahmam H, Labzizi S, Gamih H, Talouizte A, Serbouti C, El Kari K, Benkirane H, El Berri H, Al-Jawaldeh A, Yahyane A. Comparison of appropriateness of Nutri-Score and other front-of-pack nutrition labels across a group of Moroccan consumers: awareness, understanding and food choices. ACTA ACUST UNITED AC 2021; 79:71. [PMID: 33957970 PMCID: PMC8101098 DOI: 10.1186/s13690-021-00595-3] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2021] [Accepted: 04/25/2021] [Indexed: 11/13/2022]
Abstract
Background The front of pack nutrition label Nutri-Score, intended to help consumers orient their choices towards foods that are more favorable to health, was developed in France and applied in several European countries. Consideration is underway for its use in Morocco. This study aims to assess Moroccan consumers’ perception and objective understanding of Nutri-Score and 4 other nutritional information labels (Health Star Rating, Health warning, Reference Intakes and Multiple Trafic Light) and their impact on purchase intentions. Methods 814 participants were asked to choose among 3 food classes (yoghurts, biscuits and cold cuts), which ones they would prefer to buy among three products with different nutritional profiles and then to rank them according to their nutritional quality. Participants first performed these tasks without a visible nutritional label, and then, after being randomized to one of five labels tested, with the nutritional label visible on front of packs. Next, the full set of tested labels was presented to the participants who were asked a series of questions regarding their preferences, the attractiveness of the labels, their perceptions, intention to use and the trustworthiness placed in the labels. Results Compared to the Reference Intake, the Nutri-Score (OR = 2.48 [1.53–4.05], p < 0.0001), was associated with the highest improvement in the ability to correctly classify foods based on their nutritional quality. The percentage of participants who improved their food choice was higher than those who worsened it for all the labels. For yogurts and cookies, the most significant improvements were observed for the Nutri-Score and the Reference Intakes: Concerning the perception of labels, the Nutri-Score is the label that received the highest number of positive responses, whether concerning the ease of being spotted (82.2%), of being understood (74%), and to provide rapid information (68.8%). The Nutri-Score was ranked as the preferred label by 64.9% of the participants. Conclusion The Nutri-Score appears to be the most effective nutritional information system to inform consumers about the nutritional quality of foods in Morocco, where it could constitute a useful tool to help consumers in their food choices in situations of purchase.
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Affiliation(s)
- Hassan Aguenaou
- Ibn Tofail University-CNESTEN, Joint Research Unit in Nutrition and Food, RDC-Nutrition AFRA/IAEA, Rabat, 14000, Kenitra, Morocco
| | | | | | - Amina El Hajjab
- Minisrty of Agriculture, Maritime Fisheries, Rural Development, Water and Forests, Rabat, Morocco
| | - Houria Lahmam
- Ibn Tofail University-CNESTEN, Joint Research Unit in Nutrition and Food, RDC-Nutrition AFRA/IAEA, Rabat, 14000, Kenitra, Morocco.
