Growth and nutrition of Hong Kong children aged 0-7 years

Determination of Pentachlorophenol in Seafood Samples from Zhejiang Province Using Pass-Through SPE-UPLC-MS/MS: Occurrence and Human Dietary Exposure Risk

Pentachlorophenol (PCP) has attracted wide attention due to its high toxicity, persistence, and bioaccumulation. In this study, a sensitive UPLC-MS/MS method for the determination of PCP in seafood samples was developed and validated. The samples were ultrasonic extracted with acetonitrile containing 1% acetic acid-acetonitrile and followed by using a pass-through solid-phase extraction (SPE) cleanup on Captiva EMR-Lipid cartridges. The linearity of this method ranged from 1 to 1000 μg/L, with regression coefficients of >0.99. The detection limit and quantitation limit were 0.5 μg/kg and 1.0 μg/kg, respectively. The recoveries in different types of seafood samples ranged from 86.4% to 102.5%, and the intra-day and inter-day relative standard deviations (RSDs) were 3.7% to 11.2% and 2.9% to 12.1%, respectively (n = 6). Finally, the method has been successfully utilized for the screening of PCP in 760 seafood samples from Zhejiang Province. PCP was detected in 5.8% of all seafood samples, with the largest portion of detections found in shellfish, accounting for approximately 60% of the total. The average concentrations detected ranged from 1.08 to 21.49 μg/kg. The non-carcinogenic risk indices for adults and children who consume PCP ranged from 10-4 to 10-3 magnitudes. All of these indices stayed significantly below 1, implying that the health risk from PCP in marine organisms to humans is minimal.

Mercury concentrations and trophic relations in sharks of the Pacific Ocean of Colombia

Sharks are fished for human consumption in Colombia, and fins are exported illegally to international markets. The goal was to identify differences in total mercury (THg) concentrations in fins and muscles of shark species seized in the Buenaventura port (Colombian Pacific), and to assess potential human health risks related to shark consumption. Seven species were considered in this study: Pelagic Thresher (Alopias pelagicus), Pacific Smalltail Shark (Carcharhinus cerdale), Brown Smoothhound (Mustelus henlei), Sicklefin Smoothhound (Mustelus lunulatus), Scalloped Bonnethead (Sphyrna corona), Scalloped Hammerhead (Sphyrna lewini), and Bonnethead Shark (Sphyrna tiburo), and THg was analyzed in shark tissues. 24% muscle samples concentrations were above international recommended limits for human consumption, especially for A. pelagicus and S. lewini. Stable isotopes (δ¹³C and δ¹⁵N) analysis showed a foraging overlapping in coastal habitats, where overfishing usually occurs. This study provides useful scientific information to develop management plans for sharks in Colombia and neighboring countries.

Occurrence of phthalic acid esters in marine organisms from Hangzhou Bay, China: Implications for human exposure

Owing to the wide application of phthalic acid esters (PAEs) in the manufacturing of plastic products, they are ubiquitous in the marine environment. However, the occurrence of various PAEs in marine organisms from China has not been well characterized. In this study, 341 marine organism samples (including fish, shrimp, crab, and shellfish) were collected from Hangzhou Bay, China and analyzed for 16 PAEs. Further, the human PAE exposure risks raised from the consumption of marine organisms were evaluated for adults and children. In total, eight PAEs were detected in collected organism samples, with the concentration of total PAEs (∑PAEs) ranging from 64 to 2840 ng/g (mean 238 ng/g). Crab (mean 811 ng/g) samples had the highest mean concentration of ∑PAEs, followed by fish (465 ng/g), shrimp (293 ng/g), and shellfish (261 ng/g) samples. Among detected PAEs, di-isobutyl phthalate (DiBP), di-n-butyl phthalate (DBP), and di-ethylhexyl phthalate (DEHP) were the predominant PAEs, and they collectively accounted for 84-97% of the ∑PAEs concentrations in all samples. The estimated daily intakes of DiBP, DBP, and DEHP were more than one order of magnitude higher than remaining PAEs. Calculated hazard quotient values of PAEs were all <0.1, suggesting non-cancer risks for the general population through the consumption of marine organisms. Overall, for the first time, this study systematically examined the occurrence of multiple PAEs in four types of marine organisms from Hangzhou Bay, China.

Health risk assessments based on polycyclic aromatic hydrocarbons in freshwater fish cultured using food waste-based diets

Two farmed freshwater fish species Nile tilapia (Oreochromis niloticus) and jade perch (Scortum barcoo) were cultured with food waste-based diets and compared with commercial formulated control diet for a period of six months. Sixteen priority polycyclic aromatic hydrocarbons (PAHs) in the diets and cultured fish meat were tested by gas chromatography-mass spectrometry. No significant differences of ∑PAHs were observed between Nile tilapia and jade perch fed with food waste-based diets and control diet (p > 0.05). However, there were significantly higher concentration of ∑PAHs in market fish compared with the same species of fish fed by food waste-based diets (p < 0.05). Thus, the food waste-based diets have a potential to lower the PAH concentrations in farmed fish when compared with market fish. Based on the PAH concentrations, a human health risk assessment was made. The results indicated there were no non-cancer and very low cancer risks of consuming fish cultured with food waste-based diets at the 95th centile (Nile tilapia: hazard index (HI _adult) = 0.343 × 10^-3, HI _children = 0.614 × 10^-3 and cancer risk value = 0.943 × 10^-6; jade perch: HI _adult = 0.456 × 10^-3, HI _children = 0.814 × 10^-3 and cancer risk value = 0.291 × 10^-6). In general, the fish fed with food waste-based diets were unlikely to cause adverse health effects, based on the concentrations of PAHs. There is great potential for using food waste-based diets as an alternative to commercial feeds for cultivating freshwater fish.

Associations of Asian Ethnicity and Parental Education with Overweight in Asian American Children and Adolescents: An Analysis of 2011-2016 National Health and Nutrition Examination Surveys

Objectives Asian Americans are highly diverse in cultural, socioeconomic, and health conditions. We aimed to identify socioeconomic and cultural profiles of subgroups of Asian American children at high risk of obesity or overweight to inform targeted interventions. Methods A sample of 841 Asian American children and adolescents ages 6-19 from the 2011-2016 National Health and Nutrition Examination Survey was used. Multivariable logistic regression modeling was conducted. Analyses were also stratified by age (6-11 vs. 12-19). Key variables of interest were Asian ethnicity (Chinese, Korean/Japanese, Filipino, South Asian, and Southeast Asian) and parental educational level. Models adjusted for age, gender, nativity status, parental nativity status, and health insurance coverage. Results Filipino (AOR 2.79; 95% CI 1.30-6.00), Japanese/Korean (AOR 2.55; 95% CI 1.21-5.38), Southeast Asian (AOR 2.54; 95% CI 1.63-3.94), and South Asian (AOR 2.10; 95% CI 1.01-4.36) children ages 6-19 had higher odds of being obese/overweight than Chinese. Filipino (AOR 3.24; 95% CI 1.11-9.49) and Southeast Asian (AOR 2.47; 95% CI 1.22-5.01) ethnicities were associated with higher risk of obesity/overweight in adolescents ages 12-19. Having a parent with a 4-year college or advanced degree was inversely associated with obesity/overweight in US-born Asian adolescents (AOR 0.34; 95% CI 0.14-0.78). Conclusions for Practice Asian American children and adolescents in some Asian ethnic subgroups may be at higher risk of obesity/overweight than in others. Higher parental education level appears to protect US-born Asian American adolescents from being obese/overweight. Multi-sectoral efforts are needed to better understand and address sociocultural processes that increase childhood obesity/overweight in high-risk Asian subgroups.

