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Article ; Online: Dietary patterns and their associations with postpartum weight retention: results of the MINA cohort study.

Naja, Farah / Abdulmalik, Mariam / Ayoub, Jennifer / Mahmoud, Amira / Nasreddine, Lara

2024 Volume 63, Issue 3, Page(s) 809–820

Abstract: Purpose: To examine the association of prepregnancy dietary patterns with postpartum weight retention at 6 months (PPWR: Methods: Data for this study were derived from the Mother and Infant Nutrition Assessment (MINA) prospective cohort study ... ...

Abstract	Purpose: To examine the association of prepregnancy dietary patterns with postpartum weight retention at 6 months (PPWR Methods: Data for this study were derived from the Mother and Infant Nutrition Assessment (MINA) prospective cohort study conducted in Lebanon and Qatar. Pregnant women were recruited during their first trimester and were followed up for three years. For the purpose of this study, data belonging to sociodemographic characteristics of participants, prepregnancy dietary intake, prepregnancy BMI as well as weight retention at 6 months were used. Dietary intake was examined using a 98-item food frequency questionnaire. Principal component analysis was used for the derivation of dietary patterns. The associations of dietary patterns with PPWR Results: Data was available for 177 participants (Lebanon: 93; Qatar: 84). Mean PPWR Conclusion: Higher adherence to the Western pattern was associated with higher PPWR
MeSH term(s)	Infant ; Humans ; Pregnancy ; Female ; Cohort Studies ; Gestational Weight Gain ; Mothers ; Prospective Studies ; Nutrition Assessment ; Dietary Patterns ; Weight Gain ; Postpartum Period ; Body Mass Index
Language	English
Publishing date	2024-01-05
Publishing country	Germany
Document type	Journal Article
ZDB-ID	1466536-0
ISSN	1436-6215 ; 1436-6207
ISSN (online)	1436-6215
ISSN	1436-6207
DOI	10.1007/s00394-023-03305-7
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Article ; Online: Food sources of fiber and micronutrients of concern among infants and young children in Lebanon: a national cross-sectional study.

Chokor, Fatima Al Zahraa / Hwalla, Nahla / Naja, Farah / Nasreddine, Lara

BMC pediatrics

2024 Volume 24, Issue 1, Page(s) 57

Abstract: Background: Intakes of fiber, iron, zinc, calcium, vitamin D, vitamin A, and folate were shown to be low in a substantial proportion of infants and children in Lebanon. The study aims to identify the top food sources of fiber, iron, zinc, calcium, ... ...

Abstract	Background: Intakes of fiber, iron, zinc, calcium, vitamin D, vitamin A, and folate were shown to be low in a substantial proportion of infants and children in Lebanon. The study aims to identify the top food sources of fiber, iron, zinc, calcium, vitamin D, vitamin A, and folate amongst infants and young children in Lebanon and to evaluate the evolution of food sources of these nutrients from the beginning of the complementary feeding journey up until the age of 47.9 months. Methods: A national cross-sectional survey was conducted in 2012 as part of the "Early Life Nutrition and Health in Lebanon" project using stratified cluster sampling. Dietary intakes for infants and young children aged 6-47.9 months (n = 763) were assessed using 24- Hour Dietary Recall. Food items were categorized into food groups and the percent contribution of each food group to nutrient intakes was determined to identify the top food sources of fiber and selected micronutrients for three age groups: 6-11.9 m (infants), 12-23.9 m (toddlers), and 24-47.9 m (preschoolers). Results: The top food source of fiber was vegetables among children aged 6-47.9 months. Among infants and toddlers, infant/young child formula was the main contributor to iron, zinc, calcium, vitamin D, vitamin A, and folate intakes. Baby cereals also contributed to around 14% of iron intakes among infants. Among preschoolers, meat and fish contributed to 13% of iron intakes and 29% of zinc intakes, while cow's milk was the major contributor of calcium (41%), vitamin D (81%) and vitamin A (25%) intakes. Sweetened beverages and sweet bakery were also ranked among the major food sources contributing to substantial intakes of key nutrients, including fiber, iron, zinc, calcium, vitamin A, and folate among infants, toddlers, and preschoolers. Conclusions: In addition to milk sources, vegetables, beans and legumes, breads, meats, and rice and pasta, sweet bakery and sweetened beverages have contributed to intakes of key nutrients from early ages. This calls for implementing initiatives and designing approaches to support nutrition education and improve nutrient intakes in infancy and early childhood.
MeSH term(s)	Infant ; Female ; Animals ; Cattle ; Humans ; Child, Preschool ; Child ; Cross-Sectional Studies ; Micronutrients ; Vitamin A ; Calcium ; Lebanon ; Energy Intake ; Diet ; Vitamins ; Vegetables ; Vitamin D ; Iron ; Folic Acid ; Zinc
Chemical Substances	Micronutrients ; Vitamin A (11103-57-4) ; Calcium (SY7Q814VUP) ; Vitamins ; Vitamin D (1406-16-2) ; Iron (E1UOL152H7) ; Folic Acid (935E97BOY8) ; Zinc (J41CSQ7QDS)
Language	English
Publishing date	2024-01-19
Publishing country	England
Document type	Journal Article
ZDB-ID	2041342-7
ISSN	1471-2431 ; 1471-2431
ISSN (online)	1471-2431
ISSN	1471-2431
DOI	10.1186/s12887-024-04535-2
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Article ; Online: Nutrition Knowledge, Attitudes, and Lifestyle Practices That May Lead to Breast Cancer Risk Reduction among Female University Students in Lebanon.

