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      Pediatric thiamine deficiency disorders in high‐income countries between 2000 and 2020: a clinical reappraisal

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          Abstract

          Often thought to be a nutritional issue limited to low‐ and middle‐income countries (LMICs), pediatric thiamine deficiency (PTD) is perceived as being eradicated or anecdotal in high‐income countries (HICs). In HICs, classic beriberi cases in breastfed infants by thiamine‐deficient mothers living in disadvantaged socioeconomic conditions are thought to be rare. This study aims to assess PTD in HICs in the 21st century. Literature searches were conducted to identify case reports of PTD observed in HICs and published between 2000 and 2020. The analyzed variables were age, country, underlying conditions, clinical manifestations of PTD, and response to thiamine supplementation. One hundred and ten articles were identified, totaling 389 PTD cases that were classified into four age groups: neonates, infants, children, and adolescents. Eleven categories of PTD‐predisposing factors were identified, including genetic causes, lifestyle (diabetes, obesity, and excessive consumption of sweetened beverages), eating disorders, cancer, gastrointestinal disorders/surgeries, critical illness, and artificial nutrition. TD‐associated hyperlactatemia and Wernicke encephalopathy were the most frequent clinical manifestations. The circumstances surrounding PTD in HICs differ from classic PTD observed in LMICs and this study delineates its mutiple predisposing factors. Further studies are required to estimate its magnitude. Awareness is of utmost importance in clinical practice.

          Abstract

          Pediatric thiamine deficiency (PTD) is perceived as being eradicated or anecdotal in high‐income countries (HICs). This study aims to assess PTD in HICs in the 21st century. Literature searches were conducted to identify case reports of PTD observed in HICs and published between 2000 and 2020. The circumstances surrounding PTD in HICs differ from classic PTD observed in low‐ and middle‐income countries and this study delineates its mutiple predisposing factors.

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          Global trends in diabetes complications: a review of current evidence

          In recent decades, large increases in diabetes prevalence have been demonstrated in virtually all regions of the world. The increase in the number of people with diabetes or with a longer duration of diabetes is likely to alter the disease profile in many populations around the globe, particularly due to a higher incidence of diabetes-specific complications, such as kidney failure and peripheral arterial disease. The epidemiology of other conditions frequently associated with diabetes, including infections and cardiovascular disease, may also change, with direct effects on quality of life, demands on health services and economic costs. The current understanding of the international burden of and variation in diabetes-related complications is poor. The available data suggest that rates of myocardial infarction, stroke and amputation are decreasing among people with diabetes, in parallel with declining mortality. However, these data predominantly come from studies in only a few high-income countries. Trends in other complications of diabetes, such as end-stage renal disease, retinopathy and cancer, are less well explored. In this review, we synthesise data from population-based studies on trends in diabetes complications, with the objectives of: (1) characterising recent and long-term trends in diabetes-related complications; (2) describing regional variation in the excess risk of complications, where possible; and (3) identifying and prioritising gaps for future surveillance and study.
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            Brain development during childhood and adolescence: a longitudinal MRI study.

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              Enteral nutrient supply for preterm infants: commentary from the European Society of Paediatric Gastroenterology, Hepatology and Nutrition Committee on Nutrition.

              The number of surviving children born prematurely has increased substantially during the last 2 decades. The major goal of enteral nutrient supply to these infants is to achieve growth similar to foetal growth coupled with satisfactory functional development. The accumulation of knowledge since the previous guideline on nutrition of preterm infants from the Committee on Nutrition of the European Society of Paediatric Gastroenterology and Nutrition in 1987 has made a new guideline necessary. Thus, an ad hoc expert panel was convened by the Committee on Nutrition of the European Society of Paediatric Gastroenterology, Hepatology, and Nutrition in 2007 to make appropriate recommendations. The present guideline, of which the major recommendations are summarised here (for the full report, see http://links.lww.com/A1480), is consistent with, but not identical to, recent guidelines from the Life Sciences Research Office of the American Society for Nutritional Sciences published in 2002 and recommendations from the handbook Nutrition of the Preterm Infant. Scientific Basis and Practical Guidelines, 2nd ed, edited by Tsang et al, and published in 2005. The preferred food for premature infants is fortified human milk from the infant's own mother, or, alternatively, formula designed for premature infants. This guideline aims to provide proposed advisable ranges for nutrient intakes for stable-growing preterm infants up to a weight of approximately 1800 g, because most data are available for these infants. These recommendations are based on a considered review of available scientific reports on the subject, and on expert consensus for which the available scientific data are considered inadequate.
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                Author and article information

                Contributors
                laurenthiffler@gmail.com
                Journal
                Ann N Y Acad Sci
                Ann N Y Acad Sci
                10.1111/(ISSN)1749-6632
                NYAS
                Annals of the New York Academy of Sciences
                John Wiley and Sons Inc. (Hoboken )
                0077-8923
                1749-6632
                26 July 2021
                August 2021
                : 1498
                : 1 , Thiamine ( doiID: 10.1111/nyas.v1498.1 )
                : 57-76
                Affiliations
                [ 1 ] Cellular Nutrition Research Group Lagny sur Marne France
                [ 2 ] LRI Isotopic Medicine Physiology Lab University of Antananarivo Antananarivo Madagascar
                [ 3 ] The New York Academy of Sciences New York New York
                [ 4 ] NOVA Medical School Universidade NOVA de Lisboa Lisboa Portugal
                Author notes
                [*] [* ]Address for correspondence: Laurent Hiffler, Cellular Nutrition Research Group, 4 rue du Temple, Lagny sur Marne 77400, France. laurenthiffler@ 123456gmail.com

                Author information
                https://orcid.org/0000-0001-5197-230X
                https://orcid.org/0000-0003-1702-1433
                Article
                NYAS14669
                10.1111/nyas.14669
                9290709
                34309858
                b893ee33-0324-4999-adcc-f6bcd885fa45
                © 2021 The Authors. Annals of the New York Academy of Sciences published by Wiley Periodicals LLC on behalf of New York Academy of Sciences

                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
                : 21 June 2021
                : 29 January 2021
                : 05 July 2021
                Page count
                Figures: 6, Tables: 0, Pages: 20, Words: 12305
                Funding
                Funded by: Bill and Melinda Gates Foundation , doi 10.13039/100000865;
                Award ID: OPP1176128
                Categories
                Nyasbiol3577
                Nyasnutr1013
                Nyasphys1560
                Nyaspubl8657
                Review
                Reviews
                Custom metadata
                2.0
                August 2021
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.1.7 mode:remove_FC converted:18.07.2022

                Uncategorized
                pediatric thiamine deficiency,hyperlactatemia,wernicke encephalopathy,bariatric surgery,sweetened drinks,anorexia

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