Publications by authors named "Tali Sinai"

Background: Although studies have suggested that Holocaust survivors are more likely than their non-Holocaust-exposed counterparts to suffer from mental and chronic morbidity, methodology differences and potential confounders often compromise result replicability and external validity. We examined associations between Holocaust exposure and chronic morbidity, as well as overall risk of mortality.

Methods: Sociodemographic, health-related behavior and nutritional-intake data from two representative National Health and Nutrition Survey Ages 65 and Over-the 2005-2006 MABAT ZAHAV 1 (MZ1) and the 2014-2015 MZ2, including face-to-face interviews and anthropometric measurements-were analyzed.

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Aim: Attention-deficit hyperactivity disorder (ADHD) and disordered eating (DE) are both highly prevalent among adolescents, but their relationship is understudied. This study examines their possible association in a nationally representative sample of adolescents.

Methods: Participants in the Israeli Youth Health and Nutrition Survey (2015-2016), a cross-sectional, school-based study, completed self-administered questionnaires, including the SCOFF questionnaire, and underwent anthropometric measurements.

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Aim: To estimate the association between attention-deficit hyperactivity disorder (ADHD) and relatively short stature (RSS) among adolescents.

Methods: Participants in the Israeli Youth Health and Nutrition Survey (2015-2016), a cross-sectional school-based study, completed self-administered questionnaires and underwent anthropometric measurements. Height z-score < -0.

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Irrigation with reclaimed wastewater is a growing practice aimed at conserving freshwater sources, especially in arid and semiarid regions. Despite the apparent advantages to water management, the practice of irrigation with reclaimed wastewater exposes the agroenvironment to contaminants of emerging concern (CECs). In this report, we estimated the unintentional dietary exposure of the Israeli population (2808 participants) to CECs from consumption of produce irrigated with reclaimed wastewater using detailed dietary data obtained from a National Health and Nutrition Survey (Rav Mabat adults; 2014-2016).

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Protein consumption apparently plays a role in weight control. This cross-sectional study examined the association of protein consumption in Israeli adolescents with overweight/obesity. 7th−12th grade students participating in a national school-based survey (2015−2016) completed self-administered questionnaires, including a food frequency questionnaire, and height and weight measurements (n = 3443, 48% males, 15.

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Background: Polypharmacy increases with age and is associated with serious health and economic costs. This study reports changes over a decade in medication-use patterns and polypharmacy, in Israeli community-dwelling older adults aged ≥ 65 years.

Methods: Demographic and health data from two representative national health cross-sectional surveys - MABAT ZAHAV 1 (MZ1) in 2005-2006, and MZ2 in 2014-2015 were analyzed.

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Dietary patterns (DPs), usually established in adolescents, are important modifiable risk factors in the etiology of malnutrition and chronic diseases. This study aimed to identify DPs of adolescents and examine their associations with growth, sociodemographic, and lifestyle characteristics. A nationally representative, school-based, cross-sectional study was conducted in Israeli adolescents aged 11-18 years during 2015-2016.

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Purpose: Milk consumption is associated with increased height primarily in early childhood. However, in adolescents, data are scarce with inconsistent results. Since height is a proxy for overall health and well-being, this study evaluated the association of dairy intake with height in adolescents.

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Article Synopsis
  • Front-of-package labels (FOPL) aim to simplify nutrition info, helping consumers make healthier choices, with Israel introducing mandatory red labels for unhealthy levels of sodium, sugar, or saturated fats.
  • A survey of 1,042 adults revealed 76.2% frequently use Nutrition Facts Tables (NFT) and show a strong interest in purchasing more green-labelled products (85.0%) while avoiding red-labelled ones (81.1%).
  • The study highlights that individuals with higher BMI and lower education levels are more likely to intend to use the new FOPL, indicating that these targeted groups may benefit from the labeling policy.
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  • Handgrip strength (HGS) is an important measure of muscle strength and overall health in older adults, with this study focusing on factors that affect HGS among community-dwelling elderly individuals in Israel.
  • The study involved 1,039 participants aged 65 and older, using face-to-face interviews and measurements, concluding that lower HGS was associated with older age, while higher education and physical activity levels were linked to better muscle strength.
  • Increased daily energy intake and larger midarm circumference were also correlated with reduced prevalence of low HGS, but no significant links were found with factors like ethnicity, body mass index, or macronutrient consumption.
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Article Synopsis
  • The study aimed to compare adherence to the Mediterranean diet (MD) among Israeli adolescents between two periods: 2003-4 and 2015-6, using nationally representative surveys.
  • It found that adherence improved significantly, with better KIDMED scores reflecting increased consumption of fruits, vegetables, and whole grains, and fewer negative eating behaviors in 2015-6 compared to 2003-4.
  • Physical activity, dieting, and reading food labels were linked to better diet quality, while being overweight or obese negatively impacted adherence, indicating a need for tailored health initiatives for different groups.
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Ultra-processed foods have known negative implications for health; however, their effect on skeletal development has never been explored. Here, we show that young rats fed ultra-processed food rich in fat and sugar suffer from growth retardation due to lesions in their tibial growth plates. The bone mineral density decreases significantly, and the structural parameters of the bone deteriorate, presenting a sieve-like appearance in the cortices and poor trabecular parameters in long bones and vertebrae.