Fermented food waste for culturing jade perch and Nile tilapia: Growth performance and health risk assessment based on metal/loids

Food waste is a low-cost and nutritious source of feed which could be beneficial to the fishery industry. The objective of this study was to use fermented food wastes as major sources of protein to replace the fish meal used in fish feeds for culturing jade perch (Scortum barcoo) and Nile tilapia (Oreochromis niloticus). Two experiments (a laboratory and a field trial) were conducted to test the suitability of the fish feeds for the two fish species. In the laboratory trial, six out of seven formulations (six food waste-based formulations and one commercial diet as control) were tested on jade perch whereas four out of the seven formulations were tested on Nile tilapia to study the effects of the diets on the growth performance and serum immunological parameters of fish. The formulations (Diet F and Diet A) with the best growth performance (feed conversion ratio (FCR) of jade perch (1.98) and Nile tilapia (1.28)) while having the lowest amount of fish meal (5%) were selected for field scale feeding trial. In addition, the percentage of fermented food waste ingredient in fish feed (Diet A and Diet F) was about 50% without causing significant effects on the immunity (P < 0.05) of the two fish species when compared with control diet. In the field scale feeding trial, FCR values of jade perch and Nile tilapia fed with Diet F and A were 1.06 and 1.16, respectively, which were similar to the control diet (P > 0.05). Metal/loids concentrations in fish tissue showed that both fish species fed with food waste-based pellets (Nile tilapia) Diet A: As (0.028 mg/kg), Cd (0.011 mg/kg), Cr (0.163 mg/kg), Cu (0.851 mg/kg), Hg (0.141 mg/kg), Pb (0.081 mg/kg) and Zn (30.8 mg/kg)) and jade perch Diet F: As (0.709 mg/kg), Cd (0.026 mg/kg), Cr (0.300 mg/kg), Cu (2.49 mg/kg), Hg (0.318 mg/kg), Pb (1.745 mg/kg) and Zn (40.9 mg/kg) were all below the maximum permissible levels of the local standard (As (AS₂O₃) = 6 mg/kg; Cd = 2 mg/kg; Cr = 1 mg/kg; Pb = 6 mg/kg; Hg = 0.5 mg/kg), while no permissible levels of Cu and Pb are stipulated by the standard. The results of the human health risk assessment indicated that the fish cultured with food waste-based diets were generally safe for human consumption (Hazard Index values: 0.075-0.054; cancer risk range: 2.14-8.15 × 10^-6). The present study revealed that fermented food waste could serve as protein substitute in fish feed for the culture of quality jade perch and Nile tilapia for human consumption.

Effects of total fat intake on bodyweight in children

BACKGROUND

As part of efforts to prevent childhood overweight and obesity, we need to understand the relationship between total fat intake and body fatness in generally healthy children.

OBJECTIVES

To assess the effects and associations of total fat intake on measures of weight and body fatness in children and young people not aiming to lose weight.

SEARCH METHODS

For this update we revised the previous search strategy and ran it over all years in the Cochrane Library, MEDLINE (Ovid), MEDLINE (PubMed), and Embase (Ovid) (current to 23 May 2017). No language and publication status limits were applied. We searched the World Health Organization International Clinical Trials Registry Platform and ClinicalTrials.gov for ongoing and unpublished studies (5 June 2017).

SELECTION CRITERIA

We included randomised controlled trials (RCTs) in children aged 24 months to 18 years, with or without risk factors for cardiovascular disease, randomised to a lower fat (30% or less of total energy (TE)) versus usual or moderate-fat diet (greater than 30%TE), without the intention to reduce weight, and assessed a measure of weight or body fatness after at least six months. We included prospective cohort studies if they related baseline total fat intake to weight or body fatness at least 12 months later.

DATA COLLECTION AND ANALYSIS

We extracted data on participants, interventions or exposures, controls and outcomes, and trial or cohort quality characteristics, as well as data on potential effect modifiers, and assessed risk of bias for all included studies. We extracted body weight and blood lipid levels outcomes at six months, six to 12 months, one to two years, two to five years and more than five years for RCTs; and for cohort studies, at baseline to one year, one to two years, two to five years, five to 10 years and more than 10 years. We planned to perform random-effects meta-analyses with relevant subgrouping, and sensitivity and funnel plot analyses where data allowed.

MAIN RESULTS

We included 24 studies comprising three parallel-group RCTs (n = 1054 randomised) and 21 prospective analytical cohort studies (about 25,059 children completed). Twenty-three studies were conducted in high-income countries. No meta-analyses were possible, since only one RCT reported the same outcome at each time point range for all outcomes, and cohort studies were too heterogeneous to combine.Effects of dietary counselling to reduce total fat intake from RCTsTwo studies recruited children aged between 4 and 11 years and a third recruited children aged 12 to 13 years. Interventions were combinations of individual and group counselling, and education sessions in clinics, schools and homes, delivered by dieticians, nutritionists, behaviourists or trained, supervised teachers. Concerns about imprecision and poor reporting limited our confidence in our findings. In addition, the inclusion of hypercholesteraemic children in two trials raised concerns about applicability.One study of dietary counselling to lower total fat intake found that the intervention may make little or no difference to weight compared with usual diet at 12 months (mean difference (MD) -0.50 kg, 95% confidence interval (CI) -1.78 to 0.78; n = 620; low-quality evidence) and at three years (MD -0.60 kg, 95% CI -2.39 to 1.19; n = 612; low-quality evidence). Education delivered as a classroom curriculum probably decreased BMI in children at 17 months (MD -1.5 kg/m2, 95% CI -2.45 to -0.55; 1 RCT; n = 191; moderate-quality evidence). The effects were smaller at longer term follow-up (five years: MD 0 kg/m2, 95% CI -0.63 to 0.63; n = 541; seven years; MD -0.10 kg/m2, 95% CI -0.75 to 0.55; n = 576; low-quality evidence).Dietary counselling probably slightly reduced total cholesterol at 12 months compared to controls (MD -0.15 mmol/L, 95% CI -0.24 to -0.06; 1 RCT; n = 618; moderate-quality evidence), but may make little or no difference over longer time periods. Dietary counselling probably slightly decreased low-density lipoprotein (LDL) cholesterol at 12 months (MD -0.12 mmol/L, 95% CI -0.20 to -0.04; 1 RCT; n = 618, moderate-quality evidence) and at five years (MD -0.09, 95% CI -0.17 to -0.01; 1 RCT; n = 623; moderate-quality evidence), compared to controls. Dietary counselling probably made little or no difference to HDL-C at 12 months (MD -0.03 mmol/L, 95% CI -0.08 to 0.02; 1 RCT; n = 618; moderate-quality evidence), and at five years (MD -0.01 mmol/L, 95% CI -0.06 to 0.04; 1 RCT; n = 522; moderate-quality evidence). Likewise, counselling probably made little or no difference to triglycerides in children at 12 months (MD -0.01 mmol/L, 95% CI -0.08 to 0.06; 1 RCT; n = 618; moderate-quality evidence). Lower versus usual or modified fat intake may make little or no difference to height at seven years (MD -0.60 cm, 95% CI -2.06 to 0.86; 1 RCT; n = 577; low-quality evidence).Associations between total fat intake, weight and body fatness from cohort studiesOver half the cohort analyses that reported on primary outcomes suggested that as total fat intake increases, body fatness measures may move in the same direction. However, heterogeneous methods and reporting across cohort studies, and predominantly very low-quality evidence, made it difficult to draw firm conclusions and true relationships may be substantially different.