| | | | | | | | - Chaimae Serbouti
- Ibn Tofail University-CNESTEN, Joint Research Unit in Nutrition and Food, RDC-Nutrition AFRA/IAEA, Rabat, 14000, Kenitra, Morocco
| | - Khalid El Kari
- Ibn Tofail University-CNESTEN, Joint Research Unit in Nutrition and Food, RDC-Nutrition AFRA/IAEA, Rabat, 14000, Kenitra, Morocco
| | - Hasnae Benkirane
- Ibn Tofail University-CNESTEN, Joint Research Unit in Nutrition and Food, RDC-Nutrition AFRA/IAEA, Rabat, 14000, Kenitra, Morocco
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9
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Benkirane H, Heikel J, Laamiri F, Bouziani A, Lahmam H, Al-Jawaldeh A, El Haloui N, Ennibi K, Akhtar-Khan N, El Fahime E, Barkat A, Aguenaou H. Étude des caractéristiques cliniques et biologiques des patients marocains COVID-19 avec et sans dysfonctionnement olfactif et/ou gustatif. NUTR CLIN METAB 2021. [PMCID: PMC8043370 DOI: 10.1016/j.nupar.2021.01.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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10
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Bouhamida M, Benajiba N, Guennoun Y, Lachguer SA, Elhaloui NE, Zahrou FE, Mounach S, Kari KE, Al-Jawaldeh A, Barkat A, Benkirane H, Aguenaou H. Implementing the national strategy of salt reduction in Morocco: the baker´s perspective. Pan Afr Med J 2020; 37:337. [PMID: 33738025 PMCID: PMC7934202 DOI: 10.11604/pamj.2020.37.337.27139] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Accepted: 12/03/2020] [Indexed: 11/11/2022] Open
Abstract
Introduction Morocco launched a national salt reduction strategy in 2019. The commitment of bakeries is key in the success of this strategy. However, the evaluation of such a commitment is not yet done. This study aims to examine knowledge of bakers about the national strategy of salt reduction and evaluate their commitment in implementing the specific recommendation related to salt reduction in bread. Methods a quantitative exploratory study targeted bakeries (N=432) from all the administrative regions of Morocco. Data was collected using a questionnaire composed of three sections: knowledge of bakers related to national strategy of salt, current contribution of bakers in implementing the national strategy and future commitment towards implementing the national strategy. Results about 73% (n=317) bakers lack of knowledge about the recommendations on the progressive reduction of the salt content in bread. Radio and TV were the most used sources to obtain information by bakers (45.2% (n=52) and 35.6% (n=41) respectively). None of the bakers was informed about the process of gradual reduction of salt content in bread, and none of them was committed to it. A total of 60.32% (n=252) of bakeries do not respect the national recommendations of 10g of salt/Kg of flour while 89.6% (n=387) of bakers express their interest in getting committed to the process in the next 2 years. Conclusion increasing the knowledge of bakers is highly recommended to guarantee their commitment toward contributing to the strategy of reducing salt in bread. Dissemination of messages via TV and radio could be appropriate.
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Affiliation(s)
- Meryem Bouhamida
- Joint Research Unit in Nutrition and Food, Regional Designated Center of Nutrition Associated with International Atomic Energy Agency, Ibn Tofaïl University, Kenitra, Morocco
| | - Nada Benajiba
- Department of Basic Health Sciences, Deanship of Preparatory Year, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Yasmine Guennoun
- Joint Research Unit in Nutrition and Food, Regional Designated Center of Nutrition Associated with International Atomic Energy Agency, Ibn Tofaïl University, Kenitra, Morocco
| | - Sara Ait Lachguer
- Joint Research Unit in Nutrition and Food, Regional Designated Center of Nutrition Associated with International Atomic Energy Agency, Ibn Tofaïl University, Kenitra, Morocco
| | - Nour Eddine Elhaloui
- Joint Research Unit in Nutrition and Food, Regional Designated Center of Nutrition Associated with International Atomic Energy Agency, Ibn Tofaïl University, Kenitra, Morocco
| | | | - Samir Mounach