Deeb, Nour / Naja, Farah / Nasreddine, Lara / Kharroubi, Samer / Darwiche, Nadine / Hwalla, Nahla

Nutrients

2024 Volume 16, Issue 7

Abstract: Research has identified both nonmodifiable and modifiable risk factors for breast cancer (BC), with accumulating evidence showing that adopting adequate dietary practices could decrease the risk of this disease. This study aimed to assess nutrition ... ...

Abstract	Research has identified both nonmodifiable and modifiable risk factors for breast cancer (BC), with accumulating evidence showing that adopting adequate dietary practices could decrease the risk of this disease. This study aimed to assess nutrition knowledge, attitudes, and lifestyle practices (KAP) that may lead to BC risk reduction among female university students in Lebanon and examine the determinants of their practices. A cross-sectional survey was conducted using a convenience sampling method, comprising 356 (response rate: 71.2%) female students at the American University of Beirut aged 18 to 25 years with no history of BC. Participants completed a pre-tested questionnaire addressing the objectives of the study. The modified Bloom's cut-off of 75% was used to categorize knowledge and practice scores as poor or good and attitudes as negative or positive. Large proportions of students had poor knowledge (68.3%), negative attitudes (65.4%), and poor practices (98.0%) scores. Pursuing a health-related major and having a higher GPA were associated with better knowledge and attitudes while being older and having a lower degree of stress were associated with positive attitudes only. Having a lower body mass index (BMI) was associated with better practice scores. Better knowledge significantly predicted higher intake of fruits and vegetables. Overall knowledge and attitudes were significantly correlated with each other, but neither was significantly correlated with overall practice. These findings underscore the importance of implementing public health programs geared towards improving nutrition KAP that may lead to BC risk reduction.
MeSH term(s)	Female ; Humans ; Male ; Breast Neoplasms/epidemiology ; Breast Neoplasms/etiology ; Breast Neoplasms/prevention & control ; Lebanon/epidemiology ; Cross-Sectional Studies ; Health Knowledge, Attitudes, Practice ; Universities ; Risk Reduction Behavior ; Life Style ; Students
Language	English
Publishing date	2024-04-08
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2518386-2
ISSN	2072-6643 ; 2072-6643
ISSN (online)	2072-6643
ISSN	2072-6643
DOI	10.3390/nu16071095
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Article ; Online: Communicable Disease Surveillance in Lebanon during the Syrian Humanitarian Crisis, 2013-2019.

Farah, Zeina / Saleh, Majd / Abou El Naja, Hala / Chaito, Lina / Ghosn, Nada

Epidemiologia (Basel, Switzerland)

2023 Volume 4, Issue 3, Page(s) 255–266

Abstract: Lebanon has been one of the most affected countries by the Syrian humanitarian crisis. The national communicable disease surveillance was enhanced to detect outbreaks among Syrians. In this study, we aim to describe the findings of the communicable ... ...