AUTHORS' CONCLUSIONS

We were unable to reach firm conclusions. Limited evidence from three trials that randomised children to dietary counselling or education to lower total fat intake (30% or less TE) versus usual or modified fat intake, but with no intention to reduce weight, showed small reductions in body mass index, total- and LDL-cholesterol at some time points with lower fat intake compared to controls. There were no consistent effects on weight, high-density lipoprotein (HDL) cholesterol or height. Associations in cohort studies that related total fat intake to later measures of body fatness in children were inconsistent and the quality of this evidence was mostly very low. Most studies were conducted in high-income countries, and may not be applicable in low- and middle-income settings. High-quality, longer-term studies are needed, that include low- and middle-income settings to look at both possible benefits and harms.

Phthalate esters distribution in coastal mariculture of Hong Kong, China

The aim of the study is to evaluate the impact of mariculture on phthalate esters speciation and distribution in sediments and cultured fish in the Hong Kong regions and near mainland China. Concentrations of ∑phthalate esters in mariculture surface sediments (0 to 5 cm) ranged from 0.20 to 54.3 mg/kg dw (mean 10.3 mg/kg dw), with the highest recorded at M2 (20.4 mg/kg dw). Concentrations of phthalate esters were not significantly (p > 0.05) enriched in surface and sediment cores at mariculture sites relative to the reference sediments, 1 to 2 km away in areas without mariculture activities. Among different congeners, only butyl benzyl phthalate (BBP) concentrations demonstrated a significant correlation (R² = 0.40, p < 0.05) with TOC values of sediments. The median concentrations of di-2-ethylhexyl phthalate (DEHP) and di-n-butyl phthalate (DBP) in the sediments were 1.57 and 6.96 times higher than the environmental risk levels (ERL), which may pose environmental risks. Results of health risk assessments revealed that the cultured fish (snubnose pompano, orange-spotted grouper, and red snapper) were safe for consumption, in terms of phthalate esters. This is the first study to assess the differences of phthalate esters contamination between mariculture and natural coastal sediments.

Effects of total fat intake on bodyweight in children

BACKGROUND

As part of efforts to prevent childhood overweight and obesity, we need to understand the relationship between total fat intake and body fatness in generally healthy children.

OBJECTIVES

To assess the effects of total fat intake on measures of weight and body fatness in children and young people not aiming to lose weight.

SEARCH METHODS

For this update we revised the previous search strategy and ran it over all years in the Cochrane Library, MEDLINE (Ovid), MEDLINE (PubMed), and Embase (Ovid) (current to 23 May 2017). No language and publication status limits were applied. We searched the World Health Organization International Clinical Trials Registry Platform and ClinicalTrials.gov for ongoing and unpublished studies (5 June 2017).

SELECTION CRITERIA

We included randomised controlled trials (RCTs) in children aged 24 months to 18 years, with or without risk factors for cardiovascular disease, randomised to a lower fat (30% or less of total energy (TE)) versus usual or moderate-fat diet (greater than 30%TE), without the intention to reduce weight, and assessed a measure of weight or body fatness after at least six months. We included prospective analytical cohort studies in these children if they related baseline total fat intake to weight or body fatness at least 12 months later. We duplicated inclusion decisions and resolved disagreement by discussion with other authors.

DATA COLLECTION AND ANALYSIS

We extracted data on participants, interventions or exposures, controls and outcomes, and trial or cohort quality characteristics, as well as data on potential effect modifiers, and assessed risk of bias for all included studies. We extracted outcome data using the following time point ranges, when available: RCTs: baseline to six months, six to 12 months, one to two years, two to five years and more than five years; cohort studies: baseline to one year, one to two years, two to five years, five to 10 years and more than 10 years. We planned to perform random-effects meta-analyses with relevant subgrouping, and sensitivity and funnel plot analyses where data allowed.

MAIN RESULTS

We included 24 studies comprising three parallel-group RCTs (n = 1054 randomised) and 21 prospective analytical cohort studies (about 25,059 children completed). Twenty-three were conducted in high-income countries. No meta-analyses were possible, since only one RCT reported the same outcome at each time point range for all outcomes, and cohort studies were too heterogeneous.For the RCTs, concerns about imprecision and poor reporting limited our confidence in our findings. In addition, the inclusion of hypercholesteraemic children in two trials raised concerns about applicability. Lower versus usual or modified total fat intake may have made little or no difference to weight over a six- to twelve month period (mean difference (MD) -0.50 kg, 95% confidence interval (CI) -1.78 to 0.78; 1 RCT; n = 620; low-quality evidence), nor a two- to five-year period (MD -0.60 kg, 95% CI -2.39 to 1.19; 1 RCT; n = 612; low-quality evidence). Compared to controls, lower total fat intake (30% or less TE) probably decreased BMI in children over a one- to two-year period (MD -1.5 kg/m2, 95% CI -2.45 to -0.55; 1 RCT; n = 191; moderate-quality evidence), with no other differences evident across the other time points (two to five years: MD 0.00 kg/m2, 95% CI -0.63 to 0.63; 1 RCT; n = 541; greater than five years; MD -0.10 kg/m2, 95% CI -0.75 to 0.55; 1 RCT; n = 576; low-quality evidence). Lower fat intake probably slightly reduced total cholesterol over six to 12 months compared to controls (MD -0.15 mmol/L, 95% CI -0.24 to -0.06; 1 RCT; n = 618; moderate-quality evidence), but may make little or no difference over longer time periods. Lower fat intake probably slightly decreased low-density lipoprotein (LDL) cholesterol over six to 12 months (MD -0.12 mmol/L, 95% CI -0.20 to -0.04; 1 RCT; n = 618, moderate-quality evidence) and over two to five years (MD -0.09, 95% CI -0.17 to -0.01; 1 RCT; n = 623; moderate-quality evidence), compared to controls. However, lower total fat intake probably made little or no difference to HDL-C over a six- to 12-month period (MD -0.03 mmol/L, 95% CI -0.08 to 0.02; 1 RCT; n = 618; moderate-quality evidence), nor a two- to five-year period (MD -0.01 mmol/L, 95% CI -0.06 to 0.04; 1 RCT; n = 522; moderate-quality evidence). Likewise, lower total fat intake probably made little or no difference to triglycerides in children over a six- to 12-month period (MD -0.01 mmol/L, 95% CI -0.08 to 0.06; 1 RCT; n = 618; moderate-quality evidence). Lower versus usual or modified fat intake may make little or no difference to height over more than five years (MD -0.60 cm, 95% CI -2.06 to 0.86; 1 RCT; n = 577; low-quality evidence).Over half the cohort analyses that reported on primary outcomes suggested that as total fat intake increases, body fatness measures may move in the same direction. However, heterogeneous methods and reporting across cohort studies, and predominantly very low-quality evidence, made it difficult to draw firm conclusions and true relationships may be substantially different.