- Direction of Epidemiology and Disease Control, Ministry of Health, Rabat, Morocco
| | - Khalid El Kari
- Joint Research Unit in Nutrition and Food, Regional Designated Center of Nutrition Associated with International Atomic Energy Agency, Ibn Tofaïl University, Kenitra, Morocco
| | - Ayoub Al-Jawaldeh
- Nutrition, Non-Communicable Diseases and Mental Health Department, World Health Organization, Regional Office for the Eastern Mediterranean (EMRO), Abdul Razzak Al-Sanhouri, Nasr City, Cairo, Egypt
| | - Amina Barkat
- Neonatal Medicine and Resuscitation, Pediatrics V, CHIS Ibn Sina, Mother and Child Couple Health and Nutrition Research Team, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
| | - Hasnae Benkirane
- Joint Research Unit in Nutrition and Food, Regional Designated Center of Nutrition Associated with International Atomic Energy Agency, Ibn Tofaïl University, Kenitra, Morocco
| | - Hassan Aguenaou
- Joint Research Unit in Nutrition and Food, Regional Designated Center of Nutrition Associated with International Atomic Energy Agency, Ibn Tofaïl University, Kenitra, Morocco
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11
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Benkirane H, Heikel J, Laamiri FZ, Bouziani A, Lahmam H, Al-Jawaldeh A, El Haloui N, Ennibi K, Akhtar-Khan N, El Fahime EM, Obtel M, Barkat A, Aguenaou H. Study of Clinical and Biological Characteristics of Moroccan Covid-19 Patients With and Without Olfactory and/or Gustatory Dysfunction. Front Physiol 2020; 11:595005. [PMID: 33329044 PMCID: PMC7710934 DOI: 10.3389/fphys.2020.595005] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2020] [Accepted: 10/20/2020] [Indexed: 01/08/2023] Open
Abstract
Background The epidemic of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), causing coronavirus disease 2019 (COVID-19), presents a significant and urgent threat to global health. This alarming viral infection, declared as pandemic by the WHO in February 2020, has resulted millions of infected patients and thousands of deaths around the world. In Morocco, despite the efforts made by the authorities, the SARS-CoV-2 continues to spread and constitutes a burden of morbidity and mortality. The objective of this study is to describe clinical characteristics of COVID-19 Moroccan patients and to establish the relationship between specific clinical symptoms, namely ageusia and/or anosmia, with these characteristics. Methods We performed a descriptive, non-interventional cross-sectional study analyzing data from 108 patients admitted to the VINCI clinic, Casablanca (Morocco). The database includes 39 parameters including epidemiological characteristics, anthropometric measurements and biological analyzes. Results The average of age of the patients was 43.80 ± 15.75 years with a sex ratio of 1:1. The mean body mass index of the patients was 25.54 ± 4.63 Kg/m2. The majority of patients had, at least, one comorbidity and among 75% symptomatic patients, about 50% had, at least, three symptoms namely, fever (40.7%), cough (39.8%), myalgia (28.7%), and anosmia and/or ageusia (20.4%). From biological analyzes, we noticed lymphopenia and an elevated protein C reactive and lactate dehydrogenases levels in 24.1, 36.1, and 35.2% of patients, respectively. A disturbance in liver function markers was observed in 15.7% of cases. For the other hemostasis parameters, high levels of prothrombin and platelets were reported in 14.6 and 14.8% of patients, respectively. Comparisons related to the presence of anosmia and/or ageusia did not show any difference for demographic and anthropometric characteristics, while a possibility of a significant difference was revealed for certain biological parameters, particularly the levels of lymphocytes, D-dimer and troponin. Conclusion This study provides significant findings that will be used not only to supplement previous studies carried out in Morocco in order to resume the epidemiological situation in comparison with other countries, but also to improve the quality of the diagnosis of COVID-19 patients by identifying all the symptoms of the disease and better understanding its clinical outcomes.