Abstract	Lebanon has been one of the most affected countries by the Syrian humanitarian crisis. The national communicable disease surveillance was enhanced to detect outbreaks among Syrians. In this study, we aim to describe the findings of the communicable disease surveillance among Syrians in Lebanon, compare it to residents' data, and describe the implemented surveillance activities between 2013 and 2019. During the study period, data on communicable diseases was mainly collected through the routine national surveillance system and an enhanced syndromic surveillance system. Predefined case definitions and standard operating procedures were in place. Data collection included both case-based and disease-specific reporting forms. Descriptive data and incidence rates were generated. Information was disseminated through weekly reports. Activities were conducted in close collaboration with different partners. The most commonly reported diseases were: viral hepatitis A, cutaneous leishmaniasis, mumps, and measles. Hepatitis A incidence increased in 2013 and 2014 among Syrians as well as residents. For leishmaniasis, the incidence increased only among Syrians in 2013 and decreased after that. An outbreak of mumps was reported among Syrians between 2014 and 2016, with a peak in 2015 concomitant with a national outbreak. Outbreaks of measles were reported among Syrians and residents in 2013, 2018, and 2019. The infrastructure of the well-implemented surveillance system in Lebanon has been utilized to monitor the health status of Syrians in Lebanon, early detect communicable diseases among this population, and guide needed preventive and control measures. This highlights the importance of having a flexible surveillance system that can be adapted to emergencies and the importance of sharing results with involved partners.
Language	English
Publishing date	2023-07-03
Publishing country	Switzerland
Document type	Journal Article
ISSN	2673-3986
ISSN (online)	2673-3986
DOI	10.3390/epidemiologia4030026
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Article ; Online: Effectiveness of the Pfizer-BioNTech Vaccine against COVID-19-Associated Hospitalizations among Lebanese Adults ≥75 Years Old-Lebanon, April-May 2021.

Farah, Zeina / Haddad, Nadine / Abou El Naja, Hala / Saleh, Majd / Mrad, Pamela / Ghosn, Nada

Epidemiologia (Basel, Switzerland)

2023 Volume 4, Issue 2, Page(s) 212–222

Abstract: In Lebanon, the nationwide vaccination against COVID-19 was launched in February 2021 using the Pfizer-BioNTech vaccine and prioritizing elderly people, persons with comorbidities, and healthcare workers. Our study aims to estimate the post-introduction ... ...

Abstract	In Lebanon, the nationwide vaccination against COVID-19 was launched in February 2021 using the Pfizer-BioNTech vaccine and prioritizing elderly people, persons with comorbidities, and healthcare workers. Our study aims to estimate the post-introduction vaccine effectiveness (VE) of the Pfizer-BioNTech vaccine in preventing COVID-19 hospitalizations among elderly people ≥75 years old in Lebanon. A case-control study design was used. Case patients were Lebanese, ≥75 years old, and hospitalized with positive PCR results during April-May 2021, and randomly selected from the database of the Epidemiological Surveillance Unit at the Ministry of Public Health (MOPH). Each case patient was matched by age and locality to two controls. The controls were hospitalized, non-COVID-19 patients, randomly selected from the MOPH hospital admission database. VE was calculated for fully (2 doses ≥14 days) and partially vaccinated (≥14 days of the first or within 14 days of the second dose) participants using multivariate logistic regression. A total of 345 case patients and 814 controls were recruited. Half were females, with a mean age of 83 years. A total of 14 case patients (5%) and 143 controls (22%) were fully vaccinated. A bivariate analysis showed a significant association with gender, month of confirmation/hospital admission, general health, chronic medical conditions, main income source, and living arrangement. After adjusting for a month of hospital admission and gender, the multivariate analysis yielded a VE of 82% (95% CI = 69-90%) against COVID-19-associated hospitalizations for those fully vaccinated and 53% (95% CI = 23-71%) for those partially vaccinated. Our study shows that the Pfizer-BioNTech vaccine is effective in reducing the risk for COVID-19-associated hospitalizations of Lebanese elderly people (≥75 years old). Additional studies are warranted to explore VE in reducing hospitalizations for younger age groups, as well as reducing COVID-19 infections.
Language	English
Publishing date	2023-06-14
Publishing country	Switzerland
Document type	Journal Article
ISSN	2673-3986
ISSN (online)	2673-3986
DOI	10.3390/epidemiologia4020022
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Article ; Online: Nutrient Patterns and Bladder Cancer: A Case-Control Study in Iran.