AUTHORS' CONCLUSIONS

We were unable to reach firm conclusions. Limited evidence from three trials that randomised children to a lower total fat intake (30% or less TE) versus usual or modified fat intake, but with no intention to reduce weight, showed small reductions in body mass index, total- and LDL-cholesterol at some time points with lower fat intake compared to controls, and no consistent differences in effects on weight, high-density lipoprotein (HDL) cholesterol or height. Associations in cohort studies that related total fat intake to later measures of body fatness in children were inconsistent and the quality of this evidence was mostly very low. Twenty-three out of 24 included studies were conducted in high-income countries, and may not be applicable in low- and middle-income settings. High-quality, longer-term studies are needed, that include low- and middle-income settings and look at both possible benefits and risks.

The 5th national survey on the physical growth and development of children in the nine cities of China: Anthropometric measurements of Chinese children under 7 years in 2015

OBJECTIVES

To describe the physical growth of healthy children under 7 years in China based on the latest national survey and provide more data for revising growth reference and monitoring the impact of social development on children's health and growth.

METHODS

In the cross-sectional survey, 161,774 healthy children under 7 years were selected by multistage stratified cluster sampling method in nine cities of China. According to the geographical location, the nine cities were divided into northern, central and southern regions, and each city included urban and suburban areas. Anthropometric measurements were obtained on the spots and other related information was collected with questionnaires.

RESULTS

There were slight urban-suburban difference and obvious regional difference in anthropometric measurements in China. Comparison with the 4th NSPGDC in 2005, measurements increased 0.1-1.1 kg in weight, 0.5-1.8 cm in height in urban areas (except children under 3 years) and 0.1-2.5 kg in weight, 0.2-3.8 cm in height in suburban areas. The urban-suburban difference of those measurements became smaller than 10 years ago, but their regional difference persistently exist. Chinese children were 0.36 SD in weight, 0.43 SD in height in urban areas and 0.30 SD in weight, 0.30 SD in height in suburban areas higher than WHO standards.

CONCLUSIONS

Physical growth of children under 7 years old was undergoing a slowly positive secular trend during the latest decade in more economically developed regions of China. Urban-suburban difference of those measurements became smaller, while their regional difference persistently exist. Chinese healthy children under 7 years in nine cities was taller and heavier than WHO standards.

Recycle food wastes into high quality fish feeds for safe and quality fish production

The amount of food waste generated from modern societies is increasing, which has imposed a tremendous pressure on its treatment and disposal. Food waste should be treated as a valuable resource rather than waste, and turning it into fish feeds would be a viable alternative. This paper attempts to review the feasibility of using food waste to formulate feed pellets to culture a few freshwater fish species, such as grass carp, grey mullet, and tilapia, under polyculture mode (growing different species in the same pond). These species occupy different ecological niches, with different feeding modes (i.e., herbivorous, filter feeding, etc.), and therefore all the nutrients derived from the food waste could be efficiently recycled within the ecosystem. The problems facing environmental pollution and fish contamination; the past and present situation of inland fish culture (focusing on South China); upgrade of food waste based feed pellets by adding enzymes, vitamin-mineral premix, probiotics (yeast), prebiotics, and Chinese medicinal herbs into feeds; and potential health risks of fish cultivated by food waste based pellets are discussed, citing some local examples. It can be concluded that appropriate portions of different types of food waste could satisfy basic nutritional requirements of lower trophic level fish species such as grass carp and tilapia. Upgrading the fish pellets by adding different supplements mentioned above could further elevated the quality of feeds, leading to higher growth rates, and enhanced immunity of fish. Health risk assessments based on the major environmental contaminants (mercury, PAHs and DDTs) in fish flesh showed that fish fed food waste based pellets are safer for consumption, when compared with those fed commercial feed pellets.

The level of mercury contamination in mariculture sites at the estuary of Pearl River and the potential health risk

In the present study, the Hg contamination in mariculture sites located at the estuary of Pearl River was to investigate with an attempt to analyse associated health risks of dietary exposure to both total mercury (THg) and methyl mercury (MeHg) in cultured fish and shellfish. The highest total mercury concentration (7.037 ± 0.556 ng L^-1) of seawater was observed at Zhuhai Estuary. The Hg concentrations of sediment in Guishan Island were significantly higher (p < 0.05) than in Daya Bay (away from the Pearl River). Besides, the both THg and MeHg levels in sediment at mariculture sites were higher (p < 0.05) than corresponding reference sites. It was attributed to the fact that mariculture activities increased Hg loading and promoted MeHg production. The vertical distribution of Hg in sediment cores demonstrated that mercury methylation mostly occurred at the sediment-water interface. Results of health risk assessments showed that fish consumption would impose a higher risk to children but less to adults, while shellfish produced in the studied area was safe for consumption.

Differences in the anthropometry of Asian children and its role in metabolic health in later life: A narrative review

BACKGROUND

The increasing incidence of childhood obesity in Asia could be a reflection of early life programming in which environmental/nutritional challenges during pregnancy and first two years of life (the so-called first 1000 days) influence later health.

OBJECTIVE OF NARRATIVE REVIEW

To assess differences/similarities of anthropometric measures in early life and their influences on metabolic health risk in later life among children in Asia.

METHODS

Literature search for publication in English using selected key words from Medline (PubMed), Scopus, Science Direct and Google Scholar published from 1994 to October 2014. Some comparisons with Caucasian setting were made when relevant.