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Affiliation(s)
- Hasnae Benkirane
- CNESTEN, Joint Research Unit in Nutrition and Food, Regional Designated Center of Nutrition (AFRA/IAEA), Ibn Tofaïl University, Kenitra, Morocco
| | - Jaafar Heikel
- Mohammed VI University of Health Sciences, Casablanca, Morocco
| | - Fatima Zahra Laamiri
- Laboratory of Health Sciences and Technology, Higher Institute of Health Sciences of settat, Hassan First University of Settat, Settat, Morocco
| | - Amina Bouziani
- CNESTEN, Joint Research Unit in Nutrition and Food, Regional Designated Center of Nutrition (AFRA/IAEA), Ibn Tofaïl University, Kenitra, Morocco
| | - Houria Lahmam
- CNESTEN, Joint Research Unit in Nutrition and Food, Regional Designated Center of Nutrition (AFRA/IAEA), Ibn Tofaïl University, Kenitra, Morocco
| | - Ayoub Al-Jawaldeh
- Nutrition, Department of NonCommunicable Diseases and Mental Health World Health Organization (WHO),Regional Office for the Eastern Mediterranean (EMRO), Abdul Razzak Al-Sanhouri, Cairo, Egypt
| | - Noureddine El Haloui
- CNESTEN, Joint Research Unit in Nutrition and Food, Regional Designated Center of Nutrition (AFRA/IAEA), Ibn Tofaïl University, Kenitra, Morocco
| | - Khalid Ennibi
- Center of Virology, Infectious and Tropical Diseases, Mohammed V Military Hospital, Rabat, Morocco
| | - Naim Akhtar-Khan
- Inserm Research Center, U1231 INSERM/UB/AgroSup, Team-Physiology of Nutrition & Toxicology, Faculty of Life Sciences, University Bourgogne Franche-Comté (UBFC), Dijon, France
| | | | - Majdouline Obtel
- Laboratory of Community Health, Preventive Medicine and Hygiene, Laboratory of Epidemiology and Clinical Research, Department of Public Heath, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
| | - Amina Barkat
- Health and Nutrition Research Team of the Mother-Child Couple, Faculty of Medicine, Mohammed 5th University, Rabat, Morocco
| | - Hassan Aguenaou
- CNESTEN, Joint Research Unit in Nutrition and Food, Regional Designated Center of Nutrition (AFRA/IAEA), Ibn Tofaïl University, Kenitra, Morocco
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12
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Barich F, Laamiri FZ, Mehdad S, Benaich S, Rami A, Idrissi M, Serbouti C, Lahmame H, Benkirane H, Rjimati M, Barkat A, Rjimati EA, Aguenaou H. Energy and Macronutrients Intakes among Childbearing Age Women Living in the Urban Area of Morocco: A Cross-Sectional Study. J Nutr Metab 2020; 2020:2685809. [PMID: 33005453 PMCID: PMC7508217 DOI: 10.1155/2020/2685809] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2020] [Revised: 08/07/2020] [Accepted: 08/27/2020] [Indexed: 01/01/2023] Open
Abstract
Over the last few decades, there have been significant dietary and lifestyle changes worldwide. In Morocco, these changes have led to serious nutritional disorders and increased risk of morbidity and mortality particularly among vulnerable groups such as women of childbearing age. We aimed to assess the average daily energy and macronutrient intakes and to investigate their association with socioeconomic factors and weight status among women aged 19-49 years in urban areas. A total of 542 women attending public health centers were recruited. Socioeconomic and demographic data were collected using a questionnaire. Anthropometric measurements were taken using standardized equipment. Food consumption data were obtained through the 24-hour dietary recall method, and the macronutrient composition of foods was estimated based on the Moroccan food composition table and the Nutrilog software. The average daily energy intake among the study population was 1591 kcal, composed of 56% from carbohydrates, 28% from fats, and 16% from protein. Reported energy intake by the majority of women (81.5%) was lower than recommended daily allowances for energy. There was a significant positive correlation between educational level and energy (p=0.001), carbohydrates (p=0.001), proteins (p=0.004), and fats intakes (p=0.032), respectively. A significant negative association of household size with protein intakes was also observed (p=0.034). Carbohydrates, proteins, and fats intakes tended to decrease; however, these associations were not statistically significant. Further studies and appropriate interventions are needed to address the trends in energy and macronutrients intakes in the development of policy initiatives aimed at nutrition education and chronic disease prevention among childbearing age women.
