Journal Articles

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    Exploring the Nutrition-Related Health of the Ageing Population in Fiji: A Narrative Review.
    (SAGE Publications, 2024-10-18) Naliva S; Kruger M; Havea P; Wham C
    Fijis' older population aged 55 years and over makes up 14% of the total population and is expected to reach 20% by 2050. This narrative review aimed to examine the health and nutrition status of the aging population of Fiji and sociodemographic determinants. A search strategy was conducted throughout databases, and gray literature from relevant websites was searched. Due to the limited evidence regarding the nutrition, health, and socio-economic factors that impact the aging population in Fiji the inclusion criteria were broad and included both genders (male and female), all publications up until December 2022, all study designs, and gray literature (government/institutional reports, conference proceedings, guidelines, Act, and Policies) . There was no filter for date applied in the search criteria. Studies that did not meet the search criteria were excluded. 20 documents including published articles were included for analysis and result synthesis. Life expectancy at birth for the Fiji population is 68 years. A significant annual increase in mortality rate from endocrine, nutritional, and metabolic diseases has been observed in women aged 75+ but not older men. Women of low-income status are more at risk than men. However, as most investigations aggregate those ≥18 years, there is a lack of information on older adults (≥65 years) health and nutrition status. To improve the health status of older adults, an understanding of the nutritional status of older adults is warranted, especially concerning lifestyle and sociodemographic determinants.
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    Bone Health in Premenopausal Women with Coeliac Disease: An Observational Study.
    (MDPI (Basel, Switzerland), 2024-07-09) Schraders K; Coad J; Kruger M; Iacone R
    Low bone mineral density (BMD) is common in adults with coeliac disease (CD), even in individuals adhering to a gluten-free diet (GFD). Women are more likely to have low BMD and have an increased risk of osteoporosis, so women with pre-existing low BMD related to CD are at an even higher risk. BMD assessed by dual X-ray absorptiometry (DXA) and bone quality assessed through quantitative ultrasound (QUS) were investigated in 31 premenopausal women with CD consuming a GFD, and 39 matched healthy controls from the Lower North Island, New Zealand. In addition, bone metabolism and nutrient status were assessed, and four-day diet diaries were used to estimate nutrient intake. No statistically significant differences were found in BMD assessed by DXA between the two groups at the hip, lumbar spine or forearm. However, the parameters measured by the QUS were significantly lower in CD participants. Dietary data indicated significantly lower intakes of energy, dietary fibre, magnesium and phosphorus in women with CD, likely as a result of a reduced intake of wholegrain foods, and suggested that both groups had inadequate intake of calcium. No significant differences were demonstrated in biochemical parameters. BMD and bone biomarkers indicated no differences between coeliac and healthy women in New Zealand. However, these findings suggest that QUS may be more sensitive for the coeliac population, due to the disease's affect on the trabecular bone, and warrant further research.
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    Expression of Renal Vitamin D and Phosphatonin-Related Genes in a Sheep Model of Osteoporosis
    (MDPI (Basel, Switzerland), 2022-01) Dittmer KE; Chernyavtseva A; Marshall JC; Cabrera D; Wolber FM; Kruger M; Bienko M; Radzki RP
    Osteoporosis is a significant public health issue around the world, with post-menopausal osteoporosis due to estrogen deficiency resulting in approximately ¾ of cases. In this study, 18 aged Merino ewes were ovariectomized, and 10 were controls. Three of the ovariectomized ewes were treated weekly with 400 mg of methylprednisolone for 5 months and three were treated weekly for 2 months, followed by a 3-month recovery period. At 2 months, five control animals and six ovariectomized animals were euthanized. At 5 months, all the remaining ewes were euthanized. Kidney samples were collected postmortem for qPCR analysis of NPT1, PTH1R, NPT2a, NPT2c, Klotho, FGFR1IIIc, VDR, CYP24A1, CYP27B1, TRPV5, TRPV6, CalD9k, CalD28k, PMCA and NCX1. Ovariectomized sheep had significantly greater VDR expression compared with other groups. Ovariectomized sheep treated with glucocorticoids for 2 months followed by euthanasia at 5 months showed significant differences in TRPV5, CYP24A1 and klotho gene expression compared to other groups. Differences in klotho expression were most marked after adjustment for repeated measures (p = 0.1). Klotho is known as the "anti-aging" hormone and is involved in calcium and phosphorus metabolism. Klotho may be involved in the recovery of bone mineral density in ovariectomized sheep treated with glucocorticoids for 2 months followed by euthanasia at 5 months. Further research on the role of klotho is recommended.
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    Reliability of a 60-min treadmill running protocol in the heat: The journal Temperature toolbox
    (Taylor and Francis Group, 2022-11-11) Mündel T; Gilmour S; Kruger M; Thomson J
    We determined the reliability of a 60-min treadmill protocol in the heat when spaced >4 weeks apart, longer than the test–retest duration of 1 week found in the literature. Nine unacclimated, trained males (age: 31 ± 8 y; VO2peak: 60 ± 6 ml∙kg−1∙min−1) undertook a 15 min self-paced time-trial pre-loaded with 45 min of running at 70% of individual ventilatory threshold (11.2 ± 0.3 km∙h−1) in 30 ± 1°C (53 ± 5% relative humidity). They repeated this following 40 ± 14 and 76 ± 26 days, with pre-trial standardization of diet and exercise for 48 h. When considering trial 1 as a familiarization, change in core temperature (∆Tcore) during the first 45 min (∆2.0 ± 0.2°C) between trials 2 and 3 yielded bias and 95% limits of agreement (LoA) of −0.10 ± 0.43°C, standard error of measurement (SEM) of 0.13°C and intraclass correlation coefficient (ICC) of 0.75, more reliable than measures of baseline Tcore (36.9 ± 0.2°C; LoA: −0.23 ± 0.90°C; SEM: 0.22°C; ICC: 0.03) and Tcore at 45 min during exercise (38.9 ± 0.4°C; LoA: 0.32 ± 1.12°C; SEM: 0.28°C; ICC: 0.15). The coefficient of variation (CV) between trials 2 and 3 for distance run during the 15 min time-trial was 2.1 ± 2.0% with LoA of 0.001 ± 0.253 km and SEM of 0.037 km. This protocol is reliable spaced ~5 weeks apart when considering the most commonly accepted limit of <5% CV for performance, reinforced by reliability of the ΔTcore being 0.1 ± 0.4°C.