RESULTS

From 152 publications selected for this narrative review, differences in foetal growth and birth weight were deducted between Asian and Caucasian children. Infants in India and Hong Kong had increased fat mass at birth and early infancy as compared to those from other parts of the world. Pre- and during pregnancy conditions influenced birth weight; feeding practices and gender influenced post-natal growth and body composition development. High and low birth weights followed by rapid postnatal growth were linked to increased risks of obesity, insulin resistance and high blood pressure in later life.

CONCLUSION

Foetal and postnatal growth trajectories are different between countries within and outside Asia. Extremes in birth weight followed by rapid postnatal growth were linked to increased risks of metabolic health of children in this region. As there is limited evidence in Asia, it is important to conduct thorough investigations by using longitudinal studies on early life programming.

Food wastes as fish feeds for polyculture of low-trophic-level fish: bioaccumulation and health risk assessments of heavy metals in the cultured fish

The major purpose of this study was to use different types of food wastes which serve as the major sources of protein to replace the fish meal used in fish feeds to produce quality fish. Two types of food waste-based feed pellets FW A (with cereals) and FW B (with cereals and meat products) and the commercial feed Jinfeng® were used to culture fingerlings of three low-trophic-level fish species: bighead carp, grass carp, and mud carp (in the ratio of 1:3:1) for 1 year period in the Sha Tau Kok Organic Farm in Hong Kong. Heavy metal concentrations in all of the fish species fed with food waste pellets and commercial pellets in Sha Tau Kok fish ponds were all below the local and international maximum permissible levels in food. Health risk assessments indicated that human consumption of the fish fed with food waste feed pellets was safe for the Hong Kong residents. The present results revealed that recycling of food waste for cultivating low-trophic-level fish (mainly herbivores and detritus feeders) is feasible, and at the same time will ease the disposal pressure of food waste, a common problem of densely populated cities like Hong Kong.

Potential human health risk assessment of heavy metals via the consumption of tilapia Oreochromis mossambicus collected from contaminated and uncontaminated ponds

Fish tilapia Oreochromis mossambicus were collected from a contaminated Seri Serdang (SS) pond potentially receiving domestic effluents and an uncontaminated pond from Universiti Putra Malaysia (UPM). The fish were dissected into four parts namely gills, muscles, intestines, and liver. All the fish parts were pooled and analyzed for the concentrations of Cd, Cu, Fe, Ni, Pb, and Zn. Generally, the concentrations of all metals were low in the edible muscle in comparison to the other parts of the fish. It was found that the levels of all the heavy metals in the different parts of fish collected from the SS were significantly (P<0.05) higher than those from UPM, indicating greater metal bioavailabilities in the SS pond. The sediment data also showed a similar pattern with significantly (P<0.05) higher metal concentrations in SS than in UPM, indicating higher metal contamination in SS. Potential health risk assessments based on provisional tolerable weekly intake (PTWI) and the amount of fish required to reach the PTWI values, estimated daily intake (EDI), and target hazard quotient (THQ) indicated that health risks associated with heavy metal exposure via consumption of the fish's muscles were insignificant to human. Therefore, the consumption of the edible muscles of tilapia from both ponds should pose no toxicological risk of heavy metals since their levels are also below the recommended safety guidelines. While it is advisable to discard the livers, gills, and intestines of the two tilapia fish populations before consumption, there were no potential human health risks of heavy metals to the consumers on the fish muscle part.

Environmental mercury concentrations in cultured low-trophic-level fish using food waste-based diets

In this study, different types of food wastes were used as the major source of protein to replace the fish meal in fish feeds to produce quality fish (polyculture of different freshwater fish). During October 2011-April 2012, the concentrations of Hg in water, suspended particulate matter, and sediment of the three experimental fish ponds located in Sha Tau Kok Organic Farm were monitored, and the results were similar to or lower than those detected in commercial fish ponds around the Pearl River Delta (PRD) region (by comparing data of previous and present studies). Health risk assessments indicated that human consumption of grass carp (Ctenopharyngodon idellus), a herbivore which fed food waste feed pellets would be safer than other fish species: mud carp (Cirrhina molitorella), bighead carp (Hypophthalmichthys nobilis), and largemouth bass (Lepomis macrochirus). Due to the lower species diversity and substantially shorter food chains of the polyculture system consisting of only three fish species, the extent of Hg biomagnification was significantly lower than other polyculture ponds around PRD. Furthermore, the use of food waste instead of fish meal (mainly consisted of contaminated trash fish) further reduced the mercury accumulation in the cultured fish.

Replacing fish meal by food waste in feed pellets to culture lower trophic level fish containing acceptable levels of organochlorine pesticides: health risk assessments

The present study used food waste (collected from local hotels and restaurants) feed pellets in polyculture of low-trophic level fish [bighead (Aristichtys nobilis), grass carp (Ctenopharyngodon idellus), and mud carp (Cirrhina molitorella)] aiming at producing safe and quality products for local consumption. The results indicated that grass carp (hexachlorocyclohexanes (HCHs) <0.03; dichlorodiphenyltrichloroethanes (DDTs) 1.42-3.34 ng/g ww) and bighead carp (HCHs<0.03; DDTs 1.55-2.56 ng/g ww) fed with food waste feed pellets were relatively free of organochlorine pesticides (OCPs). The experimental ponds (water and sediment) were relatively free of OCPs, lowering the possibility of biomagnification of OCPs in the food chains within the ponds. The raw concentrations of OCPs extracted from the fish were not in the bioavailable form, which would ultimately reach bloodstream and exert adverse effects on human body. Health risk assessments based on digestible concentrations are commonly regarded as a more accurate method. The results of health risk assessments based on raw and digestible concentrations showed that the fish fed with food waste feed pellets were safe for consumption from the OCP perspective.

Shark fin, a symbol of wealth and good fortune may pose health risks: the case of mercury

There is a lack of information concerning human health risks due to exposure to mercury contained in shark fins, through dietary intake. Health risk assessment of shark fins, collected from 5 cities in China: Hong Kong (HK), Beijing, Shanghai (SH), Haikou (HN) and Wenzhou (WZ), was conducted, based on total mercury and methylmercury, and analyzed by a cold vapor atomic fluorescence spectrometry equipped with high-performance liquid chromatography, respectively. The results showed that 16.8 % samples from HK, 8.3 % from SH, 33.3 % from HN, and 16.8 % from WZ were regarded as unsafe for human consumption. Extremely high consumption rates of shark fins for an adult and a child (0.150 and 0.0807 kg/day, respectively), at 95th centile, samples from WZ demonstrated high non-cancer risks (adverse health effects) (Hazard Quotient = 16.0) on adults (aged 25-65), and samples from SH, HN and WZ also showed high non-cancer risks (Hazard Quotient = 12.9, 21.0, and 34.4, respectively) on children (aged 1-7). Consumption of shark fins may be detrimental to human health.