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Affiliation(s)
- Fatima Barich
- Joint Unit of Nutrition and Food Research, CNESTEN–Ibn Tofäιl University–URAC 39, Regional Designated Center for Nutrition (AFRA/IAEA), Rabat, Morocco
- Higher Institute of Nursing and Medical Professions, Rabat, Morocco
| | - Fatima Zahra Laamiri
- Mother and Child Couple Health and Nutrition Research Team, FMP de Rabat, Mohammed V University, Rabat, Morocco
- Health Sciences and Technology Laboratory, Higher Institute of Health Sciences of Settat, Hassan First University, Settat, Morocco
| | - Slimane Mehdad
- Physiology and Physiopathology Research Team, Faculty of Sciences, Mohammed V University, Rabat, Morocco
| | - Souad Benaich
- Physiology and Physiopathology Research Team, Faculty of Sciences, Mohammed V University, Rabat, Morocco
| | - Anass Rami
- Joint Unit of Nutrition and Food Research, CNESTEN–Ibn Tofäιl University–URAC 39, Regional Designated Center for Nutrition (AFRA/IAEA), Rabat, Morocco
| | - Mohamed Idrissi
- Joint Unit of Nutrition and Food Research, CNESTEN–Ibn Tofäιl University–URAC 39, Regional Designated Center for Nutrition (AFRA/IAEA), Rabat, Morocco
| | - Chaimae Serbouti
- Joint Unit of Nutrition and Food Research, CNESTEN–Ibn Tofäιl University–URAC 39, Regional Designated Center for Nutrition (AFRA/IAEA), Rabat, Morocco
| | - Houria Lahmame
- Joint Unit of Nutrition and Food Research, CNESTEN–Ibn Tofäιl University–URAC 39, Regional Designated Center for Nutrition (AFRA/IAEA), Rabat, Morocco
| | - Hasnae Benkirane
- Joint Unit of Nutrition and Food Research, CNESTEN–Ibn Tofäιl University–URAC 39, Regional Designated Center for Nutrition (AFRA/IAEA), Rabat, Morocco
| | - Manelle Rjimati
- Joint Unit of Nutrition and Food Research, CNESTEN–Ibn Tofäιl University–URAC 39, Regional Designated Center for Nutrition (AFRA/IAEA), Rabat, Morocco
| | - Amina Barkat
- Mother and Child Couple Health and Nutrition Research Team, FMP de Rabat, Mohammed V University, Rabat, Morocco
| | - El Arbi Rjimati
- Joint Unit of Nutrition and Food Research, CNESTEN–Ibn Tofäιl University–URAC 39, Regional Designated Center for Nutrition (AFRA/IAEA), Rabat, Morocco
- Higher Institute of Nursing and Medical Professions, Rabat, Morocco
| | - Hassan Aguenaou
- Joint Unit of Nutrition and Food Research, CNESTEN–Ibn Tofäιl University–URAC 39, Regional Designated Center for Nutrition (AFRA/IAEA), Rabat, Morocco
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13
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Benkirane H, Taboz Y, Benajiba N, Guennoun Y, Khadmaoui A, Bouziani A, Bajit H, Kari KE, Bentahila N, Barkat A, Aguenaou H. Acceptance of sugar reduction in yoghurt among Moroccan population. Pan Afr Med J 2017; 28:310. [PMID: 29721140 PMCID: PMC5927571 DOI: 10.11604/pamj.2017.28.310.12257] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2017] [Accepted: 11/27/2017] [Indexed: 11/11/2022] Open
Abstract
Introduction Morocco has recently developed a plan of reducing sugar consumption to reinforce prevention of non-communicable diseases and to contribute to the achievement of global voluntary targets for non-communicable diseases set by ICN2 by 2025. The objective of the present study was to assess acceptance of yogurts with different percentage reduction of sugar by the Moroccan population. Methods A total of 201 participants (age > 15 y.) were recruited to determine the level of sugar reduction in yogurt. Sucrose was added to a plain yoghurt in the following different concentrations 166.5; 149.8; 133.2; 116.5; 99; 83.2 mM/l, corresponding to the reduction of sugar of 0%, -10%, -20%, -30%, -40% and -50%, respectively, compared available yogurt in local market. Overall, the acceptability scores of the different yoghurts were based on liking, “Just About Right” (JAR) and purchase intent scales was used to score the different yoghurts. Results Yogurts containing -20% and -30% added sugar were highly accepted by 81% and 74% of respondents. Based on JAR score, yoghurt with 20% (133.2mM/l) and 30% (116.5 mM/l) reduction were considered as “Just about right” by 42.7% and 44.3% respectively. Best average score of purchase intent was obtained for sucrose concentration of 149.8 mM/l. 35.8% and 40.3% for yoghurt with sucrose concentration of 133.2 mM/l and 116.5 mM/l respectively. Conclusion The finding from this study indicated that yogurts containing -20% and -30% added sugar were most accepted by respondents. Advocacy before dairy industry to have them commit towards sugar reduction in yogurt is needed, in order to help achieving the national sugar reduction strategy in Morocco.