Pourkerman, Marzieh / Hajjar, Melika / Naja, Farah / Yunus, Faisel / Rashidkhani, Bahram

Nutrition and cancer

2023 Volume 75, Issue 5, Page(s) 1323–1329

Abstract: To examine the association between nutrient patterns (NP) and the risk of bladder cancer (BC) in the Iranian population, this Hospital-based case-control study was conducted with 306 participants (106 cases and 200 controls). The cases were newly ... ...

Abstract	To examine the association between nutrient patterns (NP) and the risk of bladder cancer (BC) in the Iranian population, this Hospital-based case-control study was conducted with 306 participants (106 cases and 200 controls). The cases were newly diagnosed with BC (transitional cell carcinoma). Participants' past year's dietary intake was obtained via a valid 168-item Food Frequency Questionnaire (FFQ). Principal Component Analysis was applied to derive NPs considering the intake of the nutrients. Logistic regression models were used to estimate the odds ratio (ORs) and 95%CIs. Two main NPs were obtained - Mineral Dominant (NP1) and Fat Dominant (NP2). NP1 was characterized by a high loading of folate, total carbohydrate, iron, phosphorus, fiber, total protein, magnesium, potassium, and calcium. NP2 had high loadings of trans-fatty acid (TFA), poly-unsaturated fatty acid (PUFA), total fat, saturated fatty acid (SFA), sodium, and cholesterol. Higher adherence to NP1 pattern significantly decreased the odds of BC (OR = 0.24, 95%CI: 0.09-0.67). In contrast, high adherence to NP2 resulted in almost a five-fold increase in the odds of BC (OR = 5.41, 95%CI: 2.26, 12.95). Variability in nutrient patterns has significant associations with the risk of BC, further highlighting the need to study patterns of nutrient intake rather than single nutrients.
MeSH term(s)	Humans ; Case-Control Studies ; Diet ; Iran/epidemiology ; Nutrients ; Urinary Bladder Neoplasms/epidemiology ; Urinary Bladder Neoplasms/etiology ; Eating ; Time Factors
Language	English
Publishing date	2023-03-31
Publishing country	United States
Document type	Journal Article
ZDB-ID	424433-3
ISSN	1532-7914 ; 0163-5581
ISSN (online)	1532-7914
ISSN	0163-5581
DOI	10.1080/01635581.2023.2191383
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Article ; Online: Nutrition amid the COVID-19 pandemic: a multi-level framework for action.

Naja, Farah / Hamadeh, Rena

European journal of clinical nutrition

2020 Volume 74, Issue 8, Page(s) 1117–1121

MeSH term(s)	COVID-19 ; Coronavirus Infections/diet therapy ; Coronavirus Infections/epidemiology ; Coronavirus Infections/immunology ; Disease Outbreaks ; Exercise/physiology ; Exercise/psychology ; Feeding Behavior/physiology ; Feeding Behavior/psychology ; Food Supply ; Global Health ; Hoarding ; Humans ; Nutritional Physiological Phenomena ; Pandemics ; Pneumonia, Viral/diet therapy ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/immunology ; Psychological Distress ; Public Health/methods ; Public Health/standards ; World Health Organization
Keywords	covid19
Language	English
Publishing date	2020-04-20
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	639358-5
ISSN	1476-5640 ; 0954-3007
ISSN (online)	1476-5640
ISSN	0954-3007
DOI	10.1038/s41430-020-0634-3
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Article ; Online: Intention to quit and its correlates among dieticians residing in the United Arab Emirates during the COVID-19 pandemic: A cross-sectional survey.

Naja, Farah / Hassan, Haydar / Radwan, Hadia / Kellany, Fares / Ismail, Leila Cheikh / Hashim, Mona / Rida, Wafa Helmi / Abu Qiyas, Salma / Alameddine, Mohamad

PloS one

2024 Volume 19, Issue 1, Page(s) e0295904

Abstract: Background: The COVID-19 pandemic precipitated increased workload, stress, and burnout on healthcare providers on the frontlines of the pandemic, dieticians were no exception. Such unprecedented occupational risks and stressors contributed to a higher ... ...