Risk assessments of human exposure to bioaccessible phthalate esters through market fish consumption

The bioaccessibility of phthalate esters in 20 fish species collected from Hong Kong market was evaluated using an in vitro gastrointestinal model. The ∑phthalate ester concentration detected in fresh water fish ranged from 1.66 to 3.14μg/g wet weight (ww) and in marine fish ranged from 1.57 to 7.10μg/g ww, respectively. di-2-Ethylhexyl phthalate (DEHP) and di-n-butyl phthalate (DBP) were the predominant compounds in both freshwater fish and marine fish. The digestible concentrations of phthalate esters ranged from 0.20 to 1.23μg/g ww (mean 0.35μg/g ww), and account for 2.44 to 45.5% (mean 16.8%) for raw concentrations of phthalate esters. In the present study, the accumulation ratio Rnn value of all phthalate esters was greater than 1 except for diisobutyl phthalate (DIBP), DBP and di-n-hexyl phthalate (DHP), suggesting that these phthalate esters could be accumulated during gastrointestinal digestion. Based on this health risk assessment, most of fish species were considered safe for consumption, however Hong Kong residents should take caution when consuming Mud carp and Bighead carp.

Arsenic contamination in the freshwater fish ponds of Pearl River Delta: bioaccumulation and health risk assessment

This study investigated the extent of arsenic (As) contamination in five common species of freshwater fish (northern snakehead [Channa argus], mandrarin fish [Siniperca chuatsi], largemouth bass [Lepomis macrochirous], bighead carp [Aristichthys nobilis] and grass carp [Ctenopharyngodon idellus]) and their associated fish pond sediments collected from 18 freshwater fish ponds around the Pearl River Delta (PRD). The total As concentrations detected in fish muscle and sediment in freshwater ponds around the PRD were 0.05-3.01 mg kg(-1) wet weight (w. wt) and 8.41-22.76 mg kg(-1) dry weight (d. wt), respectively. In addition, the As content was positively correlated (p < 0.05) to total organic carbon (TOC) contents in sediments. Biota sediment accumulation factor (BSAF) showed that omnivorous fish and zooplankton accumulated higher concentrations of heavy metals from the sediment than carnivorous fish. In addition, feeding habits of fish also influence As accumulation in different fish species. In this study, two typical food chains of the aquaculture ponds were selected for investigation: (1) omnivorous food chain (zooplankton, grass carp and bighead carp) and (2) predatory food chain (zooplankton, mud carp and mandarin fish). Significant linear relationships were obtained between log As and δ (15)N. The slope of the regression (-0.066 and -0.078) of the log transformed As concentrations and δ (15)N values, as biomagnifications power, indicated there was no magnification or diminution of As from lower trophic levels (zooplankton) to fish in the aquaculture ponds. Consumption of largemouth bass, northern snakehead and bighead carp might impose health risks of Hong Kong residents consuming these fish to the local population, due to the fact that its cancer risk (CR) value exceeded the upper limit of the acceptable risk levels (10(-4)) stipulated by the USEPA.

In vitro estimation of exposure of Hong Kong residents to mercury and methylmercury via consumption of market fishes

In order to evaluate effects of exposure to mercury (tHg) and methylmercury (MeHg) of Hong Kong residents via consumption of fish, total and bioaccessible concentrations of tHg and MeHg were measured in 10 freshwater and 10 marine fishes collected from markets in Hong Kong. Concentrations of tHg and MeHg in fishes ranged from 27.2 to 311ngg(-1) (median 88.9ngg(-1)) and ND to 116ngg(-1) (median 45.0ngg(-1)), respectively. Concentrations of MeHg in marine fishes (64.4±28.5ngg(-1)) were significantly greater than those in freshwater fishes (40.3±26.0ngg(-1)). Bioaccessibility tHg and MeHg was predicted for edible flesh of twenty fishes by use of an in vitro gastrointestinal assay. Bioaccessibilities of tHg and MeHg ranged from 21.4 to 51.7% (mean 37.4%) and 19.5 to 59.2% (mean 43.7%), respectively. Based on total concentrations, diets of 36% of adults and 51% of children exceeded the reference dose (RfD, 100ngkg(-1)bodymass(bm)d(-1)) for MeHg, but when bioaccessibility was considered, consumption of local market fish would not result in an EDIbio exceeded the RfD of MeHg for Hong Kong adults. These contradictory results suggested that risk assessments based on total concentrations would overestimate exposure because not all of contaminants consumed are bioaccessible. Furthermore, 9% of children had EDIbio for MeHg that exceeded the RfD, which suggests that more attention should be paid to consumption of local fish on health and development of children in Hong Kong.

Trophic relationships and health risk assessments of trace metals in the aquaculture pond ecosystem of Pearl River Delta, China

Cadmium, lead, zinc, Chromium, copper, nickel and manganese in sediments and in aquatic organisms were collected from the aquaculture pond ecosystem of the Pearl River Delta (PRD), China and analyzed to evaluate bioaccumulation and trophic transfer in food chains, as well as the potential health risk of exposure to the Hong Kong residents via dietary intake of these aquatic products. The results revealed that based on the biota-sediment accumulation factor, omnivorous fish and zooplankton accumulated more trace metals from sediment than carnivorous fish. Concentrations of seven trace metals in aquaculture pond of PRD significantly decreased with increasing trophic levels, showing that these trace metals were trophically diluted in predatory and omnivorous food chains. The hazard index values of all fish species were smaller than 1 for adults and children, indicating there was no health risk from the multiple metals via ingestion of the freshwater fish for the inhabitants.

A human health risk assessment of mercury species in soil and food around compact fluorescent lamp factories in Zhejiang Province, PR China

This study investigated total mercury (THg) and methylmercury (MeHg) contamination in a major production center of compact fluorescent lamps (CFLs) located in Gaohong, Zhejiang Province, China. This was a result of the growing concern associated with the release of mercury into the environment from such components. The results of the study included the following mean concentrations for THg and MeHg of 157±11 (61-518)ng/gdw and 0.28±0.07 (0.07-0.67)ng/gdw in agricultural soil, respectively, and 18.6±6.5 (3.2-47.8)ng/gww and 0.11±0.03 (0.02-0.37)ng/gww in vegetable samples, respectively. A significant correlation was observed between THg in vegetables and corresponding soil samples (r=0.64, p<0.01). THg and MeHg in sediment samples had respective concentrations ranging from 28 to 1019ng/gdw and 0.11 to 3.15ng/gdw. Mud skipper bought from the local market contained the highest Hg (THg: 170±45ng/gww, MeHg: 143±37ng/gww) amongst all fish species (THg: 14-170; MeHg: 11-143ng/gww) of the study. The risk assessment indicated that fish consumption should not result in a MeHg EDI exceeding the RfD (0.1μg/kgbw/d) for both adults and children, when MeHg bioaccessibility is taken into account.