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Affiliation(s)
- Hasnae Benkirane
- Unité Mixte de Recherche en Nutrition et Alimentation URAC 39 (Université Ibn Tofaïl-CNESTEN), RDC-Nutrition, Kénitra, Maroc
| | - Youness Taboz
- Unité Mixte de Recherche en Nutrition et Alimentation URAC 39 (Université Ibn Tofaïl-CNESTEN), RDC-Nutrition, Kénitra, Maroc
| | - Nada Benajiba
- Clinical Nutrition Program, Department of Health Sciences, College of Health and Rehabilitation Sciences, Princess Nourah Bint Abdulrahman University, Riyadh, KSA
| | - Yasmine Guennoun
- Unité Mixte de Recherche en Nutrition et Alimentation URAC 39 (Université Ibn Tofaïl-CNESTEN), RDC-Nutrition, Kénitra, Maroc
| | | | - Amina Bouziani
- Unité Mixte de Recherche en Nutrition et Alimentation URAC 39 (Université Ibn Tofaïl-CNESTEN), RDC-Nutrition, Kénitra, Maroc
| | - Habiba Bajit
- Unité Mixte de Recherche en Nutrition et Alimentation URAC 39 (Université Ibn Tofaïl-CNESTEN), RDC-Nutrition, Kénitra, Maroc
| | - Khalid El Kari
- Unité Mixte de Recherche en Nutrition et Alimentation URAC 39 (Université Ibn Tofaïl-CNESTEN), RDC-Nutrition, Kénitra, Maroc
| | - Nawal Bentahila
- Unité Mixte de Recherche en Nutrition et Alimentation URAC 39 (Université Ibn Tofaïl-CNESTEN), RDC-Nutrition, Kénitra, Maroc.,GANIM, Groupe de Recherche en Nutrition Infantile, Maroc
| | - Amina Barkat
- GANIM, Groupe de Recherche en Nutrition Infantile, Maroc.,Equipe de Recherche en Santé et Nutrition du Couple Mère-Enfant, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V de Rabat, Maroc
| | - Hassan Aguenaou
- Unité Mixte de Recherche en Nutrition et Alimentation URAC 39 (Université Ibn Tofaïl-CNESTEN), RDC-Nutrition, Kénitra, Maroc.,GANIM, Groupe de Recherche en Nutrition Infantile, Maroc
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Radouani MA, Taboz Y, Benkirane H, Aguenaou H, Mrabet M, Barkat A. Ambulatory management of uncomplicated Jaundice for full-term neonates: An example of action- research in Rabat, Morocco. J Med Res 2017. [DOI: 10.31254/jmr.2017.3411] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Radouani MA, Taboz Y, Benkirane H, Aguenaou H, Mrabet M, Kharbach A, Barkat A. Ambulatory management of uncomplicated Jaundice for full-term neonates: An example of action- research in Rabat, Morocco. J Med Res 2017. [DOI: 10.31254/jmr.2017.3405] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Harchaoui H, Iraqi B, Knouni H, Taboz Y, Benkirane H, Aguenaou H, Barkat A. [Hepatic hematoma in neonates: about a case]. Pan Afr Med J 2017; 27:15. [PMID: 28748016 PMCID: PMC5511718 DOI: 10.11604/pamj.2017.27.15.11900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2017] [Accepted: 03/14/2017] [Indexed: 11/11/2022] Open
Abstract
Hepatic hematoma is a condition of unrecognized origin which can become extremely serious and whose diagnosis is often made during perinatal autopsy. It is often characterised by nonspecific clinical manifestations and a long delay before biological presentation.The diagnosis is essentially based on ultrasound and treatment is often conservative.We here report a case of a full-term newborn with asymptomatic hepatic haematoma due to obstetrical trauma.