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    Inhibisie van osteoklastvorming en beenresorpsie deur poli-onversadigde vetsure in RAW 264.7 muismonosiete
    (AOSIS Ltd, 2012) Boeyens JCA; Chua WH; Kruger M; Joubert AM; Coetzee M
    Inhibition of osteoclast differentiation and bone resorption by polyunsaturated fatty acids in RAW 264.7 murine macrophages. This study investigated the effects of polyunsaturated fatty acids on osteoclast formation and bone resorption in RAW 264.7 murine pre-osteoclasts. Data obtained suggests an inhibitory effect of these compounds on osteoclastogenesis and bone resorption in the cell line tested. Beenhermodellering in volwassenes is ‘n fisiologiese proses wat die sintese van beenmatriks deur osteoblaste en die resorpsie (afbraak) van been deur osteoklaste behels. Osteoklaste ontstaan deur die samesmelting van hematopoïetiese selle van monosiet-makrofaagafkoms en speel ‘n deurslaggewende rol in beenhermodellering. Osteoklast-ooraktiwiteit kan die afbraak van been in verskeie patologiese toestande tot gevolg hê. Kliniese- en dierestudies het aangedui dat sommige poli-onversadigde vetsure ‘n voordelige effek op been kan hê. Die doel van hierdie proefstudie was om te bepaal of omega-3 en omega-6 poli-onversadigde vetsure osteoklastvorming vanaf RAW 264.7 monosiete moduleer en daardeur die aantal volwasse resorberende osteoklaste kan beïnvloed. Monosiet/makrofaag-muisselle (RAW 264.7 pre-osteoklaste) is teen 1.5x104 selle/putjie in steriele 24-put plaatjies in die aanwesigheid van 15 ng/ml muisreseptor-aktiveerder van NFκBligand (RANKL) gesaai. RANKL is noodsaaklik vir osteoklastvorming vanaf voorgangerselle. Etanol (oplosmiddelkontrole), die omega-6 poli-onversadigde vetsure aragidoonsuur en gammalinoleensuur asook die omega-3 poli-onversadigde vetsure eikosapentaënöesuur en dokosaheksaënöesuur is by die selkulture teen konsentrasies van 5–20 μg/ml gevoeg. Palmitiensuur, ‘n versadigde vetsuur, teen ‘n konsentrasie van 20 μg/ml is as positiewe kontrole vir inhibisie van osteoklastvorming gebruik. Na vyf dae inkubasie is osteoklastvorming geëvalueer deur van tartraat-weerstandigesuurfosfatase (TRAP)-kleuring gebruik te maak. TRAP-positiewe selle met vyf of meer kerne word as veelkernige osteoklaste beskou. Soortgelyke eksperimente is uitgevoer op plaatjies wat bedek is met ‘n sintetiese anorganiese beenoppervlak. Na sewe dae inkubasie is die selle afgewas en resorpsie van die oppervlak met behulp van mikroskoopfoto’s waargeneem. Die persentasie resorpsie-oppervlak is daarna met behulp van toepaslike rekenaarsagteware bepaal. Verder is RAW 264.7 selle op beenskyfies gesaai om die effek van poli-onversadigde vetsure op die degradering van organiese en anorganiese beenkomponente te evalueer. Na nege dae is die gekondisioneerde media afgetrek en die hoeveelheid Ca2+ en kollageenfragmente, beendegraderingsprodukte onderskeidelik afkomstig vanaf die anorganiese en organiese komponente van beenafbraak, deur gepaste kolorimetriese metodes bepaal. Resultate van hierdie studie het getoon dat die vorming van veelkernige osteoklaste deur die blootstelling aan poli-onversadigde vetsure by konsentrasies van 5–20 μg/ml geïnhibeer word. Blootstelling aan al die vetsure het tot inhibering van osteoklastvorming gelei met die grootste effek by die hoogste vetsuurkonsentrasies. Dokosaheksaënöesuur (omega-3) het die mees betekenisvolle inhiberende effek oor al die konsentrasies getoon en eikosapentaënöesuur die minste. Resorpsieholtes op die gesimuleerde beenplaatjies was kleiner waar die selle aan aragidoonsuur en dokosaheksaënöesuur blootgestel was in vergelyking met dié van die oplosmiddelkontrole, wat moontlik aan die laer voorkoms van volwasse veelkernige osteoklaste toegeskryf kan word. ‘n Afname in die beendegraderingsprodukte is ook waargeneem waar selle blootgestel is aan aragidoonsuur en dokosaheksaënöesuur in vergelyking met die oplosmiddelkontrole. Die resultate ondersteun die vermoede dat poli-onversadigde vetsure die vorming van volwasse osteoklaste inhibeer en daardeur ‘n beenbeskermende effek tot gevolg mag hê. Verdere navorsing is nodig om duidelikheid oor die meganismes wat hier betrokke is, te verkry. Hierdie navorsing is deur die Mediese Navorsingsraad en die Navorsings-ontwikkelingsprogram (Universiteit van Pretoria) befonds.