RESUMO
The prevalence of aflatoxin B1 (AFB1) in 186 peanut products (140 peanuts, 32 peanut butter, and 14 nut cakes) from supermarkets, road vendors, and sale outlets, and 40 feed samples from dairy farmers was determined using the radioimmunoassay method (Charm II) test for aflatoxins. The frequency of aflatoxin M1 (AFM1) was also determined in 175 raw milk samples from milk collection centers and 37 pasteurized milk samples obtained from supermarkets and sale outlets. Overall, from a total of 438 samples tested, 18 (4.1%) were positive for aflatoxin comprising 5 (2.2%) of 226 peanut products and feeds positive for AFB1, and 13 (6.1%) of 212 milk samples positive for AFM1. All 186 peanuts and peanut products were negative (0.0%) for AFB1 while 5 (7.4%) of 40 dairy feed samples were positive. Of the 175 raw milk samples tested, 13 (7.4%) were contaminated with AFM1 while all pasteurized milk samples were negative. The detection of AFB1 in feed and AFM1 in milk is of public health importance considering the practice of raw milk consumption by the farmers and their families in the country.
Assuntos
Aflatoxinas , Ração Animal/análise , Arachis/química , Contaminação de Alimentos/análise , Leite/química , Aflatoxina B1/análise , Aflatoxina B1/isolamento & purificação , Aflatoxina M1/análise , Aflatoxina M1/isolamento & purificação , Aflatoxinas/análise , Aflatoxinas/isolamento & purificação , Animais , Qualidade de Produtos para o Consumidor , Humanos , Saúde Pública , Trinidad e TobagoRESUMO
Several reports agreed that the antecedent markers for developing diabetes in offspring of type 2 diabetic patients involve excess body weight and insulin resistance. This study examined the pattern of changes in anthropometric and biochemical risk factors for developing diabetes in a follow-up offspring of Caribbean type 2 diabetic patients. Results of 46 offspring of type 2 diabetic patients who had received one-to-one individualized diet and exercise counseling for 5 years in our laboratory were analyzed. Changes in anthropometric (body weight, waist circumference) and biochemical (insulin, glucose, lipids, HOMA-insulin resistance, HOMA-percent beta-cell function) parameters over the 5-year period were analyzed using ANOVA tests. Of the 46 offspring, 10.9 and 2.2%, respectively, developed impaired glucose tolerance (IGT) and diabetes. Over the years, IGT offspring had a significant step-wise increase and decrease in fasting and 2-h postprandial plasma glucose levels (P < 0.05) and percent B-cell function (P < 0.001), respectively. Again, a non-significant step-wise increase was observed in body mass index, waist circumference and HOMA-insulin resistance levels (P > 0.05). While we await the results of medication-based intervention studies in different populations, exercise and diet counseling will remain the only available lifestyle intervention strategy for slowing IGT progression to diabetes.
Assuntos
Diabetes Mellitus Tipo 2/fisiopatologia , Intolerância à Glucose/fisiopatologia , Adulto , Glicemia , Peso Corporal , Diabetes Mellitus Tipo 2/sangue , Diabetes Mellitus Tipo 2/genética , Saúde da Família , Seguimentos , Intolerância à Glucose/sangue , Intolerância à Glucose/genética , Humanos , Insulina/sangue , Lipídeos/sangue , Fatores de Risco , Trinidad e Tobago , Relação Cintura-QuadrilRESUMO
The prevalence of antimicrobial residues in pooled table eggs from layer farms, shopping malls, and supermarkets in Trinidad was determined. A total of 23 layer farms and 14 shopping malls were sampled twice, 1 month apart, whereas 102 supermarkets were each sampled once. For each farm, 25 eggs were randomly collected and pooled to constitute a composite sample, whereas six eggs from each farm source available at sale outlets were randomly sampled from malls and supermarkets to constitute a composite sample. Questionnaires were administered at the farms to determine the occurrence of risk factors for contamination of antimicrobial residues in eggs and at sale outlets to determine storage conditions. The Charm II test was used to qualitatively detect antimicrobial residues (beta-lactams, macrolides, sulfonamides, and tetracyclines). Of 46 composite eggs tested from farms, 3 (6.5%) were contaminated with residues compared with 5 (16.1%) of 31 and 16 (15.0%) of 107 mall and supermarket eggs, respectively, but the difference was not statistically significant (P > 0.05). The residues detected were as follows: sulfonamides, 12 (6.5%) of 184; macrolides, 7 (3.8%) of 184; tetracycline, 5 (2.7%) of 184; and beta-lactam, 0 (0.0%) of 184. The difference was statistically significant (P < 0.05). The use of medicated feeds on farm, claim of adherence to the antimicrobial withdrawal period, and temperature of egg storage did not significantly (P > 0.05) affect the prevalence of residues in eggs. It was concluded that the presence of antimicrobial residues, particularly sulfonamides, in table eggs could be of public health significance to the consumer.