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Affiliation(s)
- Hanae Harchaoui
- Equipe de recherche en santé et nutrition du couple mère enfant, faculté de médecine et de pharmacie de Rabat, université Mohamed V- RABAT, Service de médecine et réanimation néonatales, Centre Hospitalier Ibn Sina, Rabat, Maroc
| | - Bousayna Iraqi
- Equipe de recherche en santé et nutrition du couple mère enfant, faculté de médecine et de pharmacie de Rabat, université Mohamed V- RABAT, Service de médecine et réanimation néonatales, Centre Hospitalier Ibn Sina, Rabat, Maroc
| | - Houria Knouni
- Equipe de recherche en santé et nutrition du couple mère enfant, faculté de médecine et de pharmacie de Rabat, université Mohamed V- RABAT, Service de médecine et réanimation néonatales, Centre Hospitalier Ibn Sina, Rabat, Maroc
| | | | | | | | - Amina Barkat
- Equipe de recherche en santé et nutrition du couple mère enfant, faculté de médecine et de pharmacie de Rabat, université Mohamed V- RABAT, Service de médecine et réanimation néonatales, Centre Hospitalier Ibn Sina, Rabat, Maroc
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Radouani MA, Chahid N, Taboz Y, Benkirane H, Aguenaou H, Barkat A. A new strategy of management for newborns in a neonatal care unit: A succesful experience from Morocco. J Med Res 2016. [DOI: 10.31254/jmr.2016.2504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Aim of the study: To evaluate if the readmission rates of newborns treated in our unit has been affected by the introduction of new protocols. Materials and Methods: two groups were compared: Group A: newborns readmitted during the period from January 2010 to May 2011, Group B: newborns readmitted during the period from June 2011 until December 2012. Epidemiological data and settings of rehospitalization were collected on a standardized form, the reasons for rehospitalization, and evolution. Results: 105 were readmitted during the first four months of life , the rate of readmission was 1.8%. The difference is not significant between the two periods. The main reasons for readmission are nosocomial infection in 77% and 65% of premature groups A and B respectively, feeding difficulties with dehydration and weight loss, and viral infections in 31% and 21% of premature groups A and B respectively. The death rate was reduced in premature infants in group B (5.8%) compared to preterms of group A (23%). Conclusion: In our study the introduction of a new protocol support has a considerable gain in the number of patients treated, and the mortality reduction without affecting the rates of rehospitalisation.
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Radouani MA, Taboz Y, Benkirane H, Aguenaou H, Barkat A. Home care for antibiotic therapy in the management of maternal-fetal infection: Action research example. J Med Res 2016. [DOI: 10.31254/jmr.2016.2507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Introduction- Given the progress in medical care in neonatology, the development of neonatal medicine evaluation techniques and management of difficulties in our Moroccan context, the need to increase the alternative structures for complete hospitalization (CH) in this discipline, is clear. Purpose- Assess the economic and neonatal outcomes of neonatal infection in case of further outpatient care. Material and methods- This is a prospective, single-center including newborns hospitalized for infection between 1 January 2011 and 31 December 2013. Exclusion criteria were respiratory distress, birth defects, direct admission neonatal resuscitation. Results- 1060 neonates were included. The parturients had a preterm rupture of membranes PRM in 70% of cases. We had found a tinted amniotic fluid in 23% of cases. Mothers had chorioamnionitis in 20% of cases. We noted the presence of vaginal discharge with vaginal itching in 18% of cases. of mictional burns were found in 10% of cases. Breast laboratory tests (urinalysis, vaginal swabs, blood cultures, CRP) was positive in 3% of cases the mean birth weight was 3300.20 grams +/- 600. The average age was +/- 1.4 days 0.45. Thirty percent of the children were exclusively breastfed. 80% of patients were asymptomatic at admission. The clinical signs were found mainly respiratory distress. Mean CRP was 35,12mg / L +/- 3.5. The average duration of the PRM was 9.66 +/- 57.7 hours. The examination at the end of treatment was without abnormalities in 89.2% of cases. CRP control was below 6 mg / l in 48% of cases. The evolution of life on day 28 was favorable in 100% of cases. The average length of hospital treatment was 2.87 +/- 1.145 days; the average duration of treatment as outpatients was 2.74 +/- 1.31 days. 100% of newborns received treatment by parenteral perfusion according the protocol of the center. The average number of hospital days per patient spared protocol averaged 3.21 +/- 0.78 days. The average amount saved per patient was 82.65 +/- 5.51 Euros. Total amount saved over three years was 83,000 Euros. Conclusion- The partial hospitalization seems possible for infected newborns without aggravating their illness. It also contributes significantly to the health economy.
