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      Nutritional and health status of Afghan refugee women living in Punjab: A cross‐sectional study

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          Abstract

          Afghan refugees are the world's densely populated community, with 2.6 million registered Afghan refugees living globally, of whom about 2.2 million are in Iran and Pakistan. Pakistan is a densely populated country, and due to its low socioeconomic status, food insecurity, unhygienic conditions, and inadequate access to health care, the Afghan refugees have high chances of being malnourished; the chances of death for these Afghans are 25 times more every year from undernourishment and poverty than those from violence. This study aimed to assess anthropometric and biochemical analyses, their health complications, and the socioeconomic status of Afghan refugee women living in Islamabad Punjab as women are the most vulnerable and highly malnourished group in any community. This cross‐sectional study involved 150 Afghan women aged 15–30 years; they were assessed for their nutritional status using Anthropometric, Biochemical, Clinical and Diet (ABCD). The results indicate the prevalence of underweight, normal weight, and overweight at 74.7%, 16.7%, and 8.7%, respectively. Majority of the women have extremely low hemoglobin (Hb) level, which indicates iron deficiency as well as low body mass index for their age. As the results indicate that there are high chances of severe malnutrition among this most vulnerable segment of the population, this situation must be addressed immediately; the main aim of this study is to highlight the current situation of these Afghan refugees in Pakistan. More research is needed to determine how normal body weight women with low hemoglobin levels are compared to women with ideal body mass index ratios.

          Abstract

          A majority of the women have extremely low Hb level, which indicates iron deficiency as well as low body mass index with regard to their age. The results indicate that there are high chances of severe malnutrition among this most vulnerable segment of the population, and this situation must be addressed immediately.

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          Most cited references45

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          Daily oral iron supplementation during pregnancy.

          Iron and folic acid supplementation has been the preferred intervention to improve iron stores and prevent anaemia among pregnant women, and it is thought to improve other maternal and birth outcomes.
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            Design of a RCT evaluating the (cost-) effectiveness of a lifestyle intervention for male construction workers at risk for cardiovascular disease: The Health under Construction study

            Background Of all workers in Dutch construction industry, 20% has an elevated risk of cardiovascular disease (CVD). A major risk factor for CVD risk is an unhealthy lifestyle. The aim of our study is to design a lifestyle intervention for construction workers with an elevated CVD risk, and to evaluate its (cost-) effectiveness. Methods/Design In a RCT, 692 participants will be randomised to either the control or the intervention group. The control group will receive usual care. For the intervention group, a lifestyle intervention has been designed based on interviews and current literature. The intervention will last 6 months and will comprise 3 face-to-face and 4 telephone contacts, consisting of individual counselling aimed at increasing daily physical activity (PA) and improving dietary behaviour, and/or smoking cessation. Counselling will take place at the Occupational Health Service (OHS), and will be done according to motivational interviewing (MI). Additional written information about healthy lifestyle will also be provided to those in the intervention group. At baseline, after 6 and after 12 months, measurements will take place. Primary outcome variables will be the lifestyle behaviours of concern, i.e. daily PA, dietary intake, and smoking status. Secondary outcome variables will be body mass index (BMI), systolic and diastolic blood pressure, total and HDL blood cholesterol, Hba1c and cardio-respiratory fitness (CRF). Sickness absenteeism and cost-effectiveness will be assessed as well. Multilevel analysis will be performed to compare all outcome measures between the intervention group and the control group. Discussion By improving lifestyle, CVD risk may be lowered, yielding benefits for both employee and employer. If proven effective, this lifestyle intervention will be implemented on a larger scale within the Occupational Health Services in construction industry. Trial registration Current Controlled Trials ISRCTN60545588
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              Biomarkers of Nutrition for Development (BOND)—Iron Review

              This is the fifth in the series of reviews developed as part of the Biomarkers of Nutrition for Development (BOND) program. The BOND Iron Expert Panel (I-EP) reviewed the extant knowledge regarding iron biology, public health implications, and the relative usefulness of currently available biomarkers of iron status from deficiency to overload. Approaches to assessing intake, including bioavailability, are also covered. The report also covers technical and laboratory considerations for the use of available biomarkers of iron status, and concludes with a description of research priorities along with a brief discussion of new biomarkers with potential for use across the spectrum of activities related to the study of iron in human health. The I-EP concluded that current iron biomarkers are reliable for accurately assessing many aspects of iron nutrition. However, a clear distinction is made between the relative strengths of biomarkers to assess hematological consequences of iron deficiency versus other putative functional outcomes, particularly the relationship between maternal and fetal iron status during pregnancy, birth outcomes, and infant cognitive, motor and emotional development. The I-EP also highlighted the importance of considering the confounding effects of inflammation and infection on the interpretation of iron biomarker results, as well as the impact of life stage. Finally, alternative approaches to the evaluation of the risk for nutritional iron overload at the population level are presented, because the currently designated upper limits for the biomarker generally employed (serum ferritin) may not differentiate between true iron overload and the effects of subclinical inflammation.
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                Author and article information

                Contributors
                farhananosheen@gcuf.edu.pk
                fakharislam17462@gcuf.edu.pk
                dr.aliimran@gcuf.edu.pk
                yuosra_amer@uomosul.edu.iq
                Journal
                Food Sci Nutr
                Food Sci Nutr
                10.1002/(ISSN)2048-7177
                FSN3
                Food Science & Nutrition
                John Wiley and Sons Inc. (Hoboken )
                2048-7177
                28 March 2023
                June 2023
                : 11
                : 6 ( doiID: 10.1002/fsn3.v11.6 )
                : 2872-2882
                Affiliations
                [ 1 ] Department of Home Economics Government College University Faisalabad Pakistan
                [ 2 ] Department of Food Sciences Government College University Faisalabad Pakistan
                [ 3 ] Department of Food Sciences, College of Agriculture and Forestry University of Mosul Mosul Iraq
                Author notes
                [*] [* ] Correspondence

                Ali Imran and Fakhar Islam, Department of Food Sciences, Government College University, Faisalabad, Pakistan.

                Email: dr.aliimran@ 123456gcuf.edu.pk ; fakharislam17462@ 123456gcuf.edu.pk

                Farhana Nosheen, Department of Home Economics, Government College University, Faisalabad, Pakistan.

                Email: farhananosheen@ 123456gcuf.edu.pk

                Yousra Amer Ali, Department of Food Sciences, College of Agriculture and Forestry, University of Mosul, Mosul, Iraq.

                Email: yuosra_amer@ 123456uomosul.edu.iq

                Author information
                https://orcid.org/0000-0001-6935-5924
                https://orcid.org/0000-0002-0332-8066
                https://orcid.org/0000-0002-8394-2233
                Article
                FSN33267 FSN3-2022-10-1489.R2
                10.1002/fsn3.3267
                10261817
                37324867
                249e2575-b213-425a-92fa-4a0999b882ec
                © 2023 The Authors. Food Science & Nutrition published by Wiley Periodicals LLC.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 27 January 2023
                : 01 November 2022
                : 03 February 2023
                Page count
                Figures: 5, Tables: 10, Pages: 11, Words: 6827
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                June 2023
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.2.9 mode:remove_FC converted:13.06.2023

                afghan refugees,body mass index,malnutrition,nutritional status,prevalence

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