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Vitamin E, a fat-soluble vitamin with antioxidant properties, is thought to modulate enzymes involved in signal transduction, affect gene expression, and have immunomodulatory capabilities. Severe vitamin E deficiency is associated with neuronal disorders, impaired immune response, hemolytic anemia, and oxidative-based disorders. Patients who undergo bariatric surgery (BS), especially malabsorptive procedures, are at greater risk of developing fat-soluble vitamin deficiencies.

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Article Synopsis
  • * The review highlights the importance of comprehensive preoperative nutritional assessments that evaluate patients' medical history, weight management, eating habits, and overall health to tailor individual educational strategies.
  • * There is a call for more well-designed studies to establish uniform, evidence-based nutritional guidelines for BS candidates, particularly focusing on pre-surgical nutritional interventions and their impact on postoperative outcomes.
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Study Objective: To assess emergent changes in the age at menarche and investigate associated factors in Israeli adolescents in 2003 and 2016.

Design: Cross-sectional study.

Setting: Two national representative school-based surveys (first and second "Mabat Youth").

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Background & Aims: Children on long-term tube-feeding often need special treatment for oral feeding transitioning. Rapid tube-weaning programs usually result in short-term reductions in food intake and weight loss. This study examined the long-term effects of a "Graz-model" based weaning program on nutritional status and growth.

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Article Synopsis
  • * A systematic review analyzed 19 articles on vitamin K status in bariatric surgery patients, revealing a need for better monitoring of vitamin K levels, especially in those who've had malabsorptive surgeries.
  • * There are currently no clear guidelines on vitamin K supplementation or screening intervals for these patients, and further research is necessary to address these gaps.
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Fasting, skipping meals, and dehydration are common methods of rapid weight loss used prior to competition in weight category sports. This study examines coaches' attitudes, perceptions, and practices regarding rapid weight loss among judo and taekwondo athletes. A convenience sample of experienced coaches and trainers (n = 68) completed structured questionnaires.

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Background: Growth impairment was previously described in milk-allergic children but was not examined in adults on reaching final height.

Objectives: To investigate the dietary intake and final stature of young adults with IgE-mediated cow's milk allergy (IgE-CMA) as compared with nonallergic controls.

Methods: Eighty-seven patients with IgE-CMA, median age 19.

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Article Synopsis
  • - This study explored the low bone mineral density (BMD) in young adults with IgE-mediated cow's milk allergy (IgE-CMA) and found that many have abnormal BMD compared to healthy peers.
  • - Researchers evaluated 78 postpubertal IgE-CMA patients and identified common issues like asthma, lower weight, and higher carbohydrate intake among those with low BMD, despite similar calcium intake levels.
  • - Asthma was highlighted as a significant risk factor for developing osteopenia and osteoporosis, alongside weight concerns, indicating that these factors should be considered in managing the health of IgE-CMA patients.
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Purpose: The use of soy products is common in young children with cow milk allergy (CMA). The aim was to examine prospectively the association between infantile consumption of soy-based formula, growth parameters and early pubertal signs, in comparison to cow milk-based formula.

Methods: A nested case-control study was conducted, selected from a cohort of infants prospectively followed from birth until the age of 3 years for eating habits and the development of IgE-mediated CMA.

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Bariatric surgery is currently the most effective treatment for morbid obesity and its associated metabolic complications. To ensure long-term postoperative success, patients must be prepared to adopt comprehensive lifestyle changes. This review summarizes the current evidence and expert opinions with regard to nutritional care in the perioperative and long-term postoperative periods.

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Athletes competing in individual sports such as judo are categorized by weight. Before competitions, weight cutting is common. This cross-sectional study was designed to characterize and determine the prevalence of rapid weight loss (RWL) among adolescent judo competitors.

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Background: IgE-mediated cow's milk-allergic (IgE-CMA) patients provide a valuable model for studying the relationship between dairy intake and bone mineral density (BMD) because they are unable to consume even minor amounts of dairy foods.

Objective: To determine the effects of dairy restriction on BMD in young adult IgE-CMA patients.

Methods: A prospective observational study was conducted from July 2012 to June 2013 at the Allergy unit of the Assaf-Harofeh Medical Center.

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Objectives: Infantile feeding disorders (IFDs) are common causes of food refusal and failure to thrive, and are frequently encountered by primary care physicians and specialists. We have published the Wolfson criteria for IFD, which have eased the approach to the diagnosis of IFDs. Along with and complementary to the Wolfson criteria, we have also developed the role reversal treatment method for IFD, which has been briefly described earlier.

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