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Abstract
Bilateral adrenal hemorrhage is a rare and potentially life threatening situation in adults. The clinical presentation is non-specific, and the diagnosis is based on imaging. The purpose of this report is to provide an illustrative case of spontaneous bilateral adrenal hemorrhage that occurred during pregnancy. The sonographic and computed tomographic findings included large bilateral adrenal hematomas with no evidence of underlying malignancy. Since bilateral adrenal hemorrhage is a rare but potentially life threatening situation, prompt laboratory and imaging evaluation are essential and may reduce both morbidity and mortality.
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Affiliation(s)
- M I Kably
- Service Central de Radiologie, CHU Ibn Rochd, Casablanca, Maroc.
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Tinant F, Zeevaert B, Benkirane H, Laurent L, Wang F. [Hereditary neuropathy with pressure hypersensitivity or tomaculous neuropathy]. Rev Med Liege 2002; 57:651-4. [PMID: 12481468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/28/2023]
Abstract
Hereditary neuropathy liability to pressure palsies is characterized by recurring accesses of painless paralysis at the level of various nerves likely to be compressed. This affection remains underdiagnosed because of its usually benign course, sometimes without any symptom. The diagnosis is supported by clinical and electrophysiological data associated with, in the majority of patients, a deletion of one of the alleles coding for protein PMP 22 on the level of the locus 17p11.2.
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Affiliation(s)
- F Tinant
- Service de Médecine de l'Appareil locomoteur et d'Electroneuromyographie, CHU, Sart Tilman, 4000 Liège
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Pérez Herms S, Benkirane H, Castellanos Acosta R, Ballesteros Sampol JJ. [Acquired cystic renal disease, bilateral spontaneous renal hemorrhage, and functional renal transplantation. Review of the literature and report of a case]. Actas Urol Esp 1993; 17:143-7. [PMID: 8480523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Presentation of one case of bilateral, retroperitoneal, intracystic and spontaneous renal haematoma in a patient with acquired renal cystic disease (ARCD) and renal transplantation with functioning graft. A literature review is made with regard to the association of ARCD and spontaneous renal haematoma in dialysed patients; also an analysis of the etiopathogenic factors, as well as diagnostic and therapeutical approaches to the above association. No reference has been found in the literature of concomitant ARCD, bilateral spontaneous renal haemorrhage and renal transplantation with functioning graft.
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Affiliation(s)
- S Pérez Herms
- Servicio de Urología y Unidad Quirúrgica de Trasplante Renal, Hospital Ntra. Sra. de la Esperanza, Barcelona
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Cortadellas Angel R, Castellanos Acosta RI, Guzmán Fernández A, Pérez Herms S, Munne A, Benkirane H, Ballesteros Sampol JJ. [Leiomyoma of the renal capsule. Presentation of a case and review of the literature]. ARCH ESP UROL 1992; 45:478-80. [PMID: 1510482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Leiomyoma of the renal capsule is rare and very difficult to diagnose preoperatively. We report on a patient in whom a solid renal mass had been incidentally detected during ultrasound evaluation for a gastroenterological condition. A CT scan confirmed the presence of a solid mass. The intraoperative biopsy showed it was a benign tumor and conservative surgery was performed. According to the literature, this tumor type has, as yet, not been diagnosed preoperatively. However, some angiographic features may indicate the presence of this condition. This is the fourth case of leiomyoma of the renal capsule reported in the literature and the second case treated by conservative surgery.
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