Role of living environments in the accumulation characteristics of heavy metals in fishes and crabs in the Yangtze River Estuary, China

Correlation of heavy metals in the tissues of typical organisms (i.e., fishes and crabs) and those in their living environments (i.e., surface water, bottom water, and sediment) in Yangtze River Estuary has been qualitatively and quantitatively analyzed. Metal levels followed the trend: sediments > Eriocheir sinensis > Eriocheir leptognathus > benthic fish > pelagic fish > bottom water > surface water. Tissues in fishes and crabs of different species and sizes had diverse metal bioaccumulation characteristics, which was significantly affected by environment factors and their living habits. Metal levels in legs of crabs, and heads and skins of fishes showed significant correlations with those in their living environments. Collichthys lucidus is an effective bioindicator for assessing metal levels in water. No significant health risk was identified by the estimated daily intake and target hazard quotients analyses.

Mercury species of sediment and fish in freshwater fish ponds around the Pearl River Delta, PR China: human health risk assessment

This study investigated total mercury (THg) and methylmercury (MeHg) concentrations in five species of freshwater fish and their associated fish pond sediments collected from 18 freshwater fish ponds around the Pearl River Delta (PRD). The concentrations of THg and MeHg in fish pond surface sediments were 33.1-386 ng g(-1) dry wt and 0.18-1.25 ng g(-1) dry wt, respectively. The age of ponds affected the surface sediment MeHg concentration. The vertical distribution of MeHg in sediment cores showed that MeHg concentrations decreased with increasing depth in the top 10 cm. In addition, a significant correlation was observed between %MeHg and DNA from Desulfovibrionacaea or Desulfobulbus (p<0.05) in sediment cores. Concentrations of THg and MeHg in fish muscles ranged from 7.43-76.7 to 5.93-76.1 ng g(-1) wet wt, respectively, with significant linear relationships (r=0.97, p<0.01, n=122) observed between THg and MeHg levels in fish. A significant correlation between THg concentrations in fish (herbivorous: r=0.71, p<0.05, n=7; carnivorous: r=0.77, p<0.05, n=11) and corresponding sediments was also obtained. Risk assessment indicated that the consumption of largemouth bass and mandarin fish would result in higher estimated daily intakes (EDIs) of MeHg than reference dose (RfD) for both adults and children.

Essential role of vitamin C and zinc in child immunity and health

With the progressive elimination of dietary protein-energy deficits, deficiencies of micronutrients are emerging as the limiting factors in ensuring children's optimal health. Data from several countries in Asia and Latin America indicate that deficiencies of vitamin C and zinc continue to be at alarming levels. This article reviews the roles of vitamin C and zinc in supporting children's growth and development, with a particular focus on the complementary roles they play in supporting immune functions and combating infections. The contemporary relevance of vitamin C and zinc deficiency in the Asian and Latin American regions, both undergoing a rapid nutritional transition, are also discussed. Overall, there is increasing evidence that deficiency of vitamin C and zinc adversely affects the physical and mental growth of children and can impair their immune defences. Nutrition should be the main vehicle for providing these essential nutrients; however, supplementation can represent a valid support method, especially in developing regions.

Bone mineral status and its relation with dietary estimates of net endogenous acid production in Hong Kong Chinese adolescents

Diet composition influences net endogenous acid production (NEAP), which may affect bone health. No studies are available to relate dietary estimate of NEAP to bone health in Chinese adolescents. This study examined the association of dietary estimates of NEAP with bone mineral status in Hong Kong Chinese adolescents. Baseline data on 171 boys and 180 girls aged 10-12 years from the Hong Kong Adolescent Bone Health Cohort Study were presented. Weight, height, Tanner stage and dietary intakes by FFQ were collected. NEAP was estimated from diet using Frassetto's method. Bone area (BA), bone mineral content (BMC) and bone mineral apparent density (BMAD) of total hip, lumbar (L1-L4) spine and whole body were estimated by dual-energy X-ray absorptiometry (DXA). No significant association was observed between BMC or BMAD and energy-adjusted NEAP or other nutrients. BA was significantly and positively associated with BMC at all sites in both sexes. Weight was significantly and positively associated with BMC in hip and spine in both sexes. Height was negatively correlated with hip BMC for boys and whole body BMC for girls. Pubertal stage was significantly and positively associated with BMC in all sites in both sexes. Weight and height contributed most of the variability in BMAD at different sites. The results suggest that anthropometric characteristics and pubertal stage are more influential than dietary NEAP in determining bone mineral status of Hong Kong Chinese adolescents. However, the methodological weaknesses regarding the use of DXA and FFQ in the present sample require attention.

Increased prevalence of constipation in pre-school children is attributable to under-consumption of plant foods: A community-based study

AIM

To evaluate consumption of foods rich in dietary fibre and its relation to the prevalence of constipation in pre-school children.

METHODS

In total, 368 children aged 3-5 years were randomly selected from kindergartens in Hong Kong. Constipation was confirmed by Rome-criteria. Children with normal bowel habits served as non-constipated controls. Consumption of vegetables, fruits, whole-grain cereals and fluid were determined using a 3-day food record.

RESULTS

A total of 28.8% children were reported to have constipation. Median dietary fibre intake of constipated children was significantly lower than non-constipated children (3.4 g/d (inter-quartile range (IQR): 2.3-4.6 g/d) vs. 3.8 g/d (IQR: 2.7-4.9 g/d); P = 0.044) corresponding to 40% reference dietary fibre intake. Constipated children also had significantly lower intakes of vitamin C (P = 0.041), folate (P = 0.043) and magnesium (P = 0.002). Fruit intake and total plant foods intake were significantly lower in the constipated than non-constipated children: (61 g/d (IQR: 23.8-115 g/d) vs. 78 g/d (IQR: 41.7-144.6 g/d); P = 0.047) and (142.5 g/d (IQR: 73.7-214.7 g/d) vs. 161.1 g/d (IQR: 98.3-233.3 g/d); P = 0.034), respectively. Total fluid intake did not differ between groups but milk intake among the constipated children was marginally higher than the non-constipated children (P = 0.055)

CONCLUSION

Insufficient dietary fibre intake is common in Hong Kong pre-school children. Constipated children had significantly lower intakes of dietary fibre and micronutrients including vitamin C, folate and magnesium than non-constipated counterparts which was attributable to under-consumption of plant foods. However, milk intake was marginally higher in the constipated children. More public education is necessary for parents to help develop healthy dietary habit and bowel habit in early life in order to prevent childhood constipation.

Estimated net endogenous acid production and intake of bone health-related nutrients in Hong Kong Chinese adolescents

BACKGROUND/OBJECTIVES

To examine the daily intake of bone health-related nutrients and to explore the association between diet composition and estimated net endogenous acid production (estimated NEAP) in Hong Kong Chinese adolescents.