Abstract	Background: The COVID-19 pandemic precipitated increased workload, stress, and burnout on healthcare providers on the frontlines of the pandemic, dieticians were no exception. Such unprecedented occupational risks and stressors contributed to a higher intention to quit, potentially leading to workforce shortages, and hindering the delivery of quality care, especially for patients with chronic conditions. The aim of this study was to examine the prevalence factors associated with the intention to quit among dieticians in the United Arab Emirates during a public health emergency. Methods: The study utilized a cross-sectional design with an online survey sent to dieticians between January and May 2021. The final version of the questionnaire included four sections: A sociodemographic section, intention to quit, work-related practices and challenges, as well as the resilience scale using the 25 items- Connor-Davidson Resilience Scale© (CD-RISC). Descriptive statistics as well as simple and multiple logistic regression analyses were carried out to explore factors associated with the intention to quit among dieticians. Results: Study results revealed that a quarter of dieticians intend to quit their jobs. Higher odds of intention to quit among dieticians were significantly associated with male gender, younger age, having a chronic condition, being non-resilient, feeling unappreciated, using online platforms for dietary counseling, reporting increased workload, and working from home or in a blended format during the pandemic. Conclusion: This study revealed a high intention to quit among dieticians during the COVID-19 pandemic and identified a few correlates for the intention to quit that could support the development of evidence-based interventions. Such interventions should address through targeted programs the challenges faced by male dieticians, younger dieticians, as well as dieticians with Chronic health conditions. Furthermore, the findings of this study showed that promoting resilience among dieticians is crucial in reducing their intention to quit.
MeSH term(s)	Humans ; Male ; Cross-Sectional Studies ; Pandemics ; Intention ; Nutritionists ; United Arab Emirates/epidemiology ; COVID-19/epidemiology ; Surveys and Questionnaires
Language	English
Publishing date	2024-01-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0295904
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Article ; Online: Estimation of the influenza-associated respiratory hospitalization burden using sentinel surveillance data, Lebanon, 2015-2020.

Farah, Zeina / El Naja, Hala Abou / Tempia, Stefano / Saleh, Nadine / Abubakar, Abdinasir / Maison, Patrick / Ghosn, Nada

Influenza and other respiratory viruses

2023 Volume 17, Issue 4, Page(s) e13138

Abstract: Introduction: Influenza epidemics cause around 3 to 5 million cases of severe illness worldwide every year. Estimates are needed for a better understanding of the burden of disease especially in low- and middle-income countries. The objective of this ... ...

Abstract	Introduction: Influenza epidemics cause around 3 to 5 million cases of severe illness worldwide every year. Estimates are needed for a better understanding of the burden of disease especially in low- and middle-income countries. The objective of this study is to estimate the number and rate of influenza-associated respiratory hospitalizations in Lebanon during five influenza seasons (2015-2016 to 2019-2020) by age and province of residence in addition to estimating the influenza burden by level of severity. Methods: The severe acute respiratory infection sentinel surveillance system was used to compute influenza positivity from the influenza laboratory confirmed cases. The total of respiratory hospitalizations under the influenza and pneumonia diagnosis was retrieved from the Ministry of Public Health hospital billing database. Age-specific and province-specific frequencies and rates were estimated for each season. Rates per 100 000 population were calculated with 95% confidence levels. Results: The estimated seasonal average of influenza-associated hospital admission was 2866 for a rate of 48.1 (95% CI: 46.4-49.9) per 100 000. As for the distribution by age group, the highest rates were seen in the two age groups ≥65 years and 0-4 years whereas the lowest rate was for the age group 15-49 years. For the distribution by province of residence, the highest influenza-associated hospitalization rates were reported from the Bekaa-Baalback/Hermel provinces. Conclusion: This study shows the substantial burden of influenza in Lebanon mainly on high-risk groups (≥65 years and <5 years). It is crucial to translate these findings into policies and practices to reduce the burden and estimate the illness-related expenditure and indirect costs.
MeSH term(s)	Humans ; Infant ; Aged ; Adolescent ; Young Adult ; Adult ; Middle Aged ; Influenza, Human/epidemiology ; Sentinel Surveillance ; Lebanon/epidemiology ; Hospitalization ; Hospitals ; Pneumonia ; Seasons
Language	English
Publishing date	2023-04-23
Publishing country	England
Document type	Journal Article
ZDB-ID	2274538-5
ISSN	1750-2659 ; 1750-2640
ISSN (online)	1750-2659
ISSN	1750-2640
DOI	10.1111/irv.13138
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Article: Nutrition amid the COVID-19 pandemic: a multi-level framework for action

Naja, Farah / Hamadeh, Rena

Eur J Clin Nutr

Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #99147
Database	COVID19

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