Assuntos
Criação de Animais Domésticos/métodos , Antibacterianos/isolamento & purificação , Resíduos de Drogas/análise , Ovos/análise , Contaminação de Alimentos/análise , Ração Animal/análise , Animais , Antibacterianos/uso terapêutico , Galinhas/metabolismo , Prevalência , Trinidad e TobagoRESUMO
The prevalence of antimicrobial residues in pooled table eggs from layer farms, shopping malls, and supermarkets in Trinidad was determined. A total of 23 layer farms and 14 shopping malls were sampled twice, 1 month apart, whereas 102 supermarkets were each sampled once. For each farm, 25 eggs were randomly collected and pooled to constitute a composite sample, whereas six eggs from each farm source available at sale outlets were randomly sampled from malls and supermarkets to constitute a composite sample. Questionnaires were administered at the farms to determine the occurrence of risk factors for contamination of antimicrobial residues in eggs and at sale outlets to determine storage conditions. The Charm II test was used to qualitatively detect antimicrobial residues (-lactams, macrolides, sulfonamides, and tetracyclines). Of 46 composite eggs tested from farms, 3 (6.5%) were contaminated with residues compared with 5 (16.1%) of 31 and 16 (15.0%) of 107 mall and supermarket eggs, respectively, but the difference was not statistically significant (P > 0.05). The residues detected were as follows: sulfonamides, 12 (6.5%) of 184; macrolides, 7 (3.8%) of 184; tetracycline, 5 (2.7%) of 184; and -lactam, 0 (0.0%) of 184. The difference was statistically significant (P < 0.05). The use of medicated feeds on farm, claim of adherence to the antimicrobial withdrawal period, and temperature of egg storage did not significantly (P > 0.05) affect the prevalence of residues in eggs. It was concluded that the presence of antimicrobial residues, particularly sulfonamides, in table eggs could be of public health significance to the consumer
Assuntos
Aves Domésticas , Prevalência , Ovos/microbiologia , Trinidad e Tobago/epidemiologiaRESUMO
OBJECTIVE: To compare the blood pressure and metabolic parameters of type 2 diabetic patients with high waist circumference (WC) with those of type 2 diabetic patients with normal WC. DESIGN: After 10-14 h overnight fasting, weight, height, waist and hip circumferences and blood pressure were measured, and blood samples taken for glucose, glycated haemoglobin, total cholesteroL triglyceride, HDL-cholesterol, LDL-cholesterol and insulin determinations. Insulin resistance was calculated using the homeostatic model assessment (HOMA) method, while high WC was considered as WC > 102 cm and 89 cm for males and females, respectively. SETTING: Two primary care clinics in Trinidad, West Indies. PATIENTS: 190 confirmed type 2 diabetic patients with mean duration of 9.2 years were studied. RESULTS: About 75% and 17% of female and male patients, respectively, had high WC. Although blood pressure and lipid levels did not differ (p > 0.05) between patients with high and normal WC, the former group of patients had significantly higher mean levels of basal insulin and insulin resistance in each gender group (p < 0.001). However, female patients had an overall higher prevalence rate of hypercholesterolaemia (75% vs 52%) and higher LDL-cholesterol (84% vs 68%) than male patients (p < 0.001). CONCLUSIONS: Although there was similarity in the control of blood pressure and metabolic parameters irrespective of WC, patients with high WC might be at a comparatively higher risk of cardiovascular disease owing to greater basal insulin resistance. Early detection and treatment of abdominal obesity should therefore be encouraged in the primary healthcare setting.