SUBJECT/METHODS

In total, 171 boys and 180 girls aged 10-12 years of Chinese origin from nine primary schools from the Hong Kong Adolescent Bone Health Cohort Study. The study design used food frequency questionnaire. Mean daily intakes of foods and selected nutrients were estimated. Mean percentage of nutrient intake contributed by different food groups was presented. Frassetto's method was used to calculate the estimated NEAP from the diet's protein to potassium ratio.

RESULTS

There was no significant difference in the energy-adjusted intakes of most nutrients between boys and girls, except for intakes of vitamins C and D. Mean protein, sodium and potassium intakes were higher than the Chinese dietary reference intake (DRI), whereas mean intakes of magnesium, calcium and vitamin D were lower than the DRI. Boys had significantly higher estimated NEAP than girls (P=0.0051). Estimated NEAP was significantly positively correlated with meat intake and negatively associated with the consumption of fruits, vegetables, legumes, beverages and dairy products.

CONCLUSIONS

The results highlight the importance of considering whole diet quality when interpreting the effects of single nutrient or diet's net acid load on bone. The effect on high protein intake and low fruit and vegetable intake on the long-term bone health of Hong Kong Chinese adolescents warrants attention.

Caracterização dos estudos de avaliação do consumo alimentar de pré-escolares

Os estudos dietéticos fornecem elementos elucidativos que contribuem para a compreensão da dinâmica e determinação dos diversos agravos nutricionais que atingem a população infantil. As investigações do consumo alimentar de crianças pequenas utilizam os mesmos métodos de inquéritos empregados nas demais faixas etárias, diferenciando-se pela necessidade de um respondente, geralmente um dos pais ou o cuidador da criança. O objetivo do trabalho foi identificar os principais métodos de avaliação do consumo alimentar utilizados nos inquéritos com pré-escolares, assim como os itens e formas de análise mais comumente empregados. Verificou-se que os estudos apresentaram baixa comparabilidade, em função, entre outros fatores, do uso de diferentes formas de análise e metas de ingestão. O recordatório de 24h foi o método mais utilizado, geralmente associado a um outro método de inquérito. Ainda são poucos os estudos que empregam as novas cotas dietéticas de referência para avaliação da adequação das dietas. No Brasil, assim como nos demais países em desenvolvimento, os estudos ainda priorizam as carências nutricionais. Apesar do aumento no número de estudos brasileiros nos últimos anos, as pesquisas existentes são de limitada comparabilidade, sendo essencial que se invista em uma estrutura (tabelas, softwares, seleção de indicadores) que possibilite um diagnóstico nutricional mais fidedigno e com potencial de comparação.

Meal glycaemic load of normal-weight and overweight Hong Kong children

OBJECTIVE

To describe the pattern of meal glycaemic load of children in Hong Kong and to determine whether the meal glycaemic load is associated with childhood overweight.

METHOD

Dietary records (3-day) of 316 Hong Kong children aged 6-7 years were collected. Glycaemic load was calculated from the estimated weight (WT), carbohydrate content (%CHO) and glycaemic index (GI) of each food taken using the equation: (% CHO x GI x WT/100). The meal glycaemic load was then the sum of the glycaemic loads of all food taken in each meal. Logistic regression analyses were used to compare the average meal glycaemic load (of breakfast, lunch and dinner) and other dietary parameters between overweight children and normal-weight children.

RESULTS

Breakfast, lunch, dinner and snacks provided, respectively, 17, 29, 29 and 25% of the total glycaemic load in a day. White rice (excluding congee (rice porridge) and glutinous rice) contributed almost half of the total glycaemic load. Adjusted logistic regression showed that the meal glycaemic load was not significantly associated with childhood overweight after adjusting for parental obesity, birth weight, sleeping duration, mean energy intake and paternal smoking.

CONCLUSION

Meal glycaemic load calculated from current diet was not an independent factor associated with childhood overweight in children aged 6-7 years. Our data suggested that modifying the type of rice/staple consumed and choosing low-GI snacks could have a major influence on the total meal glycaemic load of young Hong Kong children.

Risk factors for childhood overweight in 6- to 7-y-old Hong Kong children

OBJECTIVE

To identify risk factors for overweight in Hong Kong children aged 6-7 y.

DESIGN

Case-control study.

SETTING

Student Health Service Centres, Hong Kong.

SUBJECTS

A total of 343 Hong Kong Chinese children aged 6-7 y old categorised into three groups, an overweight group (> or =92 nd centile for BMI), a normal middle-weight group (45th-55th centile for BMI) and a normal low-weight group (< or =8th centile for BMI).

MEASUREMENTS

Subjects and their parents/caregivers were interviewed at home. Data on lifestyle habits, dietary habits, family structure and demographic background were collected by questionnaire. A 3-day dietary record was administrated by the parents/caregivers to assess dietary intake of the children.

RESULTS

Logistic regression analyses (overweight group compared with middle-weight plus low-weight groups) showed that childhood overweight was significantly associated with parental obesity (BMI > or =25 kg/m(2), Asian reference) (paternal: OR=2.66, 95% CI=1.51-4.70; maternal: 5.07, 2.62-9.79) but not parental overweight (BMI=23-25 kg/m(2)). After adjustment for parental obesity, the odds ratio for childhood overweight was increased by birth weight (<3.0 kg as reference, 3.0-3.5 kg: 2.13, 1.18-3.84; > or =3.5 kg: 4.89, 2.49-9.60) and decreased by sleeping duration (<9 h/day as reference, 9-11 h/day: 0.54, 0.30-0.97; > or =11 h/day: 0.31, 0.11-0.87). Childhood overweight was also significantly associated with higher energy consumption (2.62, 1.20-5.74) and having a father who was a current smoker (2.08, 1.25-3.46).

CONCLUSIONS

Although healthy diet and regular exercise will remain the cornerstones of obesity management in children, our data support the view that education about maintaining a healthy weight could be introduced much earlier in those families with high-risk children, as indicated by high parental BMI or high birth weight. The utility and practicality of such an approach should be carefully evaluated before becoming part of any public health policy. Further study of the role of short sleeping duration and parental smoking on childhood obesity development is warranted.

Height of young men

We analysed the height of young men in Belgium, using 613 257 records of medical examinations made prior to their conscription into the army (about 68% of the male population concerned). All analyses showed very significant associations. Height differed according to the region (-1.24cm in Wallonia, French-speaking and poorer) compared to Flanders (Dutch-speaking and richer), when "age-class" and year are taken into account. The smallest men lived in Hainaut (a deprived area), the tallest ones in Walloon Brabant (wealthy green suburbs of the capital). Height increased across time (+1.11cm, 1978-1990) and with "age-class" (+2.66cm, 18-26years), controlling for other factors. The increase in Brussels stops in 1983, probably due to other socio-demographic